hcpcs	source	category	cms_code	description	unit	price	nf_quantity	f_quantity	global_period
0446T	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	000
0446T	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
0446T	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
0446T	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
0446T	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	000
0446T	CMS	"Accessory, Procedure"	SD334	implantable interstitial glucose sensor	item	1500	1	0	000
0446T	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
0446T	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
0446T	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
0446T	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	0.33	0	000
0446T	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
0446T	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
0446T	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
0446T	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
0446T	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
0446T	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
0446T	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
0447T	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
0447T	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
0447T	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
0447T	CMS	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.82	1	0	000
0447T	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
0447T	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
0447T	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
0447T	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
0447T	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
0447T	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	0.33	0	000
0447T	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
0447T	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	000
0447T	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
0447T	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
0447T	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	000
0447T	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
0447T	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
0448T	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
0448T	CMS	"Accessory, Procedure"	SD334	implantable interstitial glucose sensor	item	1500	1	0	000
0448T	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
0448T	CMS	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.82	1	0	000
0448T	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
0448T	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
0448T	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
0448T	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
0448T	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
0448T	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
0448T	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	000
0448T	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
0448T	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
0448T	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	000
0448T	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
0448T	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
0448T	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
0448T	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	0.33	0	000
0509T	CMS	Lab	SL020	bleach	ml	0.01	2		XXX
0509T	CMS	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	0.1014		XXX
0509T	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
0509T	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	5		XXX
0509T	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	2		XXX
0509T	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		XXX
0509T	CMS	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	2.3533	0.2		XXX
0509T	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	1		XXX
0509T	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05		XXX
0509T	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		XXX
10004	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	ZZZ
10004	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	3	0	ZZZ
10004	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	ZZZ
10005	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	XXX
10005	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	XXX
10005	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	XXX
10005	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
10005	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	XXX
10005	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	XXX
10005	RUC	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"	item	2.28	1	0	XXX
10005	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	XXX
10005	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	XXX
10005	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	XXX
10005	RUC	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	21.58	1	0	XXX
10006	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	ZZZ
10006	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	ZZZ
10006	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	3	0	ZZZ
10007	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	XXX
10007	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
10007	RUC	"Hypodermic, IV"	SC035	"needle, Chiba"	item	10.1	3	0	XXX
10007	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	XXX
10007	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	XXX
10007	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	XXX
10007	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	XXX
10007	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1	0	XXX
10007	RUC	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	21.58	1	0	XXX
10007	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	XXX
10007	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	XXX
10007	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	XXX
10007	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
10007	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	XXX
10007	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	XXX
10007	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	XXX
10007	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	XXX
10007	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	XXX
10008	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	ZZZ
10008	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	ZZZ
10008	RUC	"Hypodermic, IV"	SC035	"needle, Chiba"	item	10.1	3	0	ZZZ
10008	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	3	0	ZZZ
10009	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	XXX
10009	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
10009	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	XXX
10009	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	XXX
10009	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	XXX
10009	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	XXX
10009	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	XXX
10009	RUC	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	21.58	1	0	XXX
10009	RUC	"Hypodermic, IV"	SC035	"needle, Chiba"	item	10.1	3	0	XXX
10009	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	XXX
10009	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	XXX
10009	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	XXX
10009	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	XXX
10009	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
10009	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1	0	XXX
10009	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	XXX
10009	RUC	"Accessory, Procedure"	SD086	grids	item	0.22	1	0	XXX
10009	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	XXX
10010	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	ZZZ
10010	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	3	0	ZZZ
10010	RUC	"Hypodermic, IV"	SC035	"needle, Chiba"	item	10.1	3	0	ZZZ
10010	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	ZZZ
10021	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	XXX
10021	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	XXX
10021	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	XXX
10021	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
10021	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	XXX
10021	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	XXX
10021	RUC	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	21.58	1	0	XXX
10030	CMS	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	000
10030	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
10030	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
10030	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
10030	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.58	1	0	000
10030	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
10030	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	000
10030	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
10030	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
10030	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
10030	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
10030	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
10030	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
10030	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
10030	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
10030	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	1	0	000
10030	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
10030	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
10030	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
10030	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
10030	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
10030	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
10030	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
10030	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
10030	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
10030	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
10030	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
10030	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	000
10030	CMS	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.75	1	0	000
10035	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
10035	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	4	0	000
10035	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
10035	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
10035	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
10035	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
10035	CMS	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.14	1	0	000
10035	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
10035	CMS	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	71.11	3	0	000
10035	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	5	0	000
10035	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
10035	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
10035	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
10035	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	2	0	000
10035	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	000
10035	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
10035	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	000
10035	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	2	0	000
10035	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	000
10035	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
10035	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
10035	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	000
10035	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	000
10035	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
10035	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	000
10035	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
10035	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34	0	000
10036	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	ZZZ
10036	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	ZZZ
10036	RUC	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.14	1	0	ZZZ
10036	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	ZZZ
10036	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	ZZZ
10036	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
10036	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	ZZZ
10036	RUC	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	71.11	3	0	ZZZ
10036	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	ZZZ
10036	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	ZZZ
10036	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	2	0	ZZZ
10036	RUC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	ZZZ
10036	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	ZZZ
10036	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	4	0	ZZZ
10036	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	ZZZ
10036	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	ZZZ
10036	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	ZZZ
10036	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	ZZZ
10036	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	ZZZ
10036	RUC	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	ZZZ
10036	RUC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	2	0	ZZZ
10040	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
10040	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	010
10040	RUC	"Cutters, Closures, Cautery"	SF022	comedone extractor	item	1.89	1	0	010
10040	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	010
10040	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	5	0	010
10040	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0	010
10040	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
10040	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
10040	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
10040	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	010
10040	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
10040	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
10040	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
10060	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
10060	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	1	010
10060	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
10060	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	010
10060	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	010
10060	RUC	"Wound Care, Dressings"	SG034	"dressing, 3in x 3in (Adaptic)"	item	0.48	1	0	010
10060	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
10060	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
10060	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
10060	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
10060	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	10	010
10060	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	10	010
10060	RUC	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	6.17	1	0	010
10060	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
10060	RUC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14	10	6	010
10061	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
10061	RUC	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78	1	1	010
10061	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	5	010
10061	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	1	010
10061	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	1	010
10061	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
10061	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
10061	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	010
10061	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	3	010
10061	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
10061	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	3	1	010
10061	RUC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14	6	0	010
10061	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	2	010
10061	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	1	010
10061	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	1	010
10061	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	1	010
10061	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
10061	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
10061	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
10061	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
10080	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	1	010
10080	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	010
10080	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
10080	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
10080	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	1	010
10080	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
10080	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	010
10080	RUC	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
10080	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
10080	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	120	0	010
10080	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
10080	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
10080	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
10080	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	010
10080	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
10080	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
10080	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
10080	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
10080	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
10080	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
10080	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
10080	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
10080	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
10080	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
10080	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
10080	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
10080	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
10080	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
10080	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
10080	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
10081	Jan03	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	010
10081	Jan03	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
10081	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
10081	Jan03	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
10081	Jan03	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	1	010
10081	Jan03	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
10081	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
10081	Jan03	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
10081	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	010
10081	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
10081	Jan03	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
10081	Jan03	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
10081	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	1	010
10081	Jan03	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
10081	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
10081	Jan03	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
10081	Jan03	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
10081	Jan03	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
10081	Jan03	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
10081	Jan03	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
10081	Jan03	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
10081	Jan03	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
10081	Jan03	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
10081	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
10081	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
10081	Jan03	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	120	0	010
10081	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
10081	Jan03	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
10081	Jan03	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
10081	Jan03	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	010
10081	Jan03	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
10081	Jan03	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
10081	Jan03	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
10120	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
10120	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
10120	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
10120	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
10120	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
10120	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
10120	RUC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	2.25	1	0	010
10120	RUC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	5.99	1	0	010
10120	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
10120	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
10120	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
10120	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
10120	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
10120	RUC	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	6.17	1	0	010
10120	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
10120	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
10121	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
10121	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
10121	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
10121	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
10121	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
10121	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
10121	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
10121	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
10121	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
10121	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
10121	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
10121	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
10121	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
10121	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
10121	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
10121	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
10121	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
10121	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
10121	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	010
10140	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
10140	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
10140	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
10140	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	5.99	1	0	010
10140	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
10140	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
10140	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
10140	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
10140	CMS	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	6.17	1	0	010
10140	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
10140	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
10140	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
10140	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	2.25	1	0	010
10160	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
10160	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
10160	CMS	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	6.17	1	0	010
10160	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
10160	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
10160	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	010
10160	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	5.99	1	0	010
10160	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	2.25	1	0	010
10160	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
10160	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
10160	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
10180	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
10180	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
10180	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
10180	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
10180	RUC	Lab	SL146	tubed culture media	item	0.92	1	0	010
10180	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
10180	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
10180	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
10180	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
10180	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
10180	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
10180	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
10180	RUC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	2.25	1	0	010
10180	RUC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	5.99	1	0	010
10180	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
10180	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
10180	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
10180	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
10180	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
11000	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	0	000
11000	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
11000	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11000	CMS	"Pharmacy, Rx"	SH038	hemostatic solution (Lumicain)	ml	0.15	1	0	000
11000	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	000
11000	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	000
11000	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14	3	0	000
11000	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
11000	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11000	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
11000	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
11000	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
11000	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
11000	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1	0	000
11000	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1	0	000
11000	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11000	CMS	"Wound Care, Dressings"	SG034	"dressing, 3in x 3in (Adaptic)"	item	0.48	1	0	000
11001	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	ZZZ
11001	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14	3	0	ZZZ
11001	Sep02	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	ZZZ
11001	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	ZZZ
11001	Sep02	"Wound Care, Dressings"	SG034	"dressing, 3in x 3in (Adaptic)"	item	0.48	1	0	ZZZ
11001	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	ZZZ
11001	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	0	ZZZ
11001	Sep02	"Pharmacy, Rx"	SH038	hemostatic solution (Lumicain)	ml	0.15	1	0	ZZZ
11010	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	010
11010	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	010
11010	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
11010	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
11010	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
11010	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	010
11010	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
11010	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
11010	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	010
11010	CMS	"Gown, Drape"	SB038	safety glasses	item	1.92	2	0	010
11010	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
11010	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
11010	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
11010	CMS	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	8.38	1	0	010
11010	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
11010	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11010	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	010
11010	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	010
11010	CMS	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	1.14	3	0	010
11010	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	010
11010	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	010
11010	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
11010	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	010
11010	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	0	010
11010	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
11010	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
11010	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
11010	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	0.78	3	0	010
11010	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
11010	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11010	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11010	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
11010	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	010
11010	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	5	0	010
11010	CMS	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	010
11011	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	0.78	3	0	000
11011	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	000
11011	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
11011	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
11011	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
11011	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
11011	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
11011	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
11011	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	000
11011	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
11011	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
11011	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	000
11011	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
11011	CMS	"Gown, Drape"	SB038	safety glasses	item	1.92	2	0	000
11011	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
11011	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	000
11011	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	0	000
11011	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	000
11011	CMS	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	1.14	3	0	000
11011	CMS	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	8.38	1	0	000
11011	CMS	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	000
11011	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
11011	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	5	0	000
11011	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
11011	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	000
11011	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
11011	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
11011	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	000
11011	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	000
11011	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	000
11011	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
11011	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11011	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
11011	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	000
11011	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11012	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	0	000
11012	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
11012	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	000
11012	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	000
11012	CMS	"Gown, Drape"	SB038	safety glasses	item	1.92	2	0	000
11012	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	000
11012	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
11012	CMS	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	1.14	3	0	000
11012	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
11012	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	000
11012	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	000
11012	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
11012	CMS	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	8.38	1	0	000
11012	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11012	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
11012	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
11012	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	5	0	000
11012	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
11012	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
11012	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	000
11012	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	000
11012	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
11012	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
11012	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	0.78	3	0	000
11012	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
11012	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
11012	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11012	CMS	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	000
11012	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	000
11012	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
11012	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
11012	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	000
11012	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	000
11012	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
11012	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
11042	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
11042	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
11042	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	2	0	000
11042	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
11042	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
11042	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
11042	CMS	Lab	SL033	culture swab system (Culturette)	item	0.96	1	0	000
11042	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	10	0	000
11042	CMS	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.08	72	0	000
11042	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
11042	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34	1	0	000
11042	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	2	0	000
11042	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
11042	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11042	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
11042	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
11042	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
11042	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
11042	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
11043	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
11043	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	2	0	000
11043	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
11043	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
11043	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
11043	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	6	0	000
11043	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
11043	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
11043	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11043	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11043	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	000
11043	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
11043	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
11043	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
11043	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11043	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
11043	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	3	0	000
11043	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
11043	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
11043	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	2	0	000
11043	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
11043	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
11043	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
11043	CMS	Lab	SL033	culture swab system (Culturette)	item	0.96	1	0	000
11044	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
11044	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11044	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
11044	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11044	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
11044	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
11044	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
11044	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
11044	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	3	0	000
11044	CMS	Lab	SL033	culture swab system (Culturette)	item	0.96	1	0	000
11044	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	000
11044	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	2	0	000
11044	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
11044	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
11044	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11044	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	6	0	000
11044	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
11044	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
11044	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
11044	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
11044	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	2	0	000
11044	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
11044	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
11044	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
11045	CPT11 25	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	ZZZ
11045	CPT11 25	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34	1	0	ZZZ
11045	CPT11 25	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	ZZZ
11045	CPT11 25	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	ZZZ
11045	CPT11 25	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	ZZZ
11046	CPT11 25	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	ZZZ
11046	CPT11 25	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	6	0	ZZZ
11046	CPT11 25	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	ZZZ
11046	CPT11 25	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	ZZZ
11046	CPT11 25	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	ZZZ
11047	CPT11 25	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	ZZZ
11047	CPT11 25	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	6	0	ZZZ
11047	CPT11 25	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	ZZZ
11047	CPT11 25	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
11047	CPT11 25	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	ZZZ
11047	CPT11 25	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	ZZZ
11055	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
11055	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
11055	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1	0	000
11055	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
11055	CMS	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.08	6	0	000
11055	CMS	"Accessory, Procedure"	SD097	"monofilament, sensory testing"	item	0.42	1	0	000
11055	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
11055	CMS	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	5.86	6	0	000
11055	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11055	CMS	"Wound Care, Dressings"	SG001	"adherent, pre-tape spray"	oz	0.9	1	0	000
11055	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
11055	CMS	"Wound Care, Dressings"	SG003	adhesive foam	inch	0.71	4	0	000
11056	CMS	"Wound Care, Dressings"	SG001	"adherent, pre-tape spray"	oz	0.9	1	0	000
11056	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
11056	CMS	"Accessory, Procedure"	SD097	"monofilament, sensory testing"	item	0.42	1	0	000
11056	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11056	CMS	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	5.86	6	0	000
11056	CMS	"Wound Care, Dressings"	SG003	adhesive foam	inch	0.71	6	0	000
11056	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
11056	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1	0	000
11056	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
11056	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
11056	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
11056	CMS	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.08	6	0	000
11057	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
11057	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
11057	CMS	"Accessory, Procedure"	SD097	"monofilament, sensory testing"	item	0.42	1	0	000
11057	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
11057	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
11057	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1	0	000
11057	CMS	"Wound Care, Dressings"	SG003	adhesive foam	inch	0.71	8	0	000
11057	CMS	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.08	6	0	000
11057	CMS	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	5.86	6	0	000
11057	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11057	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
11057	CMS	"Wound Care, Dressings"	SG001	"adherent, pre-tape spray"	oz	0.9	1	0	000
11102	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
11102	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
11102	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
11102	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11102	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
11102	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11102	RUC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	000
11102	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	000
11102	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
11102	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
11102	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	2	0	000
11102	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	000
11102	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
11102	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	000
11102	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
11102	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	1	0	000
11102	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11102	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11102	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
11102	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	1	0	000
11102	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
11102	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
11103	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
11103	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	ZZZ
11103	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	ZZZ
11103	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	ZZZ
11103	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	ZZZ
11103	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	ZZZ
11103	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	2	0	ZZZ
11103	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	ZZZ
11103	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	ZZZ
11103	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	ZZZ
11103	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	1	0	ZZZ
11103	RUC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	ZZZ
11103	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	ZZZ
11103	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	ZZZ
11104	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
11104	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
11104	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
11104	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	1	0	000
11104	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	000
11104	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11104	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	3	0	000
11104	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
11104	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11104	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	1	0	000
11104	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
11104	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
11104	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
11104	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
11104	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
11104	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	000
11104	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11104	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11104	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
11104	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
11104	RUC	"Accessory, Procedure"	SD269	Grounding pad	item	2.09	1	0	000
11104	RUC	"Hypodermic, IV"	SC046	"punch, biopsy"	item	2.69	1	0	000
11104	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
11104	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
11104	RUC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	000
11104	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11105	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	ZZZ
11105	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
11105	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	3	0	ZZZ
11105	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	ZZZ
11105	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	ZZZ
11105	RUC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	ZZZ
11105	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	ZZZ
11105	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	ZZZ
11105	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	ZZZ
11105	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	ZZZ
11105	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	1	0	ZZZ
11105	RUC	"Hypodermic, IV"	SC046	"punch, biopsy"	item	2.69	1	0	ZZZ
11105	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	ZZZ
11105	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	ZZZ
11105	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	ZZZ
11106	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11106	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
11106	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
11106	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
11106	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
11106	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
11106	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
11106	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
11106	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
11106	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11106	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	000
11106	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
11106	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
11106	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	1	0	000
11106	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	000
11106	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	1	0	000
11106	RUC	"Accessory, Procedure"	SD269	Grounding pad	item	2.09	1	0	000
11106	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
11106	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11106	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11106	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
11106	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
11106	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11106	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
11106	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	000
11106	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	000
11106	RUC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	2	0	000
11107	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11107	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
11107	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
11107	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11107	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	000
11107	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
11107	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	000
11107	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11107	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
11107	RUC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	2	0	000
11107	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	000
11107	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	1	0	000
11107	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
11107	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
11107	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
11200	RUC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14	6	0	010
11200	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	010
11200	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
11200	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11200	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	12	0	010
11200	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11200	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
11200	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	5	0	010
11300	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
11300	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11300	RUC	Lab	SL463	Aluminum Chloride 70%	ml	0.24	2	0	000
11300	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
11300	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	000
11300	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
11300	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11300	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
11300	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1	0	000
11300	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	4	0	000
11300	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11300	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
11300	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11300	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	4	0	000
11300	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
11300	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
11300	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	6	0	000
11300	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
11300	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
11300	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11300	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
11300	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	000
11300	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11300	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
11300	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
11300	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11300	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11301	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11301	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
11301	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11301	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11301	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
11301	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
11301	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1	0	000
11301	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11301	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	000
11301	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
11301	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	000
11301	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
11301	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
11301	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
11301	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11301	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
11301	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
11301	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	4	0	000
11301	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11301	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11301	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
11301	RUC	Lab	SL463	Aluminum Chloride 70%	ml	0.24	4	0	000
11301	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
11301	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11301	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
11301	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	4	0	000
11301	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	8	0	000
11302	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11302	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
11302	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
11302	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
11302	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11302	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	000
11302	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	000
11302	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11302	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
11302	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	000
11302	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11302	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1	0	000
11302	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	8	0	000
11302	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
11302	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	000
11302	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
11302	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11302	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11302	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
11302	RUC	Lab	SL463	Aluminum Chloride 70%	ml	0.24	6	0	000
11302	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	4	0	000
11302	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11302	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11302	RUC	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	1	0	000
11302	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	0	000
11302	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	000
11302	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
11302	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	000
11303	RUC	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	1	0	000
11303	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	000
11303	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
11303	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11303	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11303	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	000
11303	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11303	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
11303	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
11303	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	8	0	000
11303	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1	0	000
11303	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11303	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	000
11303	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
11303	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	0	000
11303	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	12	0	000
11303	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	000
11303	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	000
11303	RUC	Lab	SL463	Aluminum Chloride 70%	ml	0.24	8	0	000
11303	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11303	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
11303	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11303	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	000
11303	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
11303	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11303	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	4	0	000
11303	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
11303	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11305	CPT13 May 40	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11305	CPT13 May 40	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1	0	000
11305	CPT13 May 40	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
11305	CPT13 May 40	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
11305	CPT13 May 40	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11305	CPT13 May 40	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
11305	CPT13 May 40	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	000
11305	CPT13 May 40	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11305	CPT13 May 40	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11305	CPT13 May 40	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
11305	CPT13 May 40	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
11305	CPT13 May 40	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
11305	CPT13 May 40	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
11305	CPT13 May 40	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11305	CPT13 May 40	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
11305	CPT13 May 40	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	000
11305	CPT13 May 40	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	6	0	000
11305	CPT13 May 40	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	4	0	000
11305	CPT13 May 40	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
11305	CPT13 May 40	Lab	SL463	Aluminum Chloride 70%	ml	0.24	2	0	000
11305	CPT13 May 40	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
11305	CPT13 May 40	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11305	CPT13 May 40	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
11305	CPT13 May 40	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	4	0	000
11305	CPT13 May 40	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
11305	CPT13 May 40	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
11305	CPT13 May 40	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11305	CPT13 May 40	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11306	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	000
11306	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	000
11306	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11306	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11306	RUC	Lab	SL463	Aluminum Chloride 70%	ml	0.24	4	0	000
11306	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11306	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
11306	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
11306	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11306	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
11306	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11306	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
11306	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
11306	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1	0	000
11306	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11306	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11306	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11306	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
11306	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
11306	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	4	0	000
11306	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	8	0	000
11306	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
11306	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
11306	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	4	0	000
11306	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	000
11306	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
11306	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
11307	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11307	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	000
11307	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11307	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1	0	000
11307	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
11307	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
11307	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11307	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
11307	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	000
11307	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11307	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	4	0	000
11307	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	000
11307	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	000
11307	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11307	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
11307	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
11307	RUC	Lab	SL463	Aluminum Chloride 70%	ml	0.24	6	0	000
11307	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
11307	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11307	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11307	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
11307	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	8	0	000
11307	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	000
11307	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	000
11307	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	0	000
11307	RUC	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	1	0	000
11307	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11307	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
11308	CPT13 May 40	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	000
11308	CPT13 May 40	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
11308	CPT13 May 40	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
11308	CPT13 May 40	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	000
11308	CPT13 May 40	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11308	CPT13 May 40	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
11308	CPT13 May 40	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
11308	CPT13 May 40	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11308	CPT13 May 40	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1	0	000
11308	CPT13 May 40	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	000
11308	CPT13 May 40	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11308	CPT13 May 40	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11308	CPT13 May 40	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11308	CPT13 May 40	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
11308	CPT13 May 40	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11308	CPT13 May 40	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
11308	CPT13 May 40	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	12	0	000
11308	CPT13 May 40	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	000
11308	CPT13 May 40	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11308	CPT13 May 40	Lab	SL463	Aluminum Chloride 70%	ml	0.24	8	0	000
11308	CPT13 May 40	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	8	0	000
11308	CPT13 May 40	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	000
11308	CPT13 May 40	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	0	000
11308	CPT13 May 40	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	1	0	000
11308	CPT13 May 40	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11308	CPT13 May 40	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	4	0	000
11308	CPT13 May 40	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	000
11308	CPT13 May 40	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
11310	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
11310	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	4	0	000
11310	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11310	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11310	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
11310	RUC	Lab	SL463	Aluminum Chloride 70%	ml	0.24	2	0	000
11310	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
11310	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
11310	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
11310	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
11310	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	000
11310	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	6	0	000
11310	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
11310	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11310	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	4	0	000
11310	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
11310	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
11310	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11310	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11310	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
11310	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11310	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1	0	000
11310	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
11310	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
11310	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11310	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	000
11310	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11311	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	4	0	000
11311	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
11311	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
11311	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11311	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
11311	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
11311	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
11311	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	8	0	000
11311	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11311	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11311	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
11311	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
11311	CMS	Lab	SL463	Aluminum Chloride 70%	ml	0.24	4	0	000
11311	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11311	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11311	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
11311	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1	0	000
11311	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	000
11311	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
11311	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11311	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	4	0	000
11311	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	000
11311	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11311	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
11311	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
11311	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11311	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
11312	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	000
11312	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11312	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	8	0	000
11312	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	0	000
11312	RUC	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	1	0	000
11312	RUC	Lab	SL463	Aluminum Chloride 70%	ml	0.24	6	0	000
11312	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
11312	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11312	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	4	0	000
11312	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
11312	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11312	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	000
11312	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
11312	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
11312	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1	0	000
11312	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	000
11312	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	000
11312	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11312	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11312	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
11312	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
11312	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11312	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11312	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	000
11312	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	000
11312	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11312	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
11312	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
11313	CPT13 May 40	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11313	CPT13 May 40	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	000
11313	CPT13 May 40	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	8	0	000
11313	CPT13 May 40	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	1	0	000
11313	CPT13 May 40	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	0	000
11313	CPT13 May 40	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	000
11313	CPT13 May 40	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	12	0	000
11313	CPT13 May 40	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	000
11313	CPT13 May 40	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11313	CPT13 May 40	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11313	CPT13 May 40	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
11313	CPT13 May 40	Lab	SL463	Aluminum Chloride 70%	ml	0.24	8	0	000
11313	CPT13 May 40	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
11313	CPT13 May 40	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	4	0	000
11313	CPT13 May 40	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
11313	CPT13 May 40	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1	0	000
11313	CPT13 May 40	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	000
11313	CPT13 May 40	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
11313	CPT13 May 40	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	000
11313	CPT13 May 40	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11313	CPT13 May 40	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
11313	CPT13 May 40	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11313	CPT13 May 40	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11313	CPT13 May 40	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11313	CPT13 May 40	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	000
11313	CPT13 May 40	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
11313	CPT13 May 40	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11313	CPT13 May 40	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
11400	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11400	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11400	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11400	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11400	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
11400	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11400	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11400	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11400	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11400	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11400	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11400	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11400	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11400	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	010
11400	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11400	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11400	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11400	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11400	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11401	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11401	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11401	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11401	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11401	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11401	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	010
11401	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11401	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11401	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11401	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11401	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11401	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11401	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11401	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11401	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11401	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11401	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11401	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11401	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11402	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11402	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11402	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11402	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	010
11402	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
11402	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	010
11402	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11402	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11402	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11402	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11402	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11402	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11402	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11402	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11402	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11402	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11402	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11402	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11402	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11402	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11403	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11403	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11403	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11403	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11403	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11403	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11403	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11403	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	1	010
11403	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11403	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11403	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
11403	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11403	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	010
11403	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11403	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11403	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11403	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
11403	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11403	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11403	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11404	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11404	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11404	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11404	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11404	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	010
11404	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
11404	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	1	010
11404	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11404	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11404	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11404	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11404	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11404	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11404	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11404	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11404	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	30	0	010
11404	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	1	010
11404	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11404	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	010
11404	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11406	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11406	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11406	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11406	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	010
11406	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11406	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11406	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	010
11406	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	010
11406	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
11406	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11406	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11406	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11406	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	3	1	010
11406	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11406	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11406	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11406	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11406	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	1	010
11406	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11406	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11420	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11420	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11420	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11420	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11420	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11420	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	010
11420	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11420	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11420	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11420	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11420	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11420	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11420	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11420	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11420	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11420	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11420	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11420	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11421	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11421	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11421	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11421	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11421	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11421	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11421	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	010
11421	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11421	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11421	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11421	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11421	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11421	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11421	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11421	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11421	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11421	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11421	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11422	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11422	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11422	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11422	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
11422	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11422	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11422	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11422	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	010
11422	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11422	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11422	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11422	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11422	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11422	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11422	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11422	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11422	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11422	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	010
11422	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11423	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11423	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11423	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11423	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	010
11423	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11423	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11423	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11423	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11423	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11423	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	010
11423	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11423	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11423	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
11423	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11423	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11423	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11423	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11423	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
11423	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11424	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	1	010
11424	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11424	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11424	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	010
11424	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11424	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11424	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11424	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11424	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11424	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11424	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	2	1	010
11424	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
11424	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11424	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11424	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11424	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11424	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	010
11424	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11424	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
11426	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
11426	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	010
11426	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	1	010
11426	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11426	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11426	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
11426	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11426	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11426	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	2	1	010
11426	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11426	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11426	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11426	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	3	1	010
11426	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11426	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11426	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11426	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11426	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11426	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11440	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11440	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11440	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11440	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11440	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11440	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11440	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11440	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	010
11440	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11440	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11440	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11440	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11440	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11440	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11440	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11440	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11440	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11440	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11440	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11441	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11441	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11441	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11441	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11441	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11441	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11441	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11441	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11441	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11441	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11441	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11441	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11441	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11441	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	010
11441	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11441	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11441	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11441	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11441	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11442	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11442	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
11442	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11442	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11442	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11442	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11442	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11442	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11442	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	1	010
11442	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	010
11442	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11442	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11442	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11442	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11442	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11442	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11442	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11442	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11442	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	010
11442	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11443	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11443	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11443	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11443	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11443	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11443	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
11443	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11443	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11443	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11443	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	1	010
11443	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11443	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	010
11443	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11443	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11443	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11443	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11443	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	010
11443	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11443	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11443	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11444	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11444	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	1	010
11444	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11444	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11444	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11444	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11444	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11444	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	010
11444	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
11444	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
11444	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11444	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11444	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11444	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	1	010
11444	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	2	1	010
11444	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11444	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11444	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11444	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11444	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11446	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
11446	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11446	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11446	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	010
11446	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11446	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11446	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	3	1	010
11446	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	2	1	010
11446	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11446	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11446	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	30	0	010
11446	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11446	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11446	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11446	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11446	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	1	010
11446	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11446	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11446	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11446	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11450	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
11450	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	090
11450	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	4	0	090
11450	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
11450	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
11450	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
11450	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	090
11450	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
11450	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	25	0	090
11450	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
11450	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
11450	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
11450	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
11450	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
11450	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
11450	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
11450	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
11450	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	090
11450	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	090
11450	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	090
11450	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
11450	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	12	0	090
11451	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
11451	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
11451	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
11451	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
11451	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
11451	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	090
11451	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	090
11451	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
11451	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	4	0	090
11451	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
11451	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
11451	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	12	0	090
11451	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	4	0	090
11451	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
11451	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
11451	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	090
11451	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	090
11451	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
11451	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	090
11451	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
11451	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	25	0	090
11451	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
11462	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	4	0	090
11462	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
11462	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
11462	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
11462	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
11462	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	090
11462	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
11462	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
11462	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
11462	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
11462	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
11462	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	090
11462	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	25	0	090
11462	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	090
11462	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	12	0	090
11462	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
11462	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	090
11462	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
11462	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	090
11462	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
11462	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
11462	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
11463	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
11463	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	4	0	090
11463	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
11463	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	4	0	090
11463	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
11463	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
11463	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	090
11463	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
11463	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
11463	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
11463	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	090
11463	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	090
11463	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
11463	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
11463	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	25	0	090
11463	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	090
11463	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	090
11463	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
11463	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
11463	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
11463	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
11463	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	12	0	090
11470	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
11470	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
11470	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	090
11470	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	4	0	090
11470	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
11470	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
11470	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
11470	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
11470	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
11470	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
11470	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	090
11470	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	090
11470	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
11470	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
11470	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	12	0	090
11470	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
11470	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
11470	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	090
11470	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	25	0	090
11470	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	090
11470	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
11470	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
11471	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
11471	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
11471	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	090
11471	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
11471	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
11471	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	4	0	090
11471	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	090
11471	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
11471	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
11471	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
11471	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
11471	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
11471	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
11471	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
11471	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	4	0	090
11471	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	12	0	090
11471	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	090
11471	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	090
11471	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	25	0	090
11471	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
11471	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	090
11471	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
11600	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11600	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11600	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11600	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11600	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11600	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11600	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11600	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11600	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11600	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11600	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11600	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11600	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11600	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11600	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11600	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11600	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11600	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11600	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11600	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11600	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11600	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11600	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11601	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11601	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11601	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11601	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11601	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11601	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11601	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11601	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11601	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11601	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11601	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11601	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11601	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11601	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11601	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11601	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11601	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11601	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11601	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11601	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11601	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11601	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11601	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11601	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11602	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11602	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11602	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11602	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11602	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11602	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11602	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11602	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11602	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11602	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	010
11602	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11602	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11602	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11602	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11602	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11602	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11602	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11602	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11602	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11602	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11602	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11602	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11602	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11602	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11603	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11603	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11603	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11603	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11603	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11603	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11603	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11603	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11603	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11603	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11603	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11603	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11603	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11603	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11603	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11603	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11603	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11603	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11603	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11603	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	010
11603	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11603	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11603	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11603	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11604	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11604	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11604	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11604	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11604	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11604	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11604	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11604	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11604	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11604	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11604	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11604	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11604	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
11604	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11604	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	010
11604	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11604	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	010
11604	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11604	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11604	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11604	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11604	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11604	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11604	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11606	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11606	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11606	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11606	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11606	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	010
11606	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11606	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11606	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11606	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11606	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	010
11606	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11606	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11606	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
11606	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	010
11606	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11606	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11606	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11606	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11606	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11606	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11606	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11606	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11606	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11606	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11606	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11620	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11620	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11620	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11620	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11620	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11620	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11620	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11620	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11620	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11620	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11620	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11620	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11620	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11620	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11620	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11620	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11620	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11620	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11620	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11620	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11620	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11620	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11620	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11620	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11621	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11621	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11621	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11621	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11621	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11621	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11621	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11621	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11621	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11621	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11621	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11621	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11621	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11621	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11621	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11621	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11621	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11621	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11621	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11621	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11621	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11621	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11621	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11621	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11622	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11622	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11622	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11622	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11622	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11622	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11622	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11622	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11622	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11622	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11622	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11622	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11622	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11622	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11622	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11622	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11622	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11622	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11622	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11622	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11622	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	010
11622	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11622	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11622	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11623	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11623	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11623	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11623	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	010
11623	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11623	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11623	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11623	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11623	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11623	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11623	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11623	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11623	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11623	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11623	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11623	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11623	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11623	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11623	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11623	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11623	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11623	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11623	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11623	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11624	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11624	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11624	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11624	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11624	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11624	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11624	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11624	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11624	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11624	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11624	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11624	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11624	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11624	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11624	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	010
11624	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11624	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	010
11624	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11624	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	010
11624	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11624	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11624	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11624	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11624	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11626	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
11626	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11626	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11626	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11626	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11626	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	010
11626	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11626	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11626	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11626	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11626	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11626	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11626	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11626	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11626	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11626	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11626	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11626	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11626	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11626	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	010
11626	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11626	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11626	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	010
11626	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11626	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11640	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11640	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11640	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11640	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11640	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11640	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11640	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11640	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11640	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11640	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11640	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11640	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11640	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11640	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11640	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11640	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11640	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11640	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11640	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11640	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11640	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11640	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11640	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11640	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11641	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11641	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11641	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11641	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11641	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11641	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11641	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11641	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11641	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11641	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11641	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11641	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11641	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11641	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11641	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11641	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11641	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11641	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11641	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11641	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11641	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11641	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11641	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11641	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11642	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11642	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11642	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11642	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11642	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11642	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11642	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11642	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11642	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11642	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11642	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11642	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11642	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11642	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11642	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11642	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11642	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11642	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11642	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11642	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11642	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11642	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11642	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11642	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11643	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11643	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11643	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11643	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11643	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11643	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11643	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11643	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11643	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11643	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11643	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11643	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11643	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11643	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11643	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11643	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11643	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11643	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11643	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11643	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11643	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11643	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11643	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11643	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11644	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11644	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11644	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11644	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	010
11644	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11644	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	2	010
11644	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11644	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11644	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
11644	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11644	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11644	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11644	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11644	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11644	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	010
11644	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11644	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11644	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11644	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11644	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11644	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11644	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11644	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11644	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11646	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11646	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	0	010
11646	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11646	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11646	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11646	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11646	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11646	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11646	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11646	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11646	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11646	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11646	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11646	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11646	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11646	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	010
11646	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11646	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11646	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11646	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11646	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11646	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	010
11646	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	2	010
11646	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11719	CPT13 Mar 13	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
11719	CPT13 Mar 13	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
11719	CPT13 Mar 13	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
11719	CPT13 Mar 13	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
11719	CPT13 Mar 13	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	2	0	000
11720	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
11720	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
11720	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11720	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
11720	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	2	0	000
11720	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
11720	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	000
11720	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11720	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1	0	000
11720	CMS	"Cutters, Closures, Cautery"	SF009	"blade, surgical chisel 81-86 (Beaver)"	item	3.6	1	0	000
11720	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	2	0	000
11720	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	000
11721	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11721	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1	0	000
11721	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
11721	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11721	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
11721	CMS	"Cutters, Closures, Cautery"	SF009	"blade, surgical chisel 81-86 (Beaver)"	item	3.6	1	0	000
11721	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	000
11721	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	000
11721	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
11721	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
11721	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	2	0	000
11721	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	2	0	000
11730	CMS	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	6.17	1	0	000
11730	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
11730	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
11730	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	000
11730	CMS	"Wound Care, Dressings"	SG034	"dressing, 3in x 3in (Adaptic)"	item	0.48	1	0	000
11730	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	000
11730	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	000
11730	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
11730	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
11730	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
11730	CMS	Lab	SL154	alcohol ethyl 100%	ml	0.028	2	0	000
11730	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
11730	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
11730	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
11730	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
11730	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
11730	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
11730	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
11730	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11732	RUC	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	6.17	1	0	ZZZ
11732	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	3	0	ZZZ
11732	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	ZZZ
11732	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	ZZZ
11732	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	ZZZ
11732	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	ZZZ
11740	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	2.25	1	0	000
11740	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
11740	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
11740	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
11740	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11740	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
11740	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	5.99	1	0	000
11740	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
11740	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
11740	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
11740	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
11750	RUC	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	6.17	1	0	010
11750	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	1	010
11750	RUC	Lab	SL154	alcohol ethyl 100%	ml	0.028	2	0	010
11750	RUC	"Wound Care, Dressings"	SG034	"dressing, 3in x 3in (Adaptic)"	item	0.48	2	1	010
11750	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	1	010
11750	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	4	0	010
11750	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	010
11750	RUC	"Pharmacy, Rx"	SH088	"phenol, liquified, USP"	ml	0.48	2	0	010
11750	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	1	010
11750	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
11750	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
11750	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11750	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
11750	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	1	010
11750	RUC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	2	1	010
11750	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
11750	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
11750	RUC	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.98	1	0	010
11750	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
11750	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
11750	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
11750	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	1	010
11755	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
11755	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
11755	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
11755	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	000
11755	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
11755	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
11755	RUC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	000
11755	RUC	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	6.17	1	0	000
11755	RUC	"Wound Care, Dressings"	SG034	"dressing, 3in x 3in (Adaptic)"	item	0.48	1	0	000
11755	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
11755	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
11755	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
11755	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
11755	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
11755	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
11755	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11755	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
11755	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11755	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
11755	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	000
11760	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
11760	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11760	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
11760	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
11760	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
11760	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	2.25	1	0	010
11760	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11760	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
11760	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
11760	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11760	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	5.99	1	0	010
11760	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
11760	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
11760	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
11760	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
11760	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11760	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	1	0	010
11760	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
11760	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
11760	CMS	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	6.17	1	0	010
11760	CMS	"Wound Care, Dressings"	SG034	"dressing, 3in x 3in (Adaptic)"	item	0.48	1	0	010
11762	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11762	CMS	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	010
11762	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
11762	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
11762	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
11762	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11762	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11762	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	2.25	1	0	010
11762	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	5.99	1	0	010
11762	CMS	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	6.17	1	0	010
11762	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
11762	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
11762	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11762	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
11762	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	1	0	010
11762	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
11762	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
11762	CMS	"Wound Care, Dressings"	SG040	"dressing, 5in x 9in (Adaptic)"	item	1.04	1	0	010
11762	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
11762	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11762	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
11762	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
11765	CMS	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	010
11765	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
11765	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
11765	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11765	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
11765	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
11765	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11765	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
11765	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11765	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11765	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
11765	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
11765	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11765	CMS	"Wound Care, Dressings"	SG040	"dressing, 5in x 9in (Adaptic)"	item	1.04	1	0	010
11765	CMS	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	6.17	1	0	010
11765	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
11765	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
11765	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	1	0	010
11765	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
11765	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
11765	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	2.25	1	0	010
11765	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	5.99	1	0	010
11770	Jan03	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
11770	Jan03	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	010
11770	Jan03	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
11770	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
11770	Jan03	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11770	Jan03	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11770	Jan03	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11770	Jan03	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11770	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	1	010
11770	Jan03	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
11770	Jan03	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
11770	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
11770	Jan03	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
11770	Jan03	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
11770	Jan03	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
11770	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	010
11770	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
11770	Jan03	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
11770	Jan03	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
11770	Jan03	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
11770	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11770	Jan03	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
11770	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
11770	Jan03	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	120	0	010
11770	Jan03	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
11770	Jan03	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	1	010
11770	Jan03	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
11770	Jan03	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
11770	Jan03	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	010
11770	Jan03	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
11771	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
11771	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	4	0	090
11771	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
11771	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	090
11771	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	090
11771	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
11771	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
11771	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	090
11771	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
11771	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
11771	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
11771	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
11771	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
11771	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
11771	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	090
11771	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
11771	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	25	0	090
11771	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
11771	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	090
11771	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
11771	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
11771	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	12	0	090
11772	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
11772	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	090
11772	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	090
11772	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
11772	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
11772	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	3	2	090
11772	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
11772	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	3	2	090
11772	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
11772	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
11772	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	1	090
11772	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
11772	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	120	0	090
11772	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
11772	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
11772	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
11772	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	12	090
11772	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	4	090
11772	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
11772	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
11772	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
11772	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	3	2	090
11772	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3	2	090
11772	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
11772	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
11772	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
11772	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	2	090
11772	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	3	2	090
11772	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
11772	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
11772	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
11772	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	3	2	090
11772	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
11900	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
11900	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
11900	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
11900	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11900	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
11900	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11900	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
11900	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
11900	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
11900	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11900	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
11900	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
11900	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
11901	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
11901	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
11901	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
11901	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11901	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
11901	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11901	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
11901	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
11901	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	000
11901	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11901	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
11901	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
11901	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
11920	CMS	"Hypodermic, IV"	SC079	"needle, micropigmentation (tattoo)"	item	33.54	1	0	000
11920	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	3	0	000
11920	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	3	0	000
11920	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
11920	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	000
11920	CMS	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.51	3	0	000
11920	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11920	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
11920	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	000
11920	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
11921	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	3	0	000
11921	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	3	0	000
11921	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	000
11921	CMS	"Hypodermic, IV"	SC079	"needle, micropigmentation (tattoo)"	item	33.54	1	0	000
11921	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11921	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	000
11921	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
11921	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
11921	CMS	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.51	3	0	000
11921	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
11922	Mar04	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	ZZZ
11922	Mar04	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	ZZZ
11922	Mar04	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	ZZZ
11922	Mar04	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	ZZZ
11922	Mar04	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	ZZZ
11950	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
11950	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
11950	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
11950	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
11951	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
11951	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
11951	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11951	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
11952	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
11952	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
11952	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11952	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
11952	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
11952	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
11952	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
11954	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
11954	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
11954	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
11954	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
11954	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
11954	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
11954	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	000
11960	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
11960	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		8	090
11960	RUC	"Kit, Pack, Tray"	SA108	"kit, tissue expansion"	kit	8.313		7	090
11970	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
11970	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
11971	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
11971	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
11976	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	XXX
11976	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	XXX
11976	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	XXX
11976	CMS	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	XXX
11980	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
11980	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	000
11980	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11980	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
11980	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
11980	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	000
11980	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
11980	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
11980	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
11980	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
11980	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
11980	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11981	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
11981	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	0.33	0	000
11981	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
11981	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
11981	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
11981	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
11981	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
11981	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
11981	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
11981	RUC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	000
11981	RUC	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	000
11981	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11981	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
11981	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
11981	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
11981	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
11982	RUC	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.82	1	0	000
11982	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
11982	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
11982	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11982	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
11982	RUC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	000
11982	RUC	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	000
11982	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
11982	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
11982	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
11982	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
11982	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	0.33	0	000
11982	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
11982	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
11982	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
11982	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
11982	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
11983	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
11983	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
11983	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
11983	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11983	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
11983	RUC	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.82	1	0	000
11983	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
11983	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
11983	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	0.33	0	000
11983	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
11983	RUC	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	000
11983	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
11983	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
11983	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
11983	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
11983	RUC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	000
11983	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
12001	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
12001	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
12001	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
12001	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
12001	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
12001	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
12001	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
12001	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
12001	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
12001	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
12001	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
12001	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
12001	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
12001	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
12001	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
12002	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
12002	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
12002	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
12002	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
12002	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
12002	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	000
12002	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
12002	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
12002	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
12002	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
12002	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
12002	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
12002	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
12002	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
12002	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
12004	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
12004	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
12004	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
12004	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	000
12004	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
12004	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
12004	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
12004	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
12004	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	000
12004	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
12004	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
12004	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
12004	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
12004	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
12004	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
12004	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
12005	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
12005	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	000
12005	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
12005	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
12005	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	15	0	000
12005	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	000
12005	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
12005	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
12005	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
12005	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
12005	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
12005	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	40	0	000
12005	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
12005	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
12005	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	48	0	000
12005	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
12005	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	6	0	000
12006	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
12006	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	000
12006	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
12006	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
12006	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	3	0	000
12006	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
12006	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
12006	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	15	0	000
12006	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	40	0	000
12006	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
12006	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
12006	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	40	0	000
12006	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
12006	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
12006	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
12006	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	8	0	000
12006	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	54	0	000
12007	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	40	0	000
12007	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	000
12007	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
12007	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	40	0	000
12007	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
12007	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	10	0	000
12007	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	15	0	000
12007	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
12007	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
12007	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
12007	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	0	000
12007	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	66	0	000
12007	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
12007	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	3	0	000
12007	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
12007	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
12007	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
12011	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
12011	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
12011	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
12011	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
12011	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
12011	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
12011	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
12011	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
12011	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
12011	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
12011	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
12011	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
12011	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
12011	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
12011	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
12011	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
12011	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
12013	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
12013	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
12013	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
12013	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
12013	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
12013	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
12013	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
12013	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
12013	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
12013	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
12013	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
12013	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
12013	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
12013	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	000
12013	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
12013	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
12014	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
12014	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
12014	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
12014	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	000
12014	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
12014	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
12014	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
12014	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
12014	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
12014	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
12014	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
12014	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
12014	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
12014	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
12014	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
12014	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
12014	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
12015	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
12015	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
12015	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
12015	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
12015	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
12015	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	000
12015	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
12015	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
12015	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
12015	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
12015	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	000
12015	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
12015	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
12015	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	000
12015	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
12015	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
12015	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
12016	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	6	0	000
12016	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	48	0	000
12016	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
12016	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
12016	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
12016	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	40	0	000
12016	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	3	0	000
12016	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
12016	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
12016	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
12016	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
12016	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
12016	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	15	0	000
12016	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
12016	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
12016	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
12016	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
12020	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12020	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	5.99	1	0	010
12020	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12020	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
12020	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12020	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
12020	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
12020	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
12020	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	2.25	1	0	010
12020	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
12020	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
12020	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
12020	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
12020	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
12020	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
12020	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
12020	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
12020	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
12020	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
12020	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
12020	CMS	Lab	SL146	tubed culture media	item	0.92	1	0	010
12021	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
12021	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
12021	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
12021	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	2.25	1	0	010
12021	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	5.99	1	0	010
12021	CMS	Lab	SL146	tubed culture media	item	0.92	1	0	010
12021	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
12021	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
12031	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12031	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12031	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
12031	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
12031	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
12031	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
12031	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
12031	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12031	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
12031	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
12031	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	010
12031	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
12031	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
12031	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
12031	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12031	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
12031	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
12031	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12031	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
12031	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12031	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12031	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12031	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12031	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
12031	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
12031	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12031	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	1	010
12032	CPT12 5 Year	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
12032	CPT12 5 Year	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	1	010
12032	CPT12 5 Year	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
12032	CPT12 5 Year	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
12032	CPT12 5 Year	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
12032	CPT12 5 Year	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
12032	CPT12 5 Year	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12032	CPT12 5 Year	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
12032	CPT12 5 Year	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
12032	CPT12 5 Year	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12032	CPT12 5 Year	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
12032	CPT12 5 Year	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12032	CPT12 5 Year	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12032	CPT12 5 Year	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12032	CPT12 5 Year	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	010
12032	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
12032	CPT12 5 Year	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
12032	CPT12 5 Year	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
12032	CPT12 5 Year	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12032	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	010
12032	CPT12 5 Year	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
12032	CPT12 5 Year	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	1	010
12032	CPT12 5 Year	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12032	CPT12 5 Year	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	010
12032	CPT12 5 Year	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
12032	CPT12 5 Year	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12032	CPT12 5 Year	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12034	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
12034	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
12034	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12034	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12034	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12034	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
12034	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
12034	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
12034	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12034	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12034	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12034	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12034	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
12034	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
12034	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
12034	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	1	010
12034	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
12034	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
12034	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
12034	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
12034	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12034	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
12034	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12034	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12034	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
12034	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
12034	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	010
12035	CPT12 5 Year	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
12035	CPT12 5 Year	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
12035	CPT12 5 Year	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12035	CPT12 5 Year	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
12035	CPT12 5 Year	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12035	CPT12 5 Year	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
12035	CPT12 5 Year	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
12035	CPT12 5 Year	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
12035	CPT12 5 Year	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
12035	CPT12 5 Year	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
12035	CPT12 5 Year	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	010
12035	CPT12 5 Year	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
12035	CPT12 5 Year	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12035	CPT12 5 Year	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12035	CPT12 5 Year	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12035	CPT12 5 Year	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	1	010
12035	CPT12 5 Year	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
12035	CPT12 5 Year	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
12035	CPT12 5 Year	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12035	CPT12 5 Year	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12035	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	010
12035	CPT12 5 Year	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12035	CPT12 5 Year	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	1	010
12035	CPT12 5 Year	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
12035	CPT12 5 Year	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12035	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
12035	CPT12 5 Year	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	010
12036	Mar03 6	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
12036	Mar03 6	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
12036	Mar03 6	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
12036	Mar03 6	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
12036	Mar03 6	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
12036	Mar03 6	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
12036	Mar03 6	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
12036	Mar03 6	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
12036	Mar03 6	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
12036	Mar03 6	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
12036	Mar03 6	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	5.99	1	0	010
12036	Mar03 6	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12036	Mar03 6	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
12036	Mar03 6	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	2.25	1	0	010
12036	Mar03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
12036	Mar03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
12036	Mar03 6	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
12036	Mar03 6	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12036	Mar03 6	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
12036	Mar03 6	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12037	Mar03 6	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
12037	Mar03 6	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
12037	Mar03 6	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12037	Mar03 6	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	5.99	1	0	010
12037	Mar03 6	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	2.25	1	0	010
12037	Mar03 6	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
12037	Mar03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
12037	Mar03 6	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
12037	Mar03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
12037	Mar03 6	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
12037	Mar03 6	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
12037	Mar03 6	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
12037	Mar03 6	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
12037	Mar03 6	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
12037	Mar03 6	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12037	Mar03 6	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
12037	Mar03 6	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
12037	Mar03 6	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
12037	Mar03 6	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
12037	Mar03 6	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12041	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12041	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12041	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12041	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12041	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12041	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	0	010
12041	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
12041	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
12041	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
12041	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
12041	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12041	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
12041	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
12041	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	010
12041	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12041	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
12041	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
12041	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12041	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
12041	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
12041	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
12041	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
12041	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12041	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
12041	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
12041	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
12041	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12042	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12042	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
12042	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12042	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12042	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12042	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12042	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
12042	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
12042	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
12042	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
12042	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
12042	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
12042	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
12042	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12042	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
12042	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
12042	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
12042	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12042	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12042	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	010
12042	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
12042	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
12042	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
12042	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
12042	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	1	010
12042	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12042	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12044	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
12044	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12044	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12044	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12044	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12044	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12044	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
12044	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
12044	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
12044	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
12044	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12044	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	1	010
12044	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12044	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12044	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
12044	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
12044	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
12044	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
12044	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
12044	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
12044	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12044	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
12044	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
12044	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	2	0	010
12044	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12044	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	010
12044	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
12045	CPT12 5 Year	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
12045	CPT12 5 Year	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
12045	CPT12 5 Year	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
12045	CPT12 5 Year	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
12045	CPT12 5 Year	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
12045	CPT12 5 Year	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
12045	CPT12 5 Year	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12045	CPT12 5 Year	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
12045	CPT12 5 Year	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
12045	CPT12 5 Year	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12045	CPT12 5 Year	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
12045	CPT12 5 Year	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
12045	CPT12 5 Year	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12045	CPT12 5 Year	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
12045	CPT12 5 Year	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
12045	CPT12 5 Year	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
12045	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	010
12045	CPT12 5 Year	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
12045	CPT12 5 Year	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	2.25	1	0	010
12045	CPT12 5 Year	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	5.99	1	0	010
12046	CPT12 5 Year	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	5	0	010
12046	CPT12 5 Year	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12046	CPT12 5 Year	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12046	CPT12 5 Year	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
12046	CPT12 5 Year	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
12046	CPT12 5 Year	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12046	CPT12 5 Year	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	010
12046	CPT12 5 Year	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
12046	CPT12 5 Year	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
12046	CPT12 5 Year	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
12046	CPT12 5 Year	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12046	CPT12 5 Year	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12046	CPT12 5 Year	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
12046	CPT12 5 Year	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
12046	CPT12 5 Year	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	010
12046	CPT12 5 Year	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12046	CPT12 5 Year	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	2	010
12046	CPT12 5 Year	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12046	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	010
12046	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	010
12046	CPT12 5 Year	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
12046	CPT12 5 Year	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12046	CPT12 5 Year	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	6	2	010
12046	CPT12 5 Year	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
12046	CPT12 5 Year	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
12046	CPT12 5 Year	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12046	CPT12 5 Year	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
12047	CPT12 5 Year	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
12047	CPT12 5 Year	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	5	0	010
12047	CPT12 5 Year	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	6	2	010
12047	CPT12 5 Year	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
12047	CPT12 5 Year	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
12047	CPT12 5 Year	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	010
12047	CPT12 5 Year	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12047	CPT12 5 Year	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
12047	CPT12 5 Year	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
12047	CPT12 5 Year	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
12047	CPT12 5 Year	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12047	CPT12 5 Year	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
12047	CPT12 5 Year	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12047	CPT12 5 Year	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
12047	CPT12 5 Year	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	010
12047	CPT12 5 Year	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12047	CPT12 5 Year	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	2	010
12047	CPT12 5 Year	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
12047	CPT12 5 Year	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12047	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	010
12047	CPT12 5 Year	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12047	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	010
12047	CPT12 5 Year	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12047	CPT12 5 Year	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12047	CPT12 5 Year	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12047	CPT12 5 Year	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
12047	CPT12 5 Year	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
12051	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12051	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
12051	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
12051	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12051	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12051	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12051	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
12051	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
12051	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12051	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
12051	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12051	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
12051	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
12051	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
12051	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
12051	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
12051	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
12051	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
12051	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12051	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12051	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
12051	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
12051	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	010
12051	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
12051	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12051	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
12051	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12052	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12052	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
12052	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12052	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
12052	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12052	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12052	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
12052	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
12052	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
12052	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12052	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12052	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12052	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
12052	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
12052	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
12052	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
12052	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12052	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
12052	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12052	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
12052	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	010
12052	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
12052	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
12052	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
12052	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
12052	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
12052	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12053	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
12053	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
12053	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	010
12053	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12053	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
12053	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	2	0	010
12053	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
12053	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
12053	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
12053	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
12053	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12053	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12053	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12053	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
12053	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
12053	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12053	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
12053	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
12053	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
12053	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
12053	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12053	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12053	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12053	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12053	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
12053	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12053	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
12054	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
12054	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
12054	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12054	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	2	0	010
12054	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
12054	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
12054	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
12054	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12054	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
12054	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
12054	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12054	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12054	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12054	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12054	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12054	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12054	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
12054	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	0	010
12054	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
12054	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
12054	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12054	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
12054	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
12054	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
12054	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
12054	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12054	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	010
12055	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
12055	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
12055	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
12055	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12055	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
12055	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	010
12055	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12055	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	3	0	010
12055	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	010
12055	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
12055	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
12055	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12055	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
12055	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12055	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	010
12055	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12055	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12055	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
12055	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	2	010
12055	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12055	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	0	010
12055	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
12055	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
12055	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12055	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12055	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12055	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
12056	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12056	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	3	0	010
12056	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	010
12056	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	3	0	010
12056	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
12056	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	010
12056	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
12056	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	3	0	010
12056	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12056	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
12056	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12056	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
12056	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
12056	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
12056	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
12056	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12056	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12056	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
12056	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12056	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	010
12056	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12056	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12056	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12056	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
12056	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12056	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
12056	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
12057	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	4	0	010
12057	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12057	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
12057	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12057	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12057	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	2	010
12057	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
12057	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
12057	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	0	010
12057	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12057	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
12057	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	010
12057	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12057	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
12057	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	4	0	010
12057	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	3	0	010
12057	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
12057	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12057	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12057	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	3	0	010
12057	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
12057	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
12057	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
12057	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12057	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12057	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
12057	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
13100	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
13100	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
13100	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
13100	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	010
13100	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
13100	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
13100	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
13100	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0	010
13100	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
13100	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
13100	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
13100	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
13100	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
13100	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
13100	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
13100	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	8	0	010
13100	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
13100	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
13100	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
13100	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
13100	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	010
13100	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
13100	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	010
13100	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
13100	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
13100	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	010
13100	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
13100	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	010
13100	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
13100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
13100	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
13100	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	010
13100	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	010
13100	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
13101	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
13101	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
13101	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
13101	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
13101	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
13101	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	1	010
13101	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	2	0	010
13101	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
13101	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	010
13101	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
13101	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	2	010
13101	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	0	010
13101	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	010
13101	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	12	0	010
13101	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
13101	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
13101	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
13101	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	010
13101	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
13101	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	1	010
13101	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	010
13101	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	1	010
13101	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
13101	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	010
13101	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
13101	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	010
13101	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
13101	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	2	010
13101	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
13101	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	3	0	010
13101	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
13101	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	3	0	010
13101	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	1	010
13101	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	2	010
13102	CPT13 May 41	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	ZZZ
13102	CPT13 May 41	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	ZZZ
13102	CPT13 May 41	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	ZZZ
13102	CPT13 May 41	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0	ZZZ
13102	CPT13 May 41	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	ZZZ
13102	CPT13 May 41	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	ZZZ
13102	CPT13 May 41	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	ZZZ
13102	CPT13 May 41	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	ZZZ
13102	CPT13 May 41	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	8	0	ZZZ
13102	CPT13 May 41	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	ZZZ
13102	CPT13 May 41	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	ZZZ
13102	CPT13 May 41	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	ZZZ
13102	CPT13 May 41	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	ZZZ
13120	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	1	010
13120	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	010
13120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
13120	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
13120	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	010
13120	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
13120	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
13120	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
13120	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
13120	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	1	010
13120	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	010
13120	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
13120	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	2	010
13120	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	1	010
13120	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
13120	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	2	010
13120	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
13120	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
13120	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	8	0	010
13120	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
13120	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
13120	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	010
13120	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
13120	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
13120	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	010
13120	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	010
13120	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
13120	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	2	010
13120	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0	010
13120	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
13120	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
13120	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	1	010
13120	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
13120	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
13121	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
13121	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
13121	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
13121	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
13121	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	010
13121	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	3	0	010
13121	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
13121	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
13121	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	3	0	010
13121	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
13121	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
13121	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
13121	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
13121	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
13121	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
13121	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
13121	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	010
13121	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	010
13121	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
13121	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
13121	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
13121	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
13121	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	2	0	010
13121	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	010
13121	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	0	010
13121	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
13121	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	010
13121	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	12	0	010
13121	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	010
13121	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	010
13121	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
13121	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
13121	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
13121	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
13122	CPT13 May 41	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	ZZZ
13122	CPT13 May 41	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	ZZZ
13122	CPT13 May 41	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	ZZZ
13122	CPT13 May 41	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	ZZZ
13122	CPT13 May 41	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0	ZZZ
13122	CPT13 May 41	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	ZZZ
13122	CPT13 May 41	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	ZZZ
13122	CPT13 May 41	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	ZZZ
13122	CPT13 May 41	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	8	0	ZZZ
13122	CPT13 May 41	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	ZZZ
13122	CPT13 May 41	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	ZZZ
13122	CPT13 May 41	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	ZZZ
13122	CPT13 May 41	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	ZZZ
13131	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	010
13131	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
13131	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
13131	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	010
13131	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	010
13131	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
13131	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
13131	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
13131	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
13131	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
13131	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
13131	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
13131	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
13131	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
13131	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
13131	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
13131	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
13131	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
13131	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	010
13131	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
13131	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	010
13131	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
13131	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
13131	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	010
13131	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	010
13131	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
13131	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
13131	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
13131	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
13131	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
13131	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
13131	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
13131	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	8	0	010
13131	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0	010
13132	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
13132	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
13132	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
13132	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	3	0	010
13132	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
13132	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
13132	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	3	0	010
13132	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	010
13132	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
13132	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
13132	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	010
13132	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	010
13132	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
13132	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
13132	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
13132	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
13132	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
13132	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
13132	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	2	0	010
13132	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	0	010
13132	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
13132	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
13132	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
13132	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
13132	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
13132	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
13132	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
13132	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	010
13132	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
13132	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	010
13132	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	12	0	010
13132	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	010
13132	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	010
13132	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
13133	CPT13 May 41	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	ZZZ
13133	CPT13 May 41	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	ZZZ
13133	CPT13 May 41	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	ZZZ
13133	CPT13 May 41	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	ZZZ
13133	CPT13 May 41	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	ZZZ
13133	CPT13 May 41	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0	ZZZ
13133	CPT13 May 41	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	ZZZ
13133	CPT13 May 41	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	ZZZ
13133	CPT13 May 41	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	ZZZ
13133	CPT13 May 41	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	ZZZ
13133	CPT13 May 41	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	ZZZ
13133	CPT13 May 41	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	8	0	ZZZ
13151	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
13151	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
13151	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	010
13151	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
13151	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
13151	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
13151	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
13151	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0	010
13151	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
13151	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
13151	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
13151	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
13151	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	010
13151	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
13151	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
13151	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	8	0	010
13151	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	010
13151	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
13151	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
13151	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
13151	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
13151	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
13151	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	010
13151	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
13151	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
13151	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
13151	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
13151	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	010
13151	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
13151	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	010
13151	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
13151	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
13151	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
13151	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	010
13152	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	010
13152	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	010
13152	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
13152	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	010
13152	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	010
13152	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	12	0	010
13152	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
13152	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	010
13152	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	0	010
13152	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
13152	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
13152	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
13152	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
13152	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
13152	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	010
13152	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
13152	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
13152	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	010
13152	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
13152	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
13152	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	3	0	010
13152	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
13152	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
13152	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	3	0	010
13152	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	2	0	010
13152	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
13152	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
13152	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
13152	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
13152	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
13152	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
13152	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
13153	CPT13 May 41	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	ZZZ
13153	CPT13 May 41	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	ZZZ
13153	CPT13 May 41	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	ZZZ
13153	CPT13 May 41	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	ZZZ
13153	CPT13 May 41	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	ZZZ
13153	CPT13 May 41	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	ZZZ
13153	CPT13 May 41	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	ZZZ
13153	CPT13 May 41	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	ZZZ
13153	CPT13 May 41	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	ZZZ
13153	CPT13 May 41	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0	ZZZ
13153	CPT13 May 41	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	ZZZ
13153	CPT13 May 41	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	ZZZ
13153	CPT13 May 41	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	8	0	ZZZ
13160	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
13160	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
13160	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		4	090
13160	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
13160	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
13160	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		4	090
14000	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
14000	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
14000	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
14000	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
14000	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
14000	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
14000	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
14000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
14000	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
14000	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
14000	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	090
14000	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
14000	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	090
14000	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
14000	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	090
14000	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
14000	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
14000	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
14000	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	1	0	090
14000	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
14000	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	090
14000	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
14000	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
14000	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	090
14000	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
14000	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
14000	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
14000	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
14001	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
14001	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
14001	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
14001	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
14001	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	1	0	090
14001	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
14001	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
14001	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
14001	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	090
14001	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
14001	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
14001	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
14001	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	090
14001	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
14001	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
14001	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
14001	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
14001	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
14001	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
14001	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
14001	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
14001	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
14001	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	090
14001	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	090
14001	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
14001	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
14001	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	090
14001	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
14020	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
14020	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
14020	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	1	0	090
14020	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	090
14020	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
14020	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
14020	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	090
14020	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
14020	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	090
14020	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
14020	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
14020	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
14020	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
14020	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
14020	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
14020	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
14020	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
14020	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
14020	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
14020	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
14020	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
14020	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
14020	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
14020	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
14020	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	090
14020	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
14020	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
14020	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	090
14021	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
14021	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	090
14021	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
14021	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
14021	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	090
14021	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
14021	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
14021	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
14021	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
14021	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	090
14021	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
14021	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
14021	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
14021	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	090
14021	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
14021	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	1	0	090
14021	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
14021	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
14021	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
14021	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
14021	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
14021	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	090
14021	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
14021	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
14021	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
14021	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	090
14021	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
14021	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
14021	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
14040	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
14040	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
14040	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
14040	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	090
14040	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
14040	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
14040	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
14040	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
14040	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
14040	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
14040	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	6	4	090
14040	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
14040	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	0	090
14040	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
14040	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
14040	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	090
14040	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
14040	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
14040	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
14040	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
14040	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
14040	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
14040	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
14040	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
14040	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
14040	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	090
14041	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
14041	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	1	090
14041	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
14041	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
14041	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
14041	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	6	0	090
14041	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
14041	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
14041	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
14041	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
14041	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	090
14041	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
14041	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	40	0	090
14041	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
14041	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	1	090
14041	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	090
14041	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
14041	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
14041	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
14041	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
14041	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
14041	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	090
14041	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
14041	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	40	0	090
14060	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
14060	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	090
14060	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
14060	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	090
14060	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
14060	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	090
14060	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
14060	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	090
14060	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
14060	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
14060	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
14060	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
14060	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
14060	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	090
14060	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
14060	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
14060	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
14060	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	090
14060	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
14060	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
14060	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
14060	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
14060	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
14060	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
14060	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
14060	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
14061	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	40	0	090
14061	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	090
14061	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	090
14061	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	0	090
14061	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
14061	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	1	090
14061	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	090
14061	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
14061	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
14061	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
14061	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	40	0	090
14061	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
14061	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	6	0	090
14061	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
14061	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
14061	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	1	090
14061	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
14061	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
14061	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
14061	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
14061	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
14061	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
14061	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
14061	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	6	5	090
14301	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
14301	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
14301	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
14301	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
14301	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	090
14301	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
14301	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
14301	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
14301	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
14301	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
14301	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	5	0	090
14301	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
14301	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	5	0	090
14301	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
14301	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
14301	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	5	0	090
14301	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
14301	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
14301	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
14301	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
14301	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	090
14301	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	090
14301	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	40	0	090
14301	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
14301	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	0	090
14301	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
14301	CMS	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	8.29	1	0	090
14301	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	090
14301	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
14301	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22	1	0	090
14301	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
14301	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	3	0	090
14301	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
14301	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
14350	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		5	090
14350	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
14350	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
14350	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		5	090
14350	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
15002	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	000
15002	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
15002	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
15002	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
15002	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
15002	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
15002	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
15002	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
15002	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
15002	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
15002	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
15002	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
15002	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
15002	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	000
15002	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	000
15002	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
15002	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
15002	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	000
15002	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
15002	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
15002	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
15003	CPT07	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	ZZZ
15003	CPT07	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	ZZZ
15003	CPT07	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	ZZZ
15003	CPT07	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
15003	CPT07	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	ZZZ
15003	CPT07	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	ZZZ
15003	CPT07	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	ZZZ
15004	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	000
15004	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
15004	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
15004	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
15004	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
15004	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
15004	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
15004	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
15004	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	000
15004	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
15004	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
15004	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
15004	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
15004	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	000
15004	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
15004	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
15004	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	000
15004	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
15004	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
15004	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
15004	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
15005	CPT07	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	ZZZ
15005	CPT07	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	ZZZ
15005	CPT07	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	ZZZ
15005	CPT07	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	ZZZ
15005	CPT07	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	ZZZ
15005	CPT07	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
15005	CPT07	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	ZZZ
15040	RUC05	"Cutters, Closures, Cautery"	SF003	"blade, dermatome"	item	28.34	1	0	000
15040	RUC05	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	2	0	000
15040	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
15040	RUC05	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
15040	RUC05	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	000
15040	RUC05	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
15040	RUC05	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	8	0	000
15040	RUC05	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	000
15040	RUC05	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
15040	RUC05	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
15040	RUC05	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	2	0	000
15040	RUC05	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	000
15040	RUC05	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
15040	RUC05	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
15040	RUC05	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	6	0	000
15040	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
15040	RUC05	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
15040	RUC05	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	000
15040	RUC05	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	40	0	000
15040	RUC05	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	000
15040	RUC05	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	0	000
15040	RUC05	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	0	000
15040	RUC05	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
15040	RUC05	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	000
15050	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15050	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	5	0	090
15050	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15050	CMS	"Cutters, Closures, Cautery"	SF048	"suture, monocryl, 3-0 to 6-0, p, ps"	item	15.41	1	0	090
15050	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15050	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15050	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15050	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
15050	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	5	4	090
15050	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15050	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15050	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15050	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
15050	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15050	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15050	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
15050	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15050	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15050	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15050	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15050	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15050	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15100	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	2	2	090
15100	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	2	0	090
15100	CMS	"Cutters, Closures, Cautery"	SF003	"blade, dermatome"	item	28.34	1	0	090
15100	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15100	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	6	0	090
15100	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	4	090
15100	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15100	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15100	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	1	090
15100	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15100	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15100	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	090
15100	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	40	0	090
15100	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15100	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
15100	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	1	090
15100	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
15100	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
15100	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15100	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
15100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
15100	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	8	0	090
15100	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15100	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
15101	Jan02 10	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	3	3	ZZZ
15101	Jan02 10	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	ZZZ
15101	Jan02 10	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	0	ZZZ
15101	Jan02 10	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	ZZZ
15101	Jan02 10	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	ZZZ
15101	Jan02 10	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	ZZZ
15101	Jan02 10	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	ZZZ
15101	Jan02 10	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	ZZZ
15101	Jan02 10	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	ZZZ
15101	Jan02 10	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	1	ZZZ
15101	Jan02 10	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	ZZZ
15101	Jan02 10	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	ZZZ
15101	Jan02 10	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	4	2	ZZZ
15101	Jan02 10	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	ZZZ
15101	Jan02 10	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	4	0	ZZZ
15110	RUC05	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15110	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
15110	RUC05	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
15110	RUC05	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	2	0	090
15110	RUC05	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15110	RUC05	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15110	RUC05	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
15110	RUC05	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15110	RUC05	"Cutters, Closures, Cautery"	SF003	"blade, dermatome"	item	28.34	1	0	090
15110	RUC05	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15110	RUC05	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	6	0	090
15110	RUC05	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
15110	RUC05	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	8	0	090
15110	RUC05	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	2	2	090
15110	RUC05	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
15110	RUC05	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15110	RUC05	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15110	RUC05	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	090
15110	RUC05	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	1	090
15110	RUC05	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	40	0	090
15110	RUC05	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	1	090
15110	RUC05	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
15110	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15110	RUC05	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	4	090
15115	RUC05	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15115	RUC05	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15115	RUC05	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
15115	RUC05	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	6	0	090
15115	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
15115	RUC05	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
15115	RUC05	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	2	0	090
15115	RUC05	"Cutters, Closures, Cautery"	SF003	"blade, dermatome"	item	28.34	1	0	090
15115	RUC05	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15115	RUC05	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
15115	RUC05	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15115	RUC05	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15115	RUC05	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	090
15115	RUC05	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	8	0	090
15115	RUC05	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15115	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15115	RUC05	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	1	090
15115	RUC05	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	2	2	090
15115	RUC05	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	4	090
15115	RUC05	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
15115	RUC05	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	40	0	090
15115	RUC05	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	1	090
15115	RUC05	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
15115	RUC05	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15120	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15120	CMS	"Cutters, Closures, Cautery"	SF003	"blade, dermatome"	item	28.34	1	0	090
15120	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	6	0	090
15120	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15120	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
15120	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	8	0	090
15120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
15120	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15120	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	2	0	090
15120	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15120	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
15120	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
15120	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	40	0	090
15120	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15120	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	0	090
15120	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	1	090
15120	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15120	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
15120	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	3	090
15120	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
15120	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
15120	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	2	090
15120	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15120	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15121	CPT12 5 Year	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	ZZZ
15121	CPT12 5 Year	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	ZZZ
15121	CPT12 5 Year	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	ZZZ
15121	CPT12 5 Year	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	ZZZ
15121	CPT12 5 Year	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	4	0	ZZZ
15121	CPT12 5 Year	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	ZZZ
15121	CPT12 5 Year	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	0	ZZZ
15121	CPT12 5 Year	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	3	3	ZZZ
15121	CPT12 5 Year	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	1	ZZZ
15121	CPT12 5 Year	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	ZZZ
15121	CPT12 5 Year	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	ZZZ
15121	CPT12 5 Year	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	ZZZ
15121	CPT12 5 Year	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	4	ZZZ
15121	CPT12 5 Year	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	4	2	ZZZ
15121	CPT12 5 Year	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	ZZZ
15121	CPT12 5 Year	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	ZZZ
15130	RUC05	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15130	RUC05	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	2	0	090
15130	RUC05	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	6	0	090
15130	RUC05	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
15130	RUC05	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
15130	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
15130	RUC05	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15130	RUC05	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15130	RUC05	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15130	RUC05	"Cutters, Closures, Cautery"	SF003	"blade, dermatome"	item	28.34	1	0	090
15130	RUC05	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
15130	RUC05	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15130	RUC05	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	8	0	090
15130	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15130	RUC05	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	1	090
15130	RUC05	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	090
15130	RUC05	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	1	090
15130	RUC05	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	2	2	090
15130	RUC05	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	4	090
15130	RUC05	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
15130	RUC05	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15130	RUC05	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
15130	RUC05	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15130	RUC05	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	40	0	090
15135	RUC05	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15135	RUC05	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15135	RUC05	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
15135	RUC05	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
15135	RUC05	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	2	0	090
15135	RUC05	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15135	RUC05	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15135	RUC05	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15135	RUC05	"Cutters, Closures, Cautery"	SF003	"blade, dermatome"	item	28.34	1	0	090
15135	RUC05	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
15135	RUC05	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	1	090
15135	RUC05	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	8	0	090
15135	RUC05	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	2	2	090
15135	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
15135	RUC05	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15135	RUC05	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15135	RUC05	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	1	090
15135	RUC05	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	4	090
15135	RUC05	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
15135	RUC05	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	40	0	090
15135	RUC05	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
15135	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15135	RUC05	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	6	0	090
15135	RUC05	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	090
15150	RUC05	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15150	RUC05	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15150	RUC05	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
15150	RUC05	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15150	RUC05	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	090
15150	RUC05	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15150	RUC05	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15150	RUC05	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	2	0	090
15150	RUC05	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
15150	RUC05	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15150	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
15150	RUC05	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15150	RUC05	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15150	RUC05	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	090
15150	RUC05	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
15150	RUC05	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	1	090
15150	RUC05	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	090
15150	RUC05	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
15150	RUC05	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	4	090
15150	RUC05	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	2	2	090
15150	RUC05	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	1	090
15150	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15150	RUC05	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
15151	RUC05	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	ZZZ
15152	RUC05	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	ZZZ
15155	RUC05	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15155	RUC05	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15155	RUC05	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
15155	RUC05	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	4	090
15155	RUC05	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	2	0	090
15155	RUC05	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15155	RUC05	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15155	RUC05	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15155	RUC05	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15155	RUC05	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
15155	RUC05	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	090
15155	RUC05	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	1	090
15155	RUC05	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
15155	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
15155	RUC05	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15155	RUC05	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
15155	RUC05	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	1	090
15155	RUC05	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	090
15155	RUC05	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
15155	RUC05	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	2	2	090
15155	RUC05	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	090
15155	RUC05	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15155	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15156	RUC05	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	ZZZ
15157	RUC05	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	ZZZ
15200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
15200	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15200	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15200	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15200	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
15200	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15200	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15200	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
15200	CMS	"Cutters, Closures, Cautery"	SF048	"suture, monocryl, 3-0 to 6-0, p, ps"	item	15.41	1	0	090
15200	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15200	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15200	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15200	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15200	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15200	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15200	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15200	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15200	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	5	0	090
15200	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15200	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	4	0	090
15200	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	4.5	3.5	090
15200	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15201	Mar04 P	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	2	0	ZZZ
15201	Mar04 P	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	ZZZ
15201	Mar04 P	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	0	ZZZ
15201	Mar04 P	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	ZZZ
15201	Mar04 P	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	ZZZ
15201	Mar04 P	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	ZZZ
15201	Mar04 P	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	1	0	ZZZ
15201	Mar04 P	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	ZZZ
15201	Mar04 P	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	ZZZ
15201	Mar04 P	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	ZZZ
15201	Mar04 P	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	ZZZ
15220	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15220	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15220	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15220	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15220	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15220	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15220	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
15220	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15220	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15220	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15220	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5.5	4.5	090
15220	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15220	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
15220	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15220	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	4	0	090
15220	CMS	"Cutters, Closures, Cautery"	SF048	"suture, monocryl, 3-0 to 6-0, p, ps"	item	15.41	1	0	090
15220	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15220	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	5.5	4.5	090
15220	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	5	0	090
15220	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15220	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15220	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15221	Mar04 P	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	ZZZ
15221	Mar04 P	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	ZZZ
15221	Mar04 P	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	0	ZZZ
15221	Mar04 P	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	ZZZ
15221	Mar04 P	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	1	0	ZZZ
15221	Mar04 P	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	ZZZ
15221	Mar04 P	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	ZZZ
15221	Mar04 P	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	ZZZ
15221	Mar04 P	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	ZZZ
15221	Mar04 P	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	ZZZ
15221	Mar04 P	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	2	0	ZZZ
15240	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15240	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	7	6	090
15240	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15240	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15240	CMS	"Cutters, Closures, Cautery"	SF048	"suture, monocryl, 3-0 to 6-0, p, ps"	item	15.41	1	0	090
15240	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15240	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15240	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15240	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15240	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15240	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15240	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
15240	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	5	0	090
15240	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15240	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15240	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15240	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15240	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
15240	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	7	6	090
15240	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15240	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15240	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15241	Mar04 P	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	ZZZ
15241	Mar04 P	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	1	0	ZZZ
15241	Mar04 P	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	0	ZZZ
15241	Mar04 P	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	ZZZ
15241	Mar04 P	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	ZZZ
15241	Mar04 P	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	2	0	ZZZ
15241	Mar04 P	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	ZZZ
15241	Mar04 P	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	ZZZ
15241	Mar04 P	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	ZZZ
15241	Mar04 P	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	ZZZ
15241	Mar04 P	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	ZZZ
15260	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
15260	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15260	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15260	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15260	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15260	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	6	5	090
15260	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
15260	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15260	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15260	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	6	5	090
15260	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15260	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15260	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15260	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15260	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	5	0	090
15260	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15260	CMS	"Cutters, Closures, Cautery"	SF048	"suture, monocryl, 3-0 to 6-0, p, ps"	item	15.41	1	0	090
15260	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15260	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15260	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15260	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15260	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15261	Jan02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	ZZZ
15261	Jan02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
15261	Jan02	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	ZZZ
15261	Jan02	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	ZZZ
15261	Jan02	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	ZZZ
15261	Jan02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	2	ZZZ
15261	Jan02	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	ZZZ
15261	Jan02	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	1	ZZZ
15261	Jan02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	ZZZ
15261	Jan02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	ZZZ
15261	Jan02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	ZZZ
15261	Jan02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	ZZZ
15261	Jan02	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	ZZZ
15261	Jan02	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	ZZZ
15261	Jan02	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	ZZZ
15271	CMS	Lab	SL033	culture swab system (Culturette)	item	0.96	1	0	000
15271	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
15271	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	2	0	000
15271	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34	1	0	000
15271	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	000
15271	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
15271	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
15271	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
15271	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
15271	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
15271	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
15271	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
15271	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	2	0	000
15271	CMS	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.08	72	0	000
15271	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	10	0	000
15271	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
15271	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
15271	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
15271	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
15271	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
15272	CPT12 May 1	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	1	0	ZZZ
15272	CPT12 May 1	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	ZZZ
15273	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	2	0	000
15273	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	000
15273	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	000
15273	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
15273	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
15273	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	5	0	000
15273	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
15273	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
15273	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
15273	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
15273	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	0	000
15273	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
15273	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
15273	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
15273	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
15273	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	000
15273	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
15273	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
15273	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	000
15273	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
15273	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
15274	CPT12 May 1	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	2	0	ZZZ
15274	CPT12 May 1	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	1	0	ZZZ
15274	CPT12 May 1	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	ZZZ
15274	CPT12 May 1	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	ZZZ
15275	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
15275	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	2	0	000
15275	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34	1	0	000
15275	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
15275	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
15275	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
15275	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
15275	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
15275	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
15275	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
15275	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	10	0	000
15275	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	2	0	000
15275	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
15275	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
15275	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
15275	CMS	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.08	72	0	000
15275	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
15275	CMS	Lab	SL033	culture swab system (Culturette)	item	0.96	1	0	000
15275	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	000
15275	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
15276	CPT12 May 1	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	1	0	ZZZ
15276	CPT12 May 1	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	ZZZ
15277	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
15277	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
15277	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
15277	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
15277	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	000
15277	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
15277	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	2	0	000
15277	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	0	000
15277	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
15277	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	000
15277	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
15277	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
15277	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
15277	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	5	0	000
15277	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
15277	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	000
15277	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
15277	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
15277	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
15277	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	000
15277	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
15278	CPT12 May 1	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	ZZZ
15278	CPT12 May 1	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	ZZZ
15278	CPT12 May 1	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	2	0	ZZZ
15278	CPT12 May 1	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	1	0	ZZZ
15570	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15570	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
15570	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15570	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15570	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15570	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15570	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15570	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	3	0	090
15570	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15570	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	4	3	090
15570	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
15570	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15570	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15570	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15570	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15570	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15570	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
15570	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15570	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
15570	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
15570	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15572	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
15572	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
15572	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
15572	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15572	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
15572	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15572	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15572	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15572	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15572	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15572	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15572	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15572	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15572	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15572	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	4	3	090
15572	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15572	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15572	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15572	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15572	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15572	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15574	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15574	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15574	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
15574	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15574	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15574	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
15574	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15574	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15574	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15574	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
15574	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15574	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15574	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15574	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15574	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	5	4	090
15574	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15574	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15574	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
15574	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15574	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15574	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15576	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
15576	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15576	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15576	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15576	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15576	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15576	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15576	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15576	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15576	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15576	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	4	3	090
15576	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15576	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
15576	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15576	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15576	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15576	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15576	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
15576	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15576	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
15576	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15600	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15600	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15600	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
15600	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15600	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
15600	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15600	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15600	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15600	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15600	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	3	2	090
15600	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15600	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15600	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15600	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15600	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
15600	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15600	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
15600	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15600	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15600	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15610	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15610	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15610	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
15610	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15610	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15610	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
15610	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15610	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15610	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15610	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15610	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15610	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
15610	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15610	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15610	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15610	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	3	2	090
15610	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
15610	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15610	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15610	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15610	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15620	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15620	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15620	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15620	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
15620	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15620	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15620	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15620	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15620	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15620	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15620	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15620	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15620	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15620	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
15620	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
15620	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15620	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15620	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15620	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	3.5	2.5	090
15620	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15620	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
15630	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	3.5	2.5	090
15630	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15630	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15630	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15630	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15630	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15630	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15630	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15630	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15630	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15630	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15630	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15630	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
15630	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15630	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15630	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15630	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
15630	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15630	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
15630	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15630	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
15650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
15650	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
15650	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15650	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15650	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
15650	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15650	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
15650	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15650	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15650	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15650	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15650	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15650	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15650	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15650	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15650	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15650	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	3.5	2.5	090
15650	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15650	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15650	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15650	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15730	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
15730	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	0	090
15730	RUC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	090
15730	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
15730	RUC	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	10	0	090
15730	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15730	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
15730	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15730	RUC	"Accessory, Procedure"	SD200	"screw, surgical, self-tapping, 1.5-2.0mm"	item	27	4	0	090
15730	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15730	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15730	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
15730	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15730	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15730	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15730	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	4	2	090
15730	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	090
15730	RUC	"Accessory, Procedure"	SD189	"plate, surgical, mini-compression, 4 hole"	item	210.83	1	0	090
15730	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	4	1	090
15730	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
15730	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15730	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15730	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	2	1	090
15730	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15730	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	2	090
15730	RUC	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.34	2	0	090
15730	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	4	4	090
15731	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15731	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15731	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15731	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	090
15731	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	090
15731	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	6	5	090
15731	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
15731	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15731	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	0	090
15731	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15731	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15731	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
15731	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
15731	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15731	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
15731	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	090
15731	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
15731	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
15731	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	090
15731	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	090
15731	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
15731	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
15731	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15731	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
15731	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	090
15733	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
15733	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
15733	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46		1	090
15733	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
15733	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
15733	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63		1	090
15733	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
15733	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		1	090
15733	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
15733	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		1	090
15734	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		2	090
15734	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		2	090
15734	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		4	090
15734	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
15734	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		2	090
15734	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
15734	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
15736	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
15736	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
15736	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
15736	RUC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		6	090
15736	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		4	090
15736	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		30	090
15736	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7		4	090
15736	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		192	090
15736	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		2	090
15736	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39		2	090
15736	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
15736	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090
15738	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39		2	090
15738	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		2	090
15738	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
15738	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
15738	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		192	090
15738	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090
15738	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
15738	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7		6	090
15738	RUC	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8		4	090
15738	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52		4	090
15738	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
15738	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		30	090
15738	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		8	090
15740	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	090
15740	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	090
15740	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15740	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
15740	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15740	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15740	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
15740	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
15740	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
15740	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	090
15740	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
15740	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	090
15740	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15740	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
15740	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15740	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15740	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
15740	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15740	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
15740	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	090
15740	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15740	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15740	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15740	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5.5	4.5	090
15740	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15740	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15740	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	4	3	090
15740	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	090
15740	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15740	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15740	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
15750	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
15750	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		5	090
15750	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
15750	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		5	090
15750	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
15750	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
15756	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15756	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
15756	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		7	090
15756	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		7	090
15756	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
15756	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		70	090
15757	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		7	090
15757	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		7	090
15757	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15757	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
15757	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
15757	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		70	090
15758	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
15758	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		70	090
15758	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15758	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
15758	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		7	090
15758	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		7	090
15760	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15760	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15760	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	4.5	3.5	090
15760	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
15760	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15760	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15760	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15760	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15760	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15760	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15760	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15760	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15760	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15760	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
15760	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15760	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15760	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15760	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
15760	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
15760	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15760	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15769	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
15769	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
15770	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
15770	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
15770	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		5	090
15770	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
15770	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		5	090
15770	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
15771	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	6	0	090
15771	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
15771	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32	1	0	090
15771	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	3	0	090
15771	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	0	090
15771	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	2	0	090
15771	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15771	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	090
15771	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	8	0	090
15771	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	3	0	090
15771	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
15771	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
15771	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	3	090
15771	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	090
15771	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	090
15771	RUC	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
15772	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	ZZZ
15772	RUC	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	ZZZ
15772	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	6	0	ZZZ
15773	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	090
15773	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	3	0	090
15773	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
15773	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	0	090
15773	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
15773	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15773	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	090
15773	RUC	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
15773	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	8	0	090
15773	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	2	0	090
15773	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	090
15773	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
15773	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32	1	0	090
15773	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	3	090
15773	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	6	0	090
15773	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	3	0	090
15774	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	6	0	ZZZ
15774	RUC	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	ZZZ
15774	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	ZZZ
15775	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
15775	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
15775	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	000
15775	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
15775	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
15775	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
15775	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
15775	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
15775	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
15775	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
15775	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
15775	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
15775	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	000
15775	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
15775	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
15775	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
15775	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
15775	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
15775	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
15775	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
15775	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
15775	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
15775	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
15775	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
15775	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
15775	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
15776	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
15776	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
15776	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
15776	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
15776	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
15776	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
15776	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
15776	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	000
15776	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
15776	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
15776	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
15776	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
15776	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
15776	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
15776	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
15776	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
15776	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
15776	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
15776	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
15776	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
15776	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
15776	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	2	0	000
15776	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	000
15776	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
15776	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	3	0	000
15776	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
15780	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15780	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15780	CMS	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5.86	16	0	090
15780	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	4	2	090
15780	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	16	8	090
15780	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	2	0	090
15780	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5.5	4.5	090
15780	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	60	0	090
15780	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15780	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15780	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
15780	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15780	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	6	3	090
15781	CMS	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5.86	8	0	090
15781	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15781	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15781	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	090
15781	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	6	3	090
15781	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
15781	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	1	090
15781	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15781	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15781	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
15781	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15781	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
15781	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	2	090
15782	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
15782	CMS	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5.86	8	0	090
15782	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	1	090
15782	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	24	12	090
15782	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	2	090
15782	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15782	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15782	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15782	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
15782	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	2	0	090
15782	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	60	0	090
15782	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15782	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15783	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	2	090
15783	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
15783	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	090
15783	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	1	090
15783	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15783	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
15783	CMS	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5.86	8	0	090
15783	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15783	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	6	3	090
15783	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15783	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
15783	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15783	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15786	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
15786	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	0	010
15786	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
15786	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
15786	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	010
15786	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
15786	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
15786	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	4	0	010
15786	CMS	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5.86	8	0	010
15786	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	010
15786	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
15786	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
15787	Mar04 P	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	4	0	ZZZ
15787	Mar04 P	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	ZZZ
15787	Mar04 P	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	ZZZ
15787	Mar04 P	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	ZZZ
15787	Mar04 P	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	ZZZ
15787	Mar04 P	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
15788	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	2	0	090
15788	CMS	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5.86	16	0	090
15788	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15788	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	6	0	090
15788	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15788	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	4	2	090
15788	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	16	8	090
15788	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15788	CMS	"Pharmacy, Rx"	SH083	Jessner's soln	ml	0.29	1	0	090
15788	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15788	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
15788	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
15788	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15788	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15788	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	60	0	090
15788	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
15789	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15789	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
15789	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15789	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5.5	4.5	090
15789	CMS	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5.86	8	0	090
15789	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	6	3	090
15789	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	2	090
15789	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15789	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15789	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
15789	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15789	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	6	0	090
15789	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
15789	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15789	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	090
15789	CMS	"Pharmacy, Rx"	SH088	"phenol, liquified, USP"	ml	0.48	1	0	090
15792	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15792	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15792	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	6	0	090
15792	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	60	0	090
15792	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	2	0	090
15792	CMS	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5.86	8	0	090
15792	CMS	"Pharmacy, Rx"	SH083	Jessner's soln	ml	0.29	1	0	090
15792	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15792	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	2	090
15792	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
15792	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15792	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15792	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15792	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
15792	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	24	12	090
15792	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
15793	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
15793	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15793	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15793	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15793	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
15793	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15793	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	2	090
15793	CMS	"Pharmacy, Rx"	SH088	"phenol, liquified, USP"	ml	0.48	1	0	090
15793	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5.5	4.5	090
15793	CMS	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5.86	8	0	090
15793	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	090
15793	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
15793	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15793	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	6	3	090
15793	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15793	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	6	0	090
15819	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
15819	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
15819	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
15819	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
15819	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		4	090
15819	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		4	090
15820	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07	1	0	090
15820	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15820	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	090
15820	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	1	090
15820	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	12	090
15820	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	20	090
15820	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	20	090
15820	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	30	0	090
15820	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	22	6	090
15820	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38	1	0	090
15820	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	4.5	3.5	090
15821	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	30	0	090
15821	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38	1	0	090
15821	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	4.5	3.5	090
15821	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	12	090
15821	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07	1	0	090
15821	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15821	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	20	090
15821	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	20	090
15821	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	22	6	090
15821	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	1	090
15821	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	090
15822	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	22	6	090
15822	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	1	090
15822	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	4.5	3.5	090
15822	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	12	090
15822	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07	1	0	090
15822	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38	1	0	090
15822	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	090
15822	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	20	090
15822	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	20	090
15822	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15822	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	30	0	090
15823	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	12	090
15823	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15823	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38	1	0	090
15823	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	1	090
15823	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07	1	0	090
15823	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	30	0	090
15823	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	090
15823	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	20	090
15823	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	5	4	090
15823	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	20	090
15823	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	22	6	090
15830	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
15830	CPT07	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
15832	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
15832	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		4	090
15832	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
15832	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
15832	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
15832	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		4	090
15833	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		4	090
15833	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
15833	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		4	090
15833	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
15833	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
15833	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
15834	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		4	090
15834	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
15834	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
15834	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
15834	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
15834	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		4	090
15835	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
15835	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
15836	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
15836	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
15836	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
15836	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
15836	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		4	090
15836	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		4	090
15837	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15837	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
15837	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
15837	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
15837	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15837	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15837	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15837	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15837	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15837	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15837	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	4.5	3.5	090
15837	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15837	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15837	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15837	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15837	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15837	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15837	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
15837	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15837	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15837	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15838	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
15838	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
15838	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
15838	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		4	090
15838	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
15838	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		4	090
15839	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
15839	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15839	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15839	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
15839	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15839	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15839	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15839	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15839	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15839	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	4.5	3.5	090
15839	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15839	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15839	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15839	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15839	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15839	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15839	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
15839	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15839	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15839	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
15839	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15840	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15840	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15840	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15840	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
15840	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15840	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15841	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15841	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15841	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15841	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15841	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
15841	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15842	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		70	090
15842	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
15842	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		7	090
15842	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		7	090
15842	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		5	090
15842	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		7	090
15845	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
15845	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
15845	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		6	090
15845	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		3	090
15845	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		3	090
15845	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
15850		"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	XXX
15850		"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	XXX
15850		"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
15850		"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	XXX
15850		"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
15850		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
15850		"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	XXX
15850		"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	XXX
15850		"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	XXX
15850		"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	XXX
15850		"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	XXX
15850		"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	XXX
15850		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
15850		"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	XXX
15850		"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	XXX
15850		"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	XXX
15850		"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	XXX
15850		"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14	6	0	XXX
15850		"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	XXX
15851	Feb05	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
15851	Feb05	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
15851	Feb05	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
15851	Feb05	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
15851	Feb05	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
15851	Feb05	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
15851	Feb05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
15851	Feb05	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
15851	Feb05	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
15851	Feb05	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
15851	Feb05	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	000
15851	Feb05	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14	6	0	000
15851	Feb05	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
15851	Feb05	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	000
15851	Feb05	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
15851	Feb05	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	000
15851	Feb05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
15851	Feb05	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	000
15851	Feb05	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
15920	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		5	090
15920	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
15920	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		5	090
15920	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		5	090
15920	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		5	090
15920	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
15920	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
15922	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15922	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15922	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15922	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15922	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
15922	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15931	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		4	090
15931	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		4	090
15931	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
15931	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
15931	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
15931	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15931	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
15933	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
15933	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15933	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15933	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15933	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		6	090
15933	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		6	090
15933	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15934	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15934	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15934	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15934	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15934	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
15934	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15935	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15935	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15935	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15935	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		7	090
15935	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15935	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15936	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15936	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
15936	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15936	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15936	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15936	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15937	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15937	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15937	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15937	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
15937	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15937	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15940	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		3	090
15940	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
15940	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
15940	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		6	090
15940	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		3	090
15940	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
15940	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		3	090
15941	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15941	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15941	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15941	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
15941	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		6	090
15941	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		6	090
15941	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15944	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
15944	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15944	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15944	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15944	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15944	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15945	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15945	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15945	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15945	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15945	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15945	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
15946	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15946	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15946	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
15946	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15946	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15946	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15950	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
15950	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15950	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
15950	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		4	090
15950	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		4	090
15950	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
15950	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
15951	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15951	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		6	090
15951	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15951	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		6	090
15951	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15951	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
15951	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15952	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
15952	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
15952	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
15952	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		4	090
15952	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
15952	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		4	090
15953	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15953	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
15953	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15953	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15953	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15953	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15956	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15956	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15956	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15956	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15956	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		7	090
15956	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15958	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		7	090
15958	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15958	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15958	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15958	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15958	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
16000	Sep02	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
16000	Sep02	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	000
16000	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
16000	Sep02	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
16000	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
16000	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
16000	Sep02	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
16000	Sep02	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
16000	Sep02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
16000	Sep02	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
16000	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
16000	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	000
16000	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	000
16000	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
16000	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
16000	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	000
16000	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14	6	0	000
16020	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	000
16020	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
16020	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	000
16020	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
16020	RUC	"Kit, Pack, Tray"	SA029	"kit, sharp debridement"	kit	7.32	1	0	000
16020	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
16020	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
16020	RUC	"Pharmacy, Rx"	SH064	silver sulfadiazene cream (Silvadene)	gm	0.26	1	0	000
16020	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	000
16020	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	0	000
16020	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
16025	RUC05	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	000
16025	RUC05	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	000
16025	RUC05	"Kit, Pack, Tray"	SA029	"kit, sharp debridement"	kit	7.32	1	0	000
16025	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
16025	RUC05	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	000
16025	RUC05	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
16025	RUC05	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
16025	RUC05	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
16025	RUC05	"Pharmacy, Rx"	SH064	silver sulfadiazene cream (Silvadene)	gm	0.26	1	0	000
16025	RUC05	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
16025	RUC05	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	000
16025	RUC05	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	4	0	000
16025	RUC05	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
16030	RUC05	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
16030	RUC05	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	8	0	000
16030	RUC05	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
16030	RUC05	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	4	0	000
16030	RUC05	"Kit, Pack, Tray"	SA029	"kit, sharp debridement"	kit	7.32	1	0	000
16030	RUC05	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	48	0	000
16030	RUC05	"Pharmacy, Rx"	SH064	silver sulfadiazene cream (Silvadene)	gm	0.26	1	0	000
16030	RUC05	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	2	0	000
16030	RUC05	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
16030	RUC05	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	8	0	000
16030	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
16030	RUC05	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	40	0	000
16030	RUC05	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
17000	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
17000	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17000	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	010
17000	RUC	"Pharmacy, Rx"	SH092	LMX 4% anesthetic cream	gm	3.01	1	0	010
17000	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	010
17000	RUC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	8	0	010
17003	CPT14 May 30	"Pharmacy, Rx"	SH092	LMX 4% anesthetic cream	gm	3.01	1	0	ZZZ
17003	CPT14 May 30	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	8	0	ZZZ
17003	CPT14 May 30	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	ZZZ
17004	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	010
17004	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	6	0	010
17004	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	010
17004	RUC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	90	0	010
17004	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
17004	RUC	"Pharmacy, Rx"	SH092	LMX 4% anesthetic cream	gm	3.01	15	0	010
17106	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
17106	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
17106	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
17106	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	090
17106	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
17106	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
17106	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
17106	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
17106	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
17106	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
17106	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
17106	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	090
17106	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	090
17106	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
17106	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
17106	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
17107	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	090
17107	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
17107	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
17107	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
17107	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
17107	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	090
17107	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
17107	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
17107	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
17107	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
17107	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
17107	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
17107	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
17107	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	090
17107	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
17107	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
17107	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
17108	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
17108	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
17108	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
17108	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
17108	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
17108	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
17108	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
17108	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	090
17108	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
17108	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
17108	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
17108	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
17108	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
17108	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
17108	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	090
17108	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	2	0	090
17108	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
17108	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
17110	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17110	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17110	RUC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17110	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17110	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	010
17110	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17110	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17110	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17110	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17110	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17110	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17110	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17110	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
17110	RUC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	27	0	010
17110	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17110	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	010
17110	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
17110	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17110	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	2	0	010
17110	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
17111	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	010
17111	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	010
17111	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17111	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17111	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	3	0	010
17111	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17111	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	010
17111	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
17111	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17111	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
17111	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17111	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17111	RUC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17111	RUC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	40	0	010
17111	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17111	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17111	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17111	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17111	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17111	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17250	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
17250	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
17250	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	5	0	000
17250	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
17250	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
17250	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
17250	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	5	0	000
17250	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	000
17250	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
17250	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
17250	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	000
17250	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
17250	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	0	000
17250	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	000
17250	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
17250	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	3	0	000
17250	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	000
17250	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
17250	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
17250	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
17260	RUC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17260	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17260	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
17260	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17260	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
17260	RUC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	20	0	010
17260	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17260	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17260	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	010
17260	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17260	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17260	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17260	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
17260	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
17260	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17260	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17260	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	010
17260	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
17260	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17261	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17261	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17261	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17261	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17261	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	010
17261	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
17261	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17261	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17261	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17261	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17261	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17261	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
17261	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
17261	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17261	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17261	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17261	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
17261	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	0	010
17261	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	20	0	010
17261	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17262	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17262	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17262	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17262	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17262	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17262	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17262	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	010
17262	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17262	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17262	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	0	010
17262	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17262	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
17262	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
17262	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17262	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17262	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17262	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17262	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	2	0	010
17262	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
17262	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
17262	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	27	0	010
17263	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	0	010
17263	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17263	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	27	0	010
17263	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17263	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17263	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17263	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17263	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17263	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	010
17263	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17263	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
17263	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17263	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
17263	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
17263	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17263	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	2	0	010
17263	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17263	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17263	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17263	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
17263	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17264	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17264	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17264	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17264	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17264	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	40	0	010
17264	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
17264	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17264	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	010
17264	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17264	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17264	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17264	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	010
17264	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17264	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	3	0	010
17264	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17264	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17264	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17264	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17264	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
17264	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	0	010
17264	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
17266	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17266	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	5	0	010
17266	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17266	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
17266	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17266	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17266	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17266	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
17266	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17266	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17266	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17266	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	0	010
17266	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17266	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17266	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17266	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	3	0	010
17266	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	0	010
17266	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17266	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	010
17266	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17266	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	80	0	010
17270	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
17270	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
17270	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
17270	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17270	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17270	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17270	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	010
17270	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17270	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	010
17270	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17270	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17270	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17270	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	010
17270	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17270	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17270	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17270	RUC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	20	0	010
17270	RUC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17270	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17270	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
17271	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
17271	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17271	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	010
17271	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17271	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17271	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17271	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	20	0	010
17271	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
17271	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17271	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17271	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	0	010
17271	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
17271	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17271	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17271	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17271	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17271	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17271	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17271	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17271	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
17272	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17272	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
17272	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	2	0	010
17272	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17272	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17272	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17272	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
17272	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17272	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17272	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17272	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17272	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17272	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
17272	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	0	010
17272	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17272	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17272	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17272	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17272	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	27	0	010
17272	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
17272	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	010
17273	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	010
17273	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17273	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17273	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17273	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17273	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	27	0	010
17273	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
17273	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17273	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17273	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17273	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
17273	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
17273	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17273	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	2	0	010
17273	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17273	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	0	010
17273	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17273	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17273	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17273	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
17273	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17274	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	3	0	010
17274	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17274	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	010
17274	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
17274	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17274	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17274	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17274	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
17274	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17274	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17274	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17274	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17274	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	0	010
17274	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17274	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17274	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17274	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
17274	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	40	0	010
17274	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17274	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	010
17274	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17276	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17276	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	0	010
17276	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	80	0	010
17276	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17276	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17276	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17276	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
17276	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17276	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	5	0	010
17276	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
17276	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	010
17276	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	0	010
17276	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17276	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17276	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17276	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17276	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17276	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17276	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17276	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	3	0	010
17276	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17280	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
17280	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
17280	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	010
17280	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
17280	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	010
17280	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17280	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17280	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17280	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
17280	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17280	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17280	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	010
17280	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17280	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17280	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17280	RUC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	20	0	010
17280	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17280	RUC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17280	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17280	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17281	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17281	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17281	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17281	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17281	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	0	010
17281	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17281	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	20	0	010
17281	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17281	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17281	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17281	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
17281	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
17281	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17281	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17281	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17281	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17281	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
17281	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
17281	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	010
17281	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17282	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
17282	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
17282	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17282	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17282	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17282	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17282	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
17282	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17282	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	2	0	010
17282	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	27	0	010
17282	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17282	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17282	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17282	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
17282	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17282	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	010
17282	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	0	010
17282	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17282	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17282	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17282	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17283	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
17283	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17283	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
17283	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	010
17283	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17283	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	0	010
17283	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17283	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17283	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	27	0	010
17283	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17283	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17283	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17283	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
17283	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17283	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17283	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17283	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17283	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	2	0	010
17283	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17283	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17283	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
17284	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17284	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	40	0	010
17284	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
17284	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
17284	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17284	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17284	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
17284	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17284	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	010
17284	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17284	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17284	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17284	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17284	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17284	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17284	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	010
17284	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	3	0	010
17284	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17284	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17284	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	0	010
17284	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17286	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	5	0	010
17286	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17286	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	0	010
17286	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17286	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17286	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17286	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17286	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17286	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	80	0	010
17286	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17286	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17286	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17286	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
17286	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
17286	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17286	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17286	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	3	0	010
17286	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17286	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	010
17286	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	0	010
17286	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17311	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
17311	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	000
17311	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	3	0	000
17311	CMS	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	8.29	1	0	000
17311	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
17311	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	000
17311	CMS	Lab	SL097	OCT Tissue-Tek	ml	0.14	8	0	000
17311	CMS	Lab	SL473	"Slide, charged"	item	0.39	10	0	000
17311	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
17311	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	1	0	000
17311	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	000
17311	CMS	"Accessory, Procedure"	SD133	"tubing, suction, non-latex (6ft) with Poole tip (1)"	item	1.98	1	0	000
17311	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
17311	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	000
17311	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
17311	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	000
17311	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	0	000
17311	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
17311	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4	1	0	000
17311	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	000
17311	CMS	Lab	SL120	slide container (for 20 microscope slides)	item	3.78	1	0	000
17311	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
17311	CMS	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.68	10	0	000
17311	CMS	"Office Supply, Grocery"	SK047	"map, Moh's surgery (per sheet)"	item	0.04	1	0	000
17311	CMS	"Office Supply, Grocery"	SK002	anatomical drawings (for treatment recording)	item	3.5	1	0	000
17311	CMS	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.34	2	0	000
17311	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
17311	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
17311	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	0.4	0	000
17311	CMS	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.01	8	0	000
17311	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	60	0	000
17311	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
17311	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	0	000
17311	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
17311	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	20	0	000
17311	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	000
17311	CMS	Lab	SL030	"cover slip, glass"	item	0.079	10	0	000
17311	CMS	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	1	0	000
17311	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	1	0	000
17311	CMS	Lab	SL470	Marking Dyes	ml	0.47	12	0	000
17311	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
17311	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	30	0	000
17311	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
17311	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1	0	000
17311	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
17311	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
17311	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
17311	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
17311	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
17311	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
17311	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1	0	000
17311	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	000
17311	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
17312	CMS	Lab	SL470	Marking Dyes	ml	0.47	9	0	ZZZ
17312	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	ZZZ
17312	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	ZZZ
17312	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	0.4	0	ZZZ
17312	CMS	"Office Supply, Grocery"	SK002	anatomical drawings (for treatment recording)	item	3.5	1	0	ZZZ
17312	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	ZZZ
17312	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	ZZZ
17312	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	ZZZ
17312	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	0	ZZZ
17312	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	ZZZ
17312	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
17312	CMS	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.34	2	0	ZZZ
17312	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	ZZZ
17312	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	ZZZ
17312	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	ZZZ
17312	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	20	0	ZZZ
17312	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	ZZZ
17312	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	ZZZ
17312	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	ZZZ
17312	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	ZZZ
17312	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1	0	ZZZ
17312	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	ZZZ
17312	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	ZZZ
17312	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	ZZZ
17312	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	20	0	ZZZ
17312	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	ZZZ
17312	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	ZZZ
17312	CMS	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.01	8	0	ZZZ
17312	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	ZZZ
17312	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	60	0	ZZZ
17312	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	ZZZ
17312	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4	1	0	ZZZ
17312	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	ZZZ
17312	CMS	Lab	SL473	"Slide, charged"	item	0.39	6	0	ZZZ
17312	CMS	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.68	6	0	ZZZ
17312	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1	0	ZZZ
17312	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	1	0	ZZZ
17312	CMS	"Accessory, Procedure"	SD133	"tubing, suction, non-latex (6ft) with Poole tip (1)"	item	1.98	1	0	ZZZ
17312	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	ZZZ
17312	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	ZZZ
17312	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	2	0	ZZZ
17312	CMS	Lab	SL030	"cover slip, glass"	item	0.079	6	0	ZZZ
17312	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	ZZZ
17312	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	ZZZ
17312	CMS	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	0.6	0	ZZZ
17312	CMS	Lab	SL097	OCT Tissue-Tek	ml	0.14	6	0	ZZZ
17312	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	ZZZ
17313	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
17313	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1	0	000
17313	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
17313	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
17313	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	20	0	000
17313	CMS	"Accessory, Procedure"	SD133	"tubing, suction, non-latex (6ft) with Poole tip (1)"	item	1.98	1	0	000
17313	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
17313	CMS	"Office Supply, Grocery"	SK047	"map, Moh's surgery (per sheet)"	item	0.04	1	0	000
17313	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	000
17313	CMS	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	8.29	1	0	000
17313	CMS	Lab	SL097	OCT Tissue-Tek	ml	0.14	8	0	000
17313	CMS	Lab	SL470	Marking Dyes	ml	0.47	12	0	000
17313	CMS	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.68	10	0	000
17313	CMS	Lab	SL120	slide container (for 20 microscope slides)	item	3.78	1	0	000
17313	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	30	0	000
17313	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
17313	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	0	000
17313	CMS	Lab	SL030	"cover slip, glass"	item	0.079	10	0	000
17313	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
17313	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1	0	000
17313	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
17313	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
17313	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
17313	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	000
17313	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
17313	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
17313	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	1	0	000
17313	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	000
17313	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	000
17313	CMS	Lab	SL473	"Slide, charged"	item	0.39	10	0	000
17313	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
17313	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
17313	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	000
17313	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
17313	CMS	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.01	10	0	000
17313	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	0.4	0	000
17313	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
17313	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	000
17313	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	60	0	000
17313	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
17313	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	3	0	000
17313	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
17313	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	000
17313	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	000
17313	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
17313	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
17313	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
17313	CMS	"Office Supply, Grocery"	SK002	anatomical drawings (for treatment recording)	item	3.5	1	0	000
17313	CMS	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	1	0	000
17313	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	000
17313	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4	1	0	000
17314	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	20	0	ZZZ
17314	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	ZZZ
17314	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1	0	ZZZ
17314	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	ZZZ
17314	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	ZZZ
17314	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	ZZZ
17314	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	ZZZ
17314	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	ZZZ
17314	CMS	"Accessory, Procedure"	SD133	"tubing, suction, non-latex (6ft) with Poole tip (1)"	item	1.98	1	0	ZZZ
17314	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	ZZZ
17314	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	ZZZ
17314	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	ZZZ
17314	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	ZZZ
17314	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	ZZZ
17314	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	ZZZ
17314	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	20	0	ZZZ
17314	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	ZZZ
17314	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	ZZZ
17314	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	ZZZ
17314	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	2	0	ZZZ
17314	CMS	Lab	SL473	"Slide, charged"	item	0.39	6	0	ZZZ
17314	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	ZZZ
17314	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4	1	0	ZZZ
17314	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	ZZZ
17314	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	ZZZ
17314	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	ZZZ
17314	CMS	Lab	SL097	OCT Tissue-Tek	ml	0.14	6	0	ZZZ
17314	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	ZZZ
17314	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	ZZZ
17314	CMS	Lab	SL470	Marking Dyes	ml	0.47	9	0	ZZZ
17314	CMS	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.68	6	0	ZZZ
17314	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	ZZZ
17314	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	1	0	ZZZ
17314	CMS	Lab	SL030	"cover slip, glass"	item	0.079	6	0	ZZZ
17314	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	ZZZ
17314	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	0	ZZZ
17314	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	ZZZ
17314	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1	0	ZZZ
17314	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	60	0	ZZZ
17314	CMS	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.01	8	0	ZZZ
17314	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	0.4	0	ZZZ
17314	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	ZZZ
17314	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
17314	CMS	"Office Supply, Grocery"	SK002	anatomical drawings (for treatment recording)	item	3.5	1	0	ZZZ
17314	CMS	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	0.6	0	ZZZ
17315	CPT14 May 31	Lab	SL095	mounting media (Histomount)	ml	0.5	1	0	ZZZ
17315	CPT14 May 31	Lab	SL030	"cover slip, glass"	item	0.079	2	0	ZZZ
17315	CPT14 May 31	Lab	SL473	"Slide, charged"	item	0.39	2	0	ZZZ
17315	CPT14 May 31	Lab	SL470	Marking Dyes	ml	0.47	3	0	ZZZ
17315	CPT14 May 31	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	20	0	ZZZ
17315	CPT14 May 31	Lab	SL097	OCT Tissue-Tek	ml	0.14	1	0	ZZZ
17315	CPT14 May 31	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	0.2	0	ZZZ
17315	CPT14 May 31	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.68	2	0	ZZZ
17360	Feb05 G	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17360	Feb05 G	"Office Supply, Grocery"	SK041	ice (per cup)	item	0.03	1	0	010
17360	Feb05 G	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17360	Feb05 G	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	0	010
17360	Feb05 G	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
17360	Feb05 G	"Pharmacy, NonRx"	SJ026	Eucerin cream	oz	1.38	1	0	010
17360	Feb05 G	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17360	Feb05 G	"Pharmacy, NonRx"	SJ072	"brush, disposable applicator"	item	0.42	1	0	010
17360	Feb05 G	Lab	SL193	"glycolic acid, 20-50%"	ml	0.34	1	0	010
17360	Feb05 G	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
17360	Feb05 G	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	010
17360	Feb05 G	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17360	Feb05 G	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0	010
17360	Feb05 G	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17360	Feb05 G	Lab	SL200	"sodium bicarbonate spray, 8 oz"	item	13.25	1	0	010
19000	Feb05 O	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
19000	Feb05 O	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
19000	Feb05 O	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
19000	Feb05 O	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
19000	Feb05 O	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
19000	Feb05 O	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	000
19000	Feb05 O	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
19000	Feb05 O	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
19000	Feb05 O	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
19000	Feb05 O	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	7.26	1	0	000
19000	Feb05 O	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	000
19000	Feb05 O	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
19000	Feb05 O	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
19000	Feb05 O	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	4	0	000
19001	Mar04 R	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	ZZZ
19001	Mar04 R	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	ZZZ
19001	Mar04 R	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	ZZZ
19001	Mar04 R	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	ZZZ
19001	Mar04 R	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	ZZZ
19020	Mar03 7	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
19020	Mar03 7	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	7.26	1	0	090
19020	Mar03 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
19020	Mar03 7	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
19020	Mar03 7	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
19020	Mar03 7	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
19020	Mar03 7	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
19020	Mar03 7	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	5	0	090
19020	Mar03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
19020	Mar03 7	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	1	090
19020	Mar03 7	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
19020	Mar03 7	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	1	090
19020	Mar03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	2	1	090
19020	Mar03 7	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
19020	Mar03 7	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
19020	Mar03 7	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
19020	Mar03 7	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
19020	Mar03 7	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
19020	Mar03 7	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
19020	Mar03 7	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
19020	Mar03 7	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	090
19020	Mar03 7	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
19020	Mar03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
19020	Mar03 7	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
19020	Mar03 7	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	2	1	090
19020	Mar03 7	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
19020	Mar03 7	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
19020	Mar03 7	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	090
19020	Mar03 7	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
19020	Mar03 7	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
19020	Mar03 7	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
19020	Mar03 7	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
19020	Mar03 7	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
19020	Mar03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
19020	Mar03 7	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
19020	Mar03 7	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	2	1	090
19030	Mar04 R	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
19030	Mar04 R	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
19030	Mar04 R	"Hypodermic, IV"	SC047	sialography infusion unit	item	37.71	1	0	000
19030	Mar04 R	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
19030	Mar04 R	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
19030	Mar04 R	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
19030	Mar04 R	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	1	0	000
19030	Mar04 R	"Accessory, Procedure"	SD042	"dilator, ductal, galactography"	item	10.28	1	0	000
19030	Mar04 R	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
19030	Mar04 R	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
19030	Mar04 R	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
19030	Mar04 R	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
19081	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
19081	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
19081	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	000
19081	CMS	"Accessory, Procedure"	SD135	"tubing, vacuum (for Mammotome device)"	item	16.09	1	0	000
19081	CMS	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	71.11	1	0	000
19081	CMS	"Hypodermic, IV"	SC022	Mammotome probe guide	item	6.75	1	0	000
19081	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
19081	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
19081	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
19081	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
19081	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
19081	CMS	"Accessory, Procedure"	SD094	Mammotome probe	item	135	1	0	000
19081	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
19081	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
19081	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
19081	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
19081	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1	1	0	000
19081	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
19081	CMS	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.14	1	0	000
19081	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
19081	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
19081	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	000
19081	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	000
19081	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
19081	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34	0	000
19081	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
19081	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	0.5	0	000
19081	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
19081	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
19081	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	000
19081	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
19082	CPT14 May 2	"Accessory, Procedure"	SD135	"tubing, vacuum (for Mammotome device)"	item	16.09	1	0	ZZZ
19082	CPT14 May 2	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	ZZZ
19082	CPT14 May 2	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	ZZZ
19082	CPT14 May 2	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	ZZZ
19082	CPT14 May 2	"Hypodermic, IV"	SC022	Mammotome probe guide	item	6.75	1	0	ZZZ
19082	CPT14 May 2	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	ZZZ
19082	CPT14 May 2	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	71.11	1	0	ZZZ
19082	CPT14 May 2	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	ZZZ
19082	CPT14 May 2	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1	1	0	ZZZ
19082	CPT14 May 2	"Accessory, Procedure"	SD094	Mammotome probe	item	135	1	0	ZZZ
19082	CPT14 May 2	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	ZZZ
19082	CPT14 May 2	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
19082	CPT14 May 2	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	ZZZ
19082	CPT14 May 2	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	ZZZ
19082	CPT14 May 2	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	ZZZ
19082	CPT14 May 2	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	ZZZ
19082	CPT14 May 2	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	0.5	0	ZZZ
19082	CPT14 May 2	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	ZZZ
19082	CPT14 May 2	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	ZZZ
19082	CPT14 May 2	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	ZZZ
19082	CPT14 May 2	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	ZZZ
19082	CPT14 May 2	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	ZZZ
19082	CPT14 May 2	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	ZZZ
19082	CPT14 May 2	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34	0	ZZZ
19082	CPT14 May 2	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.14	1	0	ZZZ
19082	CPT14 May 2	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	ZZZ
19082	CPT14 May 2	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	ZZZ
19082	CPT14 May 2	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	ZZZ
19083	CMS	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.14	1	0	000
19083	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
19083	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
19083	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	5	0	000
19083	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	4	0	000
19083	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
19083	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
19083	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
19083	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
19083	CMS	"Accessory, Procedure"	SD135	"tubing, vacuum (for Mammotome device)"	item	16.09	1	0	000
19083	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
19083	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1	1	0	000
19083	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	000
19083	CMS	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	71.11	1	0	000
19083	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
19083	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
19083	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
19083	CMS	"Accessory, Procedure"	SD094	Mammotome probe	item	135	1	0	000
19083	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	000
19083	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
19083	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	000
19083	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
19083	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
19083	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
19083	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
19083	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
19083	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	2	0	000
19083	CMS	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.14	1	0	000
19083	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	000
19083	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34	0	000
19083	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	000
19083	CMS	"Hypodermic, IV"	SC022	Mammotome probe guide	item	6.75	1	0	000
19083	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	000
19083	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
19083	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
19084	CPT14 May 2	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	ZZZ
19084	CPT14 May 2	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1	1	0	ZZZ
19084	CPT14 May 2	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	71.11	1	0	ZZZ
19084	CPT14 May 2	"Accessory, Procedure"	SD094	Mammotome probe	item	135	1	0	ZZZ
19084	CPT14 May 2	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	ZZZ
19084	CPT14 May 2	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	ZZZ
19084	CPT14 May 2	"Accessory, Procedure"	SD135	"tubing, vacuum (for Mammotome device)"	item	16.09	1	0	ZZZ
19084	CPT14 May 2	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	ZZZ
19084	CPT14 May 2	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	ZZZ
19084	CPT14 May 2	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	ZZZ
19084	CPT14 May 2	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	ZZZ
19084	CPT14 May 2	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
19084	CPT14 May 2	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	ZZZ
19084	CPT14 May 2	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	ZZZ
19084	CPT14 May 2	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	ZZZ
19084	CPT14 May 2	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	5	0	ZZZ
19084	CPT14 May 2	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	ZZZ
19084	CPT14 May 2	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	ZZZ
19084	CPT14 May 2	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	ZZZ
19084	CPT14 May 2	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.14	1	0	ZZZ
19084	CPT14 May 2	"Hypodermic, IV"	SC022	Mammotome probe guide	item	6.75	1	0	ZZZ
19084	CPT14 May 2	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	ZZZ
19084	CPT14 May 2	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.14	1	0	ZZZ
19084	CPT14 May 2	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	ZZZ
19084	CPT14 May 2	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	2	0	ZZZ
19084	CPT14 May 2	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34	0	ZZZ
19084	CPT14 May 2	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	ZZZ
19084	CPT14 May 2	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	4	0	ZZZ
19084	CPT14 May 2	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	ZZZ
19084	CPT14 May 2	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	ZZZ
19085	CMS	"Accessory, Procedure"	SD135	"tubing, vacuum (for Mammotome device)"	item	16.09	1	0	000
19085	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	000
19085	CMS	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.14	1	0	000
19085	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
19085	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
19085	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
19085	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
19085	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
19085	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	000
19085	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
19085	CMS	"Accessory, Procedure"	SD094	Mammotome probe	item	135	1	0	000
19085	CMS	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	71.11	1	0	000
19085	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
19085	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
19085	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
19085	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
19085	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
19085	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
19085	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
19085	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
19085	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
19085	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
19085	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1	1	0	000
19085	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34	0	000
19085	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	000
19085	CMS	"Hypodermic, IV"	SC022	Mammotome probe guide	item	6.75	1	0	000
19085	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
19086	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	ZZZ
19086	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
19086	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	ZZZ
19086	CMS	"Accessory, Procedure"	SD135	"tubing, vacuum (for Mammotome device)"	item	16.09	1	0	ZZZ
19086	CMS	"Accessory, Procedure"	SD094	Mammotome probe	item	135	1	0	ZZZ
19086	CMS	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	71.11	1	0	ZZZ
19086	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1	1	0	ZZZ
19086	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	ZZZ
19086	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	ZZZ
19086	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	ZZZ
19086	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	ZZZ
19086	CMS	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.14	1	0	ZZZ
19086	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	ZZZ
19086	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	ZZZ
19086	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	ZZZ
19086	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	ZZZ
19086	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34	0	ZZZ
19086	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	ZZZ
19086	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	ZZZ
19086	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	ZZZ
19086	CMS	"Hypodermic, IV"	SC022	Mammotome probe guide	item	6.75	1	0	ZZZ
19086	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	ZZZ
19086	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	ZZZ
19086	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	ZZZ
19100	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
19100	RUC	"Hypodermic, IV"	SC025	"needle, 14-20g, biopsy"	item	11.13	1	0	000
19100	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
19100	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
19100	RUC	"Hypodermic, IV"	SC032	"needle, biopsy for breast-prostate core sample"	item	33.2	1	0	000
19100	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
19100	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
19100	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
19100	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
19100	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
19100	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	90	0	000
19100	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
19100	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
19101	Oct00	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
19101	Oct00	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
19101	Oct00	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
19101	Oct00	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	010
19101	Oct00	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	010
19101	Oct00	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
19101	Oct00	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	1	010
19101	Oct00	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	7.26	1	0	010
19101	Oct00	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	010
19101	Oct00	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	010
19101	Oct00	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
19101	Oct00	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	010
19101	Oct00	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
19101	Oct00	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	010
19101	Oct00	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
19101	Oct00	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
19101	Oct00	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
19101	Oct00	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
19101	Oct00	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
19101	Oct00	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
19101	Oct00	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	4	4	010
19101	Oct00	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	15	15	010
19101	Oct00	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	186	60	010
19101	Oct00	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	010
19101	Oct00	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32	1	0	010
19101	Oct00	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22	7	0	010
19101	Oct00	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
19105	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.58	1	0	000
19105	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
19105	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
19105	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
19105	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
19105	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	000
19105	CMS	"Accessory, Procedure"	SD227	"gas, argon"	cu ft	0.53	144	0	000
19105	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
19105	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
19105	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	000
19105	CMS	"Accessory, Procedure"	SD232	"probe, cryoablation (Visica ICE 30 or 40)"	item	1372.12	1	0	000
19105	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
19105	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60	0	000
19105	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
19105	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	50	0	000
19105	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	000
19105	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
19105	CMS	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.14	1	0	000
19105	CMS	"Gown, Drape"	SB017	"drape-sleeve, sterile (4in x 8ft)"	item	0.2	2	0	000
19105	CMS	"Accessory, Procedure"	SD079	"gas, helium"	cu ft	1.02	55	0	000
19105	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
19105	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
19105	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
19105	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1	0	000
19105	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
19105	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	000
19105	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
19105	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
19110	Mar03 7	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
19110	Mar03 7	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	090
19110	Mar03 7	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
19110	Mar03 7	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
19110	Mar03 7	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
19110	Mar03 7	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
19110	Mar03 7	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	5	0	090
19110	Mar03 7	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
19110	Mar03 7	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	1	090
19110	Mar03 7	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
19110	Mar03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
19110	Mar03 7	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
19110	Mar03 7	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	090
19110	Mar03 7	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
19110	Mar03 7	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	090
19110	Mar03 7	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
19110	Mar03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
19110	Mar03 7	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
19110	Mar03 7	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
19110	Mar03 7	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
19110	Mar03 7	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	1	090
19110	Mar03 7	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
19110	Mar03 7	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
19110	Mar03 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
19110	Mar03 7	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	7.26	1	0	090
19110	Mar03 7	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
19110	Mar03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
19110	Mar03 7	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
19110	Mar03 7	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
19110	Mar03 7	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
19112	Mar03 7	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	1	090
19112	Mar03 7	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
19112	Mar03 7	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
19112	Mar03 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
19112	Mar03 7	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
19112	Mar03 7	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	1	090
19112	Mar03 7	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
19112	Mar03 7	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
19112	Mar03 7	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	5	0	090
19112	Mar03 7	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	7.26	1	0	090
19112	Mar03 7	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
19112	Mar03 7	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
19112	Mar03 7	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
19112	Mar03 7	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
19112	Mar03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
19112	Mar03 7	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
19112	Mar03 7	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
19112	Mar03 7	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
19112	Mar03 7	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
19112	Mar03 7	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
19112	Mar03 7	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	090
19112	Mar03 7	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
19112	Mar03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
19112	Mar03 7	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	090
19112	Mar03 7	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	090
19112	Mar03 7	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
19112	Mar03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
19112	Mar03 7	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
19112	Mar03 7	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
19112	Mar03 7	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
19120	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
19120	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	4	0	090
19120	CMS	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8	2	0	090
19120	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	090
19120	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	60	0	090
19120	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	090
19120	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
19120	CMS	Lab	SL072	formalin	ml	0.009	10	0	090
19120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
19120	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	15	0	090
19120	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
19120	CMS	Infection Control	SM011	"cleaning brush, instruments"	item	5.6	1	0	090
19120	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
19120	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	090
19120	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
19120	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
19120	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
19120	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
19120	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	090
19120	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
19125	CMS	Lab	SL072	formalin	ml	0.009	10	0	090
19125	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
19125	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	15	0	090
19125	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
19125	CMS	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8	2	0	090
19125	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	090
19125	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
19125	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	60	0	090
19125	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	090
19125	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	090
19125	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	4	0	090
19125	CMS	Infection Control	SM011	"cleaning brush, instruments"	item	5.6	1	0	090
19125	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
19125	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
19125	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
19125	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
19125	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	090
19125	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
19125	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
19125	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
19281	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
19281	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
19281	CMS	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	21.29	2	0	000
19281	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
19281	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	000
19281	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	000
19281	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
19281	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
19281	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
19281	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	000
19281	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
19281	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
19281	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
19281	CMS	"Hypodermic, IV"	SC045	needle-wire for localization	item	15	2	0	000
19281	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
19281	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
19281	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
19282	CMS	"Hypodermic, IV"	SC045	needle-wire for localization	item	15	2	0	ZZZ
19282	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	ZZZ
19282	CMS	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	21.29	2	0	ZZZ
19282	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	ZZZ
19282	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	ZZZ
19282	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	ZZZ
19282	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	ZZZ
19282	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	ZZZ
19282	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	ZZZ
19282	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	ZZZ
19282	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	ZZZ
19282	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	ZZZ
19282	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	ZZZ
19282	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	ZZZ
19282	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	ZZZ
19283	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	000
19283	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	000
19283	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	000
19283	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
19283	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	000
19283	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
19283	CMS	"Hypodermic, IV"	SC022	Mammotome probe guide	item	6.75	1	0	000
19283	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
19283	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
19283	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
19283	CMS	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	21.29	2	0	000
19283	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
19283	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
19283	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
19283	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
19283	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
19283	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
19283	CMS	"Hypodermic, IV"	SC045	needle-wire for localization	item	15	2	0	000
19283	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34	0	000
19283	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
19283	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
19283	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
19283	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
19283	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	0.5	0	000
19284	CPT14 May 2	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	ZZZ
19284	CPT14 May 2	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	ZZZ
19284	CPT14 May 2	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	ZZZ
19284	CPT14 May 2	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	ZZZ
19284	CPT14 May 2	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	0.5	0	ZZZ
19284	CPT14 May 2	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34	0	ZZZ
19284	CPT14 May 2	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	ZZZ
19284	CPT14 May 2	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	ZZZ
19284	CPT14 May 2	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	ZZZ
19284	CPT14 May 2	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	ZZZ
19284	CPT14 May 2	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	ZZZ
19284	CPT14 May 2	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	ZZZ
19284	CPT14 May 2	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	ZZZ
19284	CPT14 May 2	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	21.29	2	0	ZZZ
19284	CPT14 May 2	"Hypodermic, IV"	SC045	needle-wire for localization	item	15	2	0	ZZZ
19284	CPT14 May 2	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	ZZZ
19284	CPT14 May 2	"Hypodermic, IV"	SC022	Mammotome probe guide	item	6.75	1	0	ZZZ
19284	CPT14 May 2	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	ZZZ
19284	CPT14 May 2	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	ZZZ
19284	CPT14 May 2	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	ZZZ
19284	CPT14 May 2	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
19285	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
19285	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
19285	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	4	0	000
19285	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	000
19285	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
19285	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	000
19285	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
19285	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	000
19285	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
19285	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
19285	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34	0	000
19285	CMS	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	71.11	3	0	000
19285	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	000
19285	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
19285	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	2	0	000
19285	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	000
19285	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
19285	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
19285	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
19285	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	5	0	000
19285	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
19285	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
19285	CMS	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.14	1	0	000
19285	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
19285	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
19285	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	000
19285	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
19286	CPT14 May 2	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	ZZZ
19286	CPT14 May 2	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	ZZZ
19286	CPT14 May 2	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
19286	CPT14 May 2	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	71.11	3	0	ZZZ
19286	CPT14 May 2	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	ZZZ
19286	CPT14 May 2	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	2	0	ZZZ
19286	CPT14 May 2	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.14	1	0	ZZZ
19286	CPT14 May 2	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	5	0	ZZZ
19286	CPT14 May 2	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	ZZZ
19286	CPT14 May 2	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	ZZZ
19286	CPT14 May 2	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	ZZZ
19286	CPT14 May 2	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	ZZZ
19286	CPT14 May 2	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	ZZZ
19286	CPT14 May 2	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	ZZZ
19286	CPT14 May 2	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	ZZZ
19286	CPT14 May 2	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	4	0	ZZZ
19286	CPT14 May 2	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	ZZZ
19286	CPT14 May 2	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	ZZZ
19286	CPT14 May 2	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34	0	ZZZ
19286	CPT14 May 2	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	ZZZ
19286	CPT14 May 2	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	ZZZ
19286	CPT14 May 2	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	ZZZ
19287	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34	0	000
19287	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
19287	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
19287	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
19287	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
19287	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
19287	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
19287	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	000
19287	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
19287	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	000
19287	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
19287	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
19287	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
19287	CMS	"Hypodermic, IV"	SC022	Mammotome probe guide	item	6.75	1	0	000
19287	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	000
19287	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	000
19287	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
19287	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
19287	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
19287	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
19287	CMS	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	71.11	1	0	000
19287	CMS	"Accessory, Procedure"	SD094	Mammotome probe	item	135	1	0	000
19288	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	ZZZ
19288	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	ZZZ
19288	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	ZZZ
19288	CMS	"Accessory, Procedure"	SD094	Mammotome probe	item	135	1	0	ZZZ
19288	CMS	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	71.11	1	0	ZZZ
19288	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
19288	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	ZZZ
19288	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	ZZZ
19288	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	ZZZ
19288	CMS	"Hypodermic, IV"	SC022	Mammotome probe guide	item	6.75	1	0	ZZZ
19288	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	ZZZ
19288	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	ZZZ
19288	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	ZZZ
19288	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	ZZZ
19288	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	ZZZ
19288	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34	0	ZZZ
19288	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	ZZZ
19288	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	ZZZ
19288	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	ZZZ
19296	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
19296	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
19296	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
19296	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
19296	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	000
19296	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
19296	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	5	0	000
19296	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	000
19296	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	240	0	000
19296	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	000
19296	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
19296	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
19296	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
19296	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
19296	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
19296	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
19296	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
19296	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
19296	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
19296	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
19296	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
19296	CMS	"Kit, Pack, Tray"	SA087	"tray, RTS applicator (MammoSite)"	item	2827.86	1	0	000
19296	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
19296	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
19298	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
19298	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	
19298	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	
19298	Mod sed	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	
19298	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	
19298	Mod sed	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	
19298	Mod sed	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	240	0	
19298	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	5	0	
19298	Mod sed	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	
19298	Mod sed	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	
19298	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	
19298	Mod sed	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	
19298	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
19298	Mod sed	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	
19298	Mod sed	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	
19298	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	
19298	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
19298	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
19298	Mod sed	"Hypodermic, IV"	SC073	"implant catheter, button-end, single leader"	item	19.57	30	0	
19298	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	
19298	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	
19298	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	
19298	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	
19298	Mod sed	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	
19300	Jan03 cs	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
19300	Jan03 cs	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
19300	Jan03 cs	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	090
19300	Jan03 cs	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
19300	Jan03 cs	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	090
19300	Jan03 cs	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	6	0	090
19300	Jan03 cs	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	090
19300	Jan03 cs	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	090
19300	Jan03 cs	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	1	090
19300	Jan03 cs	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	1	090
19300	Jan03 cs	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	3	1	090
19300	Jan03 cs	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	090
19300	Jan03 cs	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
19300	Jan03 cs	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	090
19300	Jan03 cs	"Accessory, Procedure"	SD100	nasal cannula	item	1.66	1	0	090
19300	Jan03 cs	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
19300	Jan03 cs	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	1	090
19300	Jan03 cs	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	1	090
19300	Jan03 cs	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	3.5	3.5	090
19300	Jan03 cs	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	10	090
19300	Jan03 cs	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	090
19300	Jan03 cs	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	14	4	090
19300	Jan03 cs	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	2	0	090
19300	Jan03 cs	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
19300	Jan03 cs	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	4	0	090
19300	Jan03 cs	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22	7	0	090
19300	Jan03 cs	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
19300	Jan03 cs	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
19300	Jan03 cs	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
19300	Jan03 cs	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	1	090
19300	Jan03 cs	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	090
19300	Jan03 cs	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	15	0	090
19300	Jan03 cs	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	2	1	090
19300	Jan03 cs	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	52	2	090
19300	Jan03 cs	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	090
19301	Jan03	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04		1	090
19301	Jan03	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		1	090
19301	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	090
19301	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
19301	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2.5	090
19301	Jan03	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04		1	090
19301	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
19301	Jan03	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
19301	Jan03	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		1	090
19301	Jan03	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
19301	Jan03	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06		2	090
19301	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
19301	Jan03	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		10	090
19302	CPT12 5 Year	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		7	090
19302	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
19302	CPT12 5 Year	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
19302	CPT12 5 Year	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04		2	090
19302	CPT12 5 Year	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
19302	CPT12 5 Year	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		2	090
19302	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
19302	CPT12 5 Year	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
19302	CPT12 5 Year	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
19302	CPT12 5 Year	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		17	090
19302	CPT12 5 Year	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
19302	CPT12 5 Year	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06		3	090
19302	CPT12 5 Year	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04		2	090
19303	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		2	090
19303	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
19303	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04		1	090
19303	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		1	090
19303	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	090
19305	Jan03	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
19305	Jan03	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21		1	090
19305	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
19305	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
19305	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4.5	090
19305	Jan03	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04		2	090
19305	Jan03	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04		2	090
19305	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04		1	090
19305	Jan03	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
19305	Jan03	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06		8	090
19305	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
19305	Jan03	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
19305	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
19305	Jan03	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
19305	Jan03	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		2	090
19306	Jan03	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04		2	090
19306	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
19306	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
19306	Jan03	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04		2	090
19306	Jan03	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
19306	Jan03	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
19306	Jan03	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		2	090
19306	Jan03	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06		8	090
19306	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
19306	Jan03	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
19306	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
19306	Jan03	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21		1	090
19306	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04		1	090
19306	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		5.5	090
19306	Jan03	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
19307	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		2	090
19307	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13		2	090
19307	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		2	090
19307	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06		10	090
19307	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
19307	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
19307	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		2	090
19307	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04		6	090
19307	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
19307	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
19307	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		30	090
19307	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3	090
19307	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		96	090
19307	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
19307	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
19316	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
19316	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
19318	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
19318	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
19325	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
19325	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
19328	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
19328	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
19330	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
19330	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
19340	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
19340	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
19342	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
19342	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
19350	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
19350	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
19350	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
19350	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
19350	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
19350	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
19350	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
19350	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
19350	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
19350	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
19350	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
19350	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
19350	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
19350	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	5	0	090
19350	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
19350	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
19350	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
19350	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
19350	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
19350	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
19350	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
19355	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
19355	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	4	0	090
19355	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
19355	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
19355	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
19355	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
19355	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
19355	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
19355	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
19355	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
19355	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
19355	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
19355	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
19355	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
19355	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
19355	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
19355	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
19355	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
19355	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
19355	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
19355	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
19357	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
19357	RUC	"Kit, Pack, Tray"	SA108	"kit, tissue expansion"	kit	8.313		5	090
19357	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		7	090
19361	CPT07	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
19361	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
19364	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
19364	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		2	090
19364	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
19364	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		5	090
19364	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
19364	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		5	090
19364	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
19364	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
19367	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
19367	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
19367	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
19367	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		2	090
19367	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
19367	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
19367	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
19367	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
19368	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
19368	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		2	090
19368	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
19368	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		8	090
19368	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
19368	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
19368	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		5	090
19368	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
19369	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
19369	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
19369	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		5	090
19369	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		8	090
19369	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
19369	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
19369	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
19369	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		2	090
19370	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
19370	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
19371	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
19371	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
19380	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
19380	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
19396	Feb05 R	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
19396	Feb05 R	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
19396	Feb05 R	"Kit, Pack, Tray"	SA090	"kit, moulage (implantech)"	kit	75	1	0	000
19396	Feb05 R	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
19396	Feb05 R	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
19396	Feb05 R	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	14	0	000
19396	Feb05 R	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	0	000
19396	Feb05 R	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	000
19396	Feb05 R	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
19396	Feb05 R	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
20100	Mar04 U	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	010
20100	Mar04 U	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
20101	Mar03 7	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	30	0	010
20101	Mar03 7	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	7.26	1	0	010
20101	Mar03 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
20101	Mar03 7	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
20101	Mar03 7	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
20101	Mar03 7	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
20101	Mar03 7	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
20101	Mar03 7	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
20101	Mar03 7	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
20101	Mar03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
20101	Mar03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	010
20101	Mar03 7	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
20101	Mar03 7	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
20101	Mar03 7	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
20101	Mar03 7	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
20101	Mar03 7	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	0	010
20101	Mar03 7	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	010
20101	Mar03 7	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
20101	Mar03 7	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
20101	Mar03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
20101	Mar03 7	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
20101	Mar03 7	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
20101	Mar03 7	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
20101	Mar03 7	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
20101	Mar03 7	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	010
20101	Mar03 7	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
20101	Mar03 7	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
20101	Mar03 7	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
20101	Mar03 7	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
20101	Mar03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
20101	Mar03 7	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
20101	Mar03 7	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
20101	Mar03 7	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	120	0	010
20101	Mar03 7	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
20101	Mar03 7	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	010
20102	Mar03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	010
20102	Mar03 7	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
20102	Mar03 7	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
20102	Mar03 7	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
20102	Mar03 7	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
20102	Mar03 7	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
20102	Mar03 7	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
20102	Mar03 7	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	010
20102	Mar03 7	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
20102	Mar03 7	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
20102	Mar03 7	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
20102	Mar03 7	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	30	0	010
20102	Mar03 7	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
20102	Mar03 7	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
20102	Mar03 7	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
20102	Mar03 7	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
20102	Mar03 7	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
20102	Mar03 7	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	0	010
20102	Mar03 7	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	7.26	1	0	010
20102	Mar03 7	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	120	0	010
20102	Mar03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
20102	Mar03 7	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
20102	Mar03 7	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
20102	Mar03 7	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
20102	Mar03 7	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	010
20102	Mar03 7	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
20102	Mar03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
20102	Mar03 7	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
20102	Mar03 7	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
20102	Mar03 7	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
20102	Mar03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
20102	Mar03 7	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	010
20102	Mar03 7	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
20102	Mar03 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
20102	Mar03 7	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
20103	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
20103	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
20103	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
20103	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	010
20103	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
20103	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
20103	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
20103	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
20103	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
20103	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
20103	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
20103	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
20103	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
20103	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	010
20103	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
20103	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	5	0	010
20103	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
20103	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
20103	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
20103	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
20103	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	108	0	010
20103	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	0.78	3	0	010
20103	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
20103	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
20150	Jan04 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
20150	Jan04 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
20200	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
20200	Jan03	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
20200	Jan03	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
20200	Jan03	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	000
20200	Jan03	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	000
20200	Jan03	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	5	0	000
20200	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
20200	Jan03	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
20200	Jan03	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
20200	Jan03	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	000
20200	Jan03	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
20200	Jan03	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
20200	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
20200	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
20200	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
20200	Jan03	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
20200	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
20200	Jan03	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
20200	Jan03	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
20200	Jan03	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20200	Jan03	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
20200	Jan03	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
20200	Jan03	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	000
20200	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
20200	Jan03	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20205	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
20205	Jan03	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
20205	Jan03	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	000
20205	Jan03	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	000
20205	Jan03	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	5	0	000
20205	Jan03	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
20205	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
20205	Jan03	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20205	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
20205	Jan03	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
20205	Jan03	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
20205	Jan03	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
20205	Jan03	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20205	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
20205	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
20205	Jan03	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
20205	Jan03	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
20205	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
20205	Jan03	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
20205	Jan03	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	000
20205	Jan03	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
20205	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
20205	Jan03	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
20205	Jan03	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
20205	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
20205	Jan03	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	000
20206	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
20206	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
20206	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
20206	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
20206	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
20206	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
20206	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
20206	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
20206	CMS	"Hypodermic, IV"	SC033	"needle, biopsy, spring-loaded"	item	25.53	1	0	000
20206	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
20206	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
20206	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
20206	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
20206	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
20206	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
20206	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
20206	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20206	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
20206	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
20220	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
20220	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
20220	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
20220	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
20220	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
20220	RUC	"Hypodermic, IV"	SC077	"needle, bone biopsy"	item	72	1	0	000
20220	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
20220	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
20220	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
20220	RUC	"Kit, Pack, Tray"	SA062	"tray, bone marrow biopsy-aspiration"	tray	44.06	1	0	000
20220	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
20220	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
20220	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
20220	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
20220	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
20220	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
20220	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	000
20225	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
20225	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	000
20225	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
20225	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
20225	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
20225	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
20225	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
20225	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
20225	RUC	"Hypodermic, IV"	SC077	"needle, bone biopsy"	item	72	1	0	000
20225	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
20225	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
20225	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
20225	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
20225	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
20225	RUC	"Kit, Pack, Tray"	SA062	"tray, bone marrow biopsy-aspiration"	tray	44.06	1	0	000
20225	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
20250	Jan04 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
20250	Jan04 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	010
20251	Jan04 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
20251	Jan04 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	010
20500	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
20500	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	010
20500	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
20500	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
20500	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	010
20500	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
20500	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
20500	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
20500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
20500	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
20500	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
20501	Oct00	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
20501	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
20501	Oct00	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	000
20501	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
20501	Oct00	"Accessory, Procedure"	SD029	"catheter, red rubber"	item	0.87	1	0	000
20501	Oct00	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
20501	Oct00	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
20501	Oct00	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
20501	Oct00	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20501	Oct00	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
20520	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
20520	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
20520	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
20520	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
20520	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
20520	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
20520	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
20520	RUC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	2.25	1	0	010
20520	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
20520	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
20520	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
20520	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
20520	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
20520	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
20520	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
20520	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
20520	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
20525	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
20525	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
20525	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
20525	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
20525	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	108	0	010
20525	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
20525	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
20525	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	0.78	3	0	010
20525	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
20525	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	010
20525	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
20525	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
20525	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
20525	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
20525	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
20525	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
20525	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	5	0	010
20525	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
20525	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
20525	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
20525	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
20525	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	010
20525	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
20525	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
20526		"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
20526		"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
20526		"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
20526		"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
20526		"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	000
20526		"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
20526		"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20526		"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20527	CPT12 May 2	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20527	CPT12 May 2	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	2	0	000
20527	CPT12 May 2	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
20527	CPT12 May 2	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
20527	CPT12 May 2	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34	1	0	000
20527	CPT12 May 2	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
20527	CPT12 May 2	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
20527	CPT12 May 2	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20550	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
20550	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
20550	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
20550	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20550	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
20550	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20550	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
20550	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	000
20551	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20551	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	000
20551	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
20551	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20551	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
20551	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
20551	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
20551	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
20551	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
20552	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	XXX
20552	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	2	0	XXX
20552	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	XXX
20552	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	XXX
20552	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	XXX
20552	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	XXX
20552	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
20552	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	XXX
20552	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
20553	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	XXX
20553	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	XXX
20553	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
20553	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
20553	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	XXX
20553	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	XXX
20553	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	XXX
20553	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	4	0	XXX
20553	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	3	0	XXX
20560	RUC	"Hypodermic, IV"	SC107	"needle, dry needling"	item	0.2495	10	0	XXX
20560	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	XXX
20560	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5	0	XXX
20560	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	XXX
20560	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
20560	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	2	0	XXX
20560	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
20561	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	XXX
20561	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	XXX
20561	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	10	0	XXX
20561	RUC	"Hypodermic, IV"	SC107	"needle, dry needling"	item	0.2495	20	0	XXX
20561	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
20561	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	5	0	XXX
20561	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
20600	CPT13 May 42	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
20600	CPT13 May 42	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
20600	CPT13 May 42	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
20600	CPT13 May 42	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20600	CPT13 May 42	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
20600	CPT13 May 42	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
20600	CPT13 May 42	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
20600	CPT13 May 42	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	000
20600	CPT13 May 42	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20604	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	000
20604	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
20604	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
20604	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
20604	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20604	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
20604	RUC	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"	item	2.28	1	0	000
20604	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	000
20604	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
20604	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20604	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	000
20604	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
20604	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
20605	CPT13 May 42	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
20605	CPT13 May 42	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
20605	CPT13 May 42	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20605	CPT13 May 42	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
20605	CPT13 May 42	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	3	0	000
20605	CPT13 May 42	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
20605	CPT13 May 42	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
20605	CPT13 May 42	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20605	CPT13 May 42	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
20606	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20606	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20606	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
20606	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
20606	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
20606	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	3	0	000
20606	RUC	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"	item	2.28	1	0	000
20606	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
20606	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	000
20606	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
20606	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
20606	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	000
20606	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
20610	CPT13 May 42	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
20610	CPT13 May 42	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
20610	CPT13 May 42	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
20610	CPT13 May 42	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
20610	CPT13 May 42	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
20610	CPT13 May 42	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20610	CPT13 May 42	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
20610	CPT13 May 42	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20610	CPT13 May 42	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
20611	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20611	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
20611	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
20611	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
20611	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	000
20611	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
20611	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20611	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
20611	RUC	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"	item	2.28	1	0	000
20611	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	000
20611	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
20611	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
20611	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
20612		"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	000
20612		"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20612		"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
20612		"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
20612		Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
20612		"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	000
20612		"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
20612		"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
20612		"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	3	0	000
20615	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
20615	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
20615	CMS	"Kit, Pack, Tray"	SA062	"tray, bone marrow biopsy-aspiration"	tray	44.06	1	0	010
20615	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
20615	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
20650	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
20650	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
20650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
20650	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
20650	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
20650	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
20650	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
20650	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
20650	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	010
20650	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
20650	CMS	"Cutters, Closures, Cautery"	SF042	"wire, Kirschner 7.5in"	item	6.73	1	0	010
20661	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
20661	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
20662	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
20663	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
20664	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
20664	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
20665	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	010
20665	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
20665	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
20665	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	0	010
20665	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	5	0	010
20665	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
20665	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	2	0	010
20665	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	010
20665	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
20670	Mar04 D	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	3	0	010
20670	Mar04 D	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
20670	Mar04 D	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
20670	Mar04 D	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
20670	Mar04 D	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
20670	Mar04 D	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	010
20670	Mar04 D	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
20670	Mar04 D	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	010
20670	Mar04 D	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
20670	Mar04 D	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
20670	Mar04 D	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
20670	Mar04 D	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	010
20670	Mar04 D	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	010
20670	Mar04 D	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
20670	Mar04 D	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	010
20670	Mar04 D	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
20670	Mar04 D	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
20670	Mar04 D	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
20670	Mar04 D	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
20670	Mar04 D	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
20670	Mar04 D	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	010
20670	Mar04 D	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	5	0	010
20670	Mar04 D	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	010
20670	Mar04 D	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	8.38	1	0	010
20670	Mar04 D	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
20670	Mar04 D	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
20670	Mar04 D	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	010
20670	Mar04 D	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
20670	Mar04 D	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
20670	Mar04 D	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
20670	Mar04 D	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
20670	Mar04 D	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	1.14	3	0	010
20670	Mar04 D	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	0.78	3	0	010
20670	Mar04 D	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	010
20680	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
20680	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
20680	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
20680	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
20680	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
20680	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
20680	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
20680	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
20680	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
20680	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
20680	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
20680	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
20680	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
20680	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
20680	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
20680	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
20680	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
20680	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
20680	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
20680	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
20680	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
20680	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
20680	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
20690	CPT08 4	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
20692	CPT08 4	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		7	090
20693	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
20693	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
20694	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	2	0	090
20694	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
20694	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
20694	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
20694	Aug03 5	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	2.25	1	0	090
20694	Aug03 5	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	5.99	1	0	090
20694	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
20694	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
20694	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
20694	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
20694	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
20694	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
20694	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
20694	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
20694	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
20694	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
20694	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
20696	CPT09 3	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
20697	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
20697	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1		XXX
20697	RUC	"Accessory, Procedure"	SD240	"strut, replacement, dynamic external fixation"	item	1185.78	1		XXX
20802	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		7	090
20802	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
20805	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		7	090
20805	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
20808	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		7	090
20808	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
20816	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
20816	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
20822	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
20822	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
20824	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
20824	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
20827	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
20827	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
20838	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		7	090
20838	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
20838	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
20838	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
20838	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
20900	Apr08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
20900	Apr08 ss	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
20900	Apr08 ss	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
20900	Apr08 ss	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20900	Apr08 ss	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	000
20900	Apr08 ss	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	000
20900	Apr08 ss	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	000
20900	Apr08 ss	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	000
20900	Apr08 ss	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
20900	Apr08 ss	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
20900	Apr08 ss	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	0	000
20900	Apr08 ss	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	000
20900	Apr08 ss	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	000
20900	Apr08 ss	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20900	Apr08 ss	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
20900	Apr08 ss	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
20900	Apr08 ss	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
20900	Apr08 ss	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	000
20900	Apr08 ss	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
20900	Apr08 ss	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
20900	Apr08 ss	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
20900	Apr08 ss	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
20900	Apr08 ss	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
20910	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
20910	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
20912	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
20912	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
20920	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
20920	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
20922	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
20922	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
20922	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
20922	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
20922	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
20922	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
20922	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
20922	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
20922	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
20922	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
20922	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
20922	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
20922	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
20922	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
20922	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
20922	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
20922	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
20922	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
20922	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
20922	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
20922	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
20924	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
20924	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
20950	Mar03 6	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
20950	Mar03 6	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
20950	Mar03 6	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20950	Mar03 6	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
20950	Mar03 6	"Kit, Pack, Tray"	SA078	"kit, slit catheter (for compartment pressure monitor)"	kit	99.71	1	0	000
20950	Mar03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
20955	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
20955	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
20956	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
20956	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		7	090
20957	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
20957	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		8	090
20962	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		8	090
20962	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
20969	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
20969	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
20970	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
20970	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
20972	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
20972	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
20973	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
20973	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
20974	Mar03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
20979		"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
20982	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
20982	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	
20982	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
20982	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
20982	Mod sed	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	
20982	Mod sed	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	
20982	Mod sed	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	0	
20982	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	
20982	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
20982	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	
20982	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
20982	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	
20982	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	
20982	Mod sed	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	21.58	1	0	
20982	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
20982	Mod sed	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	
20982	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
20982	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
20982	Mod sed	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	
20982	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
20982	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	
20982	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
20982	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
20982	Mod sed	"Kit, Pack, Tray"	SA026	"kit, radiofrequency introducer"	kit	28.575	1	0	
20982	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	
20982	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	
20982	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
20982	Mod sed	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	
20982	Mod sed	"Accessory, Procedure"	SD109	"probe, radiofrequency, 3 array (StarBurstSDE)"	item	2289	1	0	
20983	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	
20983	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
20983	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
20983	Mod sed	"Wound Care, Dressings"	SG057	"gauze, x-ray detectable, sterile 4in x 4in (10 pack uou)"	item	2.64	1	0	
20983	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	
20983	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	
20983	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
20983	Mod sed	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	
20983	Mod sed	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	
20983	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
20983	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
20983	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
20983	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
20983	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
20983	Mod sed	"Accessory, Procedure"	SD079	"gas, helium"	cu ft	1.02	455	0	
20983	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	3	0	
20983	Mod sed	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	0	
20983	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
20983	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	
20983	Mod sed	"Accessory, Procedure"	SD227	"gas, argon"	cu ft	0.53	575	0	
20983	Mod sed	"Accessory, Procedure"	SD233	"probe, cryoablation, renal"	item	1170.22	3	0	
20983	Mod sed	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.97	4	0	
20983	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	
20983	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	
20983	Mod sed	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	
21010	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21010	Apr06 J	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		4	090
21011	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21011	CPT10 27	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21011	CPT10 27	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21011	CPT10 27	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
21011	CPT10 27	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
21011	CPT10 27	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
21011	CPT10 27	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
21011	CPT10 27	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
21011	CPT10 27	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
21011	CPT10 27	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	090
21011	CPT10 27	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21011	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
21011	CPT10 27	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
21011	CPT10 27	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21011	CPT10 27	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
21011	CPT10 27	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	090
21011	CPT10 27	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
21011	CPT10 27	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	090
21011	CPT10 27	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21011	CPT10 27	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	090
21011	CPT10 27	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
21011	CPT10 27	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21011	CPT10 27	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	8.29	0.5	0	090
21011	CPT10 27	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
21011	CPT10 27	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
21011	CPT10 27	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
21011	CPT10 27	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21011	CPT10 27	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21011	CPT10 27	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
21011	CPT10 27	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
21012	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21012	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
21013	CPT10 27	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
21013	CPT10 27	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	8.29	0.5	0	090
21013	CPT10 27	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21013	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
21013	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21013	CPT10 27	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
21013	CPT10 27	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21013	CPT10 27	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
21013	CPT10 27	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
21013	CPT10 27	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
21013	CPT10 27	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
21013	CPT10 27	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21013	CPT10 27	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
21013	CPT10 27	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21013	CPT10 27	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	090
21013	CPT10 27	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
21013	CPT10 27	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
21013	CPT10 27	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
21013	CPT10 27	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
21013	CPT10 27	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
21013	CPT10 27	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
21013	CPT10 27	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21013	CPT10 27	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21013	CPT10 27	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21013	CPT10 27	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	090
21013	CPT10 27	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
21013	CPT10 27	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	090
21013	CPT10 27	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
21013	CPT10 27	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
21013	CPT10 27	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
21013	CPT10 27	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21013	CPT10 27	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	090
21014	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21014	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
21015	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21015	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21016	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21016	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21025	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21025	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21025	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
21025	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21025	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
21025	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21025	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
21025	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21025	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21025	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
21025	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	5	4	090
21025	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21025	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
21025	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21025	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21025	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21025	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
21025	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	090
21025	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
21025	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21025	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
21025	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
21025	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21025	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	5	4	090
21025	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	5	4	090
21025	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	090
21025	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
21025	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
21026	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
21026	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
21026	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21026	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21026	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
21026	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21026	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
21026	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21026	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
21026	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21026	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
21026	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	090
21026	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21026	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
21026	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21026	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	5	4	090
21026	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21026	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21026	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	5	4	090
21026	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	090
21026	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
21026	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
21026	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
21026	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
21026	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	5	4	090
21026	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21026	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21026	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21029	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
21029	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
21029	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	4	3	090
21029	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21029	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21029	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
21029	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21029	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
21029	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21029	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21029	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
21029	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
21029	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21029	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
21029	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21029	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	090
21029	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	3	090
21029	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	4	3	090
21029	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21029	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21029	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	090
21029	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
21029	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21029	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21029	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
21029	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
21029	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21029	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
21030	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21030	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
21030	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21030	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	4	3	090
21030	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21030	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
21030	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21030	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
21030	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21030	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
21030	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
21030	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
21030	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21030	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21030	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21030	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
21030	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	3	090
21030	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21030	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	090
21030	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21030	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
21030	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21030	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
21030	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	090
21030	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
21030	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21030	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
21030	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	4	3	090
21031	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
21031	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
21031	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21031	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	090
21031	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
21031	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21031	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	090
21031	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
21031	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21031	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	3	2	090
21031	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	090
21031	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
21031	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21031	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	090
21031	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21031	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21031	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21031	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
21031	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
21031	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21031	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
21031	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21031	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
21031	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21031	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21031	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
21031	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
21031	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21032	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	090
21032	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	3	2	090
21032	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
21032	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21032	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21032	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
21032	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	090
21032	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21032	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21032	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21032	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	090
21032	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
21032	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
21032	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	090
21032	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
21032	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21032	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21032	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21032	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
21032	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
21032	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21032	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21032	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21032	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
21032	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
21032	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21032	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
21032	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
21034	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21034	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	5	4	090
21034	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	5	4	090
21034	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21034	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
21034	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21034	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21034	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
21034	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
21034	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
21034	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
21034	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21034	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21034	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	090
21034	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21034	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
21034	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21034	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21034	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21034	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	5	4	090
21034	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
21034	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21034	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
21034	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	090
21034	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
21034	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
21034	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
21034	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21040	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21040	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21040	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	3	090
21040	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21040	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	4	3	090
21040	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
21040	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21040	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
21040	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21040	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
21040	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
21040	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
21040	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21040	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21040	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
21040	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21040	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21040	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	090
21040	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	4	3	090
21040	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21040	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	090
21040	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
21040	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
21040	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
21040	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
21040	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
21040	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21040	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21044	Mar03 9	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
21044	Mar03 9	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
21044	Mar03 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21044	Mar03 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21044	Mar03 9	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
21045	Mar03 9	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21045	Mar03 9	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		4	090
21045	Mar03 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21045	Mar03 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
21045	Mar03 9	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21046	Sep02	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54		6	090
21046	Sep02	"Accessory, Procedure"	SD006	bite block	item	2.6		2	090
21046	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
21046	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21046	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		6	090
21046	Sep02	"Gown, Drape"	SB038	safety glasses	item	1.92		6	090
21046	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		3	090
21046	Sep02	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13		3	090
21046	Sep02	"Wound Care, Dressings"	SG065	"packing, gauze w-iodoform 1in (5 yd uou)"	item	5.215		4.5	090
21046	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		6	090
21046	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		18	090
21046	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
21046	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		24	090
21046	Sep02	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56		24	090
21046	Sep02	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15		3	090
21046	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
21046	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
21046	Sep02	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		18	090
21046	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
21047	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
21047	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
21048	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
21048	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21048	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		6	090
21048	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
21048	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		6	090
21048	Sep02	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54		6	090
21048	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		3	090
21048	Sep02	"Gown, Drape"	SB038	safety glasses	item	1.92		6	090
21048	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
21048	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
21048	Sep02	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15		3	090
21048	Sep02	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56		24	090
21048	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		24	090
21048	Sep02	"Wound Care, Dressings"	SG065	"packing, gauze w-iodoform 1in (5 yd uou)"	item	5.215		4.5	090
21048	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		18	090
21048	Sep02	"Accessory, Procedure"	SD006	bite block	item	2.6		2	090
21048	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
21048	Sep02	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13		3	090
21048	Sep02	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		18	090
21049	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
21049	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
21050	Mar03 9	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21050	Mar03 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
21050	Mar03 9	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		4	090
21050	Mar03 9	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21050	Mar03 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21060	Mar03 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21060	Mar03 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21060	Mar03 9	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
21060	Mar03 9	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
21060	Mar03 9	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
21070	Mar03 9	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
21070	Mar03 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21070	Mar03 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21070	Mar03 9	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
21070	Mar03 9	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
21073	CPT08 6	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	090
21073	CPT08 6	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	5.13	1	0	090
21073	CPT08 6	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	5	4	090
21073	CPT08 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
21073	CPT08 6	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	5	4	090
21073	CPT08 6	"Accessory, Procedure"	SD006	bite block	item	2.6	2	0	090
21073	CPT08 6	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	6	0	090
21073	CPT08 6	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21073	CPT08 6	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	090
21073	CPT08 6	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21073	CPT08 6	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	54	0	090
21073	CPT08 6	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	5	4	090
21073	CPT08 6	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
21073	CPT08 6	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	5	4	090
21076	Final 08	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	14	0	010
21076	Final 08	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		16	0	010
21076	Final 08	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	010
21076	Final 08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	010
21076	Final 08	Lab	SL046	dental impression tray	item	0.48	1	0	010
21076	Final 08	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	010
21076	Final 08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	14	0	010
21076	Final 08	"Cutters, Closures, Cautery"	SF054	"wire, orthodontic"	item		1	0	010
21076	Final 08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
21076	Final 08	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	24	0	010
21076	Final 08	"Gown, Drape"	SB037	pillow case	item	0.47	6	0	010
21076	Final 08	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.37	1	0	010
21076	Final 08	Lab	SL081	"impression material, alginate (dental)"	lb	8.96	0.18	0	010
21076	Final 08	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.06	3	0	010
21076	Final 08	"Office Supply, Grocery"	SK024	"film, dental"	item	1.73	1	0	010
21076	Final 08	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0	010
21076	Final 08	Lab	SL236	"reline material, Trusoft"	gm		45	0	010
21076	Final 08	"Pharmacy, NonRx"	SJ085	triad tray material	item		2	0	010
21076	Final 08	Lab	SL150	"wax, bite registration wafer"	item	0.37	1	0	010
21076	Final 08	Lab	SL047	dental stone powder	lb	3.78	1	0	010
21076	Final 08	Lab	SL208	"alloy framework, laboratory processing"	item		1	0	010
21077	Final 08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	14	0	090
21077	Final 08	"Pharmacy, NonRx"	SJ079	"basin, sterile 500cc"	item	3.51	30	0	090
21077	Final 08	"Gown, Drape"	SB037	pillow case	item	0.47	6	0	090
21077	Final 08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	090
21077	Final 08	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	14	0	090
21077	Final 08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	090
21077	Final 08	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	40.23	1	0	090
21077	Final 08	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	090
21077	Final 08	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45	0	090
21077	Final 08	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.37	1	0	090
21077	Final 08	Lab	SL230	"impression material, final"	ml		6	0	090
21077	Final 08	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	090
21077	Final 08	Lab	SL237	silicone	gm		57	0	090
21077	Final 08	"Pharmacy, NonRx"	SJ083	polyurethane sheets (quantity as rolls)	roll		0.05	0	090
21077	Final 08	Lab	SL205	"acylic, dental"	gm		45	0	090
21077	Final 08	Lab	SL150	"wax, bite registration wafer"	item	0.37	1	0	090
21077	Final 08	Lab	SL081	"impression material, alginate (dental)"	lb	8.96	0.18	0	090
21077	Final 08	Lab	SL047	dental stone powder	lb	3.78	1	0	090
21077	Final 08	Lab	SL046	dental impression tray	item	0.48	1	0	090
21077	Final 08	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0	090
21077	Final 08	"Pharmacy, NonRx"	SJ080	"lens cleaner, daily (Allergan)"	ounce	0.62	1	0	090
21079	Final 08	"Office Supply, Grocery"	SK024	"film, dental"	item	1.73	1	0	090
21079	Final 08	"Cutters, Closures, Cautery"	SF054	"wire, orthodontic"	item		1	0	090
21079	Final 08	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	40.23	1	0	090
21079	Final 08	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		8	0	090
21079	Final 08	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	090
21079	Final 08	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	1.2	2	0	090
21079	Final 08	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	14	0	090
21079	Final 08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	090
21079	Final 08	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.37	1	0	090
21079	Final 08	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	090
21079	Final 08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	0	090
21079	Final 08	"Gown, Drape"	SB037	pillow case	item	0.47	6	0	090
21079	Final 08	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	24	0	090
21079	Final 08	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0	090
21079	Final 08	Lab	SL150	"wax, bite registration wafer"	item	0.37	1	0	090
21079	Final 08	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.06	6	0	090
21079	Final 08	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45	0	090
21079	Final 08	Lab	SL047	dental stone powder	lb	3.78	0.75	0	090
21079	Final 08	Lab	SL046	dental impression tray	item	0.48	1	0	090
21079	Final 08	Lab	SL081	"impression material, alginate (dental)"	lb	8.96	0.18	0	090
21079	Final 08	Lab	SL208	"alloy framework, laboratory processing"	item		1	0	090
21079	Final 08	Lab	SL205	"acylic, dental"	gm		45	0	090
21079	Final 08	"Pharmacy, NonRx"	SJ084	teeth set	item		1	0	090
21079	Final 08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	14	0	090
21079	Final 08	Lab	SL236	"reline material, Trusoft"	gm		45	0	090
21080	Final 08	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	090
21080	Final 08	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		8	0	090
21080	Final 08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	0	090
21080	Final 08	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	090
21080	Final 08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	14	0	090
21080	Final 08	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	40.23	1	0	090
21080	Final 08	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	14	0	090
21080	Final 08	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	24	0	090
21080	Final 08	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.37	1	0	090
21080	Final 08	Lab	SL205	"acylic, dental"	gm		45	0	090
21080	Final 08	Lab	SL230	"impression material, final"	ml		6	0	090
21080	Final 08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	090
21080	Final 08	Lab	SL047	dental stone powder	lb	3.78	0.75	0	090
21080	Final 08	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	1.2	2	0	090
21080	Final 08	Lab	SL228	Greenstick compound	item		5	0	090
21080	Final 08	"Cutters, Closures, Cautery"	SF054	"wire, orthodontic"	item		1	0	090
21080	Final 08	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45	0	090
21080	Final 08	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0	090
21080	Final 08	"Office Supply, Grocery"	SK024	"film, dental"	item	1.73	1	0	090
21080	Final 08	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.06	6	0	090
21080	Final 08	"Gown, Drape"	SB037	pillow case	item	0.47	6	0	090
21080	Final 08	Lab	SL081	"impression material, alginate (dental)"	lb	8.96	0.18	0	090
21080	Final 08	"Pharmacy, NonRx"	SJ084	teeth set	item		1	0	090
21080	Final 08	Lab	SL150	"wax, bite registration wafer"	item	0.37	1	0	090
21080	Final 08	Lab	SL208	"alloy framework, laboratory processing"	item		1	0	090
21080	Final 08	Lab	SL046	dental impression tray	item	0.48	1	0	090
21081	Final 08	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	090
21081	Final 08	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45	0	090
21081	Final 08	Lab	SL236	"reline material, Trusoft"	gm		45	0	090
21081	Final 08	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	090
21081	Final 08	"Gown, Drape"	SB037	pillow case	item	0.47	6	0	090
21081	Final 08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	0	090
21081	Final 08	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	1.2	2	0	090
21081	Final 08	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	14	0	090
21081	Final 08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	14	0	090
21081	Final 08	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.37	1	0	090
21081	Final 08	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	24	0	090
21081	Final 08	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	40.23	1	0	090
21081	Final 08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	090
21081	Final 08	Lab	SL046	dental impression tray	item	0.48	1	0	090
21081	Final 08	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0	090
21081	Final 08	Lab	SL205	"acylic, dental"	gm		45	0	090
21081	Final 08	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.06	6	0	090
21081	Final 08	Lab	SL228	Greenstick compound	item		5	0	090
21081	Final 08	Lab	SL047	dental stone powder	lb	3.78	0.75	0	090
21081	Final 08	Lab	SL081	"impression material, alginate (dental)"	lb	8.96	0.18	0	090
21081	Final 08	Lab	SL150	"wax, bite registration wafer"	item	0.37	1	0	090
21081	Final 08	Lab	SL230	"impression material, final"	ml		6	0	090
21081	Final 08	Lab	SL208	"alloy framework, laboratory processing"	item		1	0	090
21081	Final 08	"Pharmacy, NonRx"	SJ084	teeth set	item		1	0	090
21081	Final 08	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		8	0	090
21081	Final 08	"Office Supply, Grocery"	SK024	"film, dental"	item	1.73	2	0	090
21082	Final 08	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	1.2	2	0	090
21082	Final 08	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	090
21082	Final 08	"Pharmacy, NonRx"	SJ085	triad tray material	item		3	0	090
21082	Final 08	"Gown, Drape"	SB037	pillow case	item	0.47	6	0	090
21082	Final 08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	0	090
21082	Final 08	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	14	0	090
21082	Final 08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	090
21082	Final 08	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.37	1	0	090
21082	Final 08	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	090
21082	Final 08	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		8	0	090
21082	Final 08	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	40.23	1	0	090
21082	Final 08	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	24	0	090
21082	Final 08	"Office Supply, Grocery"	SK024	"film, dental"	item	1.73	1	0	090
21082	Final 08	Lab	SL081	"impression material, alginate (dental)"	lb	8.96	0.18	0	090
21082	Final 08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	14	0	090
21082	Final 08	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0	090
21082	Final 08	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.06	6	0	090
21082	Final 08	Lab	SL046	dental impression tray	item	0.48	1	0	090
21082	Final 08	Lab	SL047	dental stone powder	lb	3.78	0.75	0	090
21082	Final 08	Lab	SL205	"acylic, dental"	gm		45	0	090
21082	Final 08	Lab	SL208	"alloy framework, laboratory processing"	item		1	0	090
21082	Final 08	Lab	SL228	Greenstick compound	item		1	0	090
21082	Final 08	Lab	SL236	"reline material, Trusoft"	gm		45	0	090
21082	Final 08	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45	0	090
21082	Final 08	Lab	SL150	"wax, bite registration wafer"	item	0.37	1	0	090
21082	Final 08	Lab	SL230	"impression material, final"	ml		6	0	090
21083	Final 08	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	24	0	090
21083	Final 08	"Pharmacy, NonRx"	SJ085	triad tray material	item		2	0	090
21083	Final 08	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		8	0	090
21083	Final 08	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	090
21083	Final 08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	14	0	090
21083	Final 08	"Gown, Drape"	SB037	pillow case	item	0.47	6	0	090
21083	Final 08	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	40.23	1	0	090
21083	Final 08	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	14	0	090
21083	Final 08	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.37	1	0	090
21083	Final 08	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	1.2	2	0	090
21083	Final 08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	0	090
21083	Final 08	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	090
21083	Final 08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	090
21083	Final 08	Lab	SL047	dental stone powder	lb	3.78	0.75	0	090
21083	Final 08	Lab	SL236	"reline material, Trusoft"	gm		45	0	090
21083	Final 08	Lab	SL081	"impression material, alginate (dental)"	lb	8.96	0.18	0	090
21083	Final 08	"Office Supply, Grocery"	SK024	"film, dental"	item	1.73	1	0	090
21083	Final 08	Lab	SL046	dental impression tray	item	0.48	1	0	090
21083	Final 08	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0	090
21083	Final 08	Lab	SL150	"wax, bite registration wafer"	item	0.37	1	0	090
21083	Final 08	Lab	SL205	"acylic, dental"	gm		45	0	090
21083	Final 08	Lab	SL208	"alloy framework, laboratory processing"	item		1	0	090
21083	Final 08	Lab	SL228	Greenstick compound	item		1	0	090
21083	Final 08	Lab	SL230	"impression material, final"	ml		6	0	090
21083	Final 08	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45	0	090
21083	Final 08	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.06	6	0	090
21084	Final 08	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	40.23	1	0	090
21084	Final 08	"Pharmacy, NonRx"	SJ085	triad tray material	item		2	0	090
21084	Final 08	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	14	0	090
21084	Final 08	Lab	SL230	"impression material, final"	ml		6	0	090
21084	Final 08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	0	090
21084	Final 08	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	1.2	2	0	090
21084	Final 08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	090
21084	Final 08	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		8	0	090
21084	Final 08	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.37	1	0	090
21084	Final 08	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	24	0	090
21084	Final 08	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	090
21084	Final 08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	14	0	090
21084	Final 08	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	090
21084	Final 08	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.06	3	0	090
21084	Final 08	Lab	SL205	"acylic, dental"	gm		45	0	090
21084	Final 08	Lab	SL208	"alloy framework, laboratory processing"	item		1	0	090
21084	Final 08	Lab	SL228	Greenstick compound	item		1	0	090
21084	Final 08	"Office Supply, Grocery"	SK024	"film, dental"	item	1.73	1	0	090
21084	Final 08	Lab	SL046	dental impression tray	item	0.48	1	0	090
21084	Final 08	Lab	SL047	dental stone powder	lb	3.78	0.75	0	090
21084	Final 08	Lab	SL081	"impression material, alginate (dental)"	lb	8.96	0.18	0	090
21084	Final 08	Lab	SL150	"wax, bite registration wafer"	item	0.37	1	0	090
21084	Final 08	Lab	SL236	"reline material, Trusoft"	gm		45	0	090
21084	Final 08	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45	0	090
21084	Final 08	"Gown, Drape"	SB037	pillow case	item	0.47	6	0	090
21084	Final 08	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0	090
21085	Final 08	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	010
21085	Final 08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	010
21085	Final 08	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	24	0	010
21085	Final 08	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		8	0	010
21085	Final 08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	14	0	010
21085	Final 08	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	40.23	1	0	010
21085	Final 08	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	1.2	2	0	010
21085	Final 08	"Cutters, Closures, Cautery"	SF054	"wire, orthodontic"	item		1	0	010
21085	Final 08	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	14	0	010
21085	Final 08	"Gown, Drape"	SB037	pillow case	item	0.47	6	0	010
21085	Final 08	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	010
21085	Final 08	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.37	1	0	010
21085	Final 08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
21085	Final 08	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45	0	010
21085	Final 08	Lab	SL230	"impression material, final"	ml		6	0	010
21085	Final 08	Lab	SL205	"acylic, dental"	gm		45	0	010
21085	Final 08	Lab	SL081	"impression material, alginate (dental)"	lb	8.96	0.18	0	010
21085	Final 08	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0	010
21085	Final 08	"Office Supply, Grocery"	SK024	"film, dental"	item	1.73	1	0	010
21085	Final 08	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.06	3	0	010
21085	Final 08	Lab	SL046	dental impression tray	item	0.48	1	0	010
21085	Final 08	Lab	SL047	dental stone powder	lb	3.78	0.75	0	010
21085	Final 08	Lab	SL208	"alloy framework, laboratory processing"	item		1	0	010
21085	Final 08	Lab	SL150	"wax, bite registration wafer"	item	0.37	1	0	010
21085	Final 08	Lab	SL228	Greenstick compound	item		1	0	010
21086	Final 08	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.37	1	0	090
21086	Final 08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	090
21086	Final 08	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	14	0	090
21086	Final 08	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	40.23	1	0	090
21086	Final 08	"Gown, Drape"	SB037	pillow case	item	0.47	6	0	090
21086	Final 08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	14	0	090
21086	Final 08	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	090
21086	Final 08	"Pharmacy, NonRx"	SJ079	"basin, sterile 500cc"	item	3.51	30	0	090
21086	Final 08	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	090
21086	Final 08	Lab	SL047	dental stone powder	lb	3.78	0.75	0	090
21086	Final 08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	090
21086	Final 08	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45	0	090
21086	Final 08	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0	090
21086	Final 08	Lab	SL046	dental impression tray	item	0.48	1	0	090
21086	Final 08	Lab	SL081	"impression material, alginate (dental)"	lb	8.96	0.18	0	090
21086	Final 08	Lab	SL150	"wax, bite registration wafer"	item	0.37	1	0	090
21086	Final 08	"Pharmacy, NonRx"	SJ083	polyurethane sheets (quantity as rolls)	roll		0.5	0	090
21086	Final 08	Lab	SL205	"acylic, dental"	gm		45	0	090
21086	Final 08	Lab	SL237	silicone	gm		57	0	090
21086	Final 08	Lab	SL230	"impression material, final"	ml		6	0	090
21087	Final 08	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	090
21087	Final 08	"Gown, Drape"	SB037	pillow case	item	0.47	6	0	090
21087	Final 08	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	090
21087	Final 08	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.37	1	0	090
21087	Final 08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	090
21087	Final 08	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	14	0	090
21087	Final 08	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	40.23	1	0	090
21087	Final 08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	090
21087	Final 08	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0	090
21087	Final 08	"Pharmacy, NonRx"	SJ083	polyurethane sheets (quantity as rolls)	roll		0.5	0	090
21087	Final 08	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45	0	090
21087	Final 08	Lab	SL046	dental impression tray	item	0.48	1	0	090
21087	Final 08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	14	0	090
21087	Final 08	Lab	SL047	dental stone powder	lb	3.78	0.75	0	090
21087	Final 08	Lab	SL081	"impression material, alginate (dental)"	lb	8.96	0.18	0	090
21087	Final 08	Lab	SL150	"wax, bite registration wafer"	item	0.37	1	0	090
21087	Final 08	Lab	SL205	"acylic, dental"	gm		45	0	090
21087	Final 08	Lab	SL230	"impression material, final"	ml		6	0	090
21087	Final 08	"Pharmacy, NonRx"	SJ079	"basin, sterile 500cc"	item	3.51	30	0	090
21087	Final 08	Lab	SL237	silicone	gm		57	0	090
21100	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
21100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	6	5	090
21100	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
21100	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
21100	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
21100	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	12	10	090
21100	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21100	CMS	"Accessory, Procedure"	SD200	"screw, surgical, self-tapping, 1.5-2.0mm"	item	27	6	0	090
21100	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21100	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21100	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21100	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21100	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	6	5	090
21100	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21100	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
21100	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
21100	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
21100	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	6	5	090
21100	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21100	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21100	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21100	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
21100	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	090
21100	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	15	0	090
21100	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	50	50	090
21100	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21100	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	3	0	090
21100	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21100	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21100	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	090
21100	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
21110	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21110	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	1	090
21110	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	6	5	090
21110	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21110	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	12	10	090
21110	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	6	5	090
21110	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21110	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21110	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	6	5	090
21110	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
21110	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10	090
21110	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21110	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	6	5	090
21110	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	5	5	090
21110	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.07	120	90	090
21110	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	6	5	090
21110	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	6	5	090
21110	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	6	5	090
21110	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	6	5	090
21110	CMS	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.8	12	0	090
21110	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.17	12	0	090
21110	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21110	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	2	1	090
21110	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	20	10	090
21110	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	2	090
21110	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	6	5	090
21110	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	6	5	090
21110	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	12	10	090
21110	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	12	6	090
21116	Jan04 7	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
21116	Jan04 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
21116	Jan04 7	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	29.39	1	0	000
21116	Jan04 7	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
21120	Mar04 I	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	2	0	090
21120	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21120	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21120	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4.5	2.5	090
21120	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	5.5	3.5	090
21120	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	5.5	3.5	090
21120	Mar04 I	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
21120	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4.5	3.5	090
21120	Mar04 I	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
21120	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
21120	Mar04 I	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.01	24	12	090
21120	Mar04 I	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
21120	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	4.5	3.5	090
21120	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
21120	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	090
21120	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	4.5	3.5	090
21120	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	4.5	3.5	090
21120	Mar04 I	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	1	090
21120	Mar04 I	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21120	Mar04 I	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	090
21120	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	10	090
21120	Mar04 I	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
21120	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21120	Mar04 I	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	0	090
21120	Mar04 I	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	090
21120	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	4	2	090
21120	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	10	3	090
21121	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	5.5	3.5	090
21121	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	4.5	3.5	090
21121	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21121	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21121	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4.5	2.5	090
21121	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	5.5	3.5	090
21121	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	4.5	3.5	090
21121	Mar04 I	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
21121	Mar04 I	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	2	0	090
21121	Mar04 I	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
21121	Mar04 I	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
21121	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	10	090
21121	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
21121	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4.5	3.5	090
21121	Mar04 I	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	090
21121	Mar04 I	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	0	090
21121	Mar04 I	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	090
21121	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	090
21121	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	4.5	3.5	090
21121	Mar04 I	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	1	090
21121	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	10	3	090
21121	Mar04 I	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21121	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	4	2	090
21121	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
21121	Mar04 I	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
21121	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21121	Mar04 I	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.01	24	12	090
21122	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21122	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21122	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21122	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21122	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21122	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
21122	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21122	Mar04 I	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		1	090
21122	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
21122	Mar04 I	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.01		12	090
21122	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21122	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		4	090
21122	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21122	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21123	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21123	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21123	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21123	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21123	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21123	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21123	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21123	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		4	090
21123	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
21123	Mar04 I	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.01		12	090
21123	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21123	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21123	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
21123	Mar04 I	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		1	090
21125	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21125	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21125	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21125	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21125	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21125	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21125	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
21125	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	10	8	090
21125	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	2	090
21125	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	10	8	090
21125	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
21125	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21125	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	10	0	090
21125	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
21125	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
21125	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	6	0	090
21125	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21125	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
21125	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21125	CMS	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	73.66	4	0	090
21125	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	090
21125	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21125	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	20	0	090
21125	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21125	CMS	"Accessory, Procedure"	SD191	"plate, surgical, reconstruction, left, 5 x 16 hole"	item	846.45	1	0	090
21125	CMS	"Accessory, Procedure"	SD201	"screw, surgical, standard, 2.4mm x 14mm"	item	49.79	16	0	090
21125	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21125	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
21125	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	5	4	090
21125	CMS	"Accessory, Procedure"	SD110	"reservoir, drain (Jackson-Pratt)"	item	6.99	1	0	090
21125	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21125	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
21125	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	090
21125	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21125	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21125	CMS	"Accessory, Procedure"	SD192	"plate, surgical, reconstruction, template, 5 x 16 hole"	item	188.62	1	0	090
21125	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21127	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21127	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	090
21127	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	10	8	090
21127	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	10	8	090
21127	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	090
21127	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21127	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	40	0	090
21127	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	8	2	090
21127	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
21127	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	20	0	090
21127	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
21127	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21127	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21127	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21127	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	2	0	090
21127	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	5	4	090
21127	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	4	0	090
21127	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
21127	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21127	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21127	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21127	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	2	0	090
21127	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
21127	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	2	0	090
21127	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
21127	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	2	0	090
21127	CMS	"Cutters, Closures, Cautery"	SF034	"stapler, surgical"	item	13	1	0	090
21127	CMS	"Accessory, Procedure"	SD199	"screw, surgical, locking, 2.4mm x 16mm"	item	140	16	0	090
21127	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
21127	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
21127	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	090
21127	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
21127	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21127	CMS	"Accessory, Procedure"	SD110	"reservoir, drain (Jackson-Pratt)"	item	6.99	1	0	090
21127	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47	1	1	090
21127	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	6	0	090
21127	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
21127	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
21127	CMS	"Accessory, Procedure"	SD191	"plate, surgical, reconstruction, left, 5 x 16 hole"	item	846.45	1	0	090
21127	CMS	"Accessory, Procedure"	SD192	"plate, surgical, reconstruction, template, 5 x 16 hole"	item	188.62	1	0	090
21127	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
21127	CMS	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	73.66	4	0	090
21127	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	090
21137	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21137	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21137	Mar04 I	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
21137	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21137	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21137	Mar04 I	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
21138	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21138	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21138	Mar04 I	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
21138	Mar04 I	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
21138	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21138	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21139	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
21139	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21139	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21139	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
21139	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
21139	Mar04 I	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
21139	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
21139	Mar04 I	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
21139	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
21139	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
21139	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21139	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21139	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
21139	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21139	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
21139	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21141	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		18	090
21141	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		360	090
21141	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		2	090
21141	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
21141	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21141	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
21141	Sep02	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		12	090
21141	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
21141	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		12	090
21141	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
21141	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		6	090
21141	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		24	090
21142	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
21142	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		360	090
21142	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		2	090
21142	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		6	090
21142	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21142	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
21142	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		24	090
21142	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		18	090
21142	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		12	090
21142	Sep02	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		12	090
21142	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
21143	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21143	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		7	090
21143	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21143	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
21143	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		1	090
21143	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
21143	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21143	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
21143	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
21143	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
21145	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		360	090
21145	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		6	090
21145	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
21145	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		6	090
21145	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21146	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		7	090
21146	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21146	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		7	090
21146	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		360	090
21146	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		7	090
21147	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21147	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		360	090
21147	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		7	090
21147	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		7	090
21147	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		7	090
21150	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21150	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21150	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
21150	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
21150	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21150	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21150	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21150	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21150	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21150	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21150	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21151	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21151	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21151	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21151	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21151	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
21151	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21151	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21151	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21151	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21151	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21151	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
21154	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21154	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
21154	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21154	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
21154	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21154	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21154	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21154	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21154	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21154	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21154	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21155	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21155	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21155	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21155	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
21155	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21155	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21155	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21155	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21155	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21155	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21155	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
21159	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21159	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21159	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
21159	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21159	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21159	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21159	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21159	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21159	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21159	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
21159	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21160	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21160	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21160	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
21160	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21160	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21160	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21160	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21160	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21160	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21160	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21160	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
21172	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
21172	Sep02	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		14	090
21172	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		28	090
21172	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		2	090
21172	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21172	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		21	090
21172	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		420	090
21172	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
21172	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		7	090
21172	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		7	090
21172	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		5	090
21175	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		21	090
21175	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		2	090
21175	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
21175	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21175	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		5	090
21175	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		28	090
21175	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
21175	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		420	090
21175	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		7	090
21175	Sep02	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		14	090
21175	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		7	090
21179	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		7	090
21179	Sep02	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		14	090
21179	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		2	090
21179	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		7	090
21179	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21179	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		28	090
21179	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
21179	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		14	090
21179	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		420	090
21179	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		21	090
21179	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21180	Sep02	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		14	090
21180	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		2	090
21180	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		7	090
21180	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21180	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		7	090
21180	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		28	090
21180	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		21	090
21180	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
21180	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		14	090
21180	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		420	090
21180	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21181	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		4	090
21181	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
21181	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
21181	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21181	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21182	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		360	090
21182	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
21182	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
21182	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
21182	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21183	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
21183	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
21183	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21183	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
21183	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		360	090
21184	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
21184	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		360	090
21184	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
21184	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21184	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
21188	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21188	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21188	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21188	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21188	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
21188	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21188	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21188	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21188	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21188	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21188	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
21193	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		5	090
21193	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
21193	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21193	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
21193	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
21193	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
21194	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		6	090
21194	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		360	090
21194	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21194	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
21194	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
21194	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		6	090
21195	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21195	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21195	Mar04 I	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08		10	090
21195	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21195	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
21195	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21195	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21195	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5.5	090
21195	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
21195	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21195	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21195	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21195	Mar04 I	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.07		1	090
21195	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21195	Mar04 I	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78		2	090
21195	Mar04 I	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
21196	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21196	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5.5	090
21196	Mar04 I	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78		2	090
21196	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21196	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
21196	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21196	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21196	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21196	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21196	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21196	Mar04 I	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08		10	090
21196	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21196	Mar04 I	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.07		1	090
21196	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21196	Mar04 I	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
21196	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
21198	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21198	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21198	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4.5	090
21198	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21198	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21198	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21198	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21198	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21198	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21198	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21198	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
21199	Sep02	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22		3	090
21199	Sep02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		3	090
21199	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		3	090
21206	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21206	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21206	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21206	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21206	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4.5	090
21206	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21206	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
21206	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21206	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21206	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21206	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21208	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21208	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21208	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10	090
21208	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21208	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	10	0	090
21208	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
21208	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	7	6	090
21208	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21208	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	12	10	090
21208	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21208	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21208	CMS	"Accessory, Procedure"	SD110	"reservoir, drain (Jackson-Pratt)"	item	6.99	1	0	090
21208	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	2	090
21208	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	6	0	090
21208	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21208	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
21208	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21208	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21208	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
21208	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
21208	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21208	CMS	"Accessory, Procedure"	SD189	"plate, surgical, mini-compression, 4 hole"	item	210.83	1	0	090
21208	CMS	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	73.66	1	0	090
21208	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21208	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21208	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	090
21208	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
21208	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21208	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21208	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
21208	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	090
21208	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21208	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	6	5	090
21208	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	20	0	090
21208	CMS	"Accessory, Procedure"	SD199	"screw, surgical, locking, 2.4mm x 16mm"	item	140	4	0	090
21208	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21209	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21209	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
21209	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	090
21209	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21209	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	6	0	090
21209	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	090
21209	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
21209	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21209	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	7	6	090
21209	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21209	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21209	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21209	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
21209	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	20	0	090
21209	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21209	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21209	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21209	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21209	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
21209	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	10	0	090
21209	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
21209	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21209	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21209	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21209	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	14	12	090
21209	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	2	090
21209	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
21209	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21209	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21209	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	14	12	090
21209	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21209	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	7	6	090
21210	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
21210	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	090
21210	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47	1	1	090
21210	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
21210	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	2	0	090
21210	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
21210	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
21210	CMS	"Accessory, Procedure"	SD196	"screw, surgical, auto-drive, 2.0mm x 4mm"	item	38.76	16	0	090
21210	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	7	6	090
21210	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10	090
21210	CMS	"Accessory, Procedure"	SD190	"plate, surgical, mini-i, 16mm"	item	129.28	2	0	090
21210	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21210	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21210	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21210	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	6	0	090
21210	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21210	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	12	10	090
21210	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	20	0	090
21210	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	8	2	090
21210	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21210	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21210	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	4	0	090
21210	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	2	0	090
21210	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	2	0	090
21210	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21210	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
21210	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	090
21210	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
21210	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21210	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	6	5	090
21210	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	090
21210	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	40	0	090
21210	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
21210	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21210	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
21210	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	2	0	090
21210	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
21210	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
21210	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	090
21210	CMS	"Cutters, Closures, Cautery"	SF034	"stapler, surgical"	item	13	1	0	090
21215	RUC	"Accessory, Procedure"	SD110	"reservoir, drain (Jackson-Pratt)"	item	6.99	1	0	090
21215	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
21215	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	12	10	090
21215	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21215	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
21215	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47	1	1	090
21215	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	090
21215	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	20	0	090
21215	RUC	"Accessory, Procedure"	SD192	"plate, surgical, reconstruction, template, 5 x 16 hole"	item	188.62	1	0	090
21215	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
21215	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	6	6	090
21215	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	090
21215	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21215	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	6	0	090
21215	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10	090
21215	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	090
21215	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	8	2	090
21215	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21215	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21215	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
21215	RUC	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	73.66	4	0	090
21215	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21215	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
21215	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21215	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	090
21215	RUC	"Cutters, Closures, Cautery"	SF034	"stapler, surgical"	item	13	1	0	090
21215	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21215	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
21215	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	2	0	090
21215	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	2	0	090
21215	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
21215	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	40	0	090
21215	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21215	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
21215	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
21215	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	4	0	090
21215	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	6	5	090
21215	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	2	0	090
21215	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21215	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	2	0	090
21215	RUC	"Accessory, Procedure"	SD199	"screw, surgical, locking, 2.4mm x 16mm"	item	140	16	0	090
21215	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
21215	RUC	"Accessory, Procedure"	SD191	"plate, surgical, reconstruction, left, 5 x 16 hole"	item	846.45	1	0	090
21230	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		3	090
21230	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
21230	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21230	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
21230	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
21230	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
21235	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21235	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
21235	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
21235	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
21235	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	6	5	090
21235	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21235	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
21235	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21235	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21235	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21235	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
21235	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
21235	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
21235	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
21235	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
21235	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
21235	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
21235	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
21235	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
21235	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
21235	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21240	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
21240	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
21240	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21240	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		6	090
21242	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
21242	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21242	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
21242	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		6	090
21243	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21243	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		10	090
21243	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
21243	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		10	090
21244	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
21244	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21244	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21244	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21244	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21244	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
21244	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21244	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21244	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21244	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21244	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21245	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
21245	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21245	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21245	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21245	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10	090
21245	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	12	10	090
21245	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
21245	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21245	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21245	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21245	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	2	090
21245	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	6	0	090
21245	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21245	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	6	5	090
21245	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21245	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21245	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	090
21245	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	4	0	090
21245	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21245	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21245	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
21245	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21245	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21245	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	20	0	090
21245	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	090
21245	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21245	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	10	0	090
21245	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	6	5	090
21245	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21245	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
21245	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
21245	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
21246	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21246	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21247	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		7	090
21247	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		7	090
21247	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
21247	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21248	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21248	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
21248	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
21248	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	10	0	090
21248	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	10	8	090
21248	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
21248	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	6	0	090
21248	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21248	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21248	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21248	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21248	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21248	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	2	090
21248	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	4	0	090
21248	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21248	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21248	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	10	8	090
21248	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21248	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
21248	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21248	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	090
21248	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
21248	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	20	0	090
21248	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
21248	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	090
21248	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21248	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	5	4	090
21248	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
21248	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21248	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21248	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21248	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21249	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
21249	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
21249	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	10	0	090
21249	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21249	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
21249	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21249	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	10	8	090
21249	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
21249	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21249	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21249	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21249	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	2	090
21249	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
21249	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	10	8	090
21249	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	5	4	090
21249	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21249	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21249	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21249	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
21249	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21249	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21249	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21249	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	4	0	090
21249	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	090
21249	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	20	0	090
21249	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	6	0	090
21249	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	090
21249	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21249	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21249	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21249	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21249	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
21255	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21255	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21255	Mar04 I	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
21255	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21255	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21255	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21255	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21255	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21255	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		7	090
21255	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21255	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21255	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
21255	Mar04 I	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8		1	090
21256	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
21256	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
21256	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21260	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
21260	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21260	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
21260	Mar04 I	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
21260	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
21260	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		1	090
21260	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21260	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21260	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		1	090
21260	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21260	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
21260	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
21260	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21260	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
21260	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
21260	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
21260	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
21260	Mar04 I	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
21260	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
21261	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
21261	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21261	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		1	090
21261	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
21261	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21261	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21261	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21261	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21261	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
21261	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
21261	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		1	090
21261	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21261	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21261	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
21261	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
21261	Mar04 I	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
21261	Mar04 I	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
21261	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21261	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21263	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21263	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21263	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21263	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21263	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21263	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21263	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
21263	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
21263	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		1	090
21263	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21263	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
21263	Mar04 I	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
21263	Mar04 I	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
21263	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
21263	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
21263	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21263	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
21263	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		1	090
21263	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21267	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
21267	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21267	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		1	090
21267	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21267	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
21267	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		1	090
21267	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21267	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21267	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
21267	Mar04 I	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
21267	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21267	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21267	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
21267	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21267	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
21267	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
21267	Mar04 I	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
21267	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21267	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21268	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21268	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21268	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21268	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21268	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
21268	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21268	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21268	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
21268	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		1	090
21268	Mar04 I	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
21268	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21268	Mar04 I	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
21268	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
21268	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
21268	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21268	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21268	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
21268	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		1	090
21268	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
21270	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
21270	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21270	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21270	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
21270	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
21270	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
21270	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
21270	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
21270	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21270	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21270	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21270	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
21270	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
21270	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
21270	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
21270	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
21270	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
21270	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21270	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
21270	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
21270	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
21275	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		5	090
21275	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		20	090
21275	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		15	090
21275	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		2	090
21275	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		5	090
21275	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21275	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
21275	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		10	090
21275	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
21275	Sep02	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		10	090
21275	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		300	090
21280	Sep02	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		8	090
21280	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		4	090
21280	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
21280	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21280	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21280	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
21280	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
21280	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		2	090
21280	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		8	090
21280	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		16	090
21280	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
21282	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		8	090
21282	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21282	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
21282	Sep02	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		8	090
21282	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		16	090
21282	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
21282	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		4	090
21282	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
21282	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		2	090
21282	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
21282	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
21295	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21295	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21295	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
21295	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21295	Mar04 I	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
21295	Mar04 I	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
21296	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
21296	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
21296	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21296	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
21296	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21296	Mar04 I	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
21296	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21296	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21296	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21296	Mar04 I	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
21296	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
21296	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
21315	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
21315	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
21315	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
21315	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
21315	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	000
21315	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	000
21315	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
21315	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
21315	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
21315	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
21315	RUC	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.01	6	0	000
21315	RUC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	000
21315	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
21315	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
21315	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
21315	RUC	Lab	SL464	Atomizer tips (disposable)	item		1	0	000
21315	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
21315	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	0	000
21320	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
21320	RUC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	000
21320	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
21320	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
21320	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	0	000
21320	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	000
21320	RUC	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.01	6	0	000
21320	RUC	"Wound Care, Dressings"	SG073	"splint, adhesive nasal (Denver)"	item	23.67	1	0	000
21320	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
21320	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
21320	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
21320	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
21320	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
21320	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
21320	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
21320	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
21320	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
21320	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	000
21320	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
21320	RUC	Lab	SL464	Atomizer tips (disposable)	item		1	0	000
21320	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	000
21325	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
21325	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		1	090
21325	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
21325	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
21325	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21325	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
21325	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21325	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21325	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		1	090
21325	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
21325	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21325	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
21325	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21325	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
21325	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
21325	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
21325	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
21330	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
21330	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
21330	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
21330	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21330	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		1	090
21330	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
21330	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
21330	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
21330	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
21330	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		1	090
21330	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21330	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21330	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
21330	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
21330	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21330	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21330	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
21335	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
21335	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
21335	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
21335	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
21335	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21335	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		1	090
21335	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
21335	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
21335	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
21335	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21335	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		1	090
21335	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21335	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21335	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
21335	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
21335	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21335	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
21336	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21336	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
21336	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21336	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
21336	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
21336	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
21336	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		1	090
21336	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		1	090
21336	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
21336	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
21336	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
21336	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
21336	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21336	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
21336	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21336	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
21336	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21337	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21337	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21337	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21337	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
21337	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
21337	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
21337	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
21337	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
21337	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21337	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
21337	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
21337	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
21337	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21337	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
21337	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
21337	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
21337	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21337	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
21337	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
21337	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
21337	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
21338	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
21338	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
21338	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
21338	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		1	090
21338	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21338	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
21338	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
21338	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		1	090
21338	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
21338	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		3	090
21338	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
21338	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21338	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21338	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
21338	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
21338	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21338	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21339	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21339	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		3	090
21339	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21339	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		1	090
21339	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
21339	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		1	090
21339	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
21339	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
21339	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
21339	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
21339	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21339	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21339	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
21339	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
21339	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
21339	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21339	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
21340	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21340	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21343	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		2	090
21343	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
21343	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
21343	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
21343	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		1	090
21343	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
21343	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
21343	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		1	090
21343	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
21343	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21343	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
21343	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
21343	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21343	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21343	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
21343	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21343	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21344	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21344	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21344	Mar04 I	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.07		4	090
21344	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		1	090
21344	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21344	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		1	090
21344	Mar04 I	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78		4	090
21344	Mar04 I	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08		20	090
21344	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
21344	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21344	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		2	090
21344	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21344	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21344	Mar04 I	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		2	090
21345	Aug03 6	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
21345	Aug03 6	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
21345	Aug03 6	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
21345	Aug03 6	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
21345	Aug03 6	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21345	Aug03 6	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21345	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21345	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	6	5	090
21345	Aug03 6	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21345	Aug03 6	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
21345	Aug03 6	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
21345	Aug03 6	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
21345	Aug03 6	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
21345	Aug03 6	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21345	Aug03 6	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.17	3	0	090
21345	Aug03 6	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
21345	Aug03 6	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
21345	Aug03 6	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
21345	Aug03 6	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
21345	Aug03 6	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
21345	Aug03 6	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21345	Aug03 6	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
21346	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21346	Aug03 6	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
21346	Aug03 6	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46		4	090
21346	Aug03 6	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21346	Aug03 6	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		4	090
21346	Aug03 6	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11		1	090
21346	Aug03 6	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67		4	090
21346	Aug03 6	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		4	090
21346	Aug03 6	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
21346	Aug03 6	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21346	Aug03 6	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		10	090
21346	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21346	Aug03 6	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.07		75	090
21346	Aug03 6	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7		8	090
21346	Aug03 6	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
21346	Aug03 6	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
21346	Aug03 6	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		4	090
21346	Aug03 6	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
21346	Aug03 6	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	090
21346	Aug03 6	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34		4	090
21346	Aug03 6	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		6	090
21347	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21347	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		1	090
21347	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21347	Mar04 I	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78		4	090
21347	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		1	090
21347	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21347	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21347	Mar04 I	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.07		4	090
21347	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		4	090
21347	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21347	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21347	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
21347	Mar04 I	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08		20	090
21347	Mar04 I	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		2	090
21348	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
21348	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21348	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
21348	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		4	090
21348	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
21348	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21355	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	010
21355	Mar04 I	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
21355	Mar04 I	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
21355	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	010
21355	Mar04 I	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	4	0	010
21355	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
21355	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
21355	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
21355	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
21355	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
21355	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
21355	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
21355	Mar04 I	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	2	0	010
21355	Mar04 I	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
21355	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	010
21355	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
21355	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
21355	Mar04 I	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.01	12	0	010
21355	Mar04 I	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
21355	Mar04 I	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
21355	Mar04 I	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
21355	Mar04 I	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	010
21355	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
21356	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
21356	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	010
21356	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
21356	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	1	010
21356	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	1	010
21356	Mar04 I	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	4	0	010
21356	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	010
21356	Mar04 I	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	2	0	010
21356	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
21356	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	010
21356	Mar04 I	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
21356	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
21356	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
21356	Mar04 I	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
21356	Mar04 I	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
21356	Mar04 I	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
21356	Mar04 I	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.01	12	0	010
21356	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
21356	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	010
21356	Mar04 I	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
21356	Mar04 I	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	010
21356	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	010
21356	Mar04 I	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
21360	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
21360	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21365	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21365	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21365	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
21365	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21366	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
21366	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		4	090
21366	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21366	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21366	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		300	090
21366	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
21385	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
21385	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
21385	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21385	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21385	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21385	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
21385	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
21385	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
21385	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
21386	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
21386	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21386	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21386	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21387	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21387	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21387	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
21387	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21387	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
21387	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
21387	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
21387	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21387	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
21387	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21387	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
21390	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
21390	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
21390	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21390	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		3	090
21390	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		2	090
21390	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
21390	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
21390	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		4	090
21390	Sep02	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		8	090
21390	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		16	090
21390	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
21395	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
21395	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		16	090
21395	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
21395	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
21395	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		3	090
21395	Sep02	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		8	090
21395	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
21395	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		4	090
21395	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
21395	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		2	090
21395	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21400	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
21400	Aug03 6	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21401	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
21401	CMS	"Accessory, Procedure"	SD197	"screw, surgical, Carroll-Girard, 9cm x 3.75in"	item	92	1	0	090
21401	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21406	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
21406	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
21406	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		4	090
21406	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
21406	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
21406	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		2	090
21406	Sep02	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		8	090
21406	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21406	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
21406	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		16	090
21406	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		8	090
21407	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
21407	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21407	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		2	090
21407	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
21407	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
21407	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		16	090
21407	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
21407	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		8	090
21407	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		4	090
21407	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
21407	Sep02	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		8	090
21408	Sep02	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		8	090
21408	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
21408	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
21408	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
21408	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21408	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
21408	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		4	090
21408	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		2	090
21408	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
21408	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		8	090
21408	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		16	090
21421	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	6	5	090
21421	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	6	5	090
21421	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21421	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21421	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
21421	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	6	5	090
21421	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21421	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21421	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21421	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	12	10	090
21421	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10	090
21421	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	6	5	090
21421	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	6	5	090
21421	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	1	090
21421	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	1	090
21421	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.07	120	90	090
21421	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	6	5	090
21421	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21421	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	7	6	090
21421	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21421	CMS	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.8	12	0	090
21421	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	6	5	090
21421	CMS	Lab	SL152	acrylic tray-base material	oz	1.99	1	0	090
21421	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21421	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	2	090
21421	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	20	10	090
21421	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	14	12	090
21421	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21421	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	12	6	090
21421	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.17	13	0	090
21421	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	6	5	090
21421	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	2	1	090
21422	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
21422	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
21422	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21422	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
21422	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21422	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
21422	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21422	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21422	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
21422	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21422	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
21423	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
21423	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21423	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
21423	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21423	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
21423	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
21423	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21423	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21423	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21423	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
21423	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21431	Aug03 6	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
21431	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21431	Aug03 6	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		4	090
21431	Aug03 6	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11		1	090
21431	Aug03 6	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67		4	090
21431	Aug03 6	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
21431	Aug03 6	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46		4	090
21431	Aug03 6	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
21431	Aug03 6	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21431	Aug03 6	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.07		75	090
21431	Aug03 6	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
21431	Aug03 6	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21431	Aug03 6	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		4	090
21431	Aug03 6	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		6	090
21431	Aug03 6	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7		8	090
21431	Aug03 6	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		10	090
21431	Aug03 6	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34		4	090
21431	Aug03 6	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	090
21431	Aug03 6	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
21431	Aug03 6	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		4	090
21432	Mar04 I	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
21432	Mar04 I	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08		10	090
21432	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		1	090
21432	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21432	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
21432	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		1	090
21432	Mar04 I	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78		2	090
21432	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21432	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21432	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21432	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
21432	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21432	Mar04 I	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.07		1	090
21432	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		2	090
21433	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21433	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
21433	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		360	090
21433	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		4	090
21433	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21435	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		4	090
21435	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21435	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
21435	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		360	090
21435	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21436	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
21436	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
21436	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		360	090
21436	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21436	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
21436	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		5	090
21440	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	5	4	090
21440	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21440	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	5	4	090
21440	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	5	4	090
21440	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
21440	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21440	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	5	4	090
21440	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.17	2	0	090
21440	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21440	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	5	4	090
21440	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	5	4	090
21440	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	10	8	090
21440	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	090
21440	CMS	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.8	6	0	090
21440	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	5	4	090
21440	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21440	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
21440	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21440	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
21440	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	5	4	090
21440	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	10	8	090
21440	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	10	8	090
21440	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
21440	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
21440	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21440	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21440	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21440	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	4	4	090
21440	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
21440	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21445	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	5	4	090
21445	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
21445	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21445	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
21445	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	10	8	090
21445	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	5	4	090
21445	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21445	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21445	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	4	4	090
21445	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21445	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	10	8	090
21445	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21445	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21445	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
21445	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21445	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
21445	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	5	4	090
21445	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
21445	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	10	8	090
21445	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	5	4	090
21445	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	5	4	090
21445	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21445	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21445	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	5	4	090
21445	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21445	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21445	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
21445	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	5	4	090
21445	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	5	4	090
21445	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21445	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.17	2	0	090
21445	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	090
21445	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21450	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	4	4	090
21450	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	10	8	090
21450	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	5	4	090
21450	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	5	4	090
21450	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	1	090
21450	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21450	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	5	4	090
21450	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	10	8	090
21450	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21450	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21450	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21450	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
21450	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21450	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	5	4	090
21450	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
21450	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21450	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.07	120	90	090
21450	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	2	1	090
21450	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	2	090
21450	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	5	4	090
21450	CMS	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.8	12	0	090
21450	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.17	12	0	090
21450	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	12	6	090
21450	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21450	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21450	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	1	090
21450	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	5	4	090
21450	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	5	4	090
21450	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	5	4	090
21450	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	20	10	090
21450	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	10	8	090
21451	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	12	10	090
21451	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21451	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	6	5	090
21451	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	1	090
21451	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21451	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	6	5	090
21451	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	2	1	090
21451	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.07	120	90	090
21451	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21451	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21451	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21451	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21451	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	5	5	090
21451	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
21451	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.17	12	0	090
21451	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	6	5	090
21451	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	12	6	090
21451	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	6	5	090
21451	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	6	5	090
21451	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21451	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10	090
21451	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	6	5	090
21451	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	12	10	090
21451	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	2	090
21451	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	1	090
21451	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	6	5	090
21451	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21451	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	6	5	090
21451	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	6	5	090
21451	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	20	10	090
21451	CMS	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.8	12	0	090
21452	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	8	6	090
21452	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21452	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
21452	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	4	3	090
21452	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	4	3	090
21452	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
21452	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	3	090
21452	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21452	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21452	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
21452	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
21452	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21452	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	4	3	090
21452	CMS	Lab	SL152	acrylic tray-base material	oz	1.99	5	0	090
21452	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	4	3	090
21452	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21452	CMS	"Accessory, Procedure"	SD200	"screw, surgical, self-tapping, 1.5-2.0mm"	item	27	3	0	090
21452	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21452	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	090
21452	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	4	3	090
21452	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21452	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	3	3	090
21452	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21452	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21452	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21452	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
21452	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21452	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21452	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	4	3	090
21452	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	8	6	090
21452	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
21452	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	8	6	090
21452	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	4	3	090
21452	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
21452	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
21453	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21453	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21453	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	20	10	090
21453	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	12	6	090
21453	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	7	6	090
21453	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	7	6	090
21453	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21453	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.17	12	0	090
21453	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.07	120	90	090
21453	CMS	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.8	12	0	090
21453	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	7	6	090
21453	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	7	6	090
21453	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	2	090
21453	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	14	12	090
21453	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	7	6	090
21453	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	2	1	090
21453	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21453	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
21453	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	7	6	090
21453	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	7	6	090
21453	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	1	090
21453	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21453	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	7	6	090
21453	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	1	090
21453	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	14	12	090
21453	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	14	12	090
21453	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21453	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21453	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21453	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	7	6	090
21453	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	6	6	090
21454	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
21454	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		5	090
21454	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
21454	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
21454	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21461	CMS	"Accessory, Procedure"	SD198	"screw, surgical, lag, 2.4mm x 26mm"	item	21.18	4	0	090
21461	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
21461	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21461	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	7	6	090
21461	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	7	6	090
21461	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21461	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	7	6	090
21461	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	14	12	090
21461	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21461	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	14	12	090
21461	CMS	"Accessory, Procedure"	SD194	"plate, surgical, rigid comminuted fracture, template"	item	96.49	1	0	090
21461	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21461	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21461	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21461	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	7	6	090
21461	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	7	6	090
21461	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
21461	CMS	"Accessory, Procedure"	SD193	"plate, surgical, rigid comminuted fracture"	item	269.45	1	0	090
21461	CMS	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	73.66	1	0	090
21461	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21461	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21461	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21461	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21461	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
21461	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21461	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21461	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
21461	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
21461	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	7	6	090
21461	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
21461	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	7	6	090
21461	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	6	6	090
21461	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	090
21461	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21461	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21461	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	7	6	090
21461	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	7	6	090
21461	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
21461	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	14	12	090
21462	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	12	6	090
21462	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	7	6	090
21462	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	1	090
21462	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	7	6	090
21462	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	7	6	090
21462	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	2	090
21462	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	20	10	090
21462	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	14	12	090
21462	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.07	90	90	090
21462	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21462	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
21462	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21462	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
21462	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21462	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	7	6	090
21462	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	2	1	090
21462	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	1	090
21462	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	7	6	090
21462	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21462	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21462	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21462	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21462	CMS	"Accessory, Procedure"	SD194	"plate, surgical, rigid comminuted fracture, template"	item	96.49	1	0	090
21462	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21462	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.17	12	0	090
21462	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21462	CMS	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.8	12	0	090
21462	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	7	6	090
21462	CMS	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	73.66	1	0	090
21462	CMS	"Accessory, Procedure"	SD198	"screw, surgical, lag, 2.4mm x 26mm"	item	21.18	4	0	090
21462	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	14	12	090
21462	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21462	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	7	6	090
21462	CMS	"Accessory, Procedure"	SD193	"plate, surgical, rigid comminuted fracture"	item	269.45	1	0	090
21462	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21462	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	6	6	090
21462	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
21462	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21462	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	7	6	090
21462	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	7	6	090
21462	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21462	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	14	12	090
21465	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
21465	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21465	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
21465	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		6	090
21465	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		6	090
21470	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21470	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		6	090
21470	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
21470	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
21470	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		6	090
21480	Sep04 P	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	000
21480	Sep04 P	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	000
21480	Sep04 P	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
21480	Sep04 P	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
21480	Sep04 P	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
21480	Sep04 P	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
21480	Sep04 P	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
21480	Sep04 P	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
21480	Sep04 P	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
21480	Sep04 P	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
21480	Sep04 P	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
21480	Sep04 P	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	000
21480	Sep04 P	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	000
21480	Sep04 P	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	2	0	000
21485	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	6	5	090
21485	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	20	10	090
21485	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	12	10	090
21485	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21485	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	6	5	090
21485	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	6	5	090
21485	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21485	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21485	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	1	090
21485	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21485	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	2	090
21485	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.17	12	0	090
21485	CMS	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.8	12	0	090
21485	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	6	5	090
21485	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
21485	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	6	5	090
21485	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.07	120	90	090
21485	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21485	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	2	1	090
21485	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10	090
21485	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	12	6	090
21485	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	5	5	090
21485	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21485	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21485	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	1	090
21485	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	12	10	090
21485	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	6	5	090
21485	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	6	5	090
21485	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	6	5	090
21485	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21485	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	6	5	090
21490	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21490	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		6	090
21490	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
21497	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
21497	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	12	6	090
21497	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	6	5	090
21497	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	6	5	090
21497	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	6	5	090
21497	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	6	5	090
21497	CMS	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.8	12	0	090
21497	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.07	120	90	090
21497	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	20	10	090
21497	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	6	5	090
21497	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21497	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	6	5	090
21497	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.17	12	0	090
21497	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	6	5	090
21497	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21497	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	2	090
21497	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	6	5	090
21497	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	1	090
21497	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21497	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	6	5	090
21497	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	6	5	090
21497	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	6	5	090
21497	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10	090
21497	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21497	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	12	10	090
21497	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21497	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	1	090
21497	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	2	1	090
21501	Jan04 19	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
21501	Jan04 19	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21501	Jan04 19	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
21501	Jan04 19	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21501	Jan04 19	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
21501	Jan04 19	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21501	Jan04 19	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21501	Jan04 19	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
21501	Jan04 19	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	090
21501	Jan04 19	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	090
21501	Jan04 19	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	090
21501	Jan04 19	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21501	Jan04 19	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
21501	Jan04 19	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
21501	Jan04 19	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	3	0	090
21501	Jan04 19	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
21501	Jan04 19	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	5	0	090
21501	Jan04 19	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	090
21501	Jan04 19	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	090
21501	Jan04 19	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21501	Jan04 19	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	090
21501	Jan04 19	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
21501	Jan04 19	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
21501	Jan04 19	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
21501	Jan04 19	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
21501	Jan04 19	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	090
21501	Jan04 19	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
21501	Jan04 19	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
21501	Jan04 19	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	090
21501	Jan04 19	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	40	0	090
21501	Jan04 19	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21501	Jan04 19	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
21501	Jan04 19	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21502	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21502	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
21510	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
21510	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
21550	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
21550	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
21550	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
21550	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	010
21550	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
21550	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	1	010
21550	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
21550	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
21550	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	010
21550	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
21550	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	5	0	010
21550	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
21550	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
21550	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	1	010
21550	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
21550	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
21550	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
21550	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
21550	RUC	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
21550	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
21550	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	3	0	010
21550	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
21550	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
21550	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
21550	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
21550	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
21550	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	010
21550	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
21552	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
21552	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21554	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
21554	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21555	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
21555	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21555	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
21555	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
21555	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	090
21555	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
21555	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
21555	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21555	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
21555	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
21555	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	090
21555	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21555	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
21555	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21555	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
21555	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
21555	CMS	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	8.29	0.5	0	090
21555	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
21555	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21555	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
21555	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21555	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
21555	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
21555	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21555	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
21555	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
21555	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
21555	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
21555	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21555	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21555	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	090
21556	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21556	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
21557	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21557	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21558	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21558	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21600	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
21600	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21601	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
21601	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7		3	090
21601	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
21601	CMS	"Accessory, Procedure"	SD110	"reservoir, drain (Jackson-Pratt)"	item	6.99		3	090
21601	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01		3	090
21601	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		480	090
21601	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3.5	090
21601	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21602	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		7	090
21602	CMS	"Accessory, Procedure"	SD110	"reservoir, drain (Jackson-Pratt)"	item	6.99		5	090
21602	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01		5	090
21602	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6.5	090
21602	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
21602	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
21602	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		600	090
21602	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7		5	090
21603	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
21603	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		7	090
21603	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		7	090
21603	CMS	"Accessory, Procedure"	SD110	"reservoir, drain (Jackson-Pratt)"	item	6.99		5	090
21603	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7		5	090
21603	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
21603	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		600	090
21603	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01		5	090
21610	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21610	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
21615	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
21615	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
21616	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
21616	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
21620	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
21620	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21627	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21627	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
21630	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
21630	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
21632	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
21632	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
21685	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
21685	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		6	090
21685	Sep02	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3	090
21685	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
21685	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
21685	Sep02	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
21685	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
21685	Sep02	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
21685	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		6	090
21685	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
21685	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21685	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		4	090
21685	Sep02	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
21685	Sep02	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
21685	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21700	Mar04 U	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
21700	Mar04 U	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21705	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
21705	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
21720	Mar04 U	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
21720	Mar04 U	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
21725	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
21725	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21740	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
21740	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
21750	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
21750	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
21820	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2.5	1.5	090
21825	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
21825	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21920	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	1	010
21920	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
21920	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
21920	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
21920	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
21920	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	5	0	010
21920	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
21920	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	010
21920	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	010
21920	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
21920	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
21920	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
21920	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
21920	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	010
21920	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
21920	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
21920	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
21920	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
21920	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	3	0	010
21920	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
21920	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
21920	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
21920	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
21920	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
21920	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
21920	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
21920	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	1	010
21920	RUC	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
21925	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21925	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
21925	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21925	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
21925	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21925	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
21925	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
21925	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
21925	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
21925	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21925	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
21925	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
21925	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	090
21925	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
21925	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
21925	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21925	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
21925	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
21925	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
21925	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
21925	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21930	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
21930	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21930	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
21930	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
21930	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
21930	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21930	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21930	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	090
21930	CMS	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	8.29	0.5	0	090
21930	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
21930	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
21930	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	090
21930	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21930	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	090
21930	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
21930	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
21930	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	090
21930	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	090
21930	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
21930	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21930	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	090
21930	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
21930	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
21930	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
21930	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
21930	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
21930	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
21930	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
21930	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
21930	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21930	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21930	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
21930	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
21931	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
21931	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21932	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21932	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
21933	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21933	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
21935	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
21935	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21936	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
21936	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
22010	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
22010	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22015	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
22015	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22100	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22100	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22101	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22101	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22102	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22102	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22110	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22110	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22112	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22112	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22114	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22114	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22206	CPT08 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22206	CPT08 8	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
22207	CPT08 8	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
22207	CPT08 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22210	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22210	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
22212	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
22212	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22214	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
22214	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22220	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
22220	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22222	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22222	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
22224	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22224	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
22310	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
22315	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	5	0	090
22315	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	090
22315	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	6	0	090
22315	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
22315	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	090
22318	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
22318	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22319	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22319	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
22325	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
22325	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
22325	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22326	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
22326	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22326	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22327	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
22327	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22327	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
22510	Mod sed	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	
22510	Mod sed	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	7.26	1	0	
22510	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
22510	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
22510	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
22510	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	
22510	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
22510	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	
22510	Mod sed	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.96	1	0	
22510	Mod sed	"Pharmacy, Rx"	SH015	"barium sulfate, sterile (Biotrace) (6gm uou)"	item	80.86	1	0	
22510	Mod sed	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	2	0	
22510	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
22510	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	
22510	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	
22510	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
22510	Mod sed	"Kit, Pack, Tray"	SA039	"kit, vertebroplasty (LP2, CDO)"	kit	970.48	1	0	
22510	Mod sed	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	
22510	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	
22510	Mod sed	"Pharmacy, Rx"	SH020	"bone cement (full dose pack uou) (Osteobond, Simplex)"	item	85.27	1	0	
22511	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	
22511	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
22511	Mod sed	"Pharmacy, Rx"	SH015	"barium sulfate, sterile (Biotrace) (6gm uou)"	item	80.86	1	0	
22511	Mod sed	"Pharmacy, Rx"	SH020	"bone cement (full dose pack uou) (Osteobond, Simplex)"	item	85.27	1	0	
22511	Mod sed	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	
22511	Mod sed	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.96	1	0	
22511	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	
22511	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
22511	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	
22511	Mod sed	"Kit, Pack, Tray"	SA039	"kit, vertebroplasty (LP2, CDO)"	kit	970.48	1	0	
22511	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
22511	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
22511	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
22511	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	
22511	Mod sed	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	7.26	1	0	
22511	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	
22511	Mod sed	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	
22511	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
22511	Mod sed	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	2	0	
22512	Mod sed	"Accessory, Procedure"	SD293	10g cannulae	item	29.95	2	0	
22512	Mod sed	"Accessory, Procedure"	SD292	10g IVAS drill	item	84.17	1	0	
22512	Mod sed	"Pharmacy, Rx"	SH100	Bone cement with mixer	item	246.28	1	0	
22513	Mod sed	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	7.26	1	0	
22513	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	
22513	Mod sed	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	
22513	Mod sed	"Cutters, Closures, Cautery"	SF055	Bone biopsy device	item	176.85	1	0	
22513	Mod sed	"Kit, Pack, Tray"	SA111	"Kyphoplasty kit, first fracture"	kit	3720.8	1	0	
22513	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
22513	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
22513	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	0	
22513	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	
22513	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
22513	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
22513	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
22513	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	
22513	Mod sed	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	2	0	
22513	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	
22513	Mod sed	"Pharmacy, Rx"	SH100	Bone cement with mixer	item	246.28	1	0	
22513	Mod sed	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.96	1	0	
22513	Mod sed	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	
22513	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
22513	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	
22514	Mod sed	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	
22514	Mod sed	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.96	1	0	
22514	Mod sed	"Cutters, Closures, Cautery"	SF055	Bone biopsy device	item	176.85	1	0	
22514	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
22514	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	
22514	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	
22514	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
22514	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
22514	Mod sed	"Pharmacy, Rx"	SH100	Bone cement with mixer	item	246.28	1	0	
22514	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
22514	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
22514	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	
22514	Mod sed	"Kit, Pack, Tray"	SA111	"Kyphoplasty kit, first fracture"	kit	3720.8	1	0	
22514	Mod sed	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	7.26	1	0	
22514	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	
22514	Mod sed	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	
22514	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	0	
22514	Mod sed	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	
22514	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
22514	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	
22515	Mod sed	"Kit, Pack, Tray"	SA112	"Kyphoplasty kit, additional fracture"	kit	2149.41	1	0	
22526	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
22526	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	010
22526	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	010
22526	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
22526	CMS	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	7.26	1	0	010
22526	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
22526	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	010
22526	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
22526	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	010
22526	CMS	"Accessory, Procedure"	SD231	"needle, introducer (spineCATH)"	item	69	1	0	010
22526	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
22526	CMS	"Accessory, Procedure"	SD222	"catheter, intradiscal (spineCATH)"	item	1380	1	0	010
22526	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1	0	010
22526	CMS	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.96	1	0	010
22526	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
22526	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
22526	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
22526	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
22527	Mod sed	"Accessory, Procedure"	SD231	"needle, introducer (spineCATH)"	item	69	1	0	
22527	Mod sed	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	
22527	Mod sed	"Accessory, Procedure"	SD222	"catheter, intradiscal (spineCATH)"	item	1380	1	0	
22527	Mod sed	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1	0	
22532	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22532	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090
22533	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22533	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090
22548	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22548	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22551	CPT11 26	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
22551	CPT11 26	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
22554	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22554	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
22556	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22556	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22558	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22558	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22586	CPT13 CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22586	CPT13 CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
22590	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22590	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22595	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22595	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22600	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22600	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22610	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22610	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22612	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
22612	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22630	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22630	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22633	CPT12 May 3	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
22633	CPT12 May 3	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
22800	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22800	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22802	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22802	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22804	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22804	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22808	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22808	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22810	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22810	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22812	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22812	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
22818	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22818	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
22819	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22819	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22830	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
22830	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22849	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22849	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
22849	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
22850	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
22850	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22850	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
22852	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
22852	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22852	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
22855	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
22855	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
22855	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
22856	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
22856	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
22857	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22857	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
22861	CPT09 4	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
22861	CPT09 4	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
22862	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22862	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
22864	CPT09 4	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
22864	CPT09 4	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
22865	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22865	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
22867	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
22867	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
22869	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
22869	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
22900	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
22900	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
22901	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
22901	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
22902	CPT10 27	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	090
22902	CPT10 27	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	090
22902	CPT10 27	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
22902	CPT10 27	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
22902	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
22902	CPT10 27	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
22902	CPT10 27	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
22902	CPT10 27	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	8.29	0.5	0	090
22902	CPT10 27	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	090
22902	CPT10 27	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
22902	CPT10 27	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
22902	CPT10 27	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
22902	CPT10 27	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
22902	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
22902	CPT10 27	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
22902	CPT10 27	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
22902	CPT10 27	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	090
22902	CPT10 27	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	090
22902	CPT10 27	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
22902	CPT10 27	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
22902	CPT10 27	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
22902	CPT10 27	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
22902	CPT10 27	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
22902	CPT10 27	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
22902	CPT10 27	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
22902	CPT10 27	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
22902	CPT10 27	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
22902	CPT10 27	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	090
22902	CPT10 27	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
22902	CPT10 27	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
22902	CPT10 27	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
22902	CPT10 27	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
22902	CPT10 27	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
22903	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
22903	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
22904	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
22904	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
22905	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
22905	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23000	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
23000	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
23000	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
23000	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
23000	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
23000	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
23000	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
23000	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
23000	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
23000	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
23000	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
23000	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
23000	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
23000	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
23000	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
23000	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
23000	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
23000	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
23000	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
23000	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
23000	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
23000	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
23020	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23020	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23030	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
23030	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
23030	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
23030	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	010
23030	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	010
23030	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
23030	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
23030	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
23030	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
23030	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
23030	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
23030	CMS	Lab	SL146	tubed culture media	item	0.92	1	0	010
23030	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
23030	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
23030	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
23030	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
23030	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
23030	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
23030	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
23030	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
23030	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
23031	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
23031	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
23031	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
23031	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	010
23031	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
23031	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
23031	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
23031	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
23031	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
23031	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
23031	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
23031	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
23031	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
23031	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
23031	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
23031	CMS	Lab	SL146	tubed culture media	item	0.92	1	0	010
23031	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
23031	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
23031	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	010
23031	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
23031	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
23031	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
23031	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
23035	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23035	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23040	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23040	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23044	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23044	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23065	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
23065	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
23065	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
23065	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
23065	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	5.99	1	0	010
23065	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	2.25	1	0	010
23065	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
23065	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
23065	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
23065	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
23065	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1.5	0.5	010
23065	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
23066	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
23066	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
23066	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
23066	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
23066	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
23066	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
23066	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
23066	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
23066	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
23066	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
23066	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
23066	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
23066	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
23066	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
23066	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
23066	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
23066	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
23066	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
23066	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
23066	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
23066	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
23066	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
23071	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
23071	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
23073	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
23073	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
23075	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	090
23075	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
23075	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
23075	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
23075	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
23075	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
23075	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
23075	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
23075	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
23075	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
23075	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	20	0	090
23075	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
23075	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
23075	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
23075	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
23075	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
23075	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
23075	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
23075	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
23075	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
23075	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	090
23075	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
23075	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
23075	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	090
23075	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
23075	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
23075	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
23075	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
23075	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
23075	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	090
23075	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
23075	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
23075	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
23075	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
23076	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
23076	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
23077	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23077	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
23078	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23078	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
23100	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23100	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23101	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
23101	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23105	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23105	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23106	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23106	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23107	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23107	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23120	Apr08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23120	Apr08 ss	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23125	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23125	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23130	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
23130	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23140	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23140	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23145	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23145	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23146	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23146	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23150	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23150	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23155	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
23155	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23156	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23156	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23170	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23170	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23172	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23172	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23174	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
23174	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23180	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
23180	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23182	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
23182	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23184	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
23184	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23190	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23190	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23195	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23195	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23200	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23200	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
23210	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23210	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
23220	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23220	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
23330	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
23330	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
23330	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
23330	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
23330	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
23330	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
23330	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
23330	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
23330	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
23330	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
23330	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
23330	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	2.25	1	0	010
23330	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
23330	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
23330	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
23330	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
23330	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
23330	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
23330	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	5.99	1	0	010
23330	CMS	Lab	SL146	tubed culture media	item	0.92	1	0	010
23330	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
23333	CPT14 May 3	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
23333	CPT14 May 3	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
23334	CPT14 May 3	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
23334	CPT14 May 3	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23335	CPT14 May 3	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23335	CPT14 May 3	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
23350	CPT13 MD time	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
23350	CPT13 MD time	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	29.39	1	0	000
23350	CPT13 MD time	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
23350	CPT13 MD time	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
23350	CPT13 MD time	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
23395	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23395	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
23397	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
23397	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23400	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23400	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
23405	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23405	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23406	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23406	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23410	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23410	Feb08 ss	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23412	Feb08 ss	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23412	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23415	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23415	Feb08 ss	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23420	Feb08 ss	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23420	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
23430	CPT11 MD Time	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23430	CPT11 MD Time	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23440	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23440	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23450	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23450	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23455	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23455	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23460	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
23460	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23462	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23462	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23465	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
23465	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23466	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
23466	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23470	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
23470	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23472	CPT13 May 2	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23472	CPT13 May 2	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23473	CPT13 May 2	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23473	CPT13 May 2	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23474	CPT13 May 2	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23474	CPT13 May 2	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23480	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23480	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23485	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23485	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23490	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23490	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23491	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
23491	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23500	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2.5	2.5	090
23505	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
23505	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
23505	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
23505	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
23515	RUC08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23515	RUC08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
23525	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
23525	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
23525	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
23525	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
23530	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23530	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23532	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23532	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23540	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
23545	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
23545	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
23545	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
23545	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
23550	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23550	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23552	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23552	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23570	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2.5	2.5	090
23570	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
23575	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
23575	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
23575	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
23575	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
23575	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
23585	RUC08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23600	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
23600	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
23600	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
23600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	4	090
23605	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
23605	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
23605	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
23605	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
23605	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
23605	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
23605	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
23615	RUC08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23615	RUC08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23616	RUC08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23616	RUC08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23620	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	3	090
23625	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
23625	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
23625	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
23625	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
23630	RUC08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23630	RUC08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23650	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
23650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
23650	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
23650	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
23655	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23660	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23660	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23665	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
23665	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
23665	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
23665	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
23670	RUC08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23670	RUC08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23675	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
23675	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
23675	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5.5	4.5	090
23675	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
23675	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
23675	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
23680	CPT08 9	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23680	CPT08 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23700	Mar03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
23800	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23800	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
23802	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
23802	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23900	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23900	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
23920	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23920	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
23921	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
23921	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
23930	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
23930	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
23930	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	2.25	1	0	010
23930	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
23930	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
23930	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
23930	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
23930	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
23930	CMS	Lab	SL146	tubed culture media	item	0.92	1	0	010
23930	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	010
23930	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
23930	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
23930	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
23930	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
23930	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
23930	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
23930	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	3	0	010
23930	CMS	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	1.14	3	0	010
23930	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
23930	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
23930	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
23930	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
23930	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
23930	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
23930	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
23930	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	0.78	3	0	010
23931	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
23931	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
23931	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
23931	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
23931	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
23931	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
23931	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
23931	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
23931	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
23931	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
23931	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
23931	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
23931	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
23931	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
23931	CMS	Lab	SL146	tubed culture media	item	0.92	1	0	010
23931	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
23931	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
23931	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
23931	CMS	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	1.14	3	0	010
23931	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
23931	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	010
23931	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
23931	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
23931	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	2.25	1	0	010
23935	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
23935	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24000	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24000	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
24006	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24006	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24065	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
24065	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
24065	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
24065	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
24065	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
24065	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
24065	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
24065	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
24065	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
24065	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
24065	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
24065	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
24065	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
24065	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	5.99	1	0	010
24065	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	2.25	1	0	010
24065	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
24065	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
24066	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
24066	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
24066	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
24066	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
24066	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
24066	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
24066	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
24066	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
24066	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
24066	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
24066	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
24066	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
24066	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
24066	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
24066	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
24066	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
24066	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
24066	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
24066	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
24066	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
24066	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
24066	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
24066	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
24071	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24071	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
24073	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
24073	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24075	CPT10 rv	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
24075	CPT10 rv	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
24075	CPT10 rv	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
24075	CPT10 rv	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
24075	CPT10 rv	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	090
24075	CPT10 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
24075	CPT10 rv	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
24075	CPT10 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
24075	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
24075	CPT10 rv	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
24075	CPT10 rv	"Hypodermic, IV"	SC003	arm board	item	0.96	1	0	090
24075	CPT10 rv	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
24075	CPT10 rv	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
24075	CPT10 rv	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	090
24075	CPT10 rv	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
24075	CPT10 rv	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
24075	CPT10 rv	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
24075	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
24075	CPT10 rv	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	8.29	0.5	0	090
24075	CPT10 rv	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	20	0	090
24075	CPT10 rv	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
24075	CPT10 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
24075	CPT10 rv	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
24075	CPT10 rv	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
24075	CPT10 rv	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	090
24075	CPT10 rv	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	090
24075	CPT10 rv	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
24075	CPT10 rv	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
24075	CPT10 rv	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
24075	CPT10 rv	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
24075	CPT10 rv	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
24075	CPT10 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	090
24075	CPT10 rv	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
24075	CPT10 rv	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
24075	CPT10 rv	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
24075	CPT10 rv	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
24075	CPT10 rv	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
24075	CPT10 rv	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
24076	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
24076	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24077	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24077	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24079	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24079	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24100	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
24100	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24101	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24101	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24102	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24102	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24105	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24105	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24110	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24110	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24115	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24115	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24116	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24116	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24120	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24120	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24125	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24125	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24126	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24126	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24130	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24130	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24134	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24134	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24136	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24136	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24138	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
24138	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24140	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24140	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24145	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24145	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24147	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
24147	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24149	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
24149	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24150	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24150	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24152	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24152	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24155	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24155	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24160	CPT14 May 4	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24160	CPT14 May 4	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
24164	CPT14 May 4	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
24164	CPT14 May 4	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
24200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
24200	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
24200	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
24200	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
24200	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
24200	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
24200	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	2.25	1	0	010
24200	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
24200	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	5.99	1	0	010
24200	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
24200	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
24200	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
24200	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
24200	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
24200	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
24200	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
24200	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
24201	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
24201	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
24201	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
24201	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
24201	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
24201	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
24201	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
24201	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
24201	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
24201	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
24201	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
24201	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
24201	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
24201	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
24201	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
24201	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
24201	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
24201	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
24201	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
24201	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
24201	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
24201	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
24201	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
24220	Jan04 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
24220	Jan04 7	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
24220	Jan04 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
24220	Jan04 7	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	29.39	1	0	000
24220	Jan04 7	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
24300	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
24300	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24301	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24301	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24305	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24305	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24310	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24310	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
24320	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24320	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24330	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24330	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24331	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24331	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24332	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24332	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24340	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24340	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24341	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24341	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
24342	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24342	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24343	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
24343	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24344	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
24344	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24345	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24345	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
24346	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
24346	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24357	CPT08 10	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
24357	CPT08 10	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24358	CPT08 10	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
24358	CPT08 10	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24359	CPT08 10	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
24359	CPT08 10	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24360	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
24360	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24361	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
24361	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24362	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24362	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
24363	CPT13 May 3	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24363	CPT13 May 3	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24365	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24365	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24366	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24366	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24370	CPT13 May 3	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24370	CPT13 May 3	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24371	CPT13 May 3	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24371	CPT13 May 3	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24400	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
24400	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24410	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
24410	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24420	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		720	090
24420	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		36	090
24420	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
24420	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
24420	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		60	090
24420	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24430	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24430	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24435	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
24435	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24470	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24470	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24495	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		5	090
24495	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
24495	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		5	090
24495	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24495	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		5	090
24495	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		10	090
24495	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		900	090
24495	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		380	090
24495	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		10	090
24495	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		5	090
24495	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		5	090
24498	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24498	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24500	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	4	090
24500	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
24500	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
24500	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
24505	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
24505	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
24505	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
24505	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
24505	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
24505	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
24505	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5.5	4.5	090
24515	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
24515	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24516	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24516	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24530	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
24530	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
24530	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
24530	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	4	090
24535	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
24535	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
24535	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
24535	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
24535	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
24535	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	6	5	090
24535	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
24538	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		1	090
24538	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		76	090
24538	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
24538	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		2	090
24538	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
24538	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
24538	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		1	090
24538	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
24538	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
24538	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
24545	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24545	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24546	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24546	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24560	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
24560	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
24560	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
24560	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
24565	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
24565	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
24565	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
24565	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5.5	4.5	090
24565	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
24565	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
24565	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
24566	Sep02	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63		1	090
24566	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
24566	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24566	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
24566	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
24566	Sep02	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04		1	090
24566	Sep02	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54		1	090
24566	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
24566	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
24566	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	090
24566	Sep02	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5		10	090
24566	Sep02	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		1	090
24566	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
24566	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		1	090
24575	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24575	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24576	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
24576	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
24576	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
24576	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
24577	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
24577	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
24577	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
24577	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5.5	4.5	090
24577	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
24577	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
24577	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
24579	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24579	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24582	Sep02	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04		1	090
24582	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
24582	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
24582	Sep02	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63		1	090
24582	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		1	090
24582	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
24582	Sep02	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54		1	090
24582	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
24582	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
24582	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
24582	Sep02	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5		10	090
24582	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	090
24582	Sep02	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		1	090
24582	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
24586	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24586	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
24587	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
24587	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24600	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
24600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
24600	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
24600	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
24605	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
24615	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24615	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24620	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
24635	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24635	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24640	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	60	0	010
24640	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
24640	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	1	0	010
24640	CMS	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	1.14	3	0	010
24640	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	0.78	1	0	010
24650	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
24650	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
24650	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	3	090
24650	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
24655	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
24655	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
24655	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
24655	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
24655	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5.5	4.5	090
24655	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
24655	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
24665	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
24665	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
24665	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24665	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
24666	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24666	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24666	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
24666	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
24670	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	3	090
24670	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
24670	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
24670	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
24675	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
24675	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
24675	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
24675	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
24675	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
24675	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
24675	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
24685	CPT08 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
24685	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24685	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24685	CPT08 rv	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
24800	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
24800	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24802	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24802	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
24900	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
24900	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24920	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24920	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24925	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24925	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24930	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24930	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24931	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
24931	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
24935	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		36	090
24935	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		60	090
24935	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
24935	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		720	090
24935	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
24935	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25000	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25000	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25001	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
25001	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25020	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
25020	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
25020	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		5	090
25020	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		5	090
25020	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		5	090
25020	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		900	090
25020	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		380	090
25020	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		5	090
25020	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		10	090
25020	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		5	090
25020	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		10	090
25023	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
25023	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		7	090
25023	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		7	090
25023	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		7	090
25023	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		14	090
25023	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		530	090
25023	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		14	090
25023	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25023	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		7	090
25023	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		7	090
25023	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		1260	090
25024	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25024	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25025	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25025	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25028	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		5	090
25028	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		900	090
25028	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
25028	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		380	090
25028	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		10	090
25028	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		5	090
25028	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		5	090
25028	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		5	090
25028	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
25028	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		10	090
25028	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		5	090
25031	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
25031	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25035	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25035	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25040	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
25040	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25065	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
25065	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
25065	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
25065	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
25065	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
25065	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
25065	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	5.99	1	0	010
25065	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	2.25	1	0	010
25065	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
25065	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
25065	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
25065	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
25065	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
25065	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
25065	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
25065	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
25065	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
25065	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
25066	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
25066	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25071	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
25071	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25073	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25073	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
25075	CPT10 rv	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
25075	CPT10 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
25075	CPT10 rv	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	090
25075	CPT10 rv	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25075	CPT10 rv	"Hypodermic, IV"	SC003	arm board	item	0.96	1	0	090
25075	CPT10 rv	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
25075	CPT10 rv	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	090
25075	CPT10 rv	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
25075	CPT10 rv	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	090
25075	CPT10 rv	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
25075	CPT10 rv	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	8.29	0.5	0	090
25075	CPT10 rv	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
25075	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
25075	CPT10 rv	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
25075	CPT10 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
25075	CPT10 rv	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
25075	CPT10 rv	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
25075	CPT10 rv	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
25075	CPT10 rv	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
25075	CPT10 rv	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
25075	CPT10 rv	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
25075	CPT10 rv	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
25075	CPT10 rv	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
25075	CPT10 rv	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
25075	CPT10 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
25075	CPT10 rv	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	20	0	090
25075	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
25075	CPT10 rv	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	090
25075	CPT10 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	090
25075	CPT10 rv	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
25075	CPT10 rv	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
25075	CPT10 rv	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
25075	CPT10 rv	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
25075	CPT10 rv	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
25075	CPT10 rv	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
25075	CPT10 rv	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
25075	CPT10 rv	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
25075	CPT10 rv	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
25076	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
25076	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25077	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25077	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25078	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25078	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25085	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
25085	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25100	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
25100	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25101	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
25101	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25105	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25105	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25107	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25107	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25109	CPT07	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25109	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
25110	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25110	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
25111	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
25111	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25112	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25112	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
25115	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25115	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25116	Apr08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25116	Apr08 ss	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25118	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25118	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
25119	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25119	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25120	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25120	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25125	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25125	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25126	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25126	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25130	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25130	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25135	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25135	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25136	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25136	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25145	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25145	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25150	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25150	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25151	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25151	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25170	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25170	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25210	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25210	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25215	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25215	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25230	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
25230	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25240	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
25240	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25246	Jan04 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
25246	Jan04 7	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
25246	Jan04 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
25246	Jan04 7	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
25246	Jan04 7	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	29.39	1	0	000
25248	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25248	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25250	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25250	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25251	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25251	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25259	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
25259	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25260	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25260	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25263	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25263	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25265	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25265	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25270	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25270	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25272	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25272	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25274	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25274	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25275	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25275	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25280	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25280	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25290	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
25290	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25295	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25295	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25300	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25300	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25301	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25301	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25310	Feb08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25310	Feb08	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25312	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25312	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25315	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25315	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25316	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25316	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25320	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25320	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25332	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25332	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25335	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25335	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25337	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25337	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25350	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25350	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25355	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25355	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25360	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25360	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25365	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25365	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25370	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25370	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
25375	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25375	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25390	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25390	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25391	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25391	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25392	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25392	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25393	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25393	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25394	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25394	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25400	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25400	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25405	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25405	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25415	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25415	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25420	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25420	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25425	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25425	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25426	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25426	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25430	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25430	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25431	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25431	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25440	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25440	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25441	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25441	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25442	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25442	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25443	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25443	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25444	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25444	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25445	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25445	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25446	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25446	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25447	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25447	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25449	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25449	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25450	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25450	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25455	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25455	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25490	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25490	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25491	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25491	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25492	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25492	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
25500	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
25500	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25500	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
25505	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
25505	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25505	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
25505	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
25505	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
25505	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
25505	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	6	5	090
25515	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25515	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25520	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25520	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
25520	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
25520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	6	5	090
25525	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25525	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25526	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25526	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25530	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
25530	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25530	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	3	090
25530	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
25535	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
25535	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
25535	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
25535	Aug03 5	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25535	Aug03 5	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
25535	Aug03 5	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
25535	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5.5	4.5	090
25545	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25545	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25560	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
25560	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25560	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
25560	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
25565	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
25565	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
25565	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5.5	4.5	090
25565	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25565	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
25565	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
25565	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
25574	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25574	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25575	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25575	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25600	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	5	090
25600	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25600	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
25600	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
25605	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25605	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
25605	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
25605	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	5	090
25605	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
25605	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
25605	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
25606	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25607	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25608	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25609	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
25622	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	3.5	090
25622	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
25622	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25622	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
25624	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
25624	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25624	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	6	5	090
25624	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
25624	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
25624	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
25624	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
25628	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25628	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25630	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	3	090
25630	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25630	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
25630	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
25635	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
25635	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25635	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5.5	4.5	090
25635	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
25635	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
25635	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
25635	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
25645	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25645	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25650	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25650	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
25650	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
25650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
25651	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25651	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25652	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25652	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25660	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25670	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25670	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25671	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25671	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25675	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
25675	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25675	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
25675	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5.5	4.5	090
25675	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
25675	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
25675	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
25676	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25676	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25680	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25685	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25685	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25690	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25695	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25695	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25800	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25800	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25805	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25805	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25810	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25810	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25820	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
25820	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25820	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		2	090
25820	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
25820	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
25820	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
25820	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		40	090
25820	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		8	090
25820	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25820	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
25820	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
25825	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		2	090
25825	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
25825	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25825	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25825	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
25825	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
25825	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
25825	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		40	090
25825	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		8	090
25825	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
25825	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
25830	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
25830	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25830	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25830	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
25830	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
25830	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
25830	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
25830	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
25830	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
25830	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		62	090
25830	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
25830	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		0.083	090
25830	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		172	090
25830	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
25830	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		8	090
25830	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		2	090
25830	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
25900	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25900	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
25905	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25905	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25907	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25907	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25909	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
25909	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25915	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25920	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
25920	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
25920	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25920	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
25920	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
25920	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		2	090
25920	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
25920	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
25920	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		40	090
25920	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		8	090
25920	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25922	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
25922	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		2	090
25922	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		40	090
25922	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25922	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25922	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
25922	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
25922	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		8	090
25922	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
25922	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
25922	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
25924	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		2	090
25924	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
25924	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25924	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25924	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
25924	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
25924	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
25924	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		40	090
25924	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		8	090
25924	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
25924	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
25927	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
25927	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
25927	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
25927	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
25927	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25927	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25927	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
25927	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
25927	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
25927	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
25927	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
25927	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
25927	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
25927	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
25927	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
25927	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
25929	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25929	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25931	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
25931	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
25931	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
25931	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
25931	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
25931	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
25931	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
25931	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
25931	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
25931	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
25931	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
25931	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
25931	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
25931	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
25931	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
25931	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26010	Mar02	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
26010	Mar02	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
26010	Mar02	"Gown, Drape"	SB031	"lap sponge, sterile, 18inx18in (5 pack uou)"	item	4.72	5	0	010
26010	Mar02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
26010	Mar02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	1	010
26010	Mar02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	6	0	010
26010	Mar02	"Wound Care, Dressings"	SG010	"bandage, elastic wrap 2in (Ace)"	item	0.72	2	1	010
26010	Mar02	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
26010	Mar02	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	010
26010	Mar02	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
26010	Mar02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	010
26010	Mar02	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
26010	Mar02	"Gown, Drape"	SB038	safety glasses	item	1.92	2	0	010
26010	Mar02	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
26010	Mar02	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
26010	Mar02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
26010	Mar02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
26010	Mar02	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
26010	Mar02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	0	1	010
26010	Mar02	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.6	1	0	010
26010	Mar02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78	1	0	010
26010	Mar02	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	010
26010	Mar02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14	12	6	010
26010	Mar02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	1	0	010
26010	Mar02	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	5	0	010
26010	Mar02	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
26010	Mar02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
26010	Mar02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	010
26010	Mar02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
26010	Mar02	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
26010	Mar02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	130	10	010
26010	Mar02	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	120	0	010
26010	Mar02	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
26010	Mar02	Lab	SL146	tubed culture media	item	0.92	4	0	010
26010	Mar02	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
26010	Mar02	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	010
26010	Mar02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	1	010
26010	Mar02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	10	010
26010	Mar02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	12	010
26010	Mar02	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
26011	Mar02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
26011	Mar02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	1	010
26011	Mar02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	6	0	010
26011	Mar02	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
26011	Mar02	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
26011	Mar02	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
26011	Mar02	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
26011	Mar02	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.6	1	0	010
26011	Mar02	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	010
26011	Mar02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	1	010
26011	Mar02	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
26011	Mar02	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
26011	Mar02	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	010
26011	Mar02	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
26011	Mar02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
26011	Mar02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
26011	Mar02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
26011	Mar02	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32	1	0	010
26011	Mar02	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
26011	Mar02	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
26011	Mar02	Lab	SL146	tubed culture media	item	0.92	4	0	010
26011	Mar02	"Gown, Drape"	SB031	"lap sponge, sterile, 18inx18in (5 pack uou)"	item	4.72	5	0	010
26011	Mar02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	010
26011	Mar02	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
26011	Mar02	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	010
26011	Mar02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	1	010
26011	Mar02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	12	010
26011	Mar02	"Gown, Drape"	SB038	safety glasses	item	1.92	2	0	010
26011	Mar02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78	1	0	010
26011	Mar02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14	12	6	010
26011	Mar02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	1	0	010
26011	Mar02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
26011	Mar02	"Wound Care, Dressings"	SG010	"bandage, elastic wrap 2in (Ace)"	item	0.72	2	1	010
26011	Mar02	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	120	0	010
26011	Mar02	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
26011	Mar02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
26011	Mar02	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
26011	Mar02	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
26011	Mar02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	130	10	010
26011	Mar02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	010
26011	Mar02	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
26011	Mar02	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
26011	Mar02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	10	010
26011	Mar02	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	010
26011	Mar02	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	5	0	010
26020	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26020	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
26020	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7		1	090
26020	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26020	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26020	RUC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26020	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26025	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26025	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26025	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
26025	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26025	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26025	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26025	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		6	090
26025	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26030	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26030	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
26030	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26030	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26030	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		6	090
26030	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26030	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26030	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26034	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26034	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26034	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		6	090
26034	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26034	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26034	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26034	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
26034	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26035	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26035	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26035	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		6	090
26035	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26035	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26035	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26035	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
26035	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26037	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26037	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26037	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		6	090
26037	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26037	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26037	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
26037	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26040	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26040	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26040	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26040	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
26040	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26040	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26040	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26045	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26045	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26045	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26045	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26045	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26045	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26045	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26055	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	12	090
26055	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	090
26055	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
26055	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
26055	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
26055	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
26055	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
26055	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	090
26055	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	2	1	090
26055	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
26055	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	090
26055	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	090
26055	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
26055	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	090
26055	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	5	0	090
26055	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	1	090
26055	RUC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859	2	1	090
26055	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
26055	RUC	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	8.38	1	0	090
26055	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	1	090
26055	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
26055	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
26055	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
26055	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	090
26055	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
26055	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
26055	RUC	"Gown, Drape"	SB038	safety glasses	item	1.92	1	0	090
26055	RUC	"Gown, Drape"	SB031	"lap sponge, sterile, 18inx18in (5 pack uou)"	item	4.72	1	0	090
26055	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
26055	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
26055	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	120	0	090
26055	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
26055	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
26055	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	090
26055	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	120	0	090
26055	RUC	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
26055	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
26055	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
26055	RUC	"Hypodermic, IV"	SC003	arm board	item	0.96	1	0	090
26055	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
26055	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
26060	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26060	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26060	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26060	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26060	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26060	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
26060	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26070	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26070	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
26070	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26070	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26070	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26070	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26070	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26075	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26075	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26075	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26075	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
26075	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26075	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26075	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26080	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26080	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26080	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26080	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26080	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26080	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26080	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26100	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26100	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
26100	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26100	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26100	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26100	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26100	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26105	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26105	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26105	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26105	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26105	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26105	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26105	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
26110	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26110	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26110	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26110	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26110	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
26110	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26111	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
26111	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26113	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
26113	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26115	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
26115	CPT10 rv	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
26115	CPT10 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
26115	CPT10 rv	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	090
26115	CPT10 rv	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
26115	CPT10 rv	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
26115	CPT10 rv	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
26115	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
26115	CPT10 rv	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
26115	CPT10 rv	"Hypodermic, IV"	SC003	arm board	item	0.96	1	0	090
26115	CPT10 rv	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
26115	CPT10 rv	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
26115	CPT10 rv	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
26115	CPT10 rv	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
26115	CPT10 rv	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
26115	CPT10 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
26115	CPT10 rv	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
26115	CPT10 rv	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	090
26115	CPT10 rv	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	20	0	090
26115	CPT10 rv	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
26115	CPT10 rv	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
26115	CPT10 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
26115	CPT10 rv	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	090
26115	CPT10 rv	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
26115	CPT10 rv	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	090
26115	CPT10 rv	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
26115	CPT10 rv	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
26115	CPT10 rv	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
26115	CPT10 rv	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
26115	CPT10 rv	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
26115	CPT10 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	090
26115	CPT10 rv	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
26115	CPT10 rv	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
26115	CPT10 rv	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
26115	CPT10 rv	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
26115	CPT10 rv	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
26115	CPT10 rv	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
26116	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26116	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
26117	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26117	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26118	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26118	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
26121	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26121	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		6	090
26121	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26121	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26121	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26121	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26121	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26121	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26123	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26123	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
26123	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26123	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26123	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		6	090
26123	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26123	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26123	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26130	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26130	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26130	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26130	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26130	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26130	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26130	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26135	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26135	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26135	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26135	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26135	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26135	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26135	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26140	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26140	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26140	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26140	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26140	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26140	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26140	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26145	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		2	090
26145	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26145	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26145	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26145	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26145	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26145	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26160	RUC	"Gown, Drape"	SB038	safety glasses	item	1.92	1	0	090
26160	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
26160	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
26160	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
26160	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
26160	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
26160	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
26160	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	090
26160	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	090
26160	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
26160	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	090
26160	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	120	0	090
26160	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	090
26160	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
26160	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
26160	RUC	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	8.38	1	0	090
26160	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
26160	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	090
26160	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
26160	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	1	090
26160	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
26160	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
26160	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	090
26160	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	12	090
26160	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	120	0	090
26160	RUC	"Hypodermic, IV"	SC003	arm board	item	0.96	1	0	090
26160	RUC	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
26160	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	5	0	090
26160	RUC	"Gown, Drape"	SB031	"lap sponge, sterile, 18inx18in (5 pack uou)"	item	4.72	1	0	090
26160	RUC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859	2	1	090
26160	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	1	090
26160	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	2	1	090
26160	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
26160	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
26160	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
26160	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
26160	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
26160	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
26160	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	090
26160	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
26160	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
26160	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
26170	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26170	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26170	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26170	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26170	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
26170	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26170	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26180	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26180	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26180	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26180	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26180	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26180	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26180	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26185	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26185	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26185	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26185	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26185	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26185	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26185	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26200	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26200	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26200	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26200	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26200	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
26200	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26200	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26205	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26205	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26205	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26205	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26205	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26205	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
26205	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		9	090
26210	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26210	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26210	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26210	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26210	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26210	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26210	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26215	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26215	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26215	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		9	090
26215	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
26215	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26215	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26215	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26230	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26230	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26230	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26230	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
26230	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26230	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26230	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		6	090
26230	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26235	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26235	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
26235	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26235	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		6	090
26235	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26235	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26235	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26235	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26236	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26236	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26236	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
26236	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26236	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		6	090
26236	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26236	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26236	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26250	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26250	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26260	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
26260	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26262	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
26262	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26320	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
26320	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
26340	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
26340	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
26341	CPT12 May 2	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
26341	CPT12 May 2	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
26341	CPT12 May 2	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
26341	CPT12 May 2	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
26341	CPT12 May 2	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
26341	CPT12 May 2	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
26341	CPT12 May 2	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
26341	CPT12 May 2	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	010
26341	CPT12 May 2	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34	1	0	010
26341	CPT12 May 2	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
26350	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26350	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26350	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26350	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26350	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26350	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26350	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26350	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26350	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26350	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26350	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26350	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26350	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26350	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26350	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26350	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
26352	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26352	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26352	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26352	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26352	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26352	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26352	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26352	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26352	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26352	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26352	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26352	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26352	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26352	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26352	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26352	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26356	RUC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		2	090
26356	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26356	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		36	090
26356	RUC	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1	090
26356	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26356	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
26356	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		1	090
26356	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26356	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
26356	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7		1	090
26356	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
26356	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26356	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52		1	090
26356	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
26357	RUC	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1	090
26357	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
26357	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		36	090
26357	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
26357	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		1	090
26357	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
26357	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7		1	090
26357	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52		1	090
26357	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
26357	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26357	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26357	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26357	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26357	RUC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		2	090
26358	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
26358	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
26358	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7		1	090
26358	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
26358	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26358	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26358	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
26358	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26358	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52		1	090
26358	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26358	RUC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		2	090
26358	RUC	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1	090
26358	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		1	090
26358	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		36	090
26370	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26370	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26370	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26370	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26370	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26370	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26370	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26370	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26370	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26370	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26370	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26370	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26370	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26370	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26370	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26370	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26372	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26372	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26372	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26372	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26372	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26372	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26372	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26372	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26372	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26372	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26372	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26372	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26372	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26372	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26372	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26372	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26373	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26373	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26373	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26373	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26373	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26373	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26373	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26373	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26373	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26373	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26373	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26373	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26373	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26373	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26373	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26373	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26390	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26390	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26390	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26390	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26390	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26390	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26390	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26390	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26390	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26390	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26390	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26390	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26390	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26390	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26390	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26390	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26392	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26392	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26392	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26392	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26392	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26392	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26392	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26392	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26392	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26392	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26392	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26392	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26392	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26392	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26392	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26392	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26410	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		4	090
26410	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		8	090
26410	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
26410	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		12	090
26410	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26410	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26410	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26410	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
26410	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		4	090
26410	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26410	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26410	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26410	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26410	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26410	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26410	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26412	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26412	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26412	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		8	090
26412	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
26412	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		12	090
26412	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26412	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		4	090
26412	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26412	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26412	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26412	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		4	090
26412	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26412	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26412	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26412	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26412	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26415	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		4	090
26415	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26415	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		8	090
26415	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
26415	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		12	090
26415	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26415	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26415	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26415	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26415	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26415	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26415	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26415	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		4	090
26415	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26415	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26415	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26416	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
26416	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		12	090
26416	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26416	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26416	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26416	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26416	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26416	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		4	090
26416	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26416	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26416	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26416	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26416	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26416	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		4	090
26416	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		8	090
26416	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26418	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26418	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		12	090
26418	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
26418	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		8	090
26418	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26418	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26418	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26418	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
26418	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		4	090
26418	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26418	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26418	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26418	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26418	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		4	090
26418	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26418	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26420	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26420	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26420	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26420	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26420	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		8	090
26420	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
26420	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26420	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		4	090
26420	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		4	090
26420	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26420	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		12	090
26420	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26420	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26420	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26420	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26420	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26426	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26426	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26428	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26428	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26428	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26428	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26428	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26428	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		8	090
26428	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
26428	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		12	090
26428	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26428	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26428	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26428	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26428	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26428	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		4	090
26428	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26428	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		4	090
26432	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26432	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26432	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26432	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26432	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26432	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26432	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26432	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26432	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26432	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26432	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26432	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26432	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26432	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26432	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26432	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
26433	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26433	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26433	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26433	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26433	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
26433	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26433	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26433	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26433	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26433	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26433	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26433	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26433	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26433	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26433	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26433	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26434	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26434	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26434	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26434	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26434	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26434	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26434	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26434	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26434	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26434	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26434	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26434	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26434	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26434	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26434	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26434	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26437	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26437	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26437	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26437	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26437	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26437	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26437	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26437	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26437	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26437	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26437	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26437	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26437	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26437	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26437	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26437	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26440	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26440	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26440	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26440	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26440	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26440	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26440	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26440	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26440	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26440	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26440	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26440	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26440	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26440	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26440	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26440	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
26442	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26442	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26442	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26442	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26442	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26442	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26442	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26442	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26442	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26442	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26442	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26442	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26442	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26442	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
26442	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26442	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26445	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26445	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26445	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
26445	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26445	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26445	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26445	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26445	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26445	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26445	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26445	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26445	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26445	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26445	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26445	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26445	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26449	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
26449	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
26450	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
26450	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26450	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
26450	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26450	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
26450	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26450	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26450	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26450	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		1	090
26450	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1	090
26450	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26450	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26450	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26450	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26450	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26450	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
26455	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
26455	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26455	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
26455	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
26455	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
26455	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26455	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26455	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		1	090
26455	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1	090
26455	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26455	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26455	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26455	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26455	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26455	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26455	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26460	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26460	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26460	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
26460	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
26460	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
26460	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
26460	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26460	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1	090
26460	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26460	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26460	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26460	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26460	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26460	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26460	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26460	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		1	090
26471	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26471	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26471	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26471	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26471	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26471	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26471	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26471	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26471	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26471	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26471	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26471	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26471	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26471	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26471	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26471	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26474	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26474	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26474	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26474	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26474	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26474	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26474	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26474	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26474	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26474	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26474	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26474	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26474	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26474	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26474	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26474	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26476	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26476	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26476	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26476	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26476	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26476	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26476	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26476	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26476	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26476	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26476	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26476	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26476	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26476	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26476	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26476	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26477	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26477	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26477	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26477	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26477	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26477	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26477	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26477	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26477	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26477	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26477	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26477	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26477	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26477	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26477	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26477	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26478	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26478	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26478	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26478	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26478	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26478	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26478	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26478	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26478	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26478	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26478	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26478	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26478	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26478	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26478	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26478	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26479	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26479	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26479	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26479	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26479	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26479	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26479	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26479	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26479	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26479	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26479	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26479	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26479	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26479	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26479	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26479	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26480	CPT10	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26480	CPT10	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26480	CPT10	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26480	CPT10	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26480	CPT10	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26480	CPT10	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26480	CPT10	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26480	CPT10	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26480	CPT10	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26480	CPT10	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26480	CPT10	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26480	CPT10	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26480	CPT10	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26480	CPT10	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26480	CPT10	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26480	CPT10	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26483	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26483	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26483	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26483	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26483	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26483	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26483	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26483	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26483	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26483	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26483	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26483	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26483	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26483	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26483	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26483	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26485	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26485	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26485	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26485	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26485	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26485	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26485	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26485	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26485	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26485	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26485	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26485	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26485	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26485	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26485	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26485	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26489	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26489	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26489	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26489	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26489	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26489	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26489	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26489	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26489	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26489	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26489	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26489	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26489	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26489	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26489	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26489	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26490	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26490	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26490	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26490	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26490	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26490	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26490	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26490	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26490	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26490	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26490	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26490	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26490	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26490	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26490	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26490	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26492	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26492	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26492	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26492	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26492	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26492	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26492	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
26492	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26492	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26492	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26492	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26492	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26492	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26492	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26492	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26492	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26494	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26494	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26494	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26494	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26494	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26494	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26494	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26494	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26494	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26494	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26494	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26494	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26494	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26494	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26494	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26494	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26496	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26496	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26496	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26496	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26496	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26496	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26496	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26496	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26496	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26496	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26496	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26496	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26496	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26496	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26496	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26496	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26497	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26497	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26497	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26497	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26497	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26497	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26497	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26497	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26497	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26497	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26497	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26497	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26497	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26497	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26497	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26497	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26498	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26498	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26498	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26498	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
26498	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26498	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26498	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26498	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26498	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26498	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26498	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26498	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26498	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26498	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26498	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26498	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26499	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26499	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26499	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26499	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26499	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26499	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26499	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26499	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26499	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26499	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26499	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26499	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26499	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26499	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26499	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26499	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26500	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26500	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26500	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26500	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26500	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26500	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26500	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26500	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26500	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26500	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26500	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26500	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26500	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26500	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26500	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26500	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26502	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26502	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26502	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26502	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26502	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26502	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26502	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26502	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26502	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26502	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26502	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26502	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26502	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26502	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26502	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26502	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26508	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26508	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26508	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26508	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26508	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26508	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26508	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26508	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26508	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26508	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26508	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26508	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26508	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26508	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26508	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26508	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26510	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26510	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26510	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26510	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26510	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26510	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26510	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26510	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26510	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26510	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26510	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26510	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26510	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26510	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26510	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26510	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26516	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26516	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26516	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26516	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26516	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26516	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26516	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26516	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26516	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26516	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26516	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26516	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26516	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26516	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26516	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26516	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26517	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26517	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26517	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26517	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26517	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26517	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26517	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26517	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26517	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26517	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26517	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26517	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26517	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26517	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26517	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26517	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26518	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26518	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26518	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26518	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26518	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26518	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26518	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26518	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26518	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26518	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26518	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26518	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26518	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26518	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26518	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26518	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26520	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26520	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26520	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26520	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26520	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26520	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26520	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26520	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26520	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26520	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26520	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26520	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26520	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26520	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26520	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26520	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26525	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26525	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26525	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26525	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26525	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26525	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26525	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26525	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26525	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26525	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26525	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26525	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26525	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26525	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26525	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26525	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26530	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		0.5	090
26530	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26531	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		0.5	090
26531	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
26535	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26535	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		0.5	090
26536	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26536	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26536	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26536	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26536	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26536	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26536	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26536	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26536	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26536	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26536	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26536	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26536	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26536	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26540	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26540	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26540	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26540	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26540	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26540	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26540	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26540	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26540	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26540	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26540	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26540	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26540	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26540	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26540	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26540	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26541	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26541	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26541	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26541	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26541	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26541	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26541	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26541	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26541	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26541	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26541	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26541	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26541	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26541	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26541	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26541	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26542	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26542	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26542	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26542	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26542	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26542	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26542	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26542	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26542	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26542	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26542	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26542	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26542	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26542	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26542	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26542	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26545	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26545	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26545	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26545	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26545	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26545	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26545	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26545	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26545	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26545	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26545	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26545	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26545	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26545	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26545	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26545	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26546	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26546	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26546	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26546	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26546	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26546	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
26546	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26546	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
26546	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26546	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26546	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26546	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26546	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26546	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26546	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26546	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26548	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26548	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26548	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26548	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26548	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26548	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26548	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26548	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26548	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26548	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26548	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26548	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26548	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26548	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26548	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26548	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26550	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26550	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26550	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26550	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26550	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26550	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26550	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26550	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26550	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26550	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26550	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26550	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26550	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26550	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26550	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26550	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26551	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26551	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		7	090
26551	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26551	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26551	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26551	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26551	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26551	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26551	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
26551	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26551	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26551	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26551	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26551	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26551	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26551	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26553	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
26553	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26553	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		7	090
26553	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26553	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26553	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26553	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26553	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26553	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26553	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26553	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26553	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26553	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26553	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26553	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26553	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26554	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26554	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26554	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26554	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26554	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26554	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
26554	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26554	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26554	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26554	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		8	090
26554	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26554	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26554	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26554	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26554	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26554	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26555	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26555	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26555	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26555	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26555	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26555	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26555	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26555	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26555	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26555	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26555	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26555	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26555	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26555	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26555	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26555	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26556	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		8	090
26556	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26556	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26556	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26556	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26556	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26556	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26556	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26556	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26556	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26556	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26556	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26556	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26556	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26556	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
26556	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26560	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26560	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26560	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26560	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26560	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26560	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26560	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26560	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26560	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26560	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26560	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26560	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26560	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26560	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26560	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26560	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
26561	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26561	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26561	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26561	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26561	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26561	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26561	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26561	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26561	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26561	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26561	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26561	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26561	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26561	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26561	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26561	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26562	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26562	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26562	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26562	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26562	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26562	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26562	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
26562	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26562	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26562	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26562	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26562	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26562	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26562	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26562	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26562	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26565	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26565	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26565	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26565	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26565	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26565	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26565	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26565	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26565	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26565	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26565	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26565	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26565	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26565	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26565	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26565	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26567	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26567	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26567	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26567	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26567	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26567	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26567	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26567	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26567	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26567	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26567	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26567	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26567	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26567	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26567	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26567	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26568	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26568	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26568	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26568	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26568	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26568	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26568	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26568	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26568	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26568	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26568	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26568	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26568	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26568	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26568	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26568	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26580	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26580	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
26580	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26580	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26580	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26580	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26580	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26580	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26580	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26580	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26580	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26580	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26580	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26580	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26580	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26580	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26587	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
26587	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
26590	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26590	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26590	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26590	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26590	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26590	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26590	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26590	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26590	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26590	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26590	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26590	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26590	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26590	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26590	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26590	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26591	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26591	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26591	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26591	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26591	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26591	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26591	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
26591	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26591	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26591	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26591	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26591	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26591	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26591	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26591	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26591	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26593	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26593	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26593	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26593	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26593	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26593	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26593	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26593	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26593	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26593	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26593	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26593	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26593	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26593	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26593	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26593	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26596	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26596	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		1	090
26596	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26596	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
26596	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
26596	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26596	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26596	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26596	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26596	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1	090
26596	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26596	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26596	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26596	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26596	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26596	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
26600	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
26600	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	4	090
26600	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
26600	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
26605	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
26605	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
26605	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
26605	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
26605	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
26605	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
26605	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
26607	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		5	090
26607	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
26607	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		5	090
26607	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		5	090
26607	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		50	090
26607	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		10	090
26607	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
26607	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		30	090
26607	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		10	090
26608	Sep02	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04		1	090
26608	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
26608	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26608	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
26608	Sep02	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63		1	090
26608	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26608	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
26608	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		1	090
26608	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
26608	Sep02	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5		10	090
26608	Sep02	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		1	090
26608	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	090
26608	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
26608	Sep02	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54		1	090
26615	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26615	CPT08 rv	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
26615	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26615	CPT08 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
26641	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
26641	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
26641	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
26641	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
26641	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
26641	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
26641	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
26645	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
26645	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
26645	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
26645	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
26645	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
26645	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
26645	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
26650	CPT08 rv	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04		1	090
26650	CPT08 rv	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5		10	090
26650	CPT08 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26650	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26650	CPT08 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	090
26650	CPT08 rv	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63		1	090
26650	CPT08 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
26650	CPT08 rv	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		1	090
26650	CPT08 rv	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
26650	CPT08 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
26650	CPT08 rv	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54		1	090
26650	CPT08 rv	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		1	090
26650	CPT08 rv	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
26650	CPT08 rv	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
26665	CPT08 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
26665	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26665	CPT08 rv	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
26665	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26670	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
26670	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
26670	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
26670	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
26670	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
26670	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
26670	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
26675	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
26675	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
26675	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
26675	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
26675	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
26675	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
26675	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
26676	Sep02	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04		1	090
26676	Sep02	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63		1	090
26676	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
26676	Sep02	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54		1	090
26676	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26676	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
26676	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
26676	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
26676	Sep02	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5		10	090
26676	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
26676	Sep02	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		1	090
26676	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	090
26676	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
26676	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		1	090
26685	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26685	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26685	CPT08 rv	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
26685	CPT08 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
26686	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
26686	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26686	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26686	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
26700	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
26700	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
26700	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
26700	CMS	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	2.01	1	0	090
26705	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
26705	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
26705	CMS	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	2.01	1	0	090
26705	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
26705	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
26705	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
26705	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
26705	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
26705	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
26706	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26715	CPT08 rv	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
26715	CPT08 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
26715	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26715	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26720	RUC	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	2.01	1	0	090
26720	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	2	090
26720	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
26725	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
26725	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
26725	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
26725	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
26725	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
26725	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
26725	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
26725	CMS	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	2.01	1	0	090
26725	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
26727	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
26727	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
26727	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		1	090
26727	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26727	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
26727	Sep02	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63		1	090
26727	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26727	Sep02	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54		1	090
26727	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
26727	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
26727	Sep02	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5		10	090
26727	Sep02	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		1	090
26727	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	090
26727	Sep02	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04		1	090
26735	CPT08 rv	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
26735	CPT08 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
26735	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26735	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26740	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
26740	RUC	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	2.01	1	0	090
26740	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2.5	2.5	090
26742	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
26742	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
26742	CMS	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	2.01	1	0	090
26742	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
26742	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
26742	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
26742	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
26742	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
26742	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
26746	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26746	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
26746	CPT08 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
26746	CPT08 rv	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
26750	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
26750	RUC	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	2.01	1	0	090
26750	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	2	090
26755	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
26755	CMS	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	2.01	1	0	090
26755	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
26755	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
26755	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
26755	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
26755	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
26755	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
26755	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
26756	Sep02	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04		1	090
26756	Sep02	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5		10	090
26756	Sep02	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54		1	090
26756	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26756	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
26756	Sep02	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63		1	090
26756	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26756	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		1	090
26756	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
26756	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
26756	Sep02	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		1	090
26756	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	090
26756	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
26756	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
26765	CPT08 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
26765	CPT08 rv	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
26765	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26765	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26770	CMS	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	2.01	1	0	090
26770	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
26770	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
26775	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
26775	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
26775	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
26775	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
26775	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
26775	CMS	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	2.01	1	0	090
26775	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
26775	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
26775	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
26776	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
26776	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26776	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
26776	Sep02	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63		1	090
26776	Sep02	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54		1	090
26776	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26776	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		1	090
26776	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
26776	Sep02	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5		10	090
26776	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
26776	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	090
26776	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
26776	Sep02	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		1	090
26776	Sep02	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04		1	090
26785	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26785	CPT08 rv	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
26785	CPT08 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
26785	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26820	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26820	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26820	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26820	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26820	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26820	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26820	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26820	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26820	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26820	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26820	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26820	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26820	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26820	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26820	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26820	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26841	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26841	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26841	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26841	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26841	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
26841	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26841	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26841	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26841	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26841	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26841	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26841	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26841	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26841	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26841	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26841	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26842	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26842	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26842	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26842	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26842	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26842	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26842	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26842	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26842	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26842	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26842	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26842	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26842	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26842	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26842	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26842	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26843	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26843	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26843	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26843	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26843	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26843	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26843	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26843	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26843	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26843	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26843	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26843	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26843	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26843	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26843	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26843	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26844	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26844	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26844	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26844	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26844	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26844	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26844	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26844	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26844	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26844	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26844	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26844	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26844	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26844	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26844	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26844	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26850	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26850	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26850	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26850	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26850	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26850	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26850	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26850	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26850	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26850	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26850	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26850	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26850	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26850	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26850	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26850	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26852	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26852	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26852	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26852	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26852	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26852	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26852	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26852	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26852	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26852	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26852	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26852	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26852	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26852	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26852	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26852	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26860	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26860	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26860	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26860	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26860	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26860	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26860	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26860	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26860	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26860	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26860	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26860	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26860	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26860	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26860	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26860	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26862	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26862	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26862	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26862	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26862	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26862	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26862	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26862	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26862	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26862	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26862	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26862	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26862	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26862	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26862	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26862	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26910	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26910	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26910	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26910	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26910	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26910	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26910	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26910	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26910	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26910	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26910	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26910	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26910	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26910	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26910	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26910	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26951	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26951	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26951	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26951	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26951	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26951	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26951	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26951	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26951	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26951	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26951	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26951	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26951	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26951	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
26951	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26951	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26952	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26952	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26952	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26952	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26952	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26952	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26952	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26952	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26952	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26952	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26952	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26952	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26952	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26952	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26952	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
26952	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26990	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26990	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		600	090
26990	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		5	090
26990	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
26990	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
26990	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		30	090
26990	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		50	090
26990	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		5	090
26990	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		30	090
26990	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		10	090
26991	Aug03 5	Lab	SL146	tubed culture media	item	0.92	1	0	090
26991	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
26991	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
26991	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
26991	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
26991	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
26991	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
26991	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
26991	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
26991	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
26991	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
26991	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
26991	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
26991	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
26991	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	2	0	090
26991	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
26991	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
26991	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
26991	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
26992	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		30	090
26992	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		50	090
26992	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
26992	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
26992	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		10	090
26992	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		5	090
26992	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
26992	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		600	090
26992	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		5	090
26992	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		30	090
27000	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27000	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27001	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27001	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27003	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27003	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27005	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27005	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27006	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27006	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27025	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27025	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27027	CPT09 5	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
27027	CPT09 5	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46		1	090
27027	CPT09 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27027	CPT09 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27030	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27030	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27033	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27033	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27035	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27035	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27036	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
27036	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		3	090
27036	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
27036	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
27036	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		10	090
27036	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
27036	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27040	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
27040	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
27040	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	010
27040	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
27040	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
27040	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
27040	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
27040	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
27040	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
27040	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
27040	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
27040	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
27040	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
27040	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	5.99	1	0	010
27040	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	2.25	1	0	010
27040	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
27040	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
27040	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
27040	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
27041	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27041	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27043	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27043	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
27045	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27045	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27047	CPT10 rv	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
27047	CPT10 rv	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	8.29	0.5	0	090
27047	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
27047	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
27047	CPT10 rv	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
27047	CPT10 rv	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	090
27047	CPT10 rv	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	090
27047	CPT10 rv	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
27047	CPT10 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
27047	CPT10 rv	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
27047	CPT10 rv	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
27047	CPT10 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
27047	CPT10 rv	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
27047	CPT10 rv	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
27047	CPT10 rv	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
27047	CPT10 rv	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
27047	CPT10 rv	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
27047	CPT10 rv	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	090
27047	CPT10 rv	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	090
27047	CPT10 rv	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
27047	CPT10 rv	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
27047	CPT10 rv	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
27047	CPT10 rv	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	090
27047	CPT10 rv	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
27047	CPT10 rv	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
27047	CPT10 rv	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
27047	CPT10 rv	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	090
27047	CPT10 rv	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
27047	CPT10 rv	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
27047	CPT10 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
27047	CPT10 rv	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
27047	CPT10 rv	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
27047	CPT10 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
27048	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27048	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27049	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27049	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27050	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27050	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27052	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27052	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27054	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27054	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27057	CPT09 5	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
27057	CPT09 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27057	CPT09 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27057	CPT09 5	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46		1	090
27059	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27059	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27060	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27060	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27062	Apr08 ss	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27062	Apr08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27065	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27065	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27066	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27066	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27067	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27067	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27070	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
27070	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		50	090
27070	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27070	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		30	090
27070	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		10	090
27070	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		30	090
27070	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		5	090
27070	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27070	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		5	090
27070	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		600	090
27071	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		600	090
27071	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27071	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27071	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		10	090
27071	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
27071	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		30	090
27071	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		5	090
27071	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		50	090
27071	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		30	090
27071	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		5	090
27075	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27075	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27076	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27076	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27077	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27077	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27078	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27078	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27080	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27080	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27086	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
27086	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
27086	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
27086	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
27086	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
27086	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
27086	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
27086	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
27086	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
27086	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
27086	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
27086	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
27086	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
27086	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
27086	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
27086	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	2.25	1	0	010
27086	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	5.99	1	0	010
27086	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
27086	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
27086	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
27086	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
27086	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
27087	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27087	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27090	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27090	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27091	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27091	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27093	Mar04 R	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	29.39	1	0	000
27093	Mar04 R	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
27093	Mar04 R	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
27093	Mar04 R	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
27093	Mar04 R	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
27093	Mar04 R	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
27095	Mar04 R	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
27095	Mar04 R	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	29.39	1	0	000
27095	Mar04 R	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
27095	Mar04 R	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
27095	Mar04 R	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
27095	Mar04 R	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
27095	Mar04 R	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	000
27096	CPT12 May 4	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
27096	CPT12 May 4	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
27096	CPT12 May 4	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
27096	CPT12 May 4	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
27096	CPT12 May 4	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
27096	CPT12 May 4	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	5	0	000
27097	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27097	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27098	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27098	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27100	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27100	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27105	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27105	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27110	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27110	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27111	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27111	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27120	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27120	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27122	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27122	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27125	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27125	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27130	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27130	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27132	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27132	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27134	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27134	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27137	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27137	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27138	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27138	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27140	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27140	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27146	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27146	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27147	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27147	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27151	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27151	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27156	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27156	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27158	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27158	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27161	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27161	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27165	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27165	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27170	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27170	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27175	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27176	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27176	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27177	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27177	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27178	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27178	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27179	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27179	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27181	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27181	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27185	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27185	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27187	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27187	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27197	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	000
27198	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2.5	1.5	090
27202	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27202	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
27215	CPT09 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27215	CPT09 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27216	CPT09 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27216	CPT09 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27217	CPT09 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27217	CPT09 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27218	CPT09 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27218	CPT09 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27220	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
27222	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27222	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27226	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27226	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27227	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27227	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27228	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27228	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27230	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
27232	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
27235	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27235	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27236	CPT14 Nov 1	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27236	CPT14 Nov 1	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27238	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27240	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27244	Oct08 hi	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27244	Oct08 hi	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27245	Oct08 hi	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27245	Oct08 hi	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27246	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
27248	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27248	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27252	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27253	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27253	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27254	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27254	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27256	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
27257	Mar03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
27258	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27258	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27259	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27259	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27265	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27266	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27267	CPT08 12	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27268	CPT08 12	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27269	CPT08 12	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27269	CPT08 12	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27275	Mar03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
27279	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27279	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27280	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27280	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27282	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27282	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27284	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27284	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27286	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27286	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27290	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
27290	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27295	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27295	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27301	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
27301	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
27301	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
27301	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
27301	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
27301	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
27301	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
27301	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
27301	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
27301	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
27301	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
27301	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
27301	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
27301	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
27301	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
27301	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
27301	Aug03 5	Lab	SL146	tubed culture media	item	0.92	1	0	090
27301	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
27301	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
27301	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
27303	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27303	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27305	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27305	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27306	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27306	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27307	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27307	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27310	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27310	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27323	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
27323	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
27323	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
27323	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
27323	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	5.99	1	0	010
27323	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
27323	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
27323	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
27323	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
27323	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
27323	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
27323	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
27323	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
27323	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
27323	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	2.25	1	0	010
27323	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
27323	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
27323	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
27324	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27324	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27325	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27325	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27325	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
27326	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27326	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27326	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
27327	CPT10 rv	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
27327	CPT10 rv	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27327	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
27327	CPT10 rv	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
27327	CPT10 rv	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	090
27327	CPT10 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
27327	CPT10 rv	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
27327	CPT10 rv	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
27327	CPT10 rv	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
27327	CPT10 rv	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	090
27327	CPT10 rv	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
27327	CPT10 rv	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
27327	CPT10 rv	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	8.29	0.5	0	090
27327	CPT10 rv	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
27327	CPT10 rv	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
27327	CPT10 rv	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
27327	CPT10 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
27327	CPT10 rv	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
27327	CPT10 rv	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
27327	CPT10 rv	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	090
27327	CPT10 rv	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	090
27327	CPT10 rv	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
27327	CPT10 rv	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
27327	CPT10 rv	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
27327	CPT10 rv	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
27327	CPT10 rv	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
27327	CPT10 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
27327	CPT10 rv	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
27327	CPT10 rv	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
27327	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
27327	CPT10 rv	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	090
27327	CPT10 rv	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
27327	CPT10 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
27327	CPT10 rv	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
27327	CPT10 rv	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
27327	CPT10 rv	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
27327	CPT10 rv	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
27328	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27328	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27329	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27329	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27330	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27330	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27331	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27331	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27332	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27332	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27333	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27333	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27334	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27334	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27335	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27335	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27337	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
27337	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27339	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27339	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27340	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27340	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27345	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27345	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27347	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27347	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27350	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27350	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27355	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27355	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27356	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27356	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27357	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27357	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27360	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		30	090
27360	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		5	090
27360	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		50	090
27360	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		600	090
27360	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		30	090
27360	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
27360	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		10	090
27360	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27360	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27360	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		5	090
27364	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27364	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27365	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27365	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27369	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
27369	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	000
27369	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
27369	RUC	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	29.39	1	0	000
27369	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
27369	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1	0	000
27372	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
27372	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
27372	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
27372	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
27372	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
27372	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
27372	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
27372	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
27372	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
27372	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
27372	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
27372	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
27372	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
27372	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
27372	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
27372	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
27372	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
27372	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
27372	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
27372	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
27372	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
27372	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
27372	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
27380	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		5	090
27380	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27380	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27380	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
27380	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		2	090
27380	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		30	090
27380	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		5	090
27380	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
27380	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
27380	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
27380	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
27381	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
27381	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
27381	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27381	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27381	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		5	090
27381	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
27381	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
27381	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		30	090
27381	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		5	090
27381	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		2	090
27381	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
27385	CPT12 5 Year	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
27385	CPT12 5 Year	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
27385	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27385	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27385	CPT12 5 Year	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		5	090
27385	CPT12 5 Year	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
27385	CPT12 5 Year	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		274	090
27385	CPT12 5 Year	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		21	090
27385	CPT12 5 Year	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		34	090
27385	CPT12 5 Year	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
27385	CPT12 5 Year	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		2	090
27386	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
27386	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
27386	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27386	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27386	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		5	090
27386	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		2	090
27386	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
27386	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		30	090
27386	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		5	090
27386	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
27386	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
27390	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27390	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27391	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27391	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27392	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27392	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27393	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27393	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27394	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27394	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27395	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27395	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27396	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27396	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27397	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27397	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27400	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27400	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27403	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27403	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27403	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		3	090
27405	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27405	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27407	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27407	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27409	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27409	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27412	CPT05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
27412	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27415	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27415	CPT05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
27416	CPT08 14	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
27416	CPT08 14	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27418	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27418	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27420	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27420	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27422	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27422	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27424	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27424	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27425	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27425	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27427	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27427	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27428	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27428	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27429	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27429	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
27430	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27430	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27435	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27435	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27437	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27437	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27438	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27438	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27440	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27440	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27441	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27441	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27442	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27442	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27443	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27443	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27445	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27445	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27446	CPT14 Mar 2	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27446	CPT14 Mar 2	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27447	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27447	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27448	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27448	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27450	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27450	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27454	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27454	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27455	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
27455	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
27455	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
27455	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
27455	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		2	090
27455	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
27455	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27455	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27457	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27457	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27465	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27465	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27466	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27466	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27468	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27468	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27470	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27470	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27472	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27472	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27475	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27475	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27477	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27477	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27479	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27479	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27485	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27485	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27486	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27486	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27487	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27487	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27488	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27488	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27495	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27495	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27496	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27496	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27497	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27497	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27498	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27498	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27499	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27499	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27500	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27500	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27500	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
27501	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27501	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27501	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27501	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
27502	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27503	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27506	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27506	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27507	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27507	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27508	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27508	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	4	090
27508	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27508	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27509	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		30	090
27509	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		18	090
27509	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		3	090
27509	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27509	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27509	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
27509	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		360	090
27509	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
27509	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
27510	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27511	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27511	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27513	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27513	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27514	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27514	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27516	Aug03 5	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27516	Aug03 5	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27516	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5.5	4.5	090
27516	Aug03 5	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27517	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4.5	090
27519	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27519	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27520	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27520	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	3.5	090
27520	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27520	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27524	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27524	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27530	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27530	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27530	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27530	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	4	090
27532	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27532	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
27532	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27532	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27535	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27535	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27536	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27536	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27538	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27538	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27538	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27538	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5.5	4.5	090
27540	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27540	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27550	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27550	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27550	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27550	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5.5	4.5	090
27552	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27556	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27556	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27557	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27557	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27558	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27558	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27560	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
27560	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27560	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27560	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27562	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27566	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27566	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27570	Mar03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
27580	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
27580	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		40	090
27580	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		480	090
27580	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
27580	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		24	090
27580	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
27580	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27580	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27580	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
27580	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		4	090
27590	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27590	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27591	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27591	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27592	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27592	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27594	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27594	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27596	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27596	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27598	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27598	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27600	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27600	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27601	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27601	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27602	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27602	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27603	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
27603	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
27603	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
27603	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
27603	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
27603	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
27603	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
27603	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
27603	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
27603	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
27603	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
27603	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
27603	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
27603	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
27603	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
27603	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
27603	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
27603	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
27603	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
27604	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
27604	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
27604	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
27604	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
27604	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
27604	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
27604	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
27604	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
27604	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
27604	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
27604	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
27604	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
27604	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
27604	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
27604	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
27604	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
27604	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
27604	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
27604	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
27605	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
27605	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
27605	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
27605	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
27605	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
27605	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
27605	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
27605	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	010
27605	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	010
27605	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
27605	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
27605	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
27605	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
27605	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
27605	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
27605	CMS	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	1.14	3	0	010
27605	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
27605	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	0.78	3	0	010
27605	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
27605	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
27605	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	3	0	010
27605	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	108	0	010
27606	Mar03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	010
27606	Mar03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
27607	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27607	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27610	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27610	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27612	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27612	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27613	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
27613	RUC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	2.25	1	0	010
27613	RUC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	5.99	1	0	010
27613	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
27613	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
27613	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
27613	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
27613	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
27613	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
27613	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
27613	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
27613	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
27613	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
27613	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
27613	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
27613	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
27613	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
27613	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
27614	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
27614	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
27614	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
27614	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
27614	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
27614	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
27614	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
27614	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
27614	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
27614	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
27614	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
27614	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
27614	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
27614	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
27614	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
27614	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
27614	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
27614	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
27614	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
27614	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
27614	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
27615	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27615	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27616	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27616	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27618	CPT10 rv	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
27618	CPT10 rv	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27618	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
27618	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
27618	CPT10 rv	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
27618	CPT10 rv	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
27618	CPT10 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
27618	CPT10 rv	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	090
27618	CPT10 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
27618	CPT10 rv	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
27618	CPT10 rv	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
27618	CPT10 rv	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	090
27618	CPT10 rv	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	8.29	0.5	0	090
27618	CPT10 rv	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
27618	CPT10 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
27618	CPT10 rv	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
27618	CPT10 rv	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
27618	CPT10 rv	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
27618	CPT10 rv	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	090
27618	CPT10 rv	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
27618	CPT10 rv	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
27618	CPT10 rv	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
27618	CPT10 rv	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	090
27618	CPT10 rv	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
27618	CPT10 rv	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
27618	CPT10 rv	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
27618	CPT10 rv	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
27618	CPT10 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
27618	CPT10 rv	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	090
27618	CPT10 rv	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
27618	CPT10 rv	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
27618	CPT10 rv	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
27618	CPT10 rv	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
27618	CPT10 rv	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
27618	CPT10 rv	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
27618	CPT10 rv	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
27618	CPT10 rv	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
27619	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27619	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27620	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27620	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27625	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27625	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27626	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27626	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27630	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
27630	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
27630	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
27630	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
27630	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
27630	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
27630	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
27630	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
27630	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
27630	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
27630	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
27630	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
27630	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
27630	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
27630	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
27630	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
27630	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
27630	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
27630	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
27630	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
27630	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
27630	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
27630	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
27632	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
27632	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27634	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27634	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27635	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27635	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27637	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27637	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27638	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27638	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27640	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27640	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27641	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27641	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27645	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27645	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27646	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27646	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27647	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27647	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27648	Jan04 7	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
27648	Jan04 7	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	29.39	1	0	000
27648	Jan04 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
27648	Jan04 7	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
27648	Jan04 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
27650	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27650	Feb08 ss	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27652	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27652	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27654	Apr08 ss	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27654	Apr08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27656	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
27656	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
27656	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
27656	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
27656	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
27656	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
27656	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
27656	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
27656	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
27656	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
27656	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
27656	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
27656	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
27656	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
27656	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
27656	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
27656	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
27656	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
27656	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
27656	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
27656	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
27656	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
27656	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
27658	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27658	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27659	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
27659	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27664	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27664	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27665	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27665	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
27675	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27675	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27676	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27676	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27680	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27680	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27681	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27681	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27685	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
27685	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
27685	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
27685	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
27685	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
27685	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
27685	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
27685	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
27685	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
27685	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
27685	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
27685	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
27685	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
27685	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
27685	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
27685	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
27685	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
27685	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
27685	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
27685	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
27685	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
27685	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
27685	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
27686	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27686	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
27687	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27687	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27690	Apr08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27690	Apr08 ss	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27691	Apr08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27691	Apr08 ss	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27695	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27695	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27696	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27696	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27698	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27698	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27700	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27700	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27702	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27702	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27703	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27703	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27704	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27704	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27705	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27705	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27707	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27707	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27709	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27709	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27712	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27712	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27715	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27715	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27720	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27720	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27722	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27722	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27724	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27724	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27725	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27725	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27726	CPT08 16	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27727	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27727	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27730	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27730	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27732	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27732	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27734	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27734	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27740	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27740	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27742	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27742	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27745	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27745	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27750	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27750	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	3.5	090
27750	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27750	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27752	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27752	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27752	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
27752	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27756	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27756	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27758	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27758	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27759	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27759	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27760	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27760	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	4	090
27760	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27760	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27762	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27762	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27762	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5.5	4.5	090
27762	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27766	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27766	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27767	CPT08 15	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27767	CPT08 15	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27767	CPT08 15	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
27768	CPT08 15	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27769	CPT08 15	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27769	CPT08 15	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
27780	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27780	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	3.5	090
27780	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27780	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27781	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27781	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
27781	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27781	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27784	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27784	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27786	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27786	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	3.5	090
27786	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27786	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27788	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27788	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27788	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
27788	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27792	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27792	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27808	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27808	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27808	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27808	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	4	090
27810	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
27810	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27810	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27810	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27814	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27814	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27816	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27816	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27816	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
27816	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27818	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27818	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
27818	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27818	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27822	CPT08 rv	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		8	090
27822	CPT08 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
27822	CPT08 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		12	090
27822	CPT08 rv	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06		16	090
27822	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27822	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27822	CPT08 rv	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		40	090
27822	CPT08 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
27822	CPT08 rv	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
27823	CPT08 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
27823	CPT08 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		12	090
27823	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27823	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27823	CPT08 rv	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06		16	090
27823	CPT08 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
27823	CPT08 rv	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
27823	CPT08 rv	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		40	090
27823	CPT08 rv	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		8	090
27824	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27824	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
27824	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27824	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
27824	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
27824	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27824	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
27825	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27825	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27825	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
27825	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
27825	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
27825	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
27825	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27826	CPT08 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		12	090
27826	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27826	CPT08 rv	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		8	090
27826	CPT08 rv	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06		16	090
27826	CPT08 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
27826	CPT08 rv	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		40	090
27826	CPT08 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
27826	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27826	CPT08 rv	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
27827	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27827	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27827	CPT08 rv	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06		16	090
27827	CPT08 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
27827	CPT08 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
27827	CPT08 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		12	090
27827	CPT08 rv	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		8	090
27827	CPT08 rv	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		40	090
27827	CPT08 rv	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
27828	CPT08 rv	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		8	090
27828	CPT08 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
27828	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27828	CPT08 rv	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
27828	CPT08 rv	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06		16	090
27828	CPT08 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		12	090
27828	CPT08 rv	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		40	090
27828	CPT08 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
27828	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27829	CPT08 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		9	090
27829	CPT08 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
27829	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27829	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27829	CPT08 rv	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		6	090
27829	CPT08 rv	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		6	090
27829	CPT08 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
27829	CPT08 rv	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		30	090
27829	CPT08 rv	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06		12	090
27830	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27830	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
27830	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27830	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27831	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27832	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27832	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27840	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27842	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27846	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27846	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27848	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27848	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27860	Mar03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
27870	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27870	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27871	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27871	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27880	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27880	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
27881	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27881	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27882	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27882	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27884	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27884	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27886	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27886	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27888	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27888	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27889	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
27889	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27892	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27892	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27893	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
27893	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
27894	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
27894	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28001	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
28001	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
28001	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
28001	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
28001	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
28001	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
28001	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
28001	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	000
28001	RUC	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	000
28001	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	000
28001	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	000
28001	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
28001	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
28001	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
28001	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	000
28001	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
28001	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
28001	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
28001	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
28001	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
28001	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
28001	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
28001	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
28001	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
28001	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
28002	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
28002	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
28002	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
28002	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
28002	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
28002	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
28002	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
28002	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
28002	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	000
28002	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	000
28002	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
28002	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
28002	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
28002	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	000
28002	RUC	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	000
28002	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
28002	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	000
28002	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
28002	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
28002	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
28002	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
28002	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
28002	RUC	"Wound Care, Dressings"	SG040	"dressing, 5in x 9in (Adaptic)"	item	1.04	1	0	000
28002	RUC	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78	1	0	000
28002	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
28002	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	000
28002	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
28002	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
28002	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
28003	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
28003	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
28003	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	000
28003	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
28003	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
28003	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
28003	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
28003	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	000
28003	RUC	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	000
28003	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	000
28003	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
28003	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
28003	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
28003	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
28003	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
28003	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
28003	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
28003	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
28003	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
28003	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
28003	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
28003	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
28003	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	000
28003	RUC	"Wound Care, Dressings"	SG040	"dressing, 5in x 9in (Adaptic)"	item	1.04	1	0	000
28003	RUC	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78	1	0	000
28003	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	000
28003	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
28003	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	000
28003	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
28005	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
28005	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
28005	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28005	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
28005	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
28008	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28008	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28008	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28008	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28008	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28008	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28008	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28008	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28008	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28008	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28008	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28008	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28008	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28008	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28008	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28008	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28008	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28008	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28008	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28010	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28010	Aug03 5	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	2.25	1	0	090
28010	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28010	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28010	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
28010	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28010	Aug03 5	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	5.99	1	0	090
28010	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
28010	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28010	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28011	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28011	Aug03 5	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	5.99	1	0	090
28011	Aug03 5	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	2.25	1	0	090
28011	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28011	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28011	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28011	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28011	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28011	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28011	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
28020	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28020	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28020	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28020	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28020	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28020	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28020	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28020	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28020	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28020	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28020	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28020	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28020	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28020	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28020	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28020	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28020	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28020	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28020	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28020	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28020	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28020	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28020	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28022	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28022	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28022	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28022	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28022	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28022	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28022	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28022	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28022	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28022	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28022	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28022	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28022	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28022	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28022	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28022	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28022	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28022	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28022	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28022	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28022	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28022	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28022	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28024	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28024	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28024	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28024	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28024	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28024	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28024	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28024	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28024	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28024	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28024	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28024	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28024	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28024	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28024	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28024	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28024	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28024	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28024	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28024	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28024	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28024	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28024	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28035	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28035	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28035	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28035	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28035	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28035	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28035	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28035	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28035	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28035	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28035	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28035	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28035	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28035	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28035	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28035	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28035	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28035	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28035	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28035	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28035	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28035	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28035	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28039	CPT10 27	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
28039	CPT10 27	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28039	CPT10 27	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28039	CPT10 27	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28039	CPT10 27	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	090
28039	CPT10 27	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
28039	CPT10 27	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
28039	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
28039	CPT10 27	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28039	CPT10 27	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	090
28039	CPT10 27	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
28039	CPT10 27	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
28039	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28039	CPT10 27	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28039	CPT10 27	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
28039	CPT10 27	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	16.85	1	0	090
28039	CPT10 27	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28039	CPT10 27	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28039	CPT10 27	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	090
28039	CPT10 27	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28039	CPT10 27	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28039	CPT10 27	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
28039	CPT10 27	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28039	CPT10 27	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
28039	CPT10 27	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	6	0	090
28039	CPT10 27	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28039	CPT10 27	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28039	CPT10 27	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
28039	CPT10 27	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
28039	CPT10 27	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
28039	CPT10 27	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28039	CPT10 27	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
28039	CPT10 27	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	090
28039	CPT10 27	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	6	0	090
28041	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28041	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
28043	CPT10 rv	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	16.85	1	0	090
28043	CPT10 rv	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28043	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
28043	CPT10 rv	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
28043	CPT10 rv	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	090
28043	CPT10 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
28043	CPT10 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
28043	CPT10 rv	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
28043	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28043	CPT10 rv	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
28043	CPT10 rv	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
28043	CPT10 rv	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	090
28043	CPT10 rv	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	4.5	0	090
28043	CPT10 rv	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28043	CPT10 rv	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28043	CPT10 rv	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
28043	CPT10 rv	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28043	CPT10 rv	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28043	CPT10 rv	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28043	CPT10 rv	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28043	CPT10 rv	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28043	CPT10 rv	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	090
28043	CPT10 rv	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28043	CPT10 rv	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	4.5	0	090
28043	CPT10 rv	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28043	CPT10 rv	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
28043	CPT10 rv	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
28043	CPT10 rv	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28043	CPT10 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28043	CPT10 rv	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28043	CPT10 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	090
28043	CPT10 rv	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
28043	CPT10 rv	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
28043	CPT10 rv	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
28045	CPT10 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
28045	CPT10 rv	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	090
28045	CPT10 rv	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28045	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28045	CPT10 rv	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
28045	CPT10 rv	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	090
28045	CPT10 rv	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
28045	CPT10 rv	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
28045	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28045	CPT10 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
28045	CPT10 rv	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
28045	CPT10 rv	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28045	CPT10 rv	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
28045	CPT10 rv	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	090
28045	CPT10 rv	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	16.85	1	0	090
28045	CPT10 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	090
28045	CPT10 rv	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28045	CPT10 rv	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
28045	CPT10 rv	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28045	CPT10 rv	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28045	CPT10 rv	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28045	CPT10 rv	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28045	CPT10 rv	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
28045	CPT10 rv	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28045	CPT10 rv	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
28045	CPT10 rv	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
28045	CPT10 rv	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
28045	CPT10 rv	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	6	0	090
28045	CPT10 rv	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	6	0	090
28045	CPT10 rv	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28045	CPT10 rv	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28045	CPT10 rv	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
28045	CPT10 rv	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28045	CPT10 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28046	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28046	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
28047	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28047	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
28050	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28050	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28050	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28050	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28050	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28050	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28050	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28050	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28050	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28050	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28050	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28050	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28050	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28050	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28050	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28050	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28050	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28050	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28050	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28050	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28050	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28050	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28050	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28052	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28052	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
28052	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28052	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28052	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28052	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28052	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28052	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28052	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28052	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28052	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28052	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28052	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28052	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28052	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28052	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28052	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28052	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28052	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28052	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28052	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28052	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28052	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28054	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28054	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28054	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28054	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28054	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28054	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28054	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28054	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28054	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28054	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28054	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28054	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28054	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28054	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28054	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28054	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28054	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28054	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28054	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28054	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28054	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28054	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28054	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
28055	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
28055	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28055	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
28060	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28060	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28060	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28060	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28060	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28060	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28060	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28060	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28060	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
28060	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28060	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28060	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28060	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28060	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28060	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28060	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28060	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28060	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28060	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28060	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28060	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28060	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28060	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28062	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28062	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28062	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28062	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28062	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
28062	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28062	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28062	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28062	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28062	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28062	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28062	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28062	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28062	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28062	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28062	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28062	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28062	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28062	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28062	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28062	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28062	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28062	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28070	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28070	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28070	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28070	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28070	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28070	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28070	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28070	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28070	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28070	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28070	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28070	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28070	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28070	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28070	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28070	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28070	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28070	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28070	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28070	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28070	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28070	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28070	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28072	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28072	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28072	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28072	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28072	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28072	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28072	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28072	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28072	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28072	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28072	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28072	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28072	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28072	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28072	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28072	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28072	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28072	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28072	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28072	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28072	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28072	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28072	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28080	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28080	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28080	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28080	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28080	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28080	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28080	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	6	5	090
28080	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28080	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28080	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28080	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28080	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28080	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28080	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28080	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28080	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28080	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28080	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28080	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28080	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28080	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28080	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28080	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28086	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28086	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28086	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28086	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28086	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28086	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28086	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28086	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28086	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28086	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28086	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28086	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28086	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28086	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28086	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28086	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28086	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28086	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28086	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28086	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28086	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28086	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28086	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28088	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28088	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
28088	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28088	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28088	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28088	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28088	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28088	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28088	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28088	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28088	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28088	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28088	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28088	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28088	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28088	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28088	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28088	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28088	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28088	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28088	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28088	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28088	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28090	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28090	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28090	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28090	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28090	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28090	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28090	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28090	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28090	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28090	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28090	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28090	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28090	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28090	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28090	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28090	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28090	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28090	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28090	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28090	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28090	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28090	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28090	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28092	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28092	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28092	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28092	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28092	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28092	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28092	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28092	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28092	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28092	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28092	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28092	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28092	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28092	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28092	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28092	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28092	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28092	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28092	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28092	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28092	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28092	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28092	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28100	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28100	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28100	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28100	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28100	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28100	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28100	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28100	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28100	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
28100	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28100	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28100	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28100	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28100	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28100	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28100	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28100	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28100	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28100	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28100	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28100	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28100	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28100	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28102	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
28102	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28103	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
28103	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28104	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28104	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28104	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28104	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28104	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28104	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28104	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28104	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28104	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28104	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28104	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28104	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28104	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28104	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28104	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28104	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28104	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28104	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28104	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28104	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28104	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28104	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28104	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28106	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
28106	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28107	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28107	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28107	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28107	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28107	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28107	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28107	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28107	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
28107	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28107	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28107	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28107	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28107	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28107	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28107	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28107	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28107	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28107	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28107	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28107	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28107	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28107	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28107	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28108	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28108	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28108	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28108	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28108	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28108	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28108	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28108	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28108	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28108	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28108	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28108	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28108	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28108	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28108	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28108	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28108	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28108	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28108	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28108	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28108	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28108	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28108	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28110	Aug03 5	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28110	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28110	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28110	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28110	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28110	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28110	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28110	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28110	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28110	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28110	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28110	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28110	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28110	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28110	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28110	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28110	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28110	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28110	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28110	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28110	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28110	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28110	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28110	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28111	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28111	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28111	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28111	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28111	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28111	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28111	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28111	Aug03 5	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28111	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28111	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28111	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28111	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28111	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28111	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28111	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28111	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28111	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28111	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28111	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28111	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28111	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28111	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28111	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28111	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28112	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28112	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28112	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28112	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28112	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28112	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28112	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28112	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28112	Aug03 5	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28112	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28112	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28112	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28112	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28112	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28112	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28112	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28112	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28112	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28112	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28112	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28112	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28112	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28112	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28112	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28113	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28113	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	6	5	090
28113	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28113	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28113	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28113	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28113	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28113	Aug03 5	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28113	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28113	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28113	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28113	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28113	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28113	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28113	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28113	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28113	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28113	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28113	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28113	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28113	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28113	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28113	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28113	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28114	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28114	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28114	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28114	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	7	6	090
28114	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28114	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28114	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28114	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28114	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28114	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28114	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28114	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28114	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28114	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28114	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28114	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28114	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28114	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28114	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28114	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28114	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28114	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28114	Aug03 5	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28114	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28116	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28116	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28116	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28116	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28116	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28116	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28116	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28116	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28116	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28116	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28116	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28116	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28116	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28116	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
28116	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28116	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28116	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28116	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28116	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28116	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28116	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28116	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28116	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28118	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28118	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28118	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28118	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28118	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28118	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28118	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
28118	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28118	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28118	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28118	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28118	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28118	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28118	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28118	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28118	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28118	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28118	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28118	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28118	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28118	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28118	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28118	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28119	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28119	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
28119	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28119	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28119	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28119	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28119	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28119	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28119	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28119	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28119	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28119	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28119	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28119	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28119	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28119	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28119	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28119	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28119	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28119	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28119	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28119	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28119	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28120	CPT10 mv	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28120	CPT10 mv	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28120	CPT10 mv	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28120	CPT10 mv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
28120	CPT10 mv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28120	CPT10 mv	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28120	CPT10 mv	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28120	CPT10 mv	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28120	CPT10 mv	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28120	CPT10 mv	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28120	CPT10 mv	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28120	CPT10 mv	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28120	CPT10 mv	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28120	CPT10 mv	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28120	CPT10 mv	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28120	CPT10 mv	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28120	CPT10 mv	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28120	CPT10 mv	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28120	CPT10 mv	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28120	CPT10 mv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28120	CPT10 mv	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28120	CPT10 mv	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28120	CPT10 mv	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28122	CPT12 5 Year	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28122	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
28122	CPT12 5 Year	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28122	CPT12 5 Year	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28122	CPT12 5 Year	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28122	CPT12 5 Year	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28122	CPT12 5 Year	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28122	CPT12 5 Year	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28122	CPT12 5 Year	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28122	CPT12 5 Year	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28122	CPT12 5 Year	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28122	CPT12 5 Year	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28122	CPT12 5 Year	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28122	CPT12 5 Year	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28122	CPT12 5 Year	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28122	CPT12 5 Year	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28122	CPT12 5 Year	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28122	CPT12 5 Year	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28122	CPT12 5 Year	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28122	CPT12 5 Year	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28122	CPT12 5 Year	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28122	CPT12 5 Year	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28122	CPT12 5 Year	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28124	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28124	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
28124	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28124	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28124	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28124	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28124	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28124	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28124	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28124	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28124	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28124	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28124	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28124	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28124	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28124	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28124	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28124	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28124	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28124	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28124	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28124	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28124	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28126	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28126	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28126	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28126	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28126	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28126	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28126	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
28126	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28126	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28126	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28126	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28126	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28126	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28126	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28126	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28126	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28126	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28126	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28126	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28126	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28126	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28126	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28126	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28130	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
28130	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28140	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28140	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28140	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28140	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28140	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28140	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28140	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28140	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28140	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28140	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28140	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
28140	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28140	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28140	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28140	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28140	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28140	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28140	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28140	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28140	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28140	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28140	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28140	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28150	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28150	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28150	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28150	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28150	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28150	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28150	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28150	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28150	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28150	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28150	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28150	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28150	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28150	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28150	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28150	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28150	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28150	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28150	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28150	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28150	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28150	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28150	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28153	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28153	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28153	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28153	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28153	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28153	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28153	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28153	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28153	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28153	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28153	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28153	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28153	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28153	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28153	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28153	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28153	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28153	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28153	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28153	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28153	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28153	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28153	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28160	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28160	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28160	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28160	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28160	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28160	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28160	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28160	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28160	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28160	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28160	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28160	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28160	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28160	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28160	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28160	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28160	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28160	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28160	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28160	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28160	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28160	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28160	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28171	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28171	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
28173	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
28173	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28175	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28175	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
28190	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
28190	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
28190	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
28190	RUC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	010
28190	RUC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	5.99	1	0	010
28190	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
28190	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
28190	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
28190	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
28190	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
28190	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
28190	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
28190	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	010
28190	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
28190	RUC	"Wound Care, Dressings"	SG040	"dressing, 5in x 9in (Adaptic)"	item	1.04	1	0	010
28190	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
28190	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
28190	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
28190	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
28190	RUC	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	6.17	1	0	010
28190	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
28192	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28192	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28192	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28192	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28192	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28192	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28192	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28192	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28192	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28192	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28192	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28192	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28192	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28192	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28192	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28192	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28192	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28192	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28192	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28192	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28192	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28192	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28192	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28193	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28193	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28193	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28193	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28193	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28193	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28193	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28193	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28193	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28193	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28193	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28193	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28193	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28193	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28193	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
28193	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28193	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28193	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28193	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28193	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28193	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28193	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28193	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28200	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28200	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28200	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28200	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28200	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28200	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28200	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28200	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28200	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28200	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28200	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28200	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28200	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28200	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28200	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28200	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28200	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28200	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28200	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28200	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28200	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28200	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28200	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28202	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28202	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28202	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
28202	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28202	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28202	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28202	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28202	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28202	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28202	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28202	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28202	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28202	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28202	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28202	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28202	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28202	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28202	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28202	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28202	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28202	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28202	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28202	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28208	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28208	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28208	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28208	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28208	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28208	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28208	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28208	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28208	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28208	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28208	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28208	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28208	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28208	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28208	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28208	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28208	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28208	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28208	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28208	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28208	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28208	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28208	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28210	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
28210	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28210	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28210	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28210	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28210	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28210	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28210	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28210	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28210	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28210	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28210	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28210	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28210	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28210	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28210	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28210	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28210	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28210	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28210	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28210	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28210	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28210	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28220	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28220	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28220	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28220	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28220	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28220	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28220	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28220	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28220	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28220	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28220	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28220	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28220	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28220	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28220	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28220	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28220	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28220	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28220	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28220	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28220	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28220	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28220	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28222	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28222	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28222	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28222	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28222	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28222	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28222	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28222	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28222	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28222	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28222	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28222	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28222	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28222	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28222	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28222	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28222	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28222	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28222	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28222	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28222	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28222	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28222	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28225	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28225	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28225	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28225	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28225	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28225	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28225	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28225	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28225	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28225	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28225	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28225	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28225	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
28225	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28225	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28225	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28225	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28225	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28225	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28225	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28225	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28225	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28225	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28226	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28226	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28226	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28226	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28226	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28226	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28226	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28226	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28226	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28226	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28226	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28226	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28226	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28226	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28226	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28226	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28226	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28226	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28226	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28226	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28226	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28226	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28226	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28230	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28230	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
28230	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28230	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28230	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28230	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28230	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28230	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28230	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28230	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28230	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28230	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28230	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28230	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28230	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28230	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28230	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28230	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28230	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28230	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28230	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28230	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28230	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28232	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28232	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28232	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28232	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28232	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28232	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28232	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28232	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28232	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28232	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28232	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28232	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28232	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28232	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
28232	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28232	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28232	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28232	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28232	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28232	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28232	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28232	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28232	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28234	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28234	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28234	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28234	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28234	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28234	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28234	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28234	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28234	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28234	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28234	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28234	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28234	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28234	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
28234	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28234	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28234	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28234	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28234	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28234	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28234	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28234	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28234	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28238	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28238	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28238	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28238	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28238	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28238	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28238	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
28238	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28238	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28238	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28238	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28238	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28238	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28238	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28238	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28238	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28238	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28238	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28238	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28238	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28238	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28238	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28238	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28240	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28240	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28240	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28240	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28240	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28240	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28240	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28240	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
28240	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28240	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28240	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28240	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28240	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28240	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28240	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28240	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28240	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28240	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28240	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28240	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28240	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28240	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28240	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28250	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28250	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28250	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28250	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28250	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28250	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28250	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28250	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28250	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28250	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28250	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28250	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28250	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28250	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28250	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28250	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28250	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28250	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28250	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28250	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28250	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28250	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28250	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28260	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28260	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28260	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28260	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28260	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28260	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28260	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28260	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28260	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28260	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28260	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28260	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28260	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28260	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
28260	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28260	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28260	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28260	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28260	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28260	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28260	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28260	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28260	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28261	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28261	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28261	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28261	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28261	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28261	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28261	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28261	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28261	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28261	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
28261	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28261	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28261	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28261	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28261	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28261	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28261	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28261	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28261	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28261	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28261	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28261	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28261	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28262	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28262	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28262	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28262	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28262	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
28262	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28262	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28262	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28262	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28262	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28262	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28262	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28262	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28262	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28262	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28262	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28262	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28262	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28262	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28262	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28262	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28262	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28262	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28264	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28264	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28264	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
28264	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28264	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28264	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28264	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28264	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28264	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28264	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28264	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28264	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28264	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28264	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28264	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28264	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28264	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28264	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28264	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28264	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28264	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28264	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28264	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28270	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28270	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28270	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28270	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28270	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28270	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28270	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28270	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28270	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28270	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28270	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
28270	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28270	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28270	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28270	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28270	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28270	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28270	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28270	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28270	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28270	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28270	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28270	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28272	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28272	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28272	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28272	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28272	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28272	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28272	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28272	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28272	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
28272	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28272	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28272	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28272	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28272	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28272	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28272	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28272	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28272	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28272	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28272	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28272	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28272	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28272	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28280	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28280	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28280	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28280	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28280	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28280	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28280	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28280	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28280	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28280	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28280	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28280	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28280	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28280	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28280	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28280	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28280	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28280	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28280	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28280	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28280	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28280	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28280	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28285	CPT12 5 Year	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28285	CPT12 5 Year	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28285	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
28285	CPT12 5 Year	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28285	CPT12 5 Year	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28285	CPT12 5 Year	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28285	CPT12 5 Year	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28285	CPT12 5 Year	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28285	CPT12 5 Year	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28285	CPT12 5 Year	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28285	CPT12 5 Year	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28285	CPT12 5 Year	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28285	CPT12 5 Year	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28285	CPT12 5 Year	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28285	CPT12 5 Year	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28285	CPT12 5 Year	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28285	CPT12 5 Year	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28285	CPT12 5 Year	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28285	CPT12 5 Year	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28285	CPT12 5 Year	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28285	CPT12 5 Year	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28285	CPT12 5 Year	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28285	CPT12 5 Year	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28286	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28286	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28286	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28286	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28286	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28286	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28286	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28286	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28286	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28286	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28286	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28286	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28286	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28286	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28286	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28286	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28286	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28286	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28286	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28286	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28286	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28286	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28286	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28288	Aug03 5	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28288	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28288	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28288	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28288	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	6	5	090
28288	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28288	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28288	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28288	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28288	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28288	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28288	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28288	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28288	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28288	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28288	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28288	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28288	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28288	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28288	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28288	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28288	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28288	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28288	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28289	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28289	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28289	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28289	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28289	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28289	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28289	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	090
28289	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28289	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28289	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28289	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
28289	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	090
28289	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28289	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	090
28289	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28289	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
28289	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
28289	RUC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28289	RUC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28289	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28289	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28289	RUC	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	5.13	1	0	090
28289	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28289	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28289	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
28289	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
28289	RUC	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	16.85	1	0	090
28289	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
28289	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
28289	RUC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28289	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28289	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28291	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
28291	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
28291	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	000
28291	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
28291	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	000
28291	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	000
28291	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	000
28291	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
28291	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
28291	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
28291	RUC	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	16.85	1	0	000
28291	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
28291	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
28291	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	000
28291	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	000
28291	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	000
28291	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
28291	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
28291	RUC	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	5.13	1	0	000
28291	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	000
28291	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
28291	RUC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	000
28291	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
28291	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
28291	RUC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	000
28291	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
28291	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	000
28291	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
28291	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
28291	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
28291	RUC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	000
28291	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	000
28292	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28292	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28292	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	090
28292	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28292	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28292	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28292	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28292	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28292	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
28292	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28292	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	090
28292	RUC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28292	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28292	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	090
28292	RUC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28292	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
28292	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	6	5	090
28292	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28292	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
28292	RUC	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	16.85	1	0	090
28292	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
28292	RUC	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	5.13	1	0	090
28292	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28292	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28292	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
28292	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28292	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28292	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28292	RUC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28292	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28292	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28292	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
28295	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28295	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28295	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28295	RUC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28295	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28295	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28295	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
28295	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	6	5	090
28295	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28295	RUC	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	73.66	2	0	090
28295	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28295	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28295	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28295	RUC	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	5.13	1	0	090
28295	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
28295	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28295	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28295	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28295	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	090
28295	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
28295	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	090
28295	RUC	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	16.85	1	0	090
28295	RUC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28295	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
28295	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28295	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
28295	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	090
28295	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28295	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28295	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28295	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28295	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
28295	RUC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28296	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28296	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
28296	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28296	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
28296	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28296	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28296	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28296	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28296	RUC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28296	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28296	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28296	RUC	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	5.13	1	0	090
28296	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
28296	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
28296	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	090
28296	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28296	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	6	5	090
28296	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
28296	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28296	RUC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28296	RUC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28296	RUC	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	73.66	2	0	090
28296	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
28296	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	090
28296	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28296	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28296	RUC	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	16.85	1	0	090
28296	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28296	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28296	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28296	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28296	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28296	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	090
28297	RUC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28297	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28297	RUC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28297	RUC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28297	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
28297	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28297	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
28297	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28297	RUC	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	73.66	2	0	090
28297	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28297	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28297	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28297	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28297	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28297	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28297	RUC	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	5.13	1	0	090
28297	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
28297	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28297	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	6	5	090
28297	RUC	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	16.85	1	0	090
28297	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28297	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28297	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28297	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	090
28297	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	090
28297	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	090
28297	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28297	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
28297	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
28297	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28297	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28297	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
28297	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28298	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28298	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28298	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	090
28298	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
28298	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28298	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
28298	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28298	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
28298	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28298	RUC	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	16.85	1	0	090
28298	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28298	RUC	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	73.66	1	0	090
28298	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28298	RUC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28298	RUC	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	5.13	1	0	090
28298	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
28298	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28298	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28298	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28298	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	090
28298	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28298	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28298	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28298	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28298	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
28298	RUC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28298	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28298	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	090
28298	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
28298	RUC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28298	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
28298	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28298	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28299	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	6	5	090
28299	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28299	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28299	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	3	0	090
28299	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28299	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
28299	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28299	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	090
28299	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28299	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28299	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28299	RUC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28299	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
28299	RUC	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	73.66	2	0	090
28299	RUC	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	16.85	1	0	090
28299	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
28299	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28299	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28299	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
28299	RUC	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	5.13	1	0	090
28299	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28299	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
28299	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	090
28299	RUC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28299	RUC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28299	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28299	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28299	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	090
28299	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28299	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28299	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28299	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28299	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
28300	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
28300	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28302	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
28302	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28304	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28304	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28304	Aug03 5	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28304	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28304	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28304	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28304	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28304	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28304	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28304	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28304	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28304	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
28304	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28304	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28304	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28304	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28304	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28304	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28304	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28304	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28304	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28304	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28304	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28304	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28304	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28305	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28305	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4.5	090
28306	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28306	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28306	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28306	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28306	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28306	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28306	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28306	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28306	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28306	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28306	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28306	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28306	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28306	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28306	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28306	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28306	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28306	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28306	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28306	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28306	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28306	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28306	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28306	Aug03 5	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28306	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28307	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28307	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28307	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28307	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28307	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28307	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28307	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28307	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28307	Aug03 5	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28307	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28307	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28307	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28307	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28307	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
28307	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28307	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28307	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28307	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28307	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28307	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28307	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28307	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28307	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28307	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28307	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28308	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28308	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28308	Aug03 5	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28308	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28308	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28308	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28308	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28308	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28308	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
28308	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28308	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28308	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28308	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28308	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28308	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28308	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28308	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28308	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28308	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28308	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28308	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28308	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28308	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28308	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28308	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28309	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
28309	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28310	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28310	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28310	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28310	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28310	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28310	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28310	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28310	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28310	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28310	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28310	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28310	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28310	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28310	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28310	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28310	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28310	Aug03 5	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28310	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28310	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28310	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28310	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28310	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28310	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28310	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28310	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28312	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28312	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28312	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28312	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28312	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28312	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28312	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28312	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28312	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28312	Aug03 5	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28312	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28312	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28312	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28312	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28312	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28312	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28312	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28312	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28312	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28312	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28312	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28312	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28312	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28312	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28312	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28313	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28313	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28313	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28313	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28313	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28313	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28313	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28313	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28313	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28313	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28313	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28313	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28313	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28313	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28313	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28313	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28313	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28313	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28313	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28313	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28313	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28313	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28313	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28313	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28315	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28315	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28315	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28315	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28315	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28315	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28315	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28315	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28315	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28315	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28315	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28315	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28315	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28315	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28315	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28315	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28315	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28315	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28315	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28315	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28315	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28315	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28315	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28315	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28320	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
28320	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28322	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28322	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
28322	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28322	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28322	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28322	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28322	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28322	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28322	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28322	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28322	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28322	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28322	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28322	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28322	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28322	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28322	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28322	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28322	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28322	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28322	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28322	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28322	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28322	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28340	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28340	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
28340	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28340	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28340	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28340	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28340	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28340	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28340	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28340	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28340	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28340	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28340	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28340	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28340	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28340	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28340	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28340	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28340	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28340	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28340	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28340	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28340	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28340	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28341	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28341	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28341	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28341	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28341	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28341	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28341	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28341	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28341	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28341	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
28341	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28341	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28341	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28341	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28341	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28341	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28341	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28341	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28341	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28341	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28341	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28341	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28341	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28341	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28344	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28344	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28344	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28344	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28344	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28344	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28344	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28344	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28344	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28344	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28344	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28344	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28344	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28344	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28344	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28344	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28344	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28344	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28344	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28344	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28344	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28344	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28344	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28344	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28345	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28345	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
28345	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28345	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28345	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28345	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28345	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28345	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28345	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28345	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28345	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28345	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28345	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28345	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28345	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28345	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28345	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28345	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28345	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28345	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28345	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28345	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28345	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28345	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28360	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
28360	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		4	090
28360	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
28360	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		8	090
28360	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
28400	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28400	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28400	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	3	090
28400	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28405	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28405	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28405	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
28405	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28406	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		76	090
28406	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		1	090
28406	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
28406	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28406	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
28406	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		1	090
28406	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		2	090
28406	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
28415	CPT08 rv	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		8	090
28415	CPT08 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
28415	CPT08 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		12	090
28415	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
28415	CPT08 rv	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06		16	090
28415	CPT08 rv	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
28415	CPT08 rv	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		40	090
28415	CPT08 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
28415	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28420	CPT08 rv	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		8	090
28420	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
28420	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28420	CPT08 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
28420	CPT08 rv	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		40	090
28420	CPT08 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		12	090
28420	CPT08 rv	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
28420	CPT08 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
28420	CPT08 rv	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06		16	090
28430	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
28430	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28430	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28430	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28435	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28435	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28435	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28435	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28435	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28435	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28435	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28436	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
28436	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
28436	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		1	090
28436	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		1	090
28436	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28436	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
28436	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		76	090
28436	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		2	090
28445	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
28445	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
28446	CPT08 18	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
28446	CPT08 18	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28450	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28450	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28450	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2.5	2.5	090
28450	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28455	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28455	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28455	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28455	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28455	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28455	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28455	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28455	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28456	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		76	090
28456	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28456	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
28456	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		1	090
28456	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		2	090
28456	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
28456	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		1	090
28456	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
28465	CPT08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		6	090
28465	CPT08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
28465	CPT08	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		9	090
28465	CPT08	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		30	090
28465	CPT08	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		6	090
28465	CPT08	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
28465	CPT08	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06		12	090
28465	CPT08	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28465	CPT08	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
28470	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28470	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28470	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28470	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	3	090
28475	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28475	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28475	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
28475	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28475	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28475	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28475	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28476	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
28476	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
28476	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		1	090
28476	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		1	090
28476	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		2	090
28476	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
28476	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		76	090
28476	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28485	CPT08	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
28485	CPT08	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		8	090
28485	CPT08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
28485	CPT08	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
28485	CPT08	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28485	CPT08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
28485	CPT08	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		40	090
28485	CPT08	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06		16	090
28485	CPT08	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		12	090
28490	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1.5	1.5	090
28490	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28490	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28490	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28495	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28495	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28495	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
28495	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28495	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28495	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28495	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28496	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28496	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28496	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28496	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28496	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28496	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28496	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28496	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28496	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28496	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28496	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28496	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28496	Aug03 5	"Cutters, Closures, Cautery"	SF042	"wire, Kirschner 7.5in"	item	6.73	1	0	090
28496	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28496	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28496	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28496	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28496	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28496	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28496	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28496	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28496	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28496	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28496	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28496	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28505	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28505	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28505	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28505	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28505	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28505	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28505	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28505	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28505	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28505	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28505	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28505	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28505	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28505	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28505	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28505	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28505	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28505	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28505	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28505	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28505	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
28505	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28505	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28505	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28510	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1.5	1.5	090
28510	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28510	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28515	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28515	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28515	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28515	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
28515	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28515	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28525	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28525	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28525	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28525	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28525	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28525	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28525	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28525	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28525	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
28525	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28525	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28525	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28525	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28525	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28525	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28525	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28525	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28525	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28525	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28525	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28525	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28525	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28525	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28525	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28530	Aug03 5	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28530	Aug03 5	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28530	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	090
28530	Aug03 5	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28531	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28531	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28531	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28531	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28531	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
28531	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28531	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28531	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28531	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28531	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28531	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28531	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28531	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28531	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28531	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28531	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28531	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28531	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28531	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28531	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28531	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28531	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28531	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28531	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28540	Aug03 5	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28540	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28540	Aug03 5	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28540	Aug03 5	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28545	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28545	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28545	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28545	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28545	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28545	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28545	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28546	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28546	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28546	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28546	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28546	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28546	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28546	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28546	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28546	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28546	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28546	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
28546	Aug03 5	"Cutters, Closures, Cautery"	SF042	"wire, Kirschner 7.5in"	item	6.73	1	0	090
28546	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28546	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28546	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28546	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28546	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28546	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28546	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28546	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28546	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28546	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28546	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28546	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28546	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28555	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28555	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28555	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28555	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28555	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28555	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28555	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28555	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28555	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28555	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
28555	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28555	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28555	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28555	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28555	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28555	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28555	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28555	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28555	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28555	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28555	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28555	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28555	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28555	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28570	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28570	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28570	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
28570	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28575	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
28575	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28575	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28575	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28575	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28575	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28575	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28585	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28585	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28585	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28585	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28585	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28585	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28585	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28585	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	6	5	090
28585	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28585	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28585	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28585	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28585	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28585	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28585	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28585	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28585	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28585	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28585	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28585	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28585	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28585	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28585	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28585	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28600	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28600	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
28600	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28605	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28605	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28605	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
28605	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28605	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28605	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28605	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28606	Aug03 5	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014		28	090
28615	CPT08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
28615	CPT08	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		6	090
28615	CPT08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		6	090
28615	CPT08	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		3	090
28615	CPT08	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
28615	CPT08	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
28615	CPT08	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		9	090
28615	CPT08	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		30	090
28615	CPT08	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06		12	090
28630	Mar03 6	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	1	010
28630	Mar03 6	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
28630	Mar03 6	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	0.78	3	0	010
28630	Mar03 6	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
28630	Mar03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
28630	Mar03 6	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	3	0	010
28635	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	0.78	3	0	010
28635	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
28635	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	1	010
28635	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	3	0	010
28635	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
28635	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
28635	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
28635	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
28635	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
28636	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	3	0	010
28636	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	108	0	010
28636	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
28636	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	5.99	1	0	010
28636	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
28636	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
28636	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
28636	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
28636	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
28636	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
28636	CMS	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	1.14	3	0	010
28636	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
28636	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	0.78	3	0	010
28636	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	2.25	1	0	010
28636	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
28636	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
28636	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
28645	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28645	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28645	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28645	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28645	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28645	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28645	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28645	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28645	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28645	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28645	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
28645	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28645	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28645	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28645	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28645	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28645	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28645	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28645	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28645	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28645	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28645	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28645	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28645	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28660	Mar03 6	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	010
28660	Mar03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
28660	Mar03 6	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	1	010
28660	Mar03 6	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
28665	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	1	010
28665	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
28665	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
28665	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
28665	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	010
28665	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
28665	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
28666		"Gown, Drape"	SB037	pillow case	item	0.47		1	010
28666		"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		2	010
28666		"Gown, Drape"	SB026	"gown, patient"	item	0.59		1	010
28666		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		2	010
28666		"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	010
28666		"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		1	010
28666		"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	010
28666		"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		1	010
28666		"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	010
28666		"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		76	010
28666		"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	010
28666		"Gown, Drape"	SB036	"paper, exam table"	foot	0.014		7	010
28666		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	010
28675	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28675	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28675	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28675	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28675	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28675	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28675	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28675	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28675	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28675	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28675	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
28675	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28675	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28675	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28675	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28675	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28675	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28675	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28675	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28675	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28675	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28675	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28675	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28675	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28705	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
28705	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28715	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
28715	CPT12 5 Year	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28725	CPT12	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
28725	CPT12	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28730	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28730	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
28735	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
28735	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28737	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28737	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
28740	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28740	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28740	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28740	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28740	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28740	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28740	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28740	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28740	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28740	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28740	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
28740	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28740	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28740	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28740	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28740	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28740	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28740	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28740	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28740	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28740	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28740	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28740	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28740	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28750	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28750	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28750	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28750	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
28750	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28750	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28750	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28750	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28750	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28750	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28750	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28750	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28750	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28750	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28750	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28750	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28750	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28750	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28750	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28750	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28750	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28750	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28750	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28750	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28755	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28755	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28755	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28755	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
28755	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28755	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28755	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28755	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28755	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28755	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28755	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28755	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28755	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28755	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28755	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28755	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28755	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28755	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28755	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28755	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28755	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28755	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28755	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28755	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28760	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
28760	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28760	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
28760	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28760	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
28760	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28760	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28760	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28760	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28760	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28760	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
28760	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28760	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28760	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28760	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28760	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28760	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28760	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28760	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28760	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28760	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28760	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28760	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	10.86	1	0	090
28760	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28800	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28800	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
28805	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
28805	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28810	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
28810	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
28820	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
28820	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
28820	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
28820	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	000
28820	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	000
28820	RUC	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	000
28820	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	000
28820	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
28820	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
28820	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
28820	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
28820	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
28820	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	000
28820	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
28820	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
28820	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
28820	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
28820	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	000
28820	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
28820	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
28820	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
28820	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	000
28820	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
28820	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
28820	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
28820	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
28820	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	000
28820	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
28820	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	000
28820	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
28825	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	000
28825	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
28825	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
28825	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
28825	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	000
28825	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
28825	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	000
28825	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
28825	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
28825	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
28825	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
28825	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	000
28825	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
28825	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
28825	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
28825	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
28825	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
28825	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	000
28825	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	000
28825	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
28825	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
28825	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
28825	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
28825	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	000
28825	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
28825	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
28825	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	000
28825	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
28825	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
28825	RUC	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	000
28890	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	5	0	090
28890	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28890	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
28890	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	090
28890	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
28890	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
28890	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
29000	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29000	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	7	1	000
29010	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	7	1	000
29010	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29015	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	7	1	000
29015	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29035	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29035	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	7	1	000
29040	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	7	1	000
29040	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29044	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29044	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	7	1	000
29046	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29046	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	7	1	000
29049	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29049	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29049	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
29055	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29055	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	7	1	000
29058	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29058	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29058	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
29065	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	1	000
29065	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29065	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29075	CPT13 MD Time	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	1	000
29075	CPT13 MD Time	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29075	CPT13 MD Time	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29085	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29085	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29085	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
29086		"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29086		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29086		"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	1	000
29105	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	000
29105	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
29105	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
29125	CPT12 5 Year	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29125	CPT12 5 Year	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29125	CPT12 5 Year	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	1	000
29126	CPT12 5 Year	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29126	CPT12 5 Year	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29126	CPT12 5 Year	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
29200	RUC	Infection Control	SM029	skin prep barrier wipes	item	0.2	2	0	000
29200	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
29200	RUC	"Wound Care, Dressings"	SG098	rigid strapping tape	inch	0.018	130	0	000
29200	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
29200	RUC	"Wound Care, Dressings"	SG097	foam underwrap	inch	0.02	130	0	000
29240	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
29240	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
29240	RUC	"Wound Care, Dressings"	SG097	foam underwrap	inch	0.02	80	0	000
29240	RUC	"Wound Care, Dressings"	SG098	rigid strapping tape	inch	0.018	80	0	000
29240	RUC	Infection Control	SM029	skin prep barrier wipes	item	0.2	2	0	000
29260	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
29260	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
29260	RUC	"Wound Care, Dressings"	SG098	rigid strapping tape	inch	0.018	45	0	000
29260	RUC	Infection Control	SM029	skin prep barrier wipes	item	0.2	1	0	000
29260	RUC	"Wound Care, Dressings"	SG097	foam underwrap	inch	0.02	45	0	000
29280	RUC	"Wound Care, Dressings"	SG098	rigid strapping tape	inch	0.018	30	0	000
29280	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
29280	RUC	"Wound Care, Dressings"	SG097	foam underwrap	inch	0.02	30	0	000
29280	RUC	Infection Control	SM029	skin prep barrier wipes	item	0.2	1	0	000
29280	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
29305	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
29305	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29305	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	7	1	000
29325	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29325	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	7	1	000
29325	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
29345	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29345	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
29345	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29355	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
29355	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29355	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29358	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
29358	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29358	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29365	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29365	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
29365	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29405	CPT12 5 Year	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29405	CPT12 5 Year	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	1	000
29405	CPT12 5 Year	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29425	CPT12 5 Year	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	1	000
29425	CPT12 5 Year	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29425	CPT12 5 Year	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29435	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29435	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29435	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
29440	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
29440	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	0	000
29440	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
29445	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	2	000
29445	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
29445	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
29445	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	1	000
29450	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29450	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	1	000
29505	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29505	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29505	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
29515	CPT12	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	1	000
29515	CPT12	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29515	CPT12	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29520	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
29520	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
29520	RUC	"Wound Care, Dressings"	SG097	foam underwrap	inch	0.02	175	0	000
29520	RUC	"Wound Care, Dressings"	SG098	rigid strapping tape	inch	0.018	175	0	000
29520	RUC	Infection Control	SM029	skin prep barrier wipes	item	0.2	2	0	000
29530	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
29530	RUC	"Wound Care, Dressings"	SG097	foam underwrap	inch	0.02	75	0	000
29530	RUC	"Wound Care, Dressings"	SG098	rigid strapping tape	inch	0.018	75	0	000
29530	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
29530	RUC	Infection Control	SM029	skin prep barrier wipes	item	0.2	2	0	000
29540	RUC	"Wound Care, Dressings"	SG001	"adherent, pre-tape spray"	oz	0.9	0.5	0	000
29540	RUC	"Wound Care, Dressings"	SG098	rigid strapping tape	inch	0.018	48	0	000
29540	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
29540	RUC	"Wound Care, Dressings"	SG097	foam underwrap	inch	0.02	24	0	000
29540	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
29550	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
29550	RUC	"Wound Care, Dressings"	SG097	foam underwrap	inch	0.02	10	0	000
29550	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1	0	000
29550	RUC	"Wound Care, Dressings"	SG001	"adherent, pre-tape spray"	oz	0.9	0.25	0	000
29550	RUC	"Wound Care, Dressings"	SG098	rigid strapping tape	inch	0.018	10	0	000
29550	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
29580	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
29580	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	2	0	000
29580	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	000
29580	RUC	"Wound Care, Dressings"	SG080	unna boot	item	5.44	1	0	000
29580	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
29580	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
29580	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
29580	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
29580	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
29580	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	000
29581	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
29581	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	000
29581	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
29581	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	2	0	000
29581	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
29581	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
29581	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
29581	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
29581	RUC	"Wound Care, Dressings"	SG096	Multi-layer compression system bandages	item	19.5	1	0	000
29581	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
29584	CMS	Infection Control	SM020	"lotion, antibacterial"	oz	0.26	1	0	000
29584	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
29584	CMS	"Wound Care, Dressings"	SG096	Multi-layer compression system bandages	item	19.5	2	0	000
29700	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
29700	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	1	000
29700	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	1	000
29705	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	1	000
29705	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	1	000
29705	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
29710	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	1	000
29710	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	1	000
29710	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
29720	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	0	000
29720	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
29720	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
29730	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
29730	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
29730	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
29740	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
29740	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	0	000
29740	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
29750	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
29750	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
29750	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	0	000
29800	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		3	090
29800	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29800	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
29804	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
29804	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
29804	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		4	090
29805	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29805	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29806	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
29806	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29807	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
29807	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29819	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29819	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
29820	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29820	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29821	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
29821	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29822	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
29822	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29823	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
29823	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29824	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
29824	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29825	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29825	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
29827	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29827	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
29828	CPT13 Mar 2	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
29828	CPT13 Mar 2	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
29830	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29830	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29834	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29834	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29835	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29835	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29836	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
29836	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29837	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29837	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29838	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
29838	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29840	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29840	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29843	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29843	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29844	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29844	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29845	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
29845	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29846	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29846	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29847	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29847	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29848	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29848	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29850	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29850	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29851	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29851	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
29855	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
29855	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29856	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
29856	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29860	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29860	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29861	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29861	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29862	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
29862	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29863	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29863	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
29866	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
29866	CPT05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
29867	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
29867	CPT05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
29868	CPT05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
29868	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
29870	Oct09	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
29870	Oct09	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
29870	Oct09	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	3	090
29870	Oct09	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	090
29870	Oct09	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
29870	Oct09	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	37.3	1	0	090
29870	Oct09	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
29870	Oct09	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
29870	Oct09	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
29870	Oct09	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
29870	Oct09	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	090
29870	Oct09	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
29870	Oct09	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
29870	Oct09	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
29870	Oct09	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
29870	Oct09	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
29870	Oct09	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
29870	Oct09	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
29871	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29871	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29873	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
29873	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29874	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29874	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29875	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29875	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29876	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29876	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29877	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29877	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29879	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29879	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29880	CPT12 May 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29880	CPT12 May 7	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
29881	CPT12 May 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29881	CPT12 May 7	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
29882	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29882	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29883	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29883	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
29884	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29884	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29885	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
29885	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29886	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29886	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29887	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
29887	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29888	Apr08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
29888	Apr08 ss	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29889	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
29889	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29891	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
29891	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29892	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
29892	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29893	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	5	0	090
29893	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	090
29893	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1	0	090
29893	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
29893	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
29893	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	090
29893	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
29893	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	7	6	090
29893	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
29893	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	3	0	090
29893	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
29893	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	090
29893	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
29893	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	3	0	090
29893	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
29893	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	090
29893	CMS	"Cutters, Closures, Cautery"	SF026	"endoscopic blade, surgical"	item	51.62	2	0	090
29893	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34	1	0	090
29893	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
29893	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	70	0	090
29893	CMS	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	090
29893	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	090
29893	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	090
29893	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	090
29893	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4	0	090
29893	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
29893	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	20	0	090
29893	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	1	0	090
29894	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29894	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29895	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29895	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29897	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29897	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29898	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
29898	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29899	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
29899	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29900	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
29900	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29901	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
29901	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29902	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
29902	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
29904	CPT08 20	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
29905	CPT08 20	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
29906	CPT08 20	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
29906	CPT08 20	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
29907	CPT08 20	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
29907	CPT08 20	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
29914	CPT11 1	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
29914	CPT11 1	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
29915	CPT11 1	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
29915	CPT11 1	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
29916	CPT11 1	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
29916	CPT11 1	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
30000	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
30000	Jan03	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	010
30000	Jan03	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	010
30000	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
30000	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
30000	Jan03	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
30000	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
30000	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
30000	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
30000	Jan03	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7	4	0	010
30000	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
30000	Jan03	"Wound Care, Dressings"	SG044	"dressing, Merocel nasal standard 4.5cm"	item	16.6	2	0	010
30000	Jan03	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
30000	Jan03	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
30000	Jan03	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
30000	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
30000	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	2	1	010
30000	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
30000	Jan03	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	010
30000	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	1	010
30020	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
30020	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
30020	Jan03	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	010
30020	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
30020	Jan03	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
30020	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
30020	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
30020	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
30020	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
30020	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
30020	Jan03	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
30020	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
30020	Jan03	"Wound Care, Dressings"	SG044	"dressing, Merocel nasal standard 4.5cm"	item	16.6	2	0	010
30020	Jan03	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7	4	0	010
30020	Jan03	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
30020	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	2	1	010
30020	Jan03	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	010
30020	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	1	010
30020	Jan03	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
30020	Jan03	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	010
30100	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
30100	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
30100	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
30100	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
30100	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
30100	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
30100	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
30100	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
30100	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
30100	Jan03	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
30100	Jan03	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7	4	0	000
30100	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	000
30100	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
30110	Jan03	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7	4	0	010
30110	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
30110	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
30110	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
30110	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
30110	Jan03	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	010
30110	Jan03	"Wound Care, Dressings"	SG044	"dressing, Merocel nasal standard 4.5cm"	item	16.6	1	0	010
30110	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
30110	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
30110	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	2	1	010
30110	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
30110	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	1	010
30110	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
30110	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
30115	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
30115	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
30115	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
30115	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
30115	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
30115	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
30115	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
30115	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
30115	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		2	090
30115	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
30115	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
30115	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
30115	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
30115	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		1	090
30115	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
30115	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
30115	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
30117	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	090
30117	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	090
30117	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	090
30117	CMS	"Cutters, Closures, Cautery"	SF028	laser tip (single use)	item	369.99	1	0	090
30117	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
30117	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	090
30117	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	4	090
30117	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
30117	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	090
30117	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	090
30117	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	6	4	090
30117	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
30117	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	090
30117	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	3	2	090
30117	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
30117	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
30117	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
30117	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
30117	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	3	2	090
30117	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
30117	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
30117	CMS	"Wound Care, Dressings"	SG044	"dressing, Merocel nasal standard 4.5cm"	item	16.6	1	0	090
30117	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	3	2	090
30117	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
30117	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
30118	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
30118	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
30118	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
30118	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
30118	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
30118	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
30118	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
30118	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
30118	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
30118	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
30118	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
30118	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
30118	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		1	090
30118	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
30118	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		7	090
30118	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
30118	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		2	090
30120	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	090
30120	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	2	090
30120	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
30120	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	3	2	090
30120	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
30120	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	090
30120	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
30120	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	5	0	090
30120	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
30120	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
30120	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	2	090
30120	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	2	090
30120	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
30120	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
30120	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	2	0	090
30120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
30120	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	3	2	090
30120	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
30120	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	6	4	090
30120	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
30124	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		1	090
30124	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	090
30124	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
30124	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
30124	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
30124	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
30124	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
30124	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		1	090
30124	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		1	090
30124	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		1	090
30124	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
30124	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
30124	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
30125	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
30125	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
30125	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
30125	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		3	090
30125	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
30125	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		6	090
30125	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		3	090
30125	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
30125	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
30125	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		6	090
30125	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
30125	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
30125	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
30125	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
30130	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
30130	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
30130	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
30130	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
30130	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
30130	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
30130	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
30130	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
30130	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
30130	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
30130	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		2	090
30130	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
30130	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		1	090
30130	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
30130	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
30130	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
30130	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
30140	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	000
30140	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
30140	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
30140	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
30140	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
30140	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
30140	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
30140	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
30140	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
30140	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
30140	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	000
30140	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	5	0	000
30140	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
30140	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	2	0	000
30140	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
30140	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
30140	RUC	Lab	SL464	Atomizer tips (disposable)	item		1	0	000
30140	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
30140	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
30140	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
30150	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		3	090
30150	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
30150	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
30150	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
30150	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		6	090
30150	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
30150	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
30150	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
30150	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
30150	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		3	090
30150	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
30150	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		6	090
30150	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
30150	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
30150	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
30150	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
30160	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
30160	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
30160	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
30160	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		3	090
30160	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
30160	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		6	090
30160	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
30160	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
30160	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
30160	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		3	090
30160	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
30160	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
30160	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		6	090
30160	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
30160	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
30160	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
30200	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
30200	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
30200	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
30200	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
30200	Jan03	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
30200	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
30200	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
30200	Jan03	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7	4	0	000
30200	Jan03	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
30210	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
30210	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
30210	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
30210	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
30210	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
30210	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
30210	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	1	010
30210	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
30210	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	2	1	010
30210	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	010
30210	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
30220	Jan03	"Wound Care, Dressings"	SG072	"septal button prosthesis, silicone"	item	89.24	1	0	010
30220	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
30220	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
30220	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
30220	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
30220	Jan03	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	010
30220	Jan03	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7	4	0	010
30220	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
30220	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	2	1	010
30220	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	7	0	010
30220	Jan03	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
30220	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	1	010
30300	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	1	010
30300	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
30300	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
30300	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
30300	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
30300	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
30300	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	010
30300	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
30300	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
30300	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	010
30300	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	4	2	010
30300	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	2	1	010
30300	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	8	4	010
30300	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	1	010
30300	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	3	0	010
30300	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	0	010
30300	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	2	1	010
30300	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
30300	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
30300	RUC	Infection Control	SM015	enzymatic detergent	oz	0.22	8	4	010
30300	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
30310	Jan03	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		2	010
30310	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	010
30310	Jan03	"Gown, Drape"	SB026	"gown, patient"	item	0.59		1	010
30310	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	010
30310	Jan03	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		1	010
30310	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	010
30310	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	010
30310	Jan03	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	010
30310	Jan03	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44		2	010
30310	Jan03	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84		1	010
30310	Jan03	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7		4	010
30310	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		1	010
30310	Jan03	Infection Control	SM015	enzymatic detergent	oz	0.22		2	010
30310	Jan03	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		1	010
30310	Jan03	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15		1	010
30310	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		1	010
30310	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8		2	010
30320	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
30320	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
30320	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
30320	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
30320	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
30320	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
30320	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
30320	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
30320	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
30320	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
30320	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		2	090
30320	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
30320	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		3	090
30320	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
30320	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
30320	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
30320	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
30400	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		12	090
30400	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		6	090
30400	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
30400	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
30400	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
30400	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		5	090
30400	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
30400	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		6	090
30400	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		6	090
30400	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		6	090
30400	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		3	090
30400	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		6	090
30400	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
30400	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		12	090
30400	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
30400	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		6	090
30410	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
30410	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		6	090
30410	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		6	090
30410	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		12	090
30410	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		3	090
30410	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		6	090
30410	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
30410	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		6	090
30410	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
30410	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
30410	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		12	090
30410	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		5	090
30410	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
30410	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
30410	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		6	090
30410	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		6	090
30420	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		6	090
30420	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
30420	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
30420	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		12	090
30420	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		5	090
30420	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
30420	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		6	090
30420	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		6	090
30420	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
30420	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
30420	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		6	090
30420	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		6	090
30420	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		3	090
30420	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		12	090
30420	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		6	090
30420	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
30430	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
30430	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
30430	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		5	090
30430	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		12	090
30430	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
30430	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
30430	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		6	090
30430	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
30430	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		6	090
30430	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		6	090
30430	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		3	090
30430	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		12	090
30430	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		6	090
30430	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		6	090
30430	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		6	090
30430	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
30435	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
30435	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
30435	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		5	090
30435	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		12	090
30435	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
30435	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
30435	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
30435	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		6	090
30435	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		6	090
30435	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		6	090
30435	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		6	090
30435	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		12	090
30435	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		3	090
30435	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		6	090
30435	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
30435	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		6	090
30450	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		6	090
30450	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
30450	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		12	090
30450	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		5	090
30450	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
30450	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
30450	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		6	090
30450	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		12	090
30450	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
30450	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
30450	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		6	090
30450	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		6	090
30450	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		3	090
30450	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		6	090
30450	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
30450	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		6	090
30460	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
30460	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
30460	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
30460	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
30460	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
30460	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
30460	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
30460	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
30460	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		2	090
30460	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
30460	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
30460	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
30460	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
30460	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
30460	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
30460	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		1	090
30462	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
30462	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
30462	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
30462	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
30462	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
30462	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
30462	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
30462	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
30462	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
30462	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		4	090
30462	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
30462	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
30462	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
30462	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
30462	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		8	090
30462	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
30465	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
30465	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
30465	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
30465	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
30465	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
30465	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
30465	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
30465	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		4	090
30465	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
30465	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
30465	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
30465	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		8	090
30465	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
30465	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
30465	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
30465	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
30468	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
30468	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	000
30468	RUC	"Kit, Pack, Tray"	SA133	Absorabable nasal implant and delivery device	kit	1995	1	0	000
30468	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
30468	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
30468	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
30468	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	5	0	000
30468	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
30468	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
30468	RUC	Lab	SL464	Atomizer tips (disposable)	item		1	0	000
30468	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
30468	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
30468	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	000
30468	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
30468	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
30468	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
30468	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
30468	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
30468	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
30468	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
30468	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
30520	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
30520	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
30520	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
30520	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		6	090
30520	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
30520	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
30520	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		3	090
30520	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
30520	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
30520	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
30520	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
30520	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		6	090
30520	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
30520	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		3	090
30520	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
30520	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
30540	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
30540	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
30540	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
30540	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
30540	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		6	090
30540	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
30540	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
30540	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		3	090
30540	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
30540	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
30540	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
30540	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
30540	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
30540	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		3	090
30540	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
30545	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
30545	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
30545	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
30545	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
30545	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
30545	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
30545	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
30545	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
30545	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
30545	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
30545	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
30545	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
30545	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
30545	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		4	090
30545	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
30560	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
30560	Jan03	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	1	010
30560	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
30560	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
30560	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
30560	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
30560	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
30560	Jan03	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
30560	Jan03	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7	4	0	010
30560	Jan03	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	010
30560	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	2	1	010
30560	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
30560	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
30560	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
30560	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	1	010
30560	Jan03	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	4	2	010
30560	Jan03	Infection Control	SM015	enzymatic detergent	oz	0.22	8	4	010
30560	Jan03	"Wound Care, Dressings"	SG044	"dressing, Merocel nasal standard 4.5cm"	item	16.6	2	0	010
30560	Jan03	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	8	4	010
30560	Jan03	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	4	2	010
30560	Jan03	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	2	1	010
30580	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
30580	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
30580	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
30580	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
30580	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
30580	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
30580	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
30580	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
30580	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
30580	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
30580	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
30580	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
30580	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
30580	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
30580	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
30580	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
30580	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
30580	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
30580	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
30580	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
30580	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
30580	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
30580	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
30580	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
30580	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
30580	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
30580	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
30580	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
30580	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
30580	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
30580	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
30600	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	8	0	090
30600	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
30600	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
30600	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
30600	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
30600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
30600	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
30600	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
30600	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
30600	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
30600	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	090
30600	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
30600	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
30600	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
30600	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
30600	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
30600	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
30600	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
30600	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
30600	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
30600	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
30600	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
30600	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
30600	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
30600	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
30600	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
30600	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
30600	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	1	0	090
30600	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
30600	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
30600	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
30620	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
30620	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
30620	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
30620	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
30620	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
30620	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
30620	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
30620	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
30620	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
30620	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
30620	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		4	090
30620	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
30620	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
30620	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		8	090
30620	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
30620	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
30630	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
30630	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		3	090
30630	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		6	090
30630	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
30630	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
30630	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
30630	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		3	090
30630	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
30630	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
30630	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
30630	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
30630	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
30630	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		6	090
30630	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
30630	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
30630	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
30801	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	2	1	010
30801	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	1	010
30801	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	1	010
30801	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	1	010
30801	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	2	1	010
30801	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
30801	Mar04 I	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	010
30801	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
30801	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	010
30801	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	2	1	010
30801	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
30801	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	1	010
30801	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	0	1	010
30801	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	10	5	010
30801	Mar04 I	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78	2	1	010
30801	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	10	5	010
30801	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
30801	Mar04 I	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	4	0	010
30802	Mar04 I	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	010
30802	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	1	010
30802	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	1	010
30802	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	1	010
30802	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	2	1	010
30802	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	010
30802	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	2	1	010
30802	Mar04 I	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	4	0	010
30802	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
30802	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	1	010
30802	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
30802	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
30802	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	10	5	010
30802	Mar04 I	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78	2	1	010
30802	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	10	5	010
30802	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	0	1	010
30802	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	2	1	010
30802	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
30901	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
30901	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
30901	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
30901	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	000
30901	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
30901	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	3	0	000
30901	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
30901	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
30901	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
30901	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	0	000
30901	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
30901	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
30901	RUC	Lab	SL464	Atomizer tips (disposable)	item		1	0	000
30901	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
30901	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	2	0	000
30901	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
30903	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	0	000
30903	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
30903	RUC	Lab	SL464	Atomizer tips (disposable)	item		1	0	000
30903	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
30903	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
30903	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
30903	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
30903	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
30903	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	000
30903	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
30903	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
30903	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
30903	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
30903	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
30903	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
30903	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	2	0	000
30903	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
30903	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	000
30903	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	000
30903	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
30905	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
30905	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
30905	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
30905	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
30905	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
30905	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
30905	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
30905	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	000
30905	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	2	0	000
30905	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	000
30905	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
30905	RUC	"Wound Care, Dressings"	SG066	"packing, gauze w-petrolatum, 0.5in (6yd uou)"	item	2.15	1	0	000
30905	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	000
30905	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	0	000
30905	RUC	"Accessory, Procedure"	SD071	epistaxis balloon	item	44.46	1	0	000
30905	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
30905	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
30905	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
30905	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
30905	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
30905	RUC	Lab	SL464	Atomizer tips (disposable)	item		1	0	000
30905	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
30905	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
30906	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
30906	RUC	"Wound Care, Dressings"	SG066	"packing, gauze w-petrolatum, 0.5in (6yd uou)"	item	2.15	1	0	000
30906	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
30906	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
30906	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
30906	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
30906	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
30906	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
30906	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
30906	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
30906	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
30906	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
30906	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
30906	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	0	000
30906	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
30906	RUC	"Accessory, Procedure"	SD071	epistaxis balloon	item	44.46	1	0	000
30906	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
30906	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
30906	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
30906	RUC	Lab	SL464	Atomizer tips (disposable)	item		1	0	000
30906	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	000
30906	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	000
30906	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	000
30906	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	2	0	000
30915	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
30915	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
30915	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
30915	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
30915	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
30915	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
30915	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
30915	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
30915	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
30915	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
30915	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
30915	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
30915	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		2	090
30915	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
30915	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
30915	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
30920	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
30920	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
30920	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
30920	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
30920	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
30920	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
30920	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
30920	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
30920	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		6	090
30920	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		3	090
30920	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
30920	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
30920	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		3	090
30920	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
30920	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
30920	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		6	090
30930	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	010
30930	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		1	010
30930	Jan03	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		1	010
30930	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	010
30930	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	010
30930	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		1	010
30930	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	010
30930	Jan03	"Gown, Drape"	SB026	"gown, patient"	item	0.59		1	010
31000	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
31000	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
31000	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
31000	RUC	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7	4	0	010
31000	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	1	010
31000	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
31000	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	2	1	010
31000	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
31000	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	010
31000	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
31000	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
31000	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
31002	Jan03	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		1	010
31002	Jan03	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	010
31002	Jan03	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		1	010
31002	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	010
31002	Jan03	"Gown, Drape"	SB026	"gown, patient"	item	0.59		1	010
31002	Jan03	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7		4	010
31002	Jan03	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		1	010
31002	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	010
31002	Jan03	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44		2	010
31002	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	010
31002	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	010
31002	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		1	010
31002	Jan03	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84		1	010
31002	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8		2	010
31002	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		1	010
31002	Jan03	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15		1	010
31002	Jan03	Infection Control	SM015	enzymatic detergent	oz	0.22		2	010
31020	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	6	2	090
31020	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	3	2	090
31020	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	3	2	090
31020	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	0	2	090
31020	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
31020	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	2	090
31020	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	3	2	090
31020	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	6	4	090
31020	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	2	090
31020	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	090
31020	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
31020	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
31020	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	2	0	090
31020	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
31020	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
31020	CMS	"Wound Care, Dressings"	SG044	"dressing, Merocel nasal standard 4.5cm"	item	16.6	1	0	090
31020	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	2	1	090
31020	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	090
31020	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	090
31020	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
31020	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	090
31020	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
31020	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	4	0	090
31020	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
31020	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
31020	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	090
31020	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	2	090
31020	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
31030	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
31030	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
31030	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	090
31030	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	2	1	090
31030	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	2	0	090
31030	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	2	090
31030	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	090
31030	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
31030	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	1	090
31030	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	2	090
31030	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	3	2	090
31030	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	6	4	090
31030	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
31030	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
31030	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	3	2	090
31030	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
31030	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	2	0	090
31030	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	3	2	090
31030	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
31030	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	0	2	090
31030	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
31030	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	6	2	090
31030	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
31030	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
31030	CMS	"Wound Care, Dressings"	SG044	"dressing, Merocel nasal standard 4.5cm"	item	16.6	1	0	090
31030	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
31030	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	090
31030	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	0	090
31030	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	4	0	090
31030	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	090
31030	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	090
31032	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
31032	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
31032	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
31032	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
31032	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
31032	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
31032	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
31032	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
31032	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
31032	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
31032	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
31032	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		2	090
31032	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
31032	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
31032	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
31032	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
31032	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
31040	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
31040	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
31040	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
31040	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
31040	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
31040	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		6	090
31040	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
31040	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
31040	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
31040	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		3	090
31040	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
31040	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
31040	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		7	090
31040	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
31040	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		3	090
31040	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
31050	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
31050	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
31050	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
31050	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
31050	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
31050	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
31050	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
31050	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
31050	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
31050	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		2	090
31050	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
31050	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
31050	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
31050	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		5	090
31050	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
31050	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
31050	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
31051	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
31051	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
31051	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
31051	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
31051	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
31051	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		6	090
31051	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
31051	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
31051	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
31051	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
31051	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		6	090
31051	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
31051	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
31051	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		3	090
31051	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
31051	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
31051	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		3	090
31070	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
31070	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
31070	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
31070	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
31070	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
31070	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
31070	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
31070	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		2	090
31070	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
31070	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
31070	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
31070	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
31070	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
31070	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
31070	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
31070	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
31070	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
31075	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
31075	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
31075	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		6	090
31075	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
31075	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
31075	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
31075	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
31075	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
31075	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		3	090
31075	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
31075	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		3	090
31075	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
31075	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		7	090
31075	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
31075	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
31075	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
31075	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
31080	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
31080	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
31080	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
31080	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
31080	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
31080	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
31080	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
31080	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
31080	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
31080	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
31080	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
31080	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
31080	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
31080	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
31080	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		8	090
31080	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
31080	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		4	090
31081	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
31081	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
31081	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
31081	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
31081	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
31081	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
31081	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
31081	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
31081	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
31081	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		4	090
31081	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
31081	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		8	090
31081	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
31081	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
31081	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
31081	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
31081	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
31084	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
31084	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
31084	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
31084	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
31084	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
31084	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
31084	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
31084	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
31084	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		4	090
31084	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
31084	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
31084	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		8	090
31084	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
31084	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
31084	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
31084	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
31084	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
31085	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
31085	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
31085	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
31085	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
31085	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
31085	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
31085	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
31085	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
31085	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
31085	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
31085	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
31085	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
31085	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
31085	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		8	090
31085	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
31085	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		4	090
31085	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
31086	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
31086	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
31086	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
31086	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
31086	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
31086	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
31086	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
31086	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
31086	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
31086	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
31086	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		4	090
31086	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
31086	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		8	090
31086	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
31086	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
31086	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
31086	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
31087	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
31087	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
31087	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
31087	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		6	090
31087	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
31087	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
31087	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
31087	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
31087	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
31087	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		3	090
31087	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		3	090
31087	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
31087	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		7	090
31087	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
31087	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
31087	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
31087	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
31090	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
31090	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
31090	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		10	090
31090	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
31090	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
31090	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		5	090
31090	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		5	090
31090	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
31090	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		5	090
31090	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		5	090
31090	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
31090	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
31090	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		10	090
31090	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		5	090
31090	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		5	090
31090	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
31090	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		5	090
31200	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
31200	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
31200	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
31200	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		6	090
31200	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
31200	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
31200	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		7	090
31200	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
31200	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
31200	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
31200	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
31200	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		3	090
31200	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
31200	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
31200	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		3	090
31200	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
31200	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
31201	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		3	090
31201	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
31201	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
31201	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
31201	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
31201	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		6	090
31201	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
31201	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
31201	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		3	090
31201	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
31201	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
31201	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
31201	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
31201	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
31201	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		7	090
31201	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
31201	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
31205	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
31205	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
31205	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
31205	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
31205	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		6	090
31205	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
31205	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
31205	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
31205	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		3	090
31205	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
31205	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
31205	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
31205	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
31205	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
31205	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		7	090
31205	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
31205	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		3	090
31225	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
31225	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
31225	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
31225	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		6	090
31225	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
31225	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		1	090
31225	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
31225	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
31225	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		5	090
31225	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		6	090
31225	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
31225	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
31225	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
31225	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31225	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
31230	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5.5	090
31230	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		5.5	090
31230	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4.5	090
31230	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5.5	090
31230	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
31230	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
31230	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
31230	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
31230	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		5.5	090
31230	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		5.5	090
31230	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
31230	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
31230	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
31230	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		1	090
31230	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31231	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31231	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31231	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	10	0	000
31231	RUC	Lab	SL464	Atomizer tips (disposable)	item		1	0	000
31231	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
31231	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
31231	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
31231	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	2	0	000
31231	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
31231	RUC	"Gown, Drape"	SB045	"drape, sterile, incise, ophthalmic"	item	6.89	1	0	000
31231	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
31231	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	5	0	000
31231	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
31231	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	5	0	000
31231	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
31231	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	12	0	000
31231	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
31233	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31233	RUC	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31233	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31233	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	2	0	000
31233	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31233	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31233	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
31233	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31233	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
31233	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31233	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31233	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	000
31233	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
31233	RUC	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7	4	0	000
31233	RUC	"Wound Care, Dressings"	SG066	"packing, gauze w-petrolatum, 0.5in (6yd uou)"	item	2.15	1	0	000
31233	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31233	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31233	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31235	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31235	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31235	RUC	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31235	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31235	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31235	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31235	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
31235	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31235	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31235	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31235	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31235	RUC	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7	4	0	000
31235	RUC	"Wound Care, Dressings"	SG066	"packing, gauze w-petrolatum, 0.5in (6yd uou)"	item	2.15	1	0	000
31235	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	2	0	000
31235	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31235	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
31235	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	000
31235	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
31237	CPT14 May 32	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31237	CPT14 May 32	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31237	CPT14 May 32	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	2	0	000
31237	CPT14 May 32	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
31237	CPT14 May 32	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
31237	CPT14 May 32	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
31237	CPT14 May 32	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
31237	CPT14 May 32	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	3	0	000
31237	CPT14 May 32	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31237	CPT14 May 32	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
31237	CPT14 May 32	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
31237	CPT14 May 32	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4	0	000
31237	CPT14 May 32	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	2	0	000
31237	CPT14 May 32	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31237	CPT14 May 32	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	0	000
31237	CPT14 May 32	Lab	SL464	Atomizer tips (disposable)	item		2	0	000
31237	CPT14 May 32	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31237	CPT14 May 32	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	000
31237	CPT14 May 32	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31237	CPT14 May 32	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
31237	CPT14 May 32	"Wound Care, Dressings"	SG066	"packing, gauze w-petrolatum, 0.5in (6yd uou)"	item	2.15	1	0	000
31237	CPT14 May 32	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31237	CPT14 May 32	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
31238	RUC	Lab	SL464	Atomizer tips (disposable)	item		2	0	000
31238	RUC	"Accessory, Procedure"	SD279	"Fibrillar, surgical"	item		1	0	000
31238	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	2	0	000
31238	RUC	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31238	RUC	"Wound Care, Dressings"	SG066	"packing, gauze w-petrolatum, 0.5in (6yd uou)"	item	2.15	1	0	000
31238	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
31238	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31238	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	2	0	000
31238	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	000
31238	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31238	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
31238	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31238	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	0	000
31238	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	3	0	000
31238	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
31238	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
31238	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
31238	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4	0	000
31238	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31238	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31238	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
31238	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
31238	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31239	CPT14 May 32	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	010
31239	CPT14 May 32	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		1	010
31239	CPT14 May 32	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13		1	010
31239	CPT14 May 32	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	010
31239	CPT14 May 32	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	010
31239	CPT14 May 32	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		1	010
31254	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0	000
31254	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31254	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
31254	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
31254	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
31254	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	000
31254	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
31254	RUC	Lab	SL464	Atomizer tips (disposable)	item		1	0	000
31254	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
31254	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
31254	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
31254	RUC	Lab	SL033	culture swab system (Culturette)	item	0.96	1	0	000
31254	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31254	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
31254	RUC	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31254	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
31254	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31254	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	000
31254	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
31254	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
31254	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	0	000
31254	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	8	0	000
31254	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
31254	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
31254	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
31254	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	10	0	000
31254	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
31254	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
31290	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		1	010
31290	Jan03	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		1	010
31290	Jan03	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7		4	010
31290	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	010
31290	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	010
31290	Jan03	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		1	010
31290	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	010
31290	Jan03	"Gown, Drape"	SB026	"gown, patient"	item	0.59		1	010
31290	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	010
31290	Jan03	Infection Control	SM015	enzymatic detergent	oz	0.22		2	010
31290	Jan03	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	010
31290	Jan03	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84		1	010
31290	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8		2	010
31290	Jan03	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15		1	010
31290	Jan03	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		1	010
31290	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		1	010
31290	Jan03	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44		2	010
31291	Jan03	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7		4	010
31291	Jan03	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	010
31291	Jan03	"Gown, Drape"	SB026	"gown, patient"	item	0.59		1	010
31291	Jan03	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		1	010
31291	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	010
31291	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	010
31291	Jan03	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		1	010
31291	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	010
31291	Jan03	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44		2	010
31291	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	010
31291	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		1	010
31291	Jan03	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84		1	010
31291	Jan03	Infection Control	SM015	enzymatic detergent	oz	0.22		2	010
31291	Jan03	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		1	010
31291	Jan03	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15		1	010
31291	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		1	010
31291	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8		2	010
31292	Jan03	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		1	010
31292	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	010
31292	Jan03	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7		4	010
31292	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	010
31292	Jan03	"Gown, Drape"	SB026	"gown, patient"	item	0.59		1	010
31292	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	010
31292	Jan03	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		1	010
31292	Jan03	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44		2	010
31292	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	010
31292	Jan03	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	010
31292	Jan03	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84		1	010
31292	Jan03	Infection Control	SM015	enzymatic detergent	oz	0.22		2	010
31292	Jan03	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		1	010
31292	Jan03	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15		1	010
31292	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8		2	010
31292	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		1	010
31293	Jan03	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	010
31293	Jan03	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		1	010
31293	Jan03	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		1	010
31293	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	010
31293	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	010
31293	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	010
31293	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	010
31293	Jan03	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7		4	010
31293	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		1	010
31293	Jan03	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44		2	010
31293	Jan03	"Gown, Drape"	SB026	"gown, patient"	item	0.59		1	010
31293	Jan03	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		1	010
31293	Jan03	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84		1	010
31293	Jan03	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15		1	010
31293	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		1	010
31293	Jan03	Infection Control	SM015	enzymatic detergent	oz	0.22		2	010
31293	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8		2	010
31294	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	010
31294	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	010
31294	Jan03	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		1	010
31294	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	010
31294	Jan03	"Gown, Drape"	SB026	"gown, patient"	item	0.59		1	010
31294	Jan03	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15		1	010
31294	Jan03	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		1	010
31294	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	010
31294	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		1	010
31294	Jan03	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84		1	010
31294	Jan03	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	010
31294	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		1	010
31294	Jan03	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		1	010
31294	Jan03	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7		4	010
31294	Jan03	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44		2	010
31294	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8		2	010
31294	Jan03	Infection Control	SM015	enzymatic detergent	oz	0.22		2	010
31295	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	5	0	000
31295	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	3	0	000
31295	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0	000
31295	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	3	0	000
31295	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31295	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
31295	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
31295	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31295	RUC	"Kit, Pack, Tray"	SA106	"kit, sinus surgery, balloon (maxillary, frontal, or sphenoid)"	kit	2338	0.5	0	000
31295	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
31295	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	0	000
31295	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
31295	RUC	Lab	SL146	tubed culture media	item	0.92	1	0	000
31295	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	000
31295	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
31295	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
31295	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
31295	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
31295	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31295	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
31295	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
31295	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
31295	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
31295	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
31295	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
31295	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
31295	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
31295	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
31296	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	3	0	000
31296	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31296	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	0	000
31296	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
31296	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	3	0	000
31296	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
31296	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0	000
31296	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31296	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
31296	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	000
31296	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
31296	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
31296	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
31296	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
31296	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
31296	RUC	"Kit, Pack, Tray"	SA106	"kit, sinus surgery, balloon (maxillary, frontal, or sphenoid)"	kit	2338	0.5	0	000
31296	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
31296	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
31296	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
31296	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
31296	RUC	Lab	SL146	tubed culture media	item	0.92	1	0	000
31296	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
31296	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
31296	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
31296	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	5	0	000
31296	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
31296	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31296	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
31297	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
31297	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
31297	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
31297	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	000
31297	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
31297	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
31297	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31297	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
31297	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
31297	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31297	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
31297	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
31297	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0	000
31297	RUC	"Kit, Pack, Tray"	SA106	"kit, sinus surgery, balloon (maxillary, frontal, or sphenoid)"	kit	2338	0.5	0	000
31297	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	3	0	000
31297	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
31297	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
31297	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
31297	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
31297	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
31297	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	5	0	000
31297	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
31297	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	0	000
31297	RUC	Lab	SL146	tubed culture media	item	0.92	1	0	000
31297	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
31297	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
31297	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31297	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	3	0	000
31298	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
31298	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
31298	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	2	0	000
31298	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	3	0	000
31298	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
31298	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
31298	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
31298	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	000
31298	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
31298	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
31298	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
31298	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
31298	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0	000
31298	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	0	000
31298	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	3	0	000
31298	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	4	0	000
31298	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31298	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31298	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
31298	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
31298	RUC	"Kit, Pack, Tray"	SA106	"kit, sinus surgery, balloon (maxillary, frontal, or sphenoid)"	kit	2338	1	0	000
31298	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
31298	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	5	0	000
31298	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
31298	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
31298	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
31298	RUC	Lab	SL146	tubed culture media	item	0.92	1	0	000
31298	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
31300	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
31300	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
31300	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
31300	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
31300	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		4	090
31300	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
31300	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
31300	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
31300	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31300	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
31300	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
31300	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		2	090
31300	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
31300	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
31300	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4	090
31360	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
31360	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
31360	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
31360	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
31360	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
31360	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
31360	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4	090
31360	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
31360	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
31360	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
31360	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
31360	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		2	090
31360	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
31360	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		4	090
31360	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
31365	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
31365	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
31365	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
31365	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
31365	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
31365	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
31365	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
31365	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
31365	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		2	090
31365	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4	090
31365	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		4	090
31365	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
31365	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
31365	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
31365	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
31367	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4.5	090
31367	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
31367	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
31367	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
31367	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4.5	090
31367	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4.5	090
31367	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3.5	090
31367	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4.5	090
31367	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4.5	090
31367	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31367	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
31367	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		4.5	090
31367	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		4	090
31367	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4.5	090
31367	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
31368	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5.5	090
31368	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
31368	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5.5	090
31368	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		5.5	090
31368	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		5.5	090
31368	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
31368	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31368	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
31368	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		4	090
31368	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
31368	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		5.5	090
31368	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		5.5	090
31368	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		5.5	090
31368	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4.5	090
31368	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
31370	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4.5	090
31370	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31370	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
31370	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4.5	090
31370	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
31370	CMS	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2	090
31370	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		4	090
31370	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
31370	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4.5	090
31370	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4.5	090
31370	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4.5	090
31370	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
31370	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		4.5	090
31370	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
31370	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4.5	090
31370	CMS	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.93		1	090
31370	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3.5	090
31375	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
31375	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
31375	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
31375	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31375	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
31375	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4	090
31375	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
31375	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
31375	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		4	090
31375	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
31375	CMS	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2	090
31375	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
31375	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		4	090
31375	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
31375	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
31375	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
31375	CMS	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.93		1	090
31380	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
31380	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
31380	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		4	090
31380	CMS	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2	090
31380	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
31380	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		4	090
31380	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
31380	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
31380	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
31380	CMS	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.93		1	090
31380	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
31380	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
31380	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31380	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
31380	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
31380	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4	090
31380	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
31382	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3.5	090
31382	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4.5	090
31382	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4.5	090
31382	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4.5	090
31382	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
31382	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		4	090
31382	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		4.5	090
31382	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31382	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
31382	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4.5	090
31382	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4.5	090
31382	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
31382	CMS	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.93		1	090
31382	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
31382	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
31382	CMS	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2	090
31382	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4.5	090
31390	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
31390	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
31390	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
31390	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
31390	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
31390	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		6	090
31390	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		5	090
31390	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		6	090
31390	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		2	090
31390	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
31390	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
31390	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
31390	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		6	090
31390	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
31390	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		6	090
31395	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
31395	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
31395	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		8	090
31395	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		8	090
31395	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		8	090
31395	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		8	090
31395	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
31395	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		7	090
31395	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
31395	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
31395	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		2	090
31395	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
31395	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
31395	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
31395	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
31400	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
31400	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78		2	090
31400	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		3	090
31400	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
31400	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
31400	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13		1	090
31400	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
31400	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		4	090
31400	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4	090
31400	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
31400	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
31400	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
31400	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		20	090
31400	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
31400	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
31400	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08		5	090
31400	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13		4	090
31400	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31400	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
31400	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
31420	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		3	090
31420	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
31420	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
31420	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
31420	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
31420	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		2	090
31420	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
31420	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		3	090
31420	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
31420	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13		4	090
31420	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
31420	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13		1	090
31420	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
31420	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78		2	090
31420	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
31420	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
31420	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31420	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		20	090
31420	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08		5	090
31420	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
31505	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31505	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
31505	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
31505	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31505	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
31505	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31505	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	2	0	000
31505	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31505	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31505	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31505	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31505	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31510	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31510	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31510	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
31510	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
31510	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31510	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31510	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31510	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31510	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
31510	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31510	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31510	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31510	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31510	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31510	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
31511	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31511	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31511	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
31511	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31511	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31511	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31511	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
31511	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
31511	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31511	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31511	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31511	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31511	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31511	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31512	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31512	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31512	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31512	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31512	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
31512	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
31512	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31512	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
31512	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31512	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31512	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
31512	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31512	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31512	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31515	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31515	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31515	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
31515	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31515	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31515	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31515	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
31515	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	000
31515	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31515	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31515	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
31515	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31515	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31515	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31515	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
31515	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	0	000
31515	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31525	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31525	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31525	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
31525	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31525	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	0	000
31525	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	000
31525	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31525	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31525	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31525	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31525	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31525	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31525	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31525	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31525	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
31551	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
31551	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		3	090
31551	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		3	090
31551	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
31551	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
31551	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		3	090
31551	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
31551	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		3	090
31551	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
31551	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		1	090
31551	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
31551	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
31551	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
31551	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
31552	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
31552	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
31552	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
31552	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		3	090
31552	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
31552	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
31552	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
31552	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		1	090
31552	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		3	090
31552	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
31552	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
31552	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		3	090
31552	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		10	090
31552	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		3	090
31553	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
31553	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
31553	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
31553	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		3	090
31553	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		3	090
31553	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
31553	CMS	"Wound Care, Dressings"	SG091	tracheostomy dressing	item	3.24		3	090
31553	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
31553	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
31553	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
31553	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		3	090
31553	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
31553	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
31553	CMS	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.93		3	090
31553	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
31553	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		3	090
31553	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
31553	CMS	"Wound Care, Dressings"	SG090	tracheostomy collar-neckband	item	3.235		3	090
31553	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		3	090
31553	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
31553	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47		6	090
31553	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		3	090
31554	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
31554	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		10	090
31554	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
31554	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
31554	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		3	090
31554	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
31554	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		3	090
31554	CMS	"Wound Care, Dressings"	SG091	tracheostomy dressing	item	3.24		3	090
31554	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
31554	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
31554	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
31554	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		3	090
31554	CMS	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.93		3	090
31554	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		3	090
31554	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		3	090
31554	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47		6	090
31554	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
31554	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
31554	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
31554	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
31554	CMS	"Wound Care, Dressings"	SG090	tracheostomy collar-neckband	item	3.235		3	090
31554	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		3	090
31570	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
31570	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31570	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
31570	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31570	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31570	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31570	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
31570	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31570	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31570	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31570	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	000
31570	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31570	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31570	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31570	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31570	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	0	000
31572	CMS	"Cutters, Closures, Cautery"	SF029	"laser tip, bare (single use)"	item	189.55	1	0	000
31572	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
31572	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31572	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31572	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
31572	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31572	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31572	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31572	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31572	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
31572	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31572	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31572	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	000
31572	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31572	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
31572	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31572	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	000
31572	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31573	CMS	"Pharmacy, Rx"	SH084	Kenalog 40 inj	ml	10.5775	1	0	000
31573	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31573	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31573	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
31573	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31573	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
31573	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31573	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31573	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31573	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31573	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
31573	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31573	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31573	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	000
31573	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31573	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	000
31573	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
31573	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31574	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31574	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	000
31574	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
31574	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31574	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	000
31574	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31574	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31574	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31574	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31574	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31574	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
31574	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31574	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31574	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31574	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31574	CMS	"Pharmacy, NonRx"	SJ090	Voice Augmentation Gel	ml	592.11	1	0	000
31574	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
31574	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
31575	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31575	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
31575	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31575	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31575	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31575	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31575	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
31575	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	000
31575	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
31575	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31575	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
31575	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
31575	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31575	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31576	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
31576	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
31576	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
31576	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
31576	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31576	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31576	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
31576	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31576	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31576	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	000
31576	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	000
31576	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31576	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
31576	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31576	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31576	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31576	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0	000
31576	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
31576	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31576	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
31576	CMS	"Accessory, Procedure"	SD318	Disposable biopsy forceps	item	23.08	1	0	000
31576	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
31576	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31576	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31577	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31577	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31577	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31577	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31577	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
31577	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
31577	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	000
31577	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
31577	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
31577	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31577	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
31577	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
31577	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
31577	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31577	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31577	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31577	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31577	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0	000
31577	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31577	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31577	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
31577	CMS	"Accessory, Procedure"	SD318	Disposable biopsy forceps	item	23.08	1	0	000
31577	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	000
31578	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
31578	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31578	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
31578	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0	000
31578	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
31578	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31578	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31578	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31578	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31578	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31578	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	000
31578	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
31578	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31578	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31578	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
31578	CMS	"Accessory, Procedure"	SD318	Disposable biopsy forceps	item	23.08	1	0	000
31578	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
31578	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
31578	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
31578	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
31578	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31578	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	000
31578	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31578	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31579	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	000
31579	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31579	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31579	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31579	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
31579	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
31579	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31579	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
31579	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31579	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
31579	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
31579	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31579	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31579	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31580	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		3	090
31580	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
31580	CMS	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.93		3	090
31580	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
31580	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
31580	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
31580	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
31580	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		3	090
31580	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
31580	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
31580	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		3	090
31580	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
31580	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		3	090
31580	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
31580	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		3	090
31580	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47		6	090
31580	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		10	090
31580	CMS	"Wound Care, Dressings"	SG091	tracheostomy dressing	item	3.24		3	090
31580	CMS	"Wound Care, Dressings"	SG090	tracheostomy collar-neckband	item	3.235		3	090
31580	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
31580	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
31580	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		3	090
31584	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		3	090
31584	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
31584	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
31584	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
31584	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
31584	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		3	090
31584	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		3	090
31584	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
31584	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
31584	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		10	090
31584	CMS	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.93		3	090
31584	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
31584	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
31584	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		3	090
31584	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
31584	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
31584	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
31584	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47		6	090
31584	CMS	"Wound Care, Dressings"	SG091	tracheostomy dressing	item	3.24		3	090
31584	CMS	"Wound Care, Dressings"	SG090	tracheostomy collar-neckband	item	3.235		3	090
31584	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		3	090
31584	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		3	090
31587	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		1	090
31587	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
31587	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
31587	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
31587	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
31587	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		3	090
31587	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
31587	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		3	090
31587	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		10	090
31587	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		3	090
31587	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
31587	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
31587	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
31587	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		3	090
31590	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
31590	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78		2	090
31590	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
31590	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31590	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		25	090
31590	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		5	090
31590	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08		5	090
31590	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
31590	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		15	090
31590	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13		5	090
31590	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		4	090
31590	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13		1	090
31590	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
31590	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
31590	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
31590	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		5	090
31590	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		10	090
31590	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
31590	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		5	090
31590	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		5	090
31591	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
31591	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		3	090
31591	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		3	090
31591	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		10	090
31591	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		3	090
31591	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
31591	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
31591	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
31591	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		1	090
31591	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
31591	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
31591	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
31591	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		3	090
31592	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		3	090
31592	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
31592	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		1	090
31592	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
31592	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
31592	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		3	090
31592	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		3	090
31592	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
31592	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		3	090
31592	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
31592	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
31592	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		10	090
31592	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
31592	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
31610	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		3	090
31610	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		3	090
31610	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
31610	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
31610	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13		3	090
31610	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		3	090
31610	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		3	090
31610	RUC	"Wound Care, Dressings"	SG090	tracheostomy collar-neckband	item	3.235		3	090
31610	RUC	"Wound Care, Dressings"	SG091	tracheostomy dressing	item	3.24		3	090
31610	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
31610	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
31610	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
31610	RUC	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.93		3	090
31610	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
31610	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
31610	RUC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47		3	090
31610	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
31610	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
31610	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
31611	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
31611	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		1	090
31611	Mar04 I	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13		1	090
31611	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
31611	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
31611	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
31611	Mar04 I	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
31611	Mar04 I	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47		2	090
31611	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
31611	Mar04 I	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		1	090
31611	Mar04 I	"Accessory, Procedure"	SD195	"prosthesis, voice button (Blom-Singer)"	item	48		1	090
31611	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
31611	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
31611	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		2	090
31611	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
31612	Jan03	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
31612	Jan03	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
31612	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
31612	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
31612	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
31612	Jan03	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
31612	Jan03	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
31612	Jan03	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
31612	Jan03	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	000
31612	Jan03	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
31612	Jan03	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	8	0	000
31612	Jan03	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	000
31612	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31612	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31612	Jan03	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
31612	Jan03	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
31613	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2.5	090
31613	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2.5	090
31613	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2.5	090
31613	Mar04 I	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2.5	090
31613	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
31613	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1.5	090
31613	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2.5	090
31613	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2.5	090
31613	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		2.5	090
31613	Mar04 I	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.93		1	090
31613	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31613	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
31614	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31614	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
31614	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		4	090
31614	Mar04 I	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		4	090
31614	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
31614	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
31614	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
31614	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
31614	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
31614	Mar04 I	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.93		1	090
31614	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
31614	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
31615	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	
31615	Mod sed	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	
31615	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	
31615	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	
31615	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	
31615	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	
31615	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
31615	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	
31615	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	
31615	Mod sed	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	
31615	Mod sed	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	
31615	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	
31615	Mod sed	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	0	
31615	Mod sed	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	
31615	Mod sed	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	
31622	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20	0	000
31622	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
31622	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
31622	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
31622	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	40	0	000
31622	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	2	0	000
31622	RUC	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	000
31622	RUC	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	2	0	000
31622	RUC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	1	0	000
31622	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31622	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
31622	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
31622	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
31623	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	40	0	000
31623	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
31623	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
31623	RUC	"Accessory, Procedure"	SD141	"brush, protected airway specimen"	item	20	2	0	000
31623	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31623	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	2	0	000
31623	RUC	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	1	0	000
31623	RUC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	1	0	000
31623	RUC	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	000
31623	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
31623	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
31623	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
31623	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20	0	000
31624	RUC	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	000
31624	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
31624	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
31624	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
31624	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	2	0	000
31624	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
31624	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20	0	000
31624	RUC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	15	0	000
31624	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31624	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	40	0	000
31624	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
31624	RUC	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	3	0	000
31624	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
31625	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
31625	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31625	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	000
31625	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20	0	000
31625	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
31625	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	40	0	000
31625	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
31625	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
31625	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
31625	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	1	0	000
31625	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
31625	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	1	0	000
31625	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	000
31625	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	2	0	000
31625	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
31626	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
31626	CMS	"Pharmacy, Rx"	SH041	Indigo Carmine soln 0.8% inj (5cc vial uou)	item	15.16	1	0	000
31626	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20	0	000
31626	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	40	0	000
31626	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31626	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
31626	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
31626	CMS	"Gown, Drape"	SB053	Gold Fiducial Marker	item	138.67	3	0	000
31626	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	000
31626	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
31626	CMS	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	40.23	1	0	000
31626	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	1	0	000
31626	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
31626	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
31626	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
31626	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	2	0	000
31626	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	2	0	000
31627	CMS	"Accessory, Procedure"	SD235	"sensor, patch, bronchosopy (for kit, locatable guide) (patient)"	item	2.14	3	0	ZZZ
31627	CMS	"Kit, Pack, Tray"	SA097	"kit, locatable guide, ext. working channel, w-b-scope adapter"	kit	976.68	1	0	ZZZ
31628	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	40	0	000
31628	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
31628	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	000
31628	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
31628	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
31628	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	1	0	000
31628	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20	0	000
31628	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
31628	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	000
31628	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	2	0	000
31628	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
31628	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31628	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	1	0	000
31628	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
31629	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31629	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
31629	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	40	0	000
31629	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	2	0	000
31629	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
31629	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	000
31629	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20	0	000
31629	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
31629	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
31629	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
31629	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
31629	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	1	0	000
31629	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
31629	CMS	"Hypodermic, IV"	SC043	"needle, transbronchial, cytology (Wang)"	item	74.1	2	0	000
31629	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	1	0	000
31634	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	
31634	Mod sed	"Wound Care, Dressings"	SG094	"Tisseel Fibrin Glue, 1 ml"	ml	262.01	4	0	
31634	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	
31634	Mod sed	"Accessory, Procedure"	SD261	B5-2C Double Lumen Balloon 10 mm dia	item	126.75	1	0	
31634	Mod sed	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	
31634	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
31634	Mod sed	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	1	0	
31634	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	
31634	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	40	0	
31634	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	
31634	Mod sed	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	1	0	
31634	Mod sed	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	
31634	Mod sed	"Accessory, Procedure"	SD262	Insuffalator - Boston Scientific	item	85	1	0	
31634	Mod sed	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20	0	
31634	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
31634	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
31635	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
31635	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	
31635	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
31635	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
31635	Mod sed	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	1	0	
31635	Mod sed	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	1	0	
31635	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	
31635	Mod sed	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	
31635	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	
31645	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
31645	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
31645	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
31645	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
31645	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	40	0	000
31645	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31645	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
31645	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	2	0	000
31645	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
31645	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
31645	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
31645	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20	0	000
31645	RUC	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	000
31645	RUC	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.01	175	0	000
31645	RUC	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	1	0	000
31652	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
31652	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
31652	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
31652	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
31652	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31652	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20	0	000
31652	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
31652	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	2	0	000
31652	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	1	0	000
31652	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	2	0	000
31652	CMS	"Accessory, Procedure"	SD294	Balloon for Bronchoscopy Fiberscope	item	25.5	1	0	000
31652	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	000
31652	CMS	"Hypodermic, IV"	SC102	"EBUS, single use aspiration needle, 21g"	item	420.92	2	0	000
31652	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
31652	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	40	0	000
31652	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
31653	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
31653	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20	0	000
31653	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
31653	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	40	0	000
31653	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
31653	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
31653	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	2	0	000
31653	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
31653	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
31653	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31653	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
31653	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	2	0	000
31653	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	000
31653	CMS	"Accessory, Procedure"	SD294	Balloon for Bronchoscopy Fiberscope	item	25.5	1	0	000
31653	CMS	"Hypodermic, IV"	SC102	"EBUS, single use aspiration needle, 21g"	item	420.92	2	0	000
31653	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	1	0	000
31654	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28	1	0	ZZZ
31717	Mar03 cs	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	1	0	000
31717	Mar03 cs	"Accessory, Procedure"	SD141	"brush, protected airway specimen"	item	20	2	0	000
31717	Mar03 cs	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
31717	Mar03 cs	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
31717	Mar03 cs	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	3	0	000
31717	Mar03 cs	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	40	0	000
31717	Mar03 cs	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31717	Mar03 cs	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
31717	Mar03 cs	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
31717	Mar03 cs	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20	0	000
31717	Mar03 cs	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
31717	Mar03 cs	Infection Control	SM016	"eye shield, splash protection"	item	3.18	1	0	000
31730	Feb05 U	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
31730	Feb05 U	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
31730	Feb05 U	"Kit, Pack, Tray"	SA091	"tray, scoop, fast track system"	tray	750	1	0	000
31730	Feb05 U	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
31730	Feb05 U	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	000
31730	Feb05 U	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	5	0	000
31730	Feb05 U	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	000
31730	Feb05 U	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
31730	Feb05 U	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
31750	Mar04 I	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2	090
31750	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
31750	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
31750	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
31750	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
31750	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
31750	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
31750	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
31750	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
31750	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	15.28		4	090
31750	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4	090
31750	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
31750	Mar04 I	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.93		1	090
31750	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31750	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
31750	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
31750	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		4	090
31755	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		5	090
31755	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		7	090
31755	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		5	090
31755	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
31755	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
31755	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090
31755	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		7	090
31755	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		7	090
31755	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	15.28		7	090
31755	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		7	090
31755	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		10	090
31755	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		7	090
31755	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		7	090
31755	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31755	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		20	090
31760	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
31760	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
31766	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
31766	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
31770	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
31770	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
31775	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
31775	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
31780	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
31780	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
31781	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
31781	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
31785	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
31785	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
31786	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
31786	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
31800	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2.5	090
31800	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
31800	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
31800	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1.5	090
31800	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2.5	090
31800	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
31800	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2.5	090
31800	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2.5	090
31800	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	15.28		2.5	090
31800	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
31800	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
31800	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
31800	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2.5	090
31800	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		2.5	090
31800	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		2	090
31805	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
31805	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
31820	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
31820	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
31820	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
31820	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	090
31820	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	090
31820	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
31820	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
31820	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
31820	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	090
31820	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
31820	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	090
31820	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
31820	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	1	090
31820	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
31820	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	1	090
31820	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
31820	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
31820	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	0	090
31820	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
31820	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	20	090
31820	CMS	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.01	12	0	090
31820	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
31820	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
31820	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
31820	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
31820	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
31820	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	090
31825	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
31825	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
31825	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	090
31825	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	1	090
31825	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	090
31825	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
31825	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
31825	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
31825	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
31825	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	090
31825	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	090
31825	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
31825	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
31825	CMS	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.01	12	0	090
31825	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	090
31825	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
31825	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
31825	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
31825	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
31825	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	1	090
31825	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
31825	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	20	090
31825	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	0	090
31825	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
31825	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
31825	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
31825	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
31830	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	090
31830	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
31830	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	2	1	090
31830	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	1	090
31830	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	20	090
31830	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
31830	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
31830	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
31830	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
31830	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	1	090
31830	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
31830	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
31830	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
31830	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	0	090
31830	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
31830	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
31830	CMS	"Pharmacy, Rx"	SH084	Kenalog 40 inj	ml	10.5775	4	2	090
31830	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
31830	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
31830	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
31830	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	1	090
31830	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
31830	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
31830	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
31830	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
32035	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
32035	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	090
32035	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
32035	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
32035	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
32035	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
32035	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
32035	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
32035	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
32035	Sep02	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34		1	090
32035	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
32036	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
32036	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
32036	Sep02	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34		1	090
32036	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
32036	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
32036	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
32036	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
32036	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	090
32036	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
32036	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
32036	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
32096	CPT12 May 8	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
32096	CPT12 May 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
32097	CPT12 May 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
32097	CPT12 May 8	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
32098	CPT12 May 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
32098	CPT12 May 8	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
32100	CPT12 May 8	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
32100	CPT12 May 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
32110	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32110	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
32120	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
32120	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32124	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32124	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
32140	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32140	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
32141	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32141	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
32150	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
32150	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32151	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32151	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
32160	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
32160	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
32200	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
32200	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
32215	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32215	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32220	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
32220	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32225	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32225	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32310	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32310	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32320	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
32320	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32400	Mar03 12	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
32400	Mar03 12	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	3	0	000
32400	Mar03 12	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
32400	Mar03 12	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
32400	Mar03 12	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
32400	Mar03 12	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
32400	Mar03 12	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
32400	Mar03 12	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
32400	Mar03 12	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
32400	Mar03 12	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
32400	Mar03 12	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	000
32400	Mar03 12	Infection Control	SM011	"cleaning brush, instruments"	item	5.6	1	0	000
32400	Mar03 12	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
32408	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
32408	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
32408	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
32408	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
32408	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
32408	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
32408	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
32408	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
32408	RUC	"Hypodermic, IV"	SC108	Coaxial Biopsy Set	item	49	1	0	000
32408	RUC	"Kit, Pack, Tray"	SA132	Pleural Plug kit	item	315	1	0	000
32408	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
32408	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
32408	RUC	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	21.58	1	0	000
32440	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32440	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
32442	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32442	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32445	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
32445	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32480	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
32480	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32482	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32482	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
32484	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32484	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32486	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32486	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32488	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32488	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
32491	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32491	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
32503	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
32503	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
32504	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
32504	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
32505	CPT12 May 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32505	CPT12 May 8	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
32540	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
32540	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32550	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	0	
32550	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	32	0	
32550	Mod sed	"Accessory, Procedure"	SD144	"canister, vacuum, pleural (w-drainage line)"	item	15.16	2	0	
32550	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	
32550	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	
32550	Mod sed	"Kit, Pack, Tray"	SA077	"kit, pleural catheter insertion"	kit	550.76	1	0	
32550	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
32550	Mod sed	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	
32552	CPT10 4	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	010
32552	CPT10 4	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
32552	CPT10 4	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
32552	CPT10 4	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
32552	CPT10 4	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
32552	CPT10 4	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
32552	CPT10 4	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
32552	CPT10 4	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
32552	CPT10 4	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
32552	CPT10 4	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
32552	CPT10 4	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
32553	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	000
32553	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
32553	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
32553	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
32553	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
32553	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
32553	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
32553	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
32553	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
32553	CMS	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	21.58	1	0	000
32553	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
32553	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	000
32553	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
32553	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
32553	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
32553	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
32553	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
32553	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	0	000
32553	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	000
32553	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
32553	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
32553	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	000
32553	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
32554	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
32554	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
32554	RUC	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	15	0	000
32554	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
32554	RUC	"Kit, Pack, Tray"	SA070	"tray, thoracentesis"	tray	36.93	1	0	000
32554	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
32554	RUC	"Kit, Pack, Tray"	SA113	"Kit, thoracentesis"	kit	69.91	1	0	000
32555	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	15	0	000
32555	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
32555	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
32555	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
32555	CMS	"Kit, Pack, Tray"	SA070	"tray, thoracentesis"	tray	36.93	1	0	000
32555	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
32555	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
32555	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
32555	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
32555	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	3	0	000
32555	CMS	"Kit, Pack, Tray"	SA113	"Kit, thoracentesis"	kit	69.91	1	0	000
32555	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
32555	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
32556	CPT13 May 8	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
32556	CPT13 May 8	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
32556	CPT13 May 8	"Kit, Pack, Tray"	SA077	"kit, pleural catheter insertion"	kit	550.76	1	0	000
32556	CPT13 May 8	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
32556	CPT13 May 8	Lab	SL157	"cup, sterile, 8 oz"	item	0.58	1	0	000
32556	CPT13 May 8	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	25	0	000
32556	CPT13 May 8	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
32556	CPT13 May 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
32557	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
32557	CMS	"Kit, Pack, Tray"	SA113	"Kit, thoracentesis"	kit	69.91	1	0	000
32557	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
32557	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
32557	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
32557	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	000
32557	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
32557	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
32557	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
32557	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
32557	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
32557	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
32557	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.58	1	0	000
32557	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	000
32560	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
32560	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
32560	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1	0	000
32560	CMS	"Pharmacy, Rx"	SH070	"talc, sterile (Sclerosol) (4gm uou)"	item	144.69	1	0	000
32560	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
32560	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
32561	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
32561	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
32561	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
32561	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1	0	000
32561	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
32562	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
32562	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
32562	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
32562	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
32562	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1	0	000
32650	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32650	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32651	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32651	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32652	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
32652	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32653	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32653	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32654	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32654	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32655	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32655	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32656	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32656	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32658	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32658	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32659	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32659	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32661	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32661	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32662	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32662	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32663	CPT12 May 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32663	CPT12 May 8	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
32664	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32664	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32665	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32665	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32666	CPT12 May 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32666	CPT12 May 8	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
32669	CPT12 May 8	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
32669	CPT12 May 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32670	CPT12 May 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32670	CPT12 May 8	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
32671	CPT12 May 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32671	CPT12 May 8	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
32672	CPT12 May 8	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
32672	CPT12 May 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32673	CPT12 May 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32673	CPT12 May 8	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
32800	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32800	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32810	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32810	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32815	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
32815	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32820	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32820	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
32851	CPT12 5 Year	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
32851	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32852	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32852	CPT12 5 Year	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
32853	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32853	CPT12 5 Year	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
32854	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32854	CPT12 5 Year	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
32900	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32900	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32905	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32905	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32906	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32906	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32940	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
32940	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
32960	Feb05	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
32960	Feb05	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1	0	000
32960	Feb05	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
32960	Feb05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
32960	Feb05	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
32960	Feb05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
32960	Feb05	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1	0	000
32960	Feb05	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	000
32960	Feb05	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	10	0	000
32960	Feb05	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
32960	Feb05	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
32960	Feb05	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
32994	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
32994	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
32994	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	000
32994	RUC	"Wound Care, Dressings"	SG057	"gauze, x-ray detectable, sterile 4in x 4in (10 pack uou)"	item	2.64	1	0	000
32994	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
32994	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
32994	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
32994	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
32994	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
32994	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
32994	RUC	"Accessory, Procedure"	SD227	"gas, argon"	cu ft	0.53	575	0	000
32994	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
32994	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	0	000
32994	RUC	"Accessory, Procedure"	SD233	"probe, cryoablation, renal"	item	1170.22	3	0	000
32994	RUC	"Accessory, Procedure"	SD079	"gas, helium"	cu ft	1.02	455	0	000
32994	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
32994	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	000
32994	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	3	0	000
32994	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
32994	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
32994	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
32994	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
32994	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
32994	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
32994	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
32994	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
32994	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
32994	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
32994	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
32994	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
32998	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
32998	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
32998	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
32998	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
32998	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
32998	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	3	0	000
32998	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
32998	RUC	"Accessory, Procedure"	SD109	"probe, radiofrequency, 3 array (StarBurstSDE)"	item	2289	1	0	000
32998	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
32998	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
32998	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
32998	RUC	"Wound Care, Dressings"	SG057	"gauze, x-ray detectable, sterile 4in x 4in (10 pack uou)"	item	2.64	1	0	000
32998	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	000
32998	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
32998	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
32998	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
32998	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
32998	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	000
32998	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
32998	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
32998	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
32998	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
32998	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
32998	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
32998	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
32998	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	0	000
32998	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
33020	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33020	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33025	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33025	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33030	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33030	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
33031	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33031	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		2	090
33050	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33050	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33120	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33120	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1.5	090
33130	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33130	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33140	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33140	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33202	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33202	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33203	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33206	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33206	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33207	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33207	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33208	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33208	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33212	CPT12 May 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33212	CPT12 May 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
33213	CPT12 May 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33213	CPT12 May 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
33214	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33214	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33215	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33216	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33216	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33217	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33217	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33218	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33218	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33220	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33220	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33221	CPT12 May 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33221	CPT12 May 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
33222	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
33222	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33223	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33223	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33227	CPT12 May 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33227	CPT12 May 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
33228	CPT12 May 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33228	CPT12 May 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
33229	CPT12 May 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33229	CPT12 May 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
33230	CPT12 May 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33230	CPT12 May 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
33231	CPT12 May 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
33231	CPT12 May 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33233	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33233	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33234	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33234	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33235	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33235	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33236	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
33236	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33237	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
33237	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33238	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
33238	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33240	CPT12 May 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33240	CPT12 May 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
33241	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33241	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33243	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33243	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
33244	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
33244	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33249	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
33249	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33250	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33250	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33251	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33251	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33254	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33254	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33255	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33255	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33256	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33256	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33257	CPT08 22	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	ZZZ
33257	CPT08 22	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	ZZZ
33258	CPT08 22	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	ZZZ
33258	CPT08 22	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	ZZZ
33259	CPT08 22	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	ZZZ
33259	CPT08 22	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	ZZZ
33261	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33261	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33262		"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33262		"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
33263	CPT12 May 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33263	CPT12 May 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
33264	CPT12 May 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
33264	CPT12 May 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33265	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33265	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33266	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33266	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33270	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
33270	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33271	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
33271	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33272	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33272	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
33273	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33273	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
33274	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
33274	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33275	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33275	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
33285	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
33285	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
33285	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
33285	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	1	0	000
33285	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	000
33285	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
33285	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
33285	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
33285	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
33285	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
33285	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
33285	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
33285	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
33285	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
33285	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
33285	RUC	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	1.51	1	0	000
33285	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	1.55	1	0	000
33285	RUC	"Kit, Pack, Tray"	SA127	subcutaneous cardiac rhythm monitor system	item	5032.5	1	0	000
33285	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
33285	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	000
33286	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	1	0	000
33286	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
33286	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
33286	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
33286	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
33286	RUC	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	1.51	1	0	000
33286	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	000
33286	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
33286	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	000
33286	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
33286	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
33286	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
33286	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
33286	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
33286	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
33286	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
33286	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	1.55	1	0	000
33286	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
33286	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
33300	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33300	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33305	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33305	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33310	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33310	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33315	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1.5	090
33315	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33320	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33320	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33321	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33321	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33322	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33322	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33330	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33330	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33335	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33335	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33390	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33390	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33391	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33391	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33404	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33404	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33405	CPT13 May 43	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33405	CPT13 May 43	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33406	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33406	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33410	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33410	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33411	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33411	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33412	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33412	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33413	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33413	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33414	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33414	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33415	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33415	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33416	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33416	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33417	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33417	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33418	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33420	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33420	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33422	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33422	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33425	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33425	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33426	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33426	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33427	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33427	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33430	CPT13 May 43	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
33430	CPT13 May 43	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33440	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33440	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33460	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33460	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33463	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33463	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33464	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33464	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33465	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33465	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33468	CPT12 5 Year	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33468	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1.5	090
33470	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33470	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33471	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33471	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33474	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33474	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
33475	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
33475	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
33476	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33476	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
33478	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
33478	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33496	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
33496	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33500	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33500	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
33501	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33501	CPT07	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
33502	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33502	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
33503	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33503	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33504	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33504	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33505	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33505	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33506	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33506	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33507	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33507	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33510	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33510	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33511	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33511	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33512	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
33512	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33513	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33513	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33514	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33514	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33516	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33516	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		2	090
33533	CPT13 May 43	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33533	CPT13 May 43	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33534	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33534	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33535	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33535	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33536	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33536	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33542	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33542	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33545	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33545	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33548	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
33548	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33600	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33600	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33602	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33602	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33606	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33606	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33608	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33608	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33610	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33610	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33611	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33611	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33612	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33612	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33615	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33615	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33617	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33617	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33619	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		7	090
33619	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33620	CPT11 4	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33620	CPT11 4	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33621	CPT11 4	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33621	CPT11 4	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33622	CPT11 4	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33622	CPT11 4	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33641	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33641	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33645	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1.5	090
33645	CPT12 5 Year	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33647	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33647	CPT12 5 Year	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33660	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33660	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33665	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33665	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33670	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33670	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33675	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33675	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33676	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33676	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33677	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33677	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33681	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
33681	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33684	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33684	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33688	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33688	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33690	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33690	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33692	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33692	CPT12 5 Year	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33694	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33694	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33697	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33697	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33702	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33702	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33710	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33710	CPT12 5 Year	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33720	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33720	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33722	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33722	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33724	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33724	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33726	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33726	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33730	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33730	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33732	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33732	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33735	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33735	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33736	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33736	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33737	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33737	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33750	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33750	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33755	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33755	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33762	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33762	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33764	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33764	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33766	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33766	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33767	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33767	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33770	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33770	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33771	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33771	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33774	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33774	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33775	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33775	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33776	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33776	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33777	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33777	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33778	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33778	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33779	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33779	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33780	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33780	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33781	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33781	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33782	CPT10 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33782	CPT10 6	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33783	CPT10 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33783	CPT10 6	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33786	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33786	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33788	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33788	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33800	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33800	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33802	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33802	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33803	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33803	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33813	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33813	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33814	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33814	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33820	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33820	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33822	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33822	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33824	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33824	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33840	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33840	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33845	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33845	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33851	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33851	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33852	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33852	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33853	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33853	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33858	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33858	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33859	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33859	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33863	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33863	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33864	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33864	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33871	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33871	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33875	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33875	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33877	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33877	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
33880	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33880	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33881	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33881	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33883	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33883	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33886	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33886	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33910	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
33910	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33915	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33915	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33916	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33916	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
33917	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33917	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33920	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33920	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33922	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33922	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33925	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33925	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33926	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33926	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33935	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
33935	CPT12 5 Year	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33945	Mar04 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
33945	Mar04 T	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33971	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33971	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33974	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
33974	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
33XX3	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
33XX3	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33XX5	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
33XX5	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
34001	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
34001	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
34051	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
34051	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
34101	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
34101	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
34111	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
34111	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
34151	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
34151	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
34201	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
34201	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
34203	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
34203	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
34401	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
34401	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
34421	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
34421	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
34451	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
34451	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
34471	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
34471	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
34490	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
34490	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
34501	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
34501	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
34502	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
34502	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
34510	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
34510	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
34520	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
34520	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
34520	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
34520	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
34530	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
34530	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
34530	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
34530	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
34701	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
34701	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
34702	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
34702	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
34703	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
34703	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
34704	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
34704	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
34705	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
34705	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
34706	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
34706	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
34707	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
34707	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
34708	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
34708	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
34710	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
34710	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
34712	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
34712	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
34718	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
34718	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
34830	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
34830	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
34831	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
34831	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
34832	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
34832	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35001	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
35001	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35002	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35002	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
35005	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
35005	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35011	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35011	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35013	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35013	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35021	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35021	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35022	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35022	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35045	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
35045	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35045	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35045	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
35081	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35081	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35082	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35082	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35091	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35091	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35092	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35092	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35102	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35102	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35103	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35103	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35111	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35111	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35112	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35112	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35121	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35121	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35122	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35122	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35131	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35131	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35132	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35132	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35141	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35141	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35142	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35142	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35151	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35151	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35152	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35152	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35180	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35180	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35182	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35182	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35184	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35184	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35188	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35188	CPT12 5 Year	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35189	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35189	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35190	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35190	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35201	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35201	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35206	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35206	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35206	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
35206	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
35207	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35207	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
35207	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35207	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
35211	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35211	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35216	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35216	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35221	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35221	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35226	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
35226	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35226	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35226	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
35231	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35231	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35236	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
35236	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
35236	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35236	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35241	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35241	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35246	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35246	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35251	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35251	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35256	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
35256	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35256	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
35256	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		2	090
35261	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35261	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35266	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
35266	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35266	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35266	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
35271	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35271	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35276	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35276	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35281	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35281	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35286	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35286	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35286	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
35286	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
35301	CPT14 Mar 3	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35301	CPT14 Mar 3	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35302	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35302	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
35303	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35303	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
35304	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35304	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
35305	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35305	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
35311	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35311	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35321	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35321	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35331	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35331	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35341	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
35341	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35351	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35351	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35355	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35355	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35361	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35361	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35363	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35363	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35371	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35371	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35372	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35372	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35501	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35501	CPT07	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35501	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
35506	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35506	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35508	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35508	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35509	CPT07	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35509	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
35509	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35510	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35510	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
35511	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35511	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35512	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35512	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
35515	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35515	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35516	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35516	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35518	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35518	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35521	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35521	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35522	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35522	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
35523	CPT08 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
35523	CPT08 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35523	CPT08 25	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35525	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
35525	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35526	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35526	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35531	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35531	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35533	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35533	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35535	CPT09 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35535	CPT09 7	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35536	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35536	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35537	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
35537	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35538	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
35538	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
35539	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
35539	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35540	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35540	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
35556	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35556	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35558	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35558	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35560	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35560	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35563	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35563	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35565	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35565	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35566	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35566	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35570	CPT09 8	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35570	CPT09 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35571	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35571	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35583	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35583	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35585	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
35585	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35585	Sep02	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		4	090
35585	Sep02	"Wound Care, Dressings"	SG065	"packing, gauze w-iodoform 1in (5 yd uou)"	item	5.215		1	090
35585	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		1	090
35585	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35587	Sep02	"Wound Care, Dressings"	SG065	"packing, gauze w-iodoform 1in (5 yd uou)"	item	5.215		1	090
35587	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		1	090
35587	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35587	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35601	CPT07	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35601	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35601	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
35606	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35606	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35612	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35612	CPT12 5 Year	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35616	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35616	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35621	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35621	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35623	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35623	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35626	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35626	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35631	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35631	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35632	CPT09 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35632	CPT09 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35633	CPT09 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35633	CPT09 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35634	CPT09 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35634	CPT09 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35636	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35636	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35637	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35637	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
35638	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35638	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
35642	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35642	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35645	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35645	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35646	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35646	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35647	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35647	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35650	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35650	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35654	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35654	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35656	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35656	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35661	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35661	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35663	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35663	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35665	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35665	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35666	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		10	090
35666	Sep02	"Wound Care, Dressings"	SG065	"packing, gauze w-iodoform 1in (5 yd uou)"	item	5.215		1	090
35666	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		1	090
35666	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35666	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35666	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
35666	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
35666	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		100	090
35666	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		10	090
35666	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		6	090
35666	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
35671	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		18	090
35671	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35671	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		9	090
35671	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		9	090
35671	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		90	090
35671	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		54	090
35671	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35671	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
35691	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35691	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35693	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35693	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35694	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35694	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35695	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35695	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35701	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
35701	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35702	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
35702	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35703	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35703	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
35800	CPT12 5 Year	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35800	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35820	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
35840	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35840	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35860	CPT12 5 Year	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35860	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35870	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
35870	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35875	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
35875	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35875	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35875	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
35876	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
35876	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35876	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35876	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
35879	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
35879	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35879	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35881	Sep02	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		2	090
35881	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35881	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35881	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
35881	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
35883	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35883	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
35884	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
35884	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
35901	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
35901	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35901	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
35901	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
35903	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		11	090
35903	Sep02	"Wound Care, Dressings"	SG065	"packing, gauze w-iodoform 1in (5 yd uou)"	item	5.215		1	090
35903	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
35903	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
35903	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35903	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
35905	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35905	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
35907	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
35907	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
36000		"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	XXX
36000		"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	XXX
36000		"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	XXX
36000		"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	XXX
36000		"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	XXX
36000		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
36000		"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	XXX
36000		"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	XXX
36002		"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
36002		"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	000
36002		"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
36002		"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36002		"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
36002		"Pharmacy, Rx"	SH004	albumin saline	ml	0.15	2	0	000
36002		"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	3	0	000
36002		"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	000
36002		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
36002		"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	000
36002		"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	5	0	000
36005	Oct00	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	000
36005	Oct00	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
36005	Oct00	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
36005	Oct00	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36005	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
36005	Oct00	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
36005	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36005	Oct00	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
36005	Oct00	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
36005	Oct00	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
36005	Oct00	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
36005	Oct00	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36005	Oct00	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1	0	000
36005	Oct00	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
36010	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
36010	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
36010	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
36010	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
36010	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
36010	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	
36010	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
36010	Mod sed	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	
36010	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
36010	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
36010	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
36010	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
36010	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
36010	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	
36010	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
36010	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
36010	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
36010	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
36010	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
36010	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	
36010	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	
36010	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
36010	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36010	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	
36011	Jan04 9	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
36011	Jan04 9	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	XXX
36011	Jan04 9	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	XXX
36011	Jan04 9	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	XXX
36011	Jan04 9	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
36011	Jan04 9	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	XXX
36011	Jan04 9	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	XXX
36011	Jan04 9	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	XXX
36011	Jan04 9	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	XXX
36011	Jan04 9	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	XXX
36011	Jan04 9	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	XXX
36011	Jan04 9	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	XXX
36011	Jan04 9	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	XXX
36011	Jan04 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	XXX
36011	Jan04 9	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	XXX
36011	Jan04 9	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	XXX
36011	Jan04 9	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	XXX
36011	Jan04 9	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	XXX
36011	Jan04 9	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	XXX
36011	Jan04 9	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	XXX
36011	Jan04 9	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	XXX
36011	Jan04 9	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	XXX
36011	Jan04 9	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	XXX
36011	Jan04 9	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	XXX
36011	Jan04 9	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	XXX
36011	Jan04 9	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	XXX
36012	Jan04 9	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	XXX
36012	Jan04 9	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	XXX
36012	Jan04 9	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	XXX
36012	Jan04 9	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	XXX
36012	Jan04 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	XXX
36012	Jan04 9	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	XXX
36012	Jan04 9	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
36012	Jan04 9	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	XXX
36012	Jan04 9	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	XXX
36012	Jan04 9	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	XXX
36012	Jan04 9	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
36012	Jan04 9	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	XXX
36012	Jan04 9	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	XXX
36012	Jan04 9	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	XXX
36012	Jan04 9	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	XXX
36012	Jan04 9	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	XXX
36012	Jan04 9	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	XXX
36012	Jan04 9	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	XXX
36012	Jan04 9	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	XXX
36012	Jan04 9	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	XXX
36012	Jan04 9	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	XXX
36012	Jan04 9	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	XXX
36012	Jan04 9	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	XXX
36012	Jan04 9	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	XXX
36012	Jan04 9	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	XXX
36012	Jan04 9	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	XXX
36013	Jan04 9	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
36013	Jan04 9	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	XXX
36013	Jan04 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	XXX
36013	Jan04 9	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	XXX
36013	Jan04 9	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	XXX
36013	Jan04 9	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	XXX
36013	Jan04 9	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	XXX
36013	Jan04 9	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	XXX
36013	Jan04 9	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	XXX
36013	Jan04 9	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	XXX
36013	Jan04 9	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	XXX
36013	Jan04 9	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
36013	Jan04 9	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	XXX
36013	Jan04 9	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	XXX
36013	Jan04 9	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	XXX
36013	Jan04 9	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	XXX
36013	Jan04 9	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	XXX
36013	Jan04 9	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	XXX
36013	Jan04 9	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	XXX
36013	Jan04 9	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	XXX
36013	Jan04 9	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	XXX
36013	Jan04 9	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	XXX
36013	Jan04 9	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	XXX
36013	Jan04 9	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	XXX
36013	Jan04 9	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	XXX
36013	Jan04 9	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	XXX
36014	Jan04 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	XXX
36014	Jan04 9	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	XXX
36014	Jan04 9	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	XXX
36014	Jan04 9	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	XXX
36014	Jan04 9	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	XXX
36014	Jan04 9	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
36014	Jan04 9	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	XXX
36014	Jan04 9	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	XXX
36014	Jan04 9	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	XXX
36014	Jan04 9	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
36014	Jan04 9	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	XXX
36014	Jan04 9	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	XXX
36014	Jan04 9	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	XXX
36014	Jan04 9	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	XXX
36014	Jan04 9	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	XXX
36014	Jan04 9	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	XXX
36014	Jan04 9	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	XXX
36014	Jan04 9	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	XXX
36014	Jan04 9	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	XXX
36014	Jan04 9	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	XXX
36014	Jan04 9	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	XXX
36014	Jan04 9	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	XXX
36014	Jan04 9	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	XXX
36014	Jan04 9	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	XXX
36014	Jan04 9	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	XXX
36014	Jan04 9	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	XXX
36015	Jan04 9	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	XXX
36015	Jan04 9	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	XXX
36015	Jan04 9	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	XXX
36015	Jan04 9	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	XXX
36015	Jan04 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	XXX
36015	Jan04 9	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	XXX
36015	Jan04 9	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	XXX
36015	Jan04 9	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
36015	Jan04 9	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	XXX
36015	Jan04 9	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	XXX
36015	Jan04 9	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	XXX
36015	Jan04 9	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	XXX
36015	Jan04 9	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
36015	Jan04 9	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	XXX
36015	Jan04 9	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	XXX
36015	Jan04 9	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	XXX
36015	Jan04 9	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	XXX
36015	Jan04 9	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	XXX
36015	Jan04 9	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	XXX
36015	Jan04 9	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	XXX
36015	Jan04 9	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	XXX
36015	Jan04 9	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	XXX
36015	Jan04 9	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	XXX
36015	Jan04 9	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	XXX
36015	Jan04 9	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	XXX
36015	Jan04 9	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	XXX
36100	Jan04 9	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	XXX
36100	Jan04 9	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	XXX
36100	Jan04 9	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	XXX
36100	Jan04 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	XXX
36100	Jan04 9	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	XXX
36100	Jan04 9	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	XXX
36100	Jan04 9	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
36100	Jan04 9	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	XXX
36100	Jan04 9	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	XXX
36100	Jan04 9	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	XXX
36100	Jan04 9	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
36100	Jan04 9	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	XXX
36100	Jan04 9	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	XXX
36100	Jan04 9	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	XXX
36100	Jan04 9	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	XXX
36100	Jan04 9	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	XXX
36100	Jan04 9	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	XXX
36100	Jan04 9	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	XXX
36100	Jan04 9	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	XXX
36100	Jan04 9	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	XXX
36100	Jan04 9	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	XXX
36100	Jan04 9	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	XXX
36100	Jan04 9	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	XXX
36100	Jan04 9	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	XXX
36140	Mod sed	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	
36140	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
36140	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
36140	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	
36140	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
36140	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
36140	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
36140	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
36140	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
36140	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
36140	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
36140	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	
36140	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
36140	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	
36140	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36140	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
36140	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
36140	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	
36140	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
36140	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	
36140	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
36160	Jan04 9	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
36160	Jan04 9	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	XXX
36160	Jan04 9	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	XXX
36160	Jan04 9	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	XXX
36160	Jan04 9	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	XXX
36160	Jan04 9	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	XXX
36160	Jan04 9	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	XXX
36160	Jan04 9	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
36160	Jan04 9	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	XXX
36160	Jan04 9	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	XXX
36160	Jan04 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	XXX
36160	Jan04 9	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	XXX
36160	Jan04 9	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	XXX
36160	Jan04 9	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	XXX
36160	Jan04 9	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	XXX
36160	Jan04 9	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	XXX
36160	Jan04 9	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	XXX
36160	Jan04 9	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	XXX
36160	Jan04 9	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	XXX
36160	Jan04 9	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	XXX
36160	Jan04 9	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	XXX
36200	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
36200	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	
36200	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
36200	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
36200	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
36200	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	
36200	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
36200	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	
36200	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
36200	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
36200	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
36200	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
36200	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
36200	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36200	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
36200	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
36200	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
36200	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	0	
36200	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	
36200	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
36215	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
36215	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36215	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
36215	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
36215	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36215	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36215	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36215	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
36215	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
36215	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36215	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
36215	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36215	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36215	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36215	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36215	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
36215	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
36215	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36215	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
36215	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36215	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36215	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
36215	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36215	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36215	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
36215	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
36215	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36215	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
36215	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36215	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
36215	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
36216	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
36216	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36216	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
36216	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36216	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
36216	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36216	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
36216	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36216	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36216	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36216	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36216	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
36216	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36216	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36216	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
36216	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36216	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
36216	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36216	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36216	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36216	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
36216	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
36216	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
36216	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36216	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
36216	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
36216	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
36216	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36216	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
36216	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
36216	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36217	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36217	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36217	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
36217	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36217	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
36217	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36217	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
36217	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
36217	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
36217	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36217	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36217	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36217	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36217	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36217	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
36217	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
36217	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
36217	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
36217	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
36217	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
36217	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36217	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
36217	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
36217	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36217	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
36217	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
36217	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36217	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
36217	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36217	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36217	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
36217	RUC	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	000
36217	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36217	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36218	RUC	"Accessory, Procedure"	SD153	"catheter, curved"	item	18.25	1	0	ZZZ
36218	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	ZZZ
36221	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
36221	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
36221	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
36221	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
36221	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
36221	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36221	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	
36221	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	
36221	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
36221	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
36221	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
36221	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
36221	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
36221	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
36221	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
36221	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
36221	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
36221	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
36221	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
36221	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
36221	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	
36221	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	
36221	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
36221	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1	0	
36221	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	
36221	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
36221	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
36221	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	
36221	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
36221	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
36221	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
36221	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	
36221	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
36221	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
36222	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
36222	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
36222	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
36222	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36222	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
36222	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
36222	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
36222	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
36222	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	
36222	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
36222	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
36222	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
36222	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
36222	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
36222	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	
36222	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
36222	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
36222	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
36222	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	
36222	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	
36222	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
36222	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	
36222	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	
36222	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
36222	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1	0	
36222	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
36222	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
36222	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
36222	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
36222	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
36222	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	
36222	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
36222	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
36222	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
36222	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	
36223	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	
36223	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	
36223	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	
36223	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
36223	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
36223	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
36223	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
36223	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
36223	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
36223	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
36223	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
36223	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
36223	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
36223	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
36223	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
36223	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	
36223	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
36223	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
36223	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	
36223	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
36223	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
36223	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
36223	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	
36223	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
36223	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	
36223	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
36223	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1	0	
36223	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	
36223	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
36223	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
36223	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36223	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
36223	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
36223	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
36223	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
36223	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	
36224	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
36224	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
36224	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	
36224	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	
36224	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	
36224	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
36224	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
36224	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
36224	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
36224	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
36224	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
36224	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
36224	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
36224	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
36224	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	
36224	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
36224	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
36224	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
36224	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	
36224	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
36224	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
36224	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36224	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	
36224	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
36224	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
36224	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1	0	
36224	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
36224	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
36224	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	
36224	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	
36224	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
36224	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
36224	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
36224	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
36224	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	
36224	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
36225	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
36225	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
36225	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	
36225	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
36225	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
36225	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	
36225	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
36225	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
36225	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	
36225	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	
36225	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	
36225	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
36225	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	
36225	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
36225	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
36225	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1	0	
36225	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
36225	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
36225	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
36225	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
36225	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
36225	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
36225	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
36225	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
36225	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36225	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
36225	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
36225	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	
36225	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	
36225	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	
36225	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
36225	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
36225	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
36225	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
36225	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
36225	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
36226	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	
36226	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
36226	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
36226	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
36226	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	
36226	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
36226	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
36226	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
36226	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	
36226	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
36226	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
36226	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
36226	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
36226	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
36226	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
36226	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
36226	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
36226	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
36226	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	
36226	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1	0	
36226	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
36226	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
36226	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
36226	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
36226	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
36226	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36226	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
36226	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	
36226	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	
36226	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	
36226	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
36226	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
36226	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
36226	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	
36226	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
36226	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	
36228	Mod sed	"Hypodermic, IV"	SC075	"needle, acupuncture"	item	0.1	4	0	
36228	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	
36228	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	
36245	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	
36245	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
36245	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
36245	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
36245	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	
36245	Mod sed	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	
36245	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
36245	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
36245	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	
36245	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
36245	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
36245	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	
36245	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	
36245	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
36245	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	
36245	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	
36245	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
36245	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
36245	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
36245	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
36245	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
36245	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
36245	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
36245	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
36245	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
36245	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36245	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	
36245	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
36245	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
36245	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
36245	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
36245	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
36245	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
36245	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
36246	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
36246	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
36246	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
36246	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
36246	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
36246	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36246	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
36246	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
36246	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	
36246	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	
36246	Mod sed	"Accessory, Procedure"	SD141	"brush, protected airway specimen"	item	20	1	0	
36246	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
36246	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
36246	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	
36246	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	
36246	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	
36246	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
36246	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
36246	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
36246	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
36246	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
36246	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
36246	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
36246	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
36246	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
36246	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
36247	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
36247	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
36247	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
36247	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
36247	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
36247	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
36247	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	
36247	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	
36247	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
36247	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
36247	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
36247	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36247	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
36247	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	
36247	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
36247	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	
36247	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
36247	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
36247	Mod sed	"Accessory, Procedure"	SD141	"brush, protected airway specimen"	item	20	1	0	
36247	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
36247	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	
36247	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
36247	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
36247	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
36247	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
36247	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	
36247	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
36247	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	
36248	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	
36248	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	
36251	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	
36251	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
36251	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
36251	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	
36251	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
36251	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
36251	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
36251	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
36251	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
36251	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	
36251	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
36251	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	
36251	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
36251	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
36251	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
36251	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
36251	Mod sed	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	
36251	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
36251	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
36251	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
36251	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
36251	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
36251	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	
36251	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
36251	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
36251	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
36251	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	
36251	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	
36251	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
36251	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	
36251	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
36251	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
36251	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
36251	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
36251	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36252	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	
36252	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
36252	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
36252	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
36252	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
36252	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	
36252	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	
36252	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
36252	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
36252	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
36252	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
36252	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	
36252	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
36252	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
36252	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
36252	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
36252	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
36252	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
36252	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	
36252	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
36252	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	
36252	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
36252	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
36252	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
36252	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	
36252	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
36252	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
36252	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
36252	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
36252	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
36252	Mod sed	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	
36252	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
36252	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36252	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
36252	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	
36253	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	
36253	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	
36253	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
36253	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
36253	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
36253	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
36253	Mod sed	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	
36253	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
36253	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
36253	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
36253	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
36253	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
36253	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	
36253	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
36253	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
36253	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	
36253	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
36253	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
36253	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
36253	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
36253	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
36253	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
36253	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	
36253	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
36253	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
36253	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
36253	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	
36253	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	
36253	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	
36253	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
36253	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
36253	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	
36253	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
36253	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36253	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
36253	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
36253	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	
36254	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
36254	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	
36254	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
36254	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
36254	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	
36254	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
36254	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	
36254	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
36254	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	
36254	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
36254	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36254	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
36254	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
36254	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
36254	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
36254	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
36254	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
36254	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
36254	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	
36254	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
36254	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	
36254	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
36254	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
36254	Mod sed	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	
36254	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	
36254	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
36254	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	
36254	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
36254	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
36254	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
36254	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
36254	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	
36254	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
36254	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
36254	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	
36254	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
36254	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
36260	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
36260	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
36260	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
36260	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
36261	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
36261	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
36262	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
36262	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
36400	Mar02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	XXX
36400	Mar02	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	XXX
36400	Mar02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
36400	Mar02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
36400	Mar02	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
36405	Mar02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
36405	Mar02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	XXX
36405	Mar02	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	XXX
36405	Mar02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
36405	Mar02	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
36406	Mar02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	XXX
36406	Mar02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
36406	Mar02	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	XXX
36406	Mar02	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
36406	Mar02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
36410	CPT11	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
36410	CPT11	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
36410	CPT11	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
36410	CPT11	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	XXX
36410	CPT11	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	XXX
36430	Mar04 N	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.97	1		XXX
36430	Mar04 N	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
36430	Mar04 N	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
36430	Mar04 N	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
36430	Mar04 N	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	1		XXX
36430	Mar04 N	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
36430	Mar04 N	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
36430	Mar04 N	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
36430	Mar04 N	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1		XXX
36430	Mar04 N	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1		XXX
36430	Mar04 N	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	1		XXX
36465	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36465	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
36465	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
36465	RUC	"Accessory, Procedure"	SD324	Varithena (foam)	item	3195	0.33	0	000
36465	RUC	"Kit, Pack, Tray"	SA125	Varithena admin pack	pack	40	1	0	000
36465	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
36465	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
36465	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
36465	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
36465	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
36465	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36465	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36465	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
36465	RUC	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1	0	000
36465	RUC	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"	item	2.28	2	0	000
36465	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36465	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36465	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	100	0	000
36465	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
36465	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12	0	000
36465	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	000
36465	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2	0	000
36465	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	2	0	000
36465	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
36465	RUC	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8	2	0	000
36465	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	000
36465	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
36465	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36465	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36465	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
36465	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36465	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
36465	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
36465	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36465	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
36466	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
36466	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36466	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
36466	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36466	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	000
36466	RUC	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"	item	2.28	2	0	000
36466	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	000
36466	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
36466	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36466	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
36466	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	2	0	000
36466	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36466	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36466	RUC	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1	0	000
36466	RUC	"Kit, Pack, Tray"	SA125	Varithena admin pack	pack	40	1	0	000
36466	RUC	"Accessory, Procedure"	SD324	Varithena (foam)	item	3195	0.33	0	000
36466	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
36466	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
36466	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
36466	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
36466	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	100	0	000
36466	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
36466	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
36466	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36466	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2	0	000
36466	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
36466	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
36466	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
36466	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	2	0	000
36466	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
36466	RUC	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8	2	0	000
36466	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36466	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	0	000
36466	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12	0	000
36466	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	000
36470	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
36470	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
36470	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	100	0	000
36470	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
36470	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
36470	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
36470	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
36470	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36470	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
36470	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	000
36470	RUC	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8	1	0	000
36470	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
36470	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
36470	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
36470	RUC	"Pharmacy, Rx"	SH062	sclerosing solution inj	ml	2.98	10	0	000
36470	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	000
36470	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
36471	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	000
36471	RUC	"Pharmacy, Rx"	SH062	sclerosing solution inj	ml	2.98	20	0	000
36471	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	100	0	000
36471	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
36471	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36471	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	000
36471	RUC	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8	1	0	000
36471	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
36471	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
36471	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	40	0	000
36471	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
36471	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
36471	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
36471	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
36471	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
36471	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
36471	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
36473	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36473	CMS	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	000
36473	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36473	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
36473	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36473	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
36473	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	000
36473	CMS	"Pharmacy, Rx"	SH108	Sotradecol Sclerosing Agent	Vial	128.09	1	0	000
36473	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
36473	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
36473	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36473	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	000
36473	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
36473	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
36473	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
36473	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
36473	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36473	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
36473	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60	0	000
36473	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12	0	000
36473	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36473	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36473	CMS	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2	0	000
36473	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
36473	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
36473	CMS	"Kit, Pack, Tray"	SA122	Claravein Kit	kit	883.33	1	0	000
36473	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36473	CMS	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1	0	000
36473	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
36473	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
36473	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
36473	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	000
36473	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36473	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	100	0	000
36474	RUC	"Pharmacy, Rx"	SH108	Sotradecol Sclerosing Agent	Vial	128.09	1	0	ZZZ
36474	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	ZZZ
36474	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	ZZZ
36474	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	ZZZ
36474	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	ZZZ
36475	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
36475	RUC	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	1	0	000
36475	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
36475	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	100	0	000
36475	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
36475	RUC	"Hypodermic, IV"	SC074	iv pressure infusor bag	item	15.75	1	0	000
36475	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
36475	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1	0	000
36475	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36475	RUC	"Accessory, Procedure"	SD155	"catheter, RF endovenous occlusion"	item	487.92	1	0	000
36475	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
36475	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
36475	RUC	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	1	0	000
36475	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	000
36475	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36475	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
36475	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
36475	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	60	0	000
36475	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	100	0	000
36475	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36475	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
36475	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2	0	000
36475	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
36475	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
36475	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1	0	000
36475	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
36475	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12	0	000
36475	RUC	"Wound Care, Dressings"	SG087	"stockings, knee length, 20-30mm compression"	pair	41.2	1	0	000
36475	RUC	"Kit, Pack, Tray"	SA026	"kit, radiofrequency introducer"	kit	28.575	1	0	000
36475	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	000
36475	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
36475	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
36475	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36475	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
36475	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
36475	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36475	RUC	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1	0	000
36475	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
36475	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
36475	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	10	0	000
36475	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60	0	000
36475	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	000
36475	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
36475	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
36476	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	ZZZ
36476	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	ZZZ
36476	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	ZZZ
36476	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	ZZZ
36476	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	ZZZ
36476	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1	0	ZZZ
36476	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60	0	ZZZ
36476	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	ZZZ
36476	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	ZZZ
36476	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	10	0	ZZZ
36476	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	100	0	ZZZ
36476	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	ZZZ
36476	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2	0	ZZZ
36476	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12	0	ZZZ
36476	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	ZZZ
36476	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	100	0	ZZZ
36478	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	000
36478	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
36478	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12	0	000
36478	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	000
36478	RUC	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1	0	000
36478	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1	0	000
36478	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36478	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
36478	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	100	0	000
36478	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
36478	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
36478	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36478	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36478	RUC	"Wound Care, Dressings"	SG087	"stockings, knee length, 20-30mm compression"	pair	41.2	1	0	000
36478	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
36478	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	60	0	000
36478	RUC	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	1	0	000
36478	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1	0	000
36478	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
36478	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
36478	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60	0	000
36478	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	10	0	000
36478	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
36478	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
36478	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	000
36478	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
36478	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
36478	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
36478	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
36478	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
36478	RUC	"Kit, Pack, Tray"	SA074	"kit, endovascular laser treatment"	kit	438.6	1	0	000
36478	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36478	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	100	0	000
36478	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
36478	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2	0	000
36478	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
36478	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
36478	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
36479	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	ZZZ
36479	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	ZZZ
36479	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12	0	ZZZ
36479	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2	0	ZZZ
36479	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	ZZZ
36479	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	ZZZ
36479	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	ZZZ
36479	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	100	0	ZZZ
36479	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60	0	ZZZ
36479	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	10	0	ZZZ
36479	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	ZZZ
36479	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	ZZZ
36479	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1	0	ZZZ
36479	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	ZZZ
36479	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	ZZZ
36479	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	100	0	ZZZ
36481	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
36481	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
36481	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	
36481	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
36481	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
36481	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
36481	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
36481	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
36481	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
36481	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
36481	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
36481	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
36481	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
36481	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	
36481	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
36481	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
36481	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	
36481	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
36481	Mod sed	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	
36481	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	
36481	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
36481	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
36481	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	
36481	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	
36481	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
36481	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36481	Mod sed	"Accessory, Procedure"	SD153	"catheter, curved"	item	18.25	1	0	
36481	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	
36481	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
36481	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
36481	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	
36481	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	
36481	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	
36481	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
36481	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
36481	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
36481	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
36481	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	
36482	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
36482	RUC	"Accessory, Procedure"	SD323	Venaseal (glue)	item	1495	1	0	000
36482	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36482	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36482	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36482	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
36482	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36482	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
36482	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
36482	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
36482	RUC	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1	0	000
36482	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
36482	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36482	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
36482	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36482	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
36482	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36482	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36482	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
36482	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
36482	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	2	0	000
36482	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
36482	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	000
36482	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12	0	000
36482	RUC	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8	2	0	000
36482	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2	0	000
36482	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	000
36482	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
36482	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36482	RUC	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"	item	2.28	2	0	000
36482	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
36482	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	100	0	000
36482	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
36482	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
36483	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	ZZZ
36483	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	ZZZ
36483	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	ZZZ
36483	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	ZZZ
36510	Mar04 N	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.97	1	0	000
36510	Mar04 N	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
36510	Mar04 N	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
36510	Mar04 N	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
36510	Mar04 N	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
36510	Mar04 N	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	1	0	000
36510	Mar04 N	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
36510	Mar04 N	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
36510	Mar04 N	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
36510	Mar04 N	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	1	0	000
36510	Mar04 N	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
36510	Mar04 N	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
36514	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.01	1000	0	000
36514	RUC	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.59	1	0	000
36514	RUC	Lab	SL197	label for blood tube	item	0.0035	2	0	000
36514	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	2	0	000
36514	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	3	0	000
36514	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
36514	RUC	"Hypodermic, IV"	SC084	"tubing set, blood warmer"	item	8.01	1	0	000
36514	RUC	"Pharmacy, NonRx"	SJ071	ACD-A anticoagulant	item	8.64	1	0	000
36514	RUC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	12	0	000
36514	RUC	"Hypodermic, IV"	SC091	Vacutainer	item	6.89	1	0	000
36514	RUC	"Hypodermic, IV"	SC089	"needle, Vacutainer"	item	0.32	1	0	000
36514	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	8	0	000
36514	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
36514	RUC	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.18	1	0	000
36514	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12	0	000
36514	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	14	0	000
36514	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	4	0	000
36514	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
36514	RUC	"Hypodermic, IV"	SC085	"tubing set, plasma exchange"	item	186.12	1	0	000
36514	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
36514	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	2	0	000
36514	RUC	"Pharmacy, Rx"	SH093	"heparin 5,000 units-ml inj"	ml	0.53	4	0	000
36514	RUC	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.34	8	0	000
36514	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
36514	RUC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14	4	0	000
36514	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
36516	RUC	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.34	8	0	000
36516	RUC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	12	0	000
36516	RUC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14	4	0	000
36516	RUC	"Accessory, Procedure"	SD186	plasma LDL adsorption column (Liposorber)	item	1118.06	1	0	000
36516	RUC	"Hypodermic, IV"	SC091	Vacutainer	item	6.89	1	0	000
36516	RUC	"Hypodermic, IV"	SC084	"tubing set, blood warmer"	item	8.01	1	0	000
36516	RUC	"Hypodermic, IV"	SC089	"needle, Vacutainer"	item	0.32	1	0	000
36516	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
36516	RUC	"Accessory, Procedure"	SD188	plasma separator (Liposorber)	item	131.42	1	0	000
36516	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
36516	RUC	"Hypodermic, IV"	SC083	tubing set (Liposorber)	item	75.71	1	0	000
36516	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	8	0	000
36516	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	3	0	000
36516	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
36516	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	2	0	000
36516	RUC	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.18	1	0	000
36516	RUC	"Pharmacy, Rx"	SH093	"heparin 5,000 units-ml inj"	ml	0.53	4	0	000
36516	RUC	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.59	1	0	000
36516	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
36516	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
36516	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12	0	000
36516	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.01	1000	0	000
36516	RUC	"Pharmacy, NonRx"	SJ071	ACD-A anticoagulant	item	8.64	1	0	000
36516	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	2	0	000
36516	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
36516	RUC	Lab	SL197	label for blood tube	item	0.0035	2	0	000
36516	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	14	0	000
36516	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	4	0	000
36522	RUC	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.59	1	0	000
36522	RUC	"Kit, Pack, Tray"	SA024	"kit, photopheresis procedure"	kit	863.56	1	0	000
36522	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
36522	RUC	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.34	8	0	000
36522	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
36522	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
36522	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	000
36522	RUC	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	3.12	1	0	000
36522	RUC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14	4	0	000
36522	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
36522	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	4	0	000
36522	RUC	"Hypodermic, IV"	SC088	"fistula needle, dialysis, 17g"	item	1.23	2	0	000
36522	RUC	"Hypodermic, IV"	SC089	"needle, Vacutainer"	item	0.32	1	0	000
36522	RUC	Lab	SL197	label for blood tube	item	0.0035	2	0	000
36522	RUC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	12	0	000
36522	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.01	1000	0	000
36522	RUC	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.75	1	0	000
36522	RUC	"Pharmacy, Rx"	SH093	"heparin 5,000 units-ml inj"	ml	0.53	4	0	000
36522	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
36522	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	14	0	000
36522	RUC	"Pharmacy, NonRx"	SJ075	"methoxsalen, 10ml vial"	item	60.43	1	0	000
36522	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	2	0	000
36522	RUC	"Hypodermic, IV"	SC091	Vacutainer	item	6.89	1	0	000
36522	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	3	0	000
36522	RUC	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.18	1	0	000
36522	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	8	0	000
36522	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
36522	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	2	0	000
36522	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12	0	000
36522	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
36555	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
36555	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
36555	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
36555	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
36555	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36555	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
36555	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	000
36555	RUC	"Kit, Pack, Tray"	SA009	"kit, CVA catheter, non-tunneled"	kit	75.57	1	0	000
36555	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
36555	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
36555	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
36555	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
36555	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36555	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
36555	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	000
36555	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
36555	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36555	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	000
36555	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
36556	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36556	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
36556	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	000
36556	RUC	"Kit, Pack, Tray"	SA009	"kit, CVA catheter, non-tunneled"	kit	75.57	1	0	000
36556	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
36556	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	000
36556	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
36556	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
36556	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
36556	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
36556	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
36556	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
36556	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
36556	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
36556	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
36556	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36556	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
36556	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
36556	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	000
36556	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36557	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	
36557	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	
36557	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	
36557	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	
36557	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	
36557	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36557	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	
36557	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
36557	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
36557	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	
36557	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	
36557	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	
36557	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	
36557	Mod sed	"Kit, Pack, Tray"	SA010	"kit, CVA catheter, tunneled, without port-pump"	kit	499.65	1	0	
36557	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
36557	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	
36557	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	
36557	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	
36557	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
36557	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	
36557	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	
36557	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	
36557	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	
36557	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
36558	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36558	Mod sed	"Kit, Pack, Tray"	SA010	"kit, CVA catheter, tunneled, without port-pump"	kit	499.65	1	0	
36558	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	
36558	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	
36558	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	
36558	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	
36558	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	
36558	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
36558	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	
36558	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	
36558	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
36558	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	
36558	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	
36558	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
36558	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	
36558	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	
36558	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	
36558	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	
36558	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	
36558	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	
36558	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
36558	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
36558	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	
36558	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	
36560	Mod sed	"Kit, Pack, Tray"	SA011	"kit, CVA catheter, tunneled, with subcut port"	kit	510.73	1	0	
36560	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	
36560	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	
36560	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	
36560	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	
36560	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	
36560	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
36560	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
36560	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	
36560	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	
36560	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36560	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	
36560	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	
36560	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
36560	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
36560	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	
36560	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	
36560	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	
36560	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	
36560	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	
36560	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
36560	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	
36560	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	
36560	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	
36561	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
36561	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
36561	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	
36561	Mod sed	"Kit, Pack, Tray"	SA011	"kit, CVA catheter, tunneled, with subcut port"	kit	510.73	1	0	
36561	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36561	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	
36561	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	
36561	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
36561	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	
36561	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	
36561	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	
36561	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
36561	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	
36561	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	
36561	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	
36561	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	
36561	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	
36561	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	
36561	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
36561	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	
36561	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	
36561	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	
36561	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	
36561	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	
36563	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
36563	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	
36563	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	
36563	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	
36563	Mod sed	"Kit, Pack, Tray"	SA011	"kit, CVA catheter, tunneled, with subcut port"	kit	510.73	1	0	
36563	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	
36563	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	
36563	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	
36563	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
36563	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	
36563	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
36563	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	
36563	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	
36563	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	
36563	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36563	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	
36563	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
36563	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	
36563	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	
36563	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	
36563	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	
36563	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
36563	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	
36563	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	
36565	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	
36565	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	
36565	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	
36565	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	
36565	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
36565	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	
36565	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36565	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	
36565	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	
36565	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	
36565	Mod sed	"Accessory, Procedure"	SD020	"catheter, CVA, tunneled, dual (Tesio)"	item	321.45	1	0	
36565	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
36565	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	
36565	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	2	0	
36565	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
36565	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	9	0	
36565	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
36565	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	
36565	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	
36565	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	
36565	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	
36565	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	
36565	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	
36565	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	
36566	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	
36566	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	
36566	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	2	0	
36566	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	
36566	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	
36566	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	
36566	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
36566	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	
36566	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	
36566	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	
36566	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36566	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
36566	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	
36566	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	
36566	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	
36566	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	
36566	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	
36566	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	
36566	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
36566	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	
36566	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	
36566	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	
36566	Mod sed	"Accessory, Procedure"	SD221	"catheter, CVA, system, tunneled w-port, dual (LifeSite)"	item	1750	2	0	
36566	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	
36570	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	
36570	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	
36570	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
36570	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	
36570	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	
36570	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	
36570	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	
36570	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	
36570	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	
36570	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	
36570	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
36570	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
36570	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	
36570	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	
36570	Mod sed	"Kit, Pack, Tray"	SA025	"kit, PICC with subcut port"	kit	718.18	1	0	
36570	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	
36570	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
36570	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	
36570	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	
36570	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36570	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	
36570	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	
36570	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	
36570	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
36571	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	
36571	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	
36571	Mod sed	"Kit, Pack, Tray"	SA025	"kit, PICC with subcut port"	kit	718.18	1	0	
36571	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	
36571	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	
36571	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	
36571	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	
36571	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	
36571	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
36571	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	
36571	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	
36571	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
36571	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	
36571	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
36571	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36571	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	
36571	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
36571	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	
36571	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	
36571	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	
36571	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	
36571	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	
36571	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
36571	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	
36572	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36572	RUC	"Accessory, Procedure"	SD331	Turbo-Ject PICC Line	item	170	1	0	000
36572	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36572	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36572	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36572	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
36572	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1	0	000
36572	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
36572	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
36572	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
36572	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
36572	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
36572	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36572	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
36572	RUC	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"	item	2.28	1	0	000
36572	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36572	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36572	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	22	0	000
36572	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36572	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
36572	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36573	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36573	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
36573	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1	0	000
36573	RUC	"Accessory, Procedure"	SD331	Turbo-Ject PICC Line	item	170	1	0	000
36573	RUC	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"	item	2.28	1	0	000
36573	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36573	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
36573	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36573	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36573	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36573	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	22	0	000
36573	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
36573	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
36573	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36573	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
36573	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36573	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
36573	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
36573	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36573	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
36573	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36575		"Kit, Pack, Tray"	SA012	"kit, CVA device repair"	kit	94.23	1	0	000
36575		"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
36575		"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
36575		"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
36575		"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
36575		"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
36575		"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
36575		"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
36575		"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
36575		"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
36575		"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	000
36575		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
36575		"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36575		"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	000
36575		"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	000
36575		"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
36575		"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	000
36575		"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
36575		"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
36575		"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
36576	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	
36576	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	
36576	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	
36576	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
36576	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	
36576	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36576	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	
36576	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	
36576	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
36576	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
36576	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	
36576	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	
36576	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	
36576	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
36576	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	
36576	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
36576	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	
36576	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	
36576	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	
36576	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	
36576	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	
36576	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	
36576	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	
36578	Mod sed	"Accessory, Procedure"	SD021	"catheter, CVA, non-tunneled"	item	131.17	1	0	
36578	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
36578	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
36578	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	
36578	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	
36578	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	
36578	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36578	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	
36578	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	
36578	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	
36578	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	
36578	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	
36578	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	
36578	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	
36578	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	
36578	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	
36578	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	
36578	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
36578	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	
36578	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	
36578	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	
36578	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
36578	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	
36578	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
36580	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
36580	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	000
36580	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	000
36580	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36580	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	000
36580	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
36580	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	000
36580	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
36580	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
36580	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
36580	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
36580	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
36580	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
36580	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
36580	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
36580	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
36580	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
36580	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
36580	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
36580	CMS	"Kit, Pack, Tray"	SA009	"kit, CVA catheter, non-tunneled"	kit	75.57	1	0	000
36580	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
36580	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
36581	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	2	0	
36581	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	
36581	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	
36581	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	
36581	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36581	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	
36581	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	
36581	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	
36581	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	
36581	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
36581	Mod sed	"Kit, Pack, Tray"	SA010	"kit, CVA catheter, tunneled, without port-pump"	kit	499.65	1	0	
36581	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	
36581	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	
36581	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
36581	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	
36581	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	
36581	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	
36581	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
36581	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	
36581	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
36581	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	
36581	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	
36581	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	
36581	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	
36582	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	
36582	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	
36582	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
36582	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	
36582	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
36582	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	
36582	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	
36582	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	
36582	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	
36582	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	
36582	Mod sed	"Kit, Pack, Tray"	SA011	"kit, CVA catheter, tunneled, with subcut port"	kit	510.73	1	0	
36582	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	
36582	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	
36582	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	
36582	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
36582	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	
36582	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	
36582	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	
36582	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36582	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	
36582	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	
36582	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
36582	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
36582	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	
36583	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	
36583	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
36583	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
36583	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	
36583	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	
36583	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	
36583	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	
36583	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	
36583	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	
36583	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	
36583	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	
36583	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36583	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	
36583	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	
36583	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	
36583	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	
36583	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
36583	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	
36583	Mod sed	"Kit, Pack, Tray"	SA011	"kit, CVA catheter, tunneled, with subcut port"	kit	510.73	1	0	
36583	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	
36583	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
36583	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	
36583	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
36583	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	
36584	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36584	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	22	0	000
36584	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1	0	000
36584	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
36584	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36584	RUC	"Accessory, Procedure"	SD331	Turbo-Ject PICC Line	item	170	1	0	000
36584	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
36584	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
36584	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
36584	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
36584	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36584	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36584	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36584	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
36584	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36584	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36584	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36584	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
36584	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36585	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	
36585	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
36585	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	
36585	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	
36585	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	
36585	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	
36585	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36585	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	
36585	Mod sed	"Kit, Pack, Tray"	SA025	"kit, PICC with subcut port"	kit	718.18	1	0	
36585	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	
36585	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	
36585	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	
36585	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	
36585	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	
36585	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	
36585	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
36585	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	
36585	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	
36585	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	
36585	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	
36585	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	
36585	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
36585	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
36589		"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	010
36589		"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
36589		"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
36589		"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	010
36589		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
36589		"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
36589		"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
36589		"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
36589		"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
36589		"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
36589		"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
36589		"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
36589		"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	010
36589		"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
36590	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
36590	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	
36590	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	
36590	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
36590	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
36590	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
36590	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	
36590	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	
36590	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	
36590	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	
36590	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	
36590	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	
36590	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	
36590	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	
36590	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	
36590	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	
36590	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	
36590	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	
36590	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	
36591	CPT08	Lab	SL085	label for microscope slides	item	0.14	6		XXX
36591	CPT08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
36591	CPT08	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
36591	CPT08	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.97	1		XXX
36591	CPT08	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
36591	CPT08	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
36591	CPT08	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
36591	CPT08	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
36591	CPT08	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	7		XXX
36591	CPT08	Lab	SL027	color coded cap and vial (for antigen)	item	0.63	3		XXX
36591	CPT08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		XXX
36591	CPT08	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
36591	CPT08	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		XXX
36592	CPT08 26	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
36592	CPT08 26	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
36592	CPT08 26	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	3		XXX
36592	CPT08 26	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
36592	CPT08 26	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1		XXX
36592	CPT08 26	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		XXX
36592	CPT08 26	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
36592	CPT08 26	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	4		XXX
36592	CPT08 26	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	7		XXX
36592	CPT08 26	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
36592	CPT08 26	Lab	SL027	color coded cap and vial (for antigen)	item	0.63	3		XXX
36592	CPT08 26	Lab	SL085	label for microscope slides	item	0.14	6		XXX
36592	CPT08 26	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
36592	CPT08 26	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
36592	CPT08 26	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
36592	CPT08 26	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
36593	CPT08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1		XXX
36593	CPT08	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.97	1		XXX
36593	CPT08	Lab	SL144	thrombin reagent (Thromboquik)	ml	2.95	1		XXX
36593	CPT08	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
36593	CPT08	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
36593	CPT08	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
36593	CPT08	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
36593	CPT08	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
36593	CPT08	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	3		XXX
36593	CPT08	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
36593	CPT08	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
36595		"Kit, Pack, Tray"	SA020	"kit, loop snare (Microvena)"	kit	379.5	1	0	000
36595		"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
36596		"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36596		"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
36596		"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36596		"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
36596		"Accessory, Procedure"	SD008	"brush, ureteral"	item	37.79	1	0	000
36596		"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	000
36596		"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	000
36596		"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
36597	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
36597	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	000
36597	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
36597	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	000
36597	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36597	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1	0	000
36597	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
36597	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	000
36597	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
36597	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
36597	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
36597	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
36597	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	000
36597	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
36597	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
36597	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
36597	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
36597	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
36597	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
36597	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
36597	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36597	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
36598	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
36598	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	1	0	000
36598	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
36598	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
36598	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
36598	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
36598	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36598	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
36598	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
36598	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	30	0	000
36598	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36598	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36598	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36598	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1	0	000
36600	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	XXX
36600	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
36600	RUC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	XXX
36600	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
36600	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	XXX
36600	RUC	"Kit, Pack, Tray"	SA003	"kit, arterial blood gas (ABG)"	kit	1.06	1	0	XXX
36600	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1	0	XXX
36818	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
36818	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
36819	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
36819	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
36820	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
36820	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
36821	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
36821	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
36823	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
36823	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
36825	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
36825	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
36830	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
36830	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
36831	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
36831	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
36832	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
36832	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
36833	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
36833	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
36835	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
36835	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
36835	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
36835	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
36838	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
36838	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
36860	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
36860	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36860	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
36860	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36860	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36860	CMS	"Accessory, Procedure"	SD008	"brush, ureteral"	item	37.79	1	0	000
36860	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
36860	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36901	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36901	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
36901	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36901	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36901	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
36901	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
36901	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36901	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36901	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36901	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
36901	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
36901	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36901	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36901	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
36901	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
36901	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36901	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36901	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36901	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
36901	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
36901	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36901	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
36901	CMS	"Wound Care, Dressings"	SG095	Hemostatic patch	item	40.33	1	0	000
36901	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36901	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36901	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
36901	CMS	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	2.18	2	0	000
36901	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36901	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36901	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
36901	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
36901	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
36902	CMS	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
36902	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36902	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36902	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
36902	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36902	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
36902	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
36902	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36902	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36902	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36902	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36902	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
36902	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
36902	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
36902	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36902	CMS	"Wound Care, Dressings"	SG095	Hemostatic patch	item	40.33	1	0	000
36902	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36902	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
36902	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36902	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36902	CMS	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	2.18	2	0	000
36902	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
36902	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36902	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
36902	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
36902	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	000
36902	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
36902	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
36902	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36902	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
36902	CMS	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	189.86	1	0	000
36902	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36902	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36902	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36902	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
36902	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
36902	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
36902	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36903	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36903	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36903	CMS	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	189.86	1	0	000
36903	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36903	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
36903	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
36903	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36903	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36903	CMS	"Wound Care, Dressings"	SG095	Hemostatic patch	item	40.33	1	0	000
36903	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36903	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
36903	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36903	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36903	CMS	"Accessory, Procedure"	SD254	"covered stent (VIABAHN, Gore)"	item	3129	1	0	000
36903	CMS	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
36903	CMS	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
36903	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
36903	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
36903	CMS	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	2.18	2	0	000
36903	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36903	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
36903	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36903	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
36903	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
36903	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
36903	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36903	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
36903	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36903	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
36903	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	000
36903	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36903	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36903	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
36903	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36903	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
36903	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
36903	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
36903	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36903	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
36903	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36904	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
36904	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
36904	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
36904	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
36904	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36904	CMS	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	2.18	2	0	000
36904	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
36904	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
36904	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36904	CMS	"Kit, Pack, Tray"	SA015	"kit, for percutaneous thrombolytic device (Trerotola)"	kit	696.37	1	0	000
36904	CMS	"Wound Care, Dressings"	SG095	Hemostatic patch	item	40.33	2	0	000
36904	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36904	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36904	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
36904	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36904	CMS	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
36904	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36904	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36904	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36904	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36904	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36904	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36904	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
36904	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36904	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
36904	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
36904	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36904	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36904	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36904	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	000
36904	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
36904	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
36904	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
36904	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
36904	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
36904	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36904	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
36904	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36904	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
36905	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36905	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	000
36905	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36905	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36905	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36905	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
36905	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
36905	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
36905	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
36905	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36905	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36905	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36905	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36905	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36905	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
36905	CMS	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	2.18	2	0	000
36905	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
36905	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
36905	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
36905	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36905	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
36905	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36905	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36905	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
36905	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
36905	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
36905	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
36905	CMS	"Wound Care, Dressings"	SG095	Hemostatic patch	item	40.33	2	0	000
36905	CMS	"Kit, Pack, Tray"	SA015	"kit, for percutaneous thrombolytic device (Trerotola)"	kit	696.37	1	0	000
36905	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36905	CMS	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	189.86	1	0	000
36905	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
36905	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
36905	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
36905	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
36905	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36905	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36905	CMS	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
36905	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36905	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
36905	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36906	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
36906	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
36906	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
36906	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
36906	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
36906	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36906	CMS	"Kit, Pack, Tray"	SA015	"kit, for percutaneous thrombolytic device (Trerotola)"	kit	696.37	1	0	000
36906	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
36906	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36906	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36906	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	000
36906	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36906	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
36906	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36906	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
36906	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36906	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36906	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
36906	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
36906	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
36906	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
36906	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36906	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36906	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
36906	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
36906	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36906	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36906	CMS	"Wound Care, Dressings"	SG095	Hemostatic patch	item	40.33	2	0	000
36906	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36906	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
36906	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
36906	CMS	"Accessory, Procedure"	SD254	"covered stent (VIABAHN, Gore)"	item	3129	1	0	000
36906	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36906	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36906	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36906	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36906	CMS	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
36906	CMS	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	2.18	2	0	000
36906	CMS	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
36906	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
36906	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
36906	CMS	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	189.86	1	0	000
36906	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36907	RUC	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	189.86	1	0	ZZZ
36907	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	ZZZ
36907	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	ZZZ
36907	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	2	0	ZZZ
36907	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	ZZZ
36908	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	2	0	ZZZ
36908	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	ZZZ
36908	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	ZZZ
36908	RUC	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	189.86	1	0	ZZZ
36908	RUC	"Kit, Pack, Tray"	SA103	"stent, vascular, deployment system, Cordis SMART"	kit	803.58	1	0	ZZZ
36908	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	ZZZ
36909	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	ZZZ
36909	RUC	"Cutters, Closures, Cautery"	SF056	Detachable coil	item	1199.3	1	0	ZZZ
36909	RUC	"Cutters, Closures, Cautery"	SF057	Non-detachable embolization coil	item	260.53	2	0	ZZZ
37140	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
37140	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
37145	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
37145	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
37160	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
37160	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
37180	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
37180	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
37181	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
37181	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
37183	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
37183	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
37183	Mod sed	"Accessory, Procedure"	SD153	"catheter, curved"	item	18.25	1	0	
37183	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	
37183	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
37183	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	
37183	Mod sed	"Accessory, Procedure"	SD238	"stent, GORE VIATORR TIPS Endoprosthesis"	item	4523	1	0	
37183	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
37183	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
37183	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
37183	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
37183	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	
37183	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	
37183	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
37183	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
37183	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
37183	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
37183	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
37183	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
37183	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	2	0	
37183	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
37183	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	
37183	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	
37183	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
37183	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
37183	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
37183	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	
37183	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
37183	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	
37183	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
37183	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	
37183	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
37183	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
37183	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
37183	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	
37183	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
37183	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
37184	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
37184	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
37184	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
37184	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	
37184	Mod sed	"Accessory, Procedure"	SD174	"guidewire, steerable (Hi-Torque)"	item	40.47	1	0	
37184	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
37184	Mod sed	"Kit, Pack, Tray"	SA015	"kit, for percutaneous thrombolytic device (Trerotola)"	kit	696.37	1	0	
37184	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
37184	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
37184	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	
37184	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	
37184	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
37184	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
37184	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	
37184	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	
37184	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
37184	Mod sed	"Accessory, Procedure"	SD176	"guidewire, torque"	item	59.22	1	0	
37184	Mod sed	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	
37184	Mod sed	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	
37184	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
37185	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	
37185	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
37185	Mod sed	"Accessory, Procedure"	SD174	"guidewire, steerable (Hi-Torque)"	item	40.47	1	0	
37185	Mod sed	"Accessory, Procedure"	SD176	"guidewire, torque"	item	59.22	1	0	
37186	Mod sed	"Accessory, Procedure"	SD174	"guidewire, steerable (Hi-Torque)"	item	40.47	1	0	
37186	Mod sed	"Accessory, Procedure"	SD176	"guidewire, torque"	item	59.22	1	0	
37186	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	
37186	Mod sed	"Kit, Pack, Tray"	SA015	"kit, for percutaneous thrombolytic device (Trerotola)"	kit	696.37	1	0	
37186	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
37187	Mod sed	"Kit, Pack, Tray"	SA015	"kit, for percutaneous thrombolytic device (Trerotola)"	kit	696.37	1	0	
37187	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	
37187	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	
37187	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
37187	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
37187	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	
37187	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
37187	Mod sed	"Accessory, Procedure"	SD176	"guidewire, torque"	item	59.22	1	0	
37187	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
37187	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	
37187	Mod sed	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	
37187	Mod sed	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	
37187	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
37187	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
37187	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
37187	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	
37187	Mod sed	"Accessory, Procedure"	SD174	"guidewire, steerable (Hi-Torque)"	item	40.47	1	0	
37187	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
37187	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
37187	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
37188	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	
37188	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	
37188	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	
37188	Mod sed	"Accessory, Procedure"	SD174	"guidewire, steerable (Hi-Torque)"	item	40.47	1	0	
37188	Mod sed	"Accessory, Procedure"	SD176	"guidewire, torque"	item	59.22	1	0	
37188	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
37188	Mod sed	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	
37188	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
37188	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	
37188	Mod sed	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	
37188	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	
37188	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
37188	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
37188	Mod sed	"Kit, Pack, Tray"	SA015	"kit, for percutaneous thrombolytic device (Trerotola)"	kit	696.37	1	0	
37188	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
37188	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
37188	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
37188	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
37188	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
37188	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
37191	Mod sed	"Wound Care, Dressings"	SG095	Hemostatic patch	item	40.33	1	0	
37191	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	
37191	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
37191	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	
37191	Mod sed	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1	0	
37191	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	
37191	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
37191	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
37191	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	
37191	Mod sed	"Accessory, Procedure"	SD267	IVC filter	item	1195.25	1	0	
37191	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
37191	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
37191	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
37191	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
37191	Mod sed	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	
37191	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
37191	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
37191	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
37191	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
37191	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
37191	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	
37191	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
37191	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
37191	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
37191	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
37191	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
37191	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	
37191	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	
37191	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
37191	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	4	0	
37191	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
37191	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
37191	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
37191	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	
37192	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
37192	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	
37192	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
37192	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
37192	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
37192	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	
37192	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	
37192	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	
37192	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
37192	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	
37192	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
37192	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
37192	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	
37192	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	
37192	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
37192	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
37192	Mod sed	"Accessory, Procedure"	SD268	IVC retrieval set	kit	274.62	1	0	
37192	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
37192	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
37192	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
37192	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
37192	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
37192	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
37192	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
37192	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
37192	Mod sed	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	
37192	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
37192	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	
37192	Mod sed	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1	0	
37192	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
37192	Mod sed	"Wound Care, Dressings"	SG095	Hemostatic patch	item	40.33	1	0	
37192	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
37192	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	
37192	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
37192	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	4	0	
37193	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	4	0	
37193	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
37193	Mod sed	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	
37193	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
37193	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
37193	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
37193	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	
37193	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
37193	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
37193	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
37193	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
37193	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	
37193	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
37193	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
37193	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
37193	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
37193	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	
37193	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
37193	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
37193	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	
37193	Mod sed	"Accessory, Procedure"	SD268	IVC retrieval set	kit	274.62	1	0	
37193	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	
37193	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	
37193	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	
37193	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	
37193	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
37193	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
37193	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
37193	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
37193	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	
37193	Mod sed	"Wound Care, Dressings"	SG095	Hemostatic patch	item	40.33	1	0	
37193	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
37193	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
37193	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
37193	Mod sed	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1	0	
37197	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
37197	Mod sed	"Kit, Pack, Tray"	SA020	"kit, loop snare (Microvena)"	kit	379.5	1	0	
37197	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
37197	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
37197	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	
37197	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
37197	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	
37197	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
37197	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
37197	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
37197	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
37197	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
37197	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	
37197	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	
37197	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	
37197	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	
37197	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
37197	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	
37197	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
37197	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
37197	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
37197	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
37197	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
37197	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
37197	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	
37197	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
37197	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
37197	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
37197	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
37197	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
37197	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
37197	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
37215	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
37216	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
37217	CPT14 May 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
37217	CPT14 May 7	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
37218	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
37220	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	
37220	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	
37220	Mod sed	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	
37220	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
37220	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	
37220	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	
37220	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
37220	Mod sed	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	
37220	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	
37220	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
37220	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
37220	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
37220	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
37220	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
37220	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
37220	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
37220	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
37220	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
37220	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
37220	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
37220	Mod sed	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	139.83	1	0	
37220	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
37220	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
37220	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
37220	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
37220	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
37220	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
37220	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
37220	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
37220	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	
37220	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	
37220	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
37220	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
37220	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
37220	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
37220	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
37220	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	2	0	
37220	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
37220	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
37220	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	
37221	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
37221	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
37221	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	
37221	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
37221	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
37221	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
37221	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
37221	Mod sed	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	139.83	1	0	
37221	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	
37221	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
37221	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
37221	Mod sed	"Kit, Pack, Tray"	SA103	"stent, vascular, deployment system, Cordis SMART"	kit	803.58	1	0	
37221	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
37221	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
37221	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
37221	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
37221	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
37221	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
37221	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	
37221	Mod sed	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	
37221	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
37221	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	
37221	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
37221	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	10	0	
37221	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
37221	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	
37221	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	
37221	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
37221	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	
37221	Mod sed	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	
37221	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
37221	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
37221	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	
37221	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
37221	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
37221	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
37221	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
37221	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	
37221	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
37221	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
37221	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
37222	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	
37222	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
37223	Mod sed	"Kit, Pack, Tray"	SA103	"stent, vascular, deployment system, Cordis SMART"	kit	803.58	1	0	
37223	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	
37223	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	10	0	
37224	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
37224	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
37224	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
37224	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
37224	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
37224	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
37224	Mod sed	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	139.83	1	0	
37224	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	
37224	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
37224	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
37224	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
37224	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
37224	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
37224	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
37224	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
37224	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
37224	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
37224	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
37224	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
37224	Mod sed	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	
37224	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
37224	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	
37224	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
37224	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	
37224	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	
37224	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
37224	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
37224	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
37224	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	
37224	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
37224	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	
37224	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
37224	Mod sed	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	
37224	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
37224	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
37224	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
37224	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
37224	Mod sed	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	
37224	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	3	0	
37224	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	
37224	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	
37225	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
37225	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
37225	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
37225	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
37225	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
37225	Mod sed	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	
37225	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
37225	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	
37225	Mod sed	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	
37225	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	
37225	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
37225	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
37225	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
37225	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
37225	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	
37225	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
37225	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
37225	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
37225	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	10	0	
37225	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
37225	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
37225	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	
37225	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
37225	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
37225	Mod sed	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	
37225	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
37225	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	70	0	
37225	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
37225	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
37225	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	
37225	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	4	0	
37225	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
37225	Mod sed	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	139.83	1	0	
37225	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
37225	Mod sed	"Accessory, Procedure"	SD255	"Reentry device (Frontier, Outback, Pioneer)"	item	2343.12	1	0	
37225	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
37225	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	
37225	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
37225	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
37225	Mod sed	"Accessory, Procedure"	SD256	"Embolic  Protection Device Spider FX (EV3, documentation available)"	item	1142.89	1	0	
37225	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	
37225	Mod sed	"Accessory, Procedure"	SD253	atherectomy device  (Spectronetics laser or Fox Hollow)	kit	3048.33	1	0	
37225	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
37225	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	
37225	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	
37226	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
37226	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
37226	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	
37226	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	
37226	Mod sed	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	
37226	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
37226	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
37226	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
37226	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
37226	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
37226	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
37226	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
37226	Mod sed	"Accessory, Procedure"	SD255	"Reentry device (Frontier, Outback, Pioneer)"	item	2343.12	1	0	
37226	Mod sed	"Accessory, Procedure"	SD254	"covered stent (VIABAHN, Gore)"	item	3129	1	0	
37226	Mod sed	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	
37226	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	
37226	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	
37226	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	
37226	Mod sed	"Accessory, Procedure"	SD256	"Embolic  Protection Device Spider FX (EV3, documentation available)"	item	1142.89	1	0	
37226	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	10	0	
37226	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
37226	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	
37226	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	70	0	
37226	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
37226	Mod sed	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	
37226	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
37226	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
37226	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
37226	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
37226	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
37226	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
37226	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
37226	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
37226	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	3	0	
37226	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
37226	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
37226	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
37226	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
37226	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	
37226	Mod sed	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	139.83	1	0	
37226	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	
37226	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
37226	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
37226	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
37227	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
37227	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
37227	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	
37227	Mod sed	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	139.83	1	0	
37227	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
37227	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
37227	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
37227	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
37227	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	
37227	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
37227	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
37227	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	4	0	
37227	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
37227	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
37227	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
37227	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
37227	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
37227	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
37227	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	
37227	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	
37227	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
37227	Mod sed	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	
37227	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
37227	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	
37227	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
37227	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
37227	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
37227	Mod sed	"Accessory, Procedure"	SD254	"covered stent (VIABAHN, Gore)"	item	3129	1	0	
37227	Mod sed	"Accessory, Procedure"	SD253	atherectomy device  (Spectronetics laser or Fox Hollow)	kit	3048.33	1	0	
37227	Mod sed	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	
37227	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	
37227	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	70	0	
37227	Mod sed	"Accessory, Procedure"	SD255	"Reentry device (Frontier, Outback, Pioneer)"	item	2343.12	1	0	
37227	Mod sed	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	
37227	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	
37227	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
37227	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
37227	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
37227	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
37227	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
37227	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
37227	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	10	0	
37227	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	
37227	Mod sed	"Accessory, Procedure"	SD256	"Embolic  Protection Device Spider FX (EV3, documentation available)"	item	1142.89	1	0	
37227	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	
37227	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
37228	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
37228	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
37228	Mod sed	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	
37228	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
37228	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	
37228	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
37228	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
37228	Mod sed	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	
37228	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	
37228	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
37228	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
37228	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	2	0	
37228	Mod sed	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	
37228	Mod sed	"Accessory, Procedure"	SD251	Sheath Shuttle (Cook)	item	109.69	1	0	
37228	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	
37228	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
37228	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	
37228	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
37228	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	
37228	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
37228	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
37228	Mod sed	"Accessory, Procedure"	SD256	"Embolic  Protection Device Spider FX (EV3, documentation available)"	item	1142.89	1	0	
37228	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	
37228	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
37228	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
37228	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
37228	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	70	0	
37228	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
37228	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
37228	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
37228	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
37228	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
37228	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
37228	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
37228	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	
37228	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
37228	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
37228	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
37228	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
37228	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	
37228	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
37228	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	2	0	
37228	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
37228	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	
37228	Mod sed	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	139.83	1	0	
37229	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
37229	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
37229	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
37229	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
37229	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	
37229	Mod sed	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	
37229	Mod sed	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	
37229	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
37229	Mod sed	"Accessory, Procedure"	SD253	atherectomy device  (Spectronetics laser or Fox Hollow)	kit	3048.33	1	0	
37229	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
37229	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	70	0	
37229	Mod sed	"Accessory, Procedure"	SD251	Sheath Shuttle (Cook)	item	109.69	1	0	
37229	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
37229	Mod sed	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	
37229	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
37229	Mod sed	"Accessory, Procedure"	SD255	"Reentry device (Frontier, Outback, Pioneer)"	item	2343.12	1	0	
37229	Mod sed	"Accessory, Procedure"	SD256	"Embolic  Protection Device Spider FX (EV3, documentation available)"	item	1142.89	1	0	
37229	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
37229	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
37229	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	10	0	
37229	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
37229	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
37229	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
37229	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
37229	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
37229	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
37229	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
37229	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	
37229	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	
37229	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	2	0	
37229	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
37229	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	
37229	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
37229	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	
37229	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
37229	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	
37229	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	
37229	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	
37229	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	3	0	
37229	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
37229	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
37229	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
37229	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	
37229	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
37229	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
37229	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
37229	Mod sed	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	139.83	1	0	
37230	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
37230	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
37230	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	70	0	
37230	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
37230	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
37230	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
37230	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
37230	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	
37230	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
37230	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
37230	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
37230	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
37230	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	
37230	Mod sed	"Accessory, Procedure"	SD256	"Embolic  Protection Device Spider FX (EV3, documentation available)"	item	1142.89	1	0	
37230	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	
37230	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
37230	Mod sed	"Accessory, Procedure"	SD251	Sheath Shuttle (Cook)	item	109.69	1	0	
37230	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	
37230	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	
37230	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
37230	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	
37230	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	
37230	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
37230	Mod sed	"Accessory, Procedure"	SD266	"stent, self expanding 2-5 mm XPERT (Abbott)"	item	3307.69	1	0	
37230	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
37230	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
37230	Mod sed	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	
37230	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	2	0	
37230	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	3	0	
37230	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	10	0	
37230	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
37230	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
37230	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
37230	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
37230	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
37230	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	
37230	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	
37230	Mod sed	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	
37230	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
37230	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
37230	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
37230	Mod sed	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	139.83	1	0	
37230	Mod sed	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	
37230	Mod sed	"Accessory, Procedure"	SD255	"Reentry device (Frontier, Outback, Pioneer)"	item	2343.12	1	0	
37230	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
37230	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
37230	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
37231	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
37231	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	10	0	
37231	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
37231	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
37231	Mod sed	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	139.83	1	0	
37231	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	
37231	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	
37231	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
37231	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
37231	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	2	0	
37231	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
37231	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
37231	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
37231	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
37231	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
37231	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
37231	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
37231	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
37231	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
37231	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
37231	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
37231	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
37231	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	3	0	
37231	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	
37231	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	
37231	Mod sed	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	
37231	Mod sed	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	
37231	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	70	0	
37231	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
37231	Mod sed	"Accessory, Procedure"	SD253	atherectomy device  (Spectronetics laser or Fox Hollow)	kit	3048.33	1	0	
37231	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	
37231	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	
37231	Mod sed	"Accessory, Procedure"	SD251	Sheath Shuttle (Cook)	item	109.69	1	0	
37231	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
37231	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	
37231	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	
37231	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
37231	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
37231	Mod sed	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	
37231	Mod sed	"Accessory, Procedure"	SD255	"Reentry device (Frontier, Outback, Pioneer)"	item	2343.12	1	0	
37231	Mod sed	"Accessory, Procedure"	SD256	"Embolic  Protection Device Spider FX (EV3, documentation available)"	item	1142.89	1	0	
37231	Mod sed	"Accessory, Procedure"	SD266	"stent, self expanding 2-5 mm XPERT (Abbott)"	item	3307.69	1	0	
37231	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
37231	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
37231	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
37231	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
37231	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	
37231	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
37232	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
37232	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	
37232	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	3	0	
37233	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	10	0	
37233	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	3	0	
37233	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	
37234	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	10	0	
37234	Mod sed	"Accessory, Procedure"	SD266	"stent, self expanding 2-5 mm XPERT (Abbott)"	item	3307.69	1	0	
37234	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	3	0	
37234	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	
37235	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	
37235	Mod sed	"Accessory, Procedure"	SD266	"stent, self expanding 2-5 mm XPERT (Abbott)"	item	3307.69	1	0	
37235	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	3	0	
37235	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	10	0	
37236	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	
37236	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
37236	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
37236	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
37236	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	
37236	Mod sed	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	
37236	Mod sed	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	
37236	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
37236	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
37236	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	
37236	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
37236	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
37236	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	
37236	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	
37236	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	
37236	Mod sed	"Accessory, Procedure"	SD299	"stent, balloon, implantable"	item	812.43	1	0	
37236	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
37236	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
37236	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	6	0	
37236	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	
37236	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
37236	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
37236	Mod sed	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	
37236	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
37236	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	
37236	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
37236	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
37236	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	
37236	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	
37236	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
37236	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
37236	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
37236	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
37236	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
37236	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
37237	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	
37237	Mod sed	"Accessory, Procedure"	SD299	"stent, balloon, implantable"	item	812.43	1	0	
37238	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37238	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
37238	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37238	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37238	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37238	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
37238	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37238	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37238	CMS	"Accessory, Procedure"	SD206	"sheath, peel away"	item	42.72	1	0	000
37238	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
37238	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
37238	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37238	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
37238	CMS	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	189.86	1	0	000
37238	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
37238	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
37238	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37238	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37238	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
37238	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	000
37238	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37238	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
37238	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37238	CMS	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
37238	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	000
37238	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
37238	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
37238	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37238	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	6	0	000
37238	CMS	"Accessory, Procedure"	SD340	venous stent system	item	1750	1.5	0	000
37238	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
37238	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
37239	CMS	"Accessory, Procedure"	SD340	venous stent system	item	1750	1	0	ZZZ
37241	Mod sed	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	
37241	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	
37241	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
37241	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
37241	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
37241	Mod sed	"Wound Care, Dressings"	SG095	Hemostatic patch	item	40.33	1	0	
37241	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	
37241	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
37241	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	
37241	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
37241	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
37241	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	
37241	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
37241	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	
37241	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	
37241	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
37241	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	
37241	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	
37241	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
37241	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
37241	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
37241	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
37241	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
37241	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	
37241	Mod sed	"Cutters, Closures, Cautery"	SF056	Detachable coil	item	1199.3	1	0	
37241	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
37241	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	
37241	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
37241	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
37241	Mod sed	"Cutters, Closures, Cautery"	SF057	Non-detachable embolization coil	item	260.53	7	0	
37241	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
37241	Mod sed	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1	0	
37241	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	
37241	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
37241	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
37241	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	
37241	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
37241	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
37241	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
37241	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
37241	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
37241	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
37241	Mod sed	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	3	0	
37242	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	
37242	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
37242	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
37242	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
37242	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	
37242	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
37242	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
37242	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
37242	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
37242	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
37242	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
37242	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	
37242	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	
37242	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	
37242	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
37242	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	
37242	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
37242	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	
37242	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
37242	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
37242	Mod sed	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	
37242	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
37242	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
37242	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	
37242	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
37242	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
37242	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
37242	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	
37242	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
37242	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
37242	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
37242	Mod sed	"Cutters, Closures, Cautery"	SF056	Detachable coil	item	1199.3	5	0	
37242	Mod sed	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	3	0	
37242	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
37242	Mod sed	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1	0	
37242	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	
37242	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
37242	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
37242	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	
37242	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	
37242	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	
37242	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
37243	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
37243	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	
37243	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
37243	Mod sed	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	
37243	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
37243	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
37243	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
37243	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
37243	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	
37243	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	
37243	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	
37243	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	
37243	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
37243	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	
37243	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
37243	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	
37243	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
37243	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
37243	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
37243	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
37243	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	
37243	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	
37243	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
37243	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	
37243	Mod sed	"Cutters, Closures, Cautery"	SF058	LC Beads (2mL vial)	item	2341.93	3	0	
37243	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
37243	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
37243	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
37243	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
37243	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
37243	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
37243	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
37243	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
37243	Mod sed	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1	0	
37243	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
37243	Mod sed	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	3	0	
37243	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
37243	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	
37243	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	
37243	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	
37243	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
37243	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
37244	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	
37244	Mod sed	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	
37244	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
37244	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
37244	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
37244	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
37244	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
37244	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	
37244	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
37244	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
37244	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	
37244	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	
37244	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
37244	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
37244	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	
37244	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	
37244	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	
37244	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	
37244	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
37244	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	
37244	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
37244	Mod sed	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1	0	
37244	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
37244	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
37244	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
37244	Mod sed	"Cutters, Closures, Cautery"	SF056	Detachable coil	item	1199.3	4	0	
37244	Mod sed	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	3	0	
37244	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
37244	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
37244	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
37244	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
37244	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
37244	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
37244	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
37244	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
37244	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	
37244	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	
37244	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	
37244	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	
37244	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
37244	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
37244	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
37246	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
37246	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37246	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
37246	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37246	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37246	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
37246	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
37246	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
37246	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37246	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37246	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
37246	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
37246	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	000
37246	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
37246	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
37246	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
37246	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
37246	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1	0	000
37246	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
37246	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37246	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
37246	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
37246	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
37246	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
37246	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
37246	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
37246	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
37246	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
37246	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37246	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37246	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
37246	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37246	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
37246	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37246	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37246	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
37246	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37246	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
37246	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	000
37246	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
37246	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	000
37246	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37247	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	ZZZ
37248	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
37248	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
37248	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
37248	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
37248	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
37248	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
37248	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
37248	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
37248	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37248	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
37248	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
37248	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37248	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1	0	000
37248	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
37248	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
37248	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
37248	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
37248	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
37248	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
37248	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
37248	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37248	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
37248	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37248	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
37248	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
37248	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37248	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
37248	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
37248	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
37248	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37248	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
37248	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	000
37248	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
37248	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37248	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37248	RUC	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	189.86	1	0	000
37248	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	000
37248	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37248	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37248	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37248	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37249	RUC	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	189.86	1	0	ZZZ
37252	RUC	"Accessory, Procedure"	SD304	IVUS catheter	item	858.33	1	0	ZZZ
37252	RUC	"Accessory, Procedure"	SD305	IVUS Catheter Sterile Cover	pack (10)	117.56	0.1	0	ZZZ
37252	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	ZZZ
37500	Sep02	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52		3	090
37500	Sep02	"Wound Care, Dressings"	SG040	"dressing, 5in x 9in (Adaptic)"	item	1.04		3	090
37500	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
37500	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
37500	Sep02	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8		3	090
37565	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
37565	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
37600	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
37600	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
37605	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
37605	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
37606	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
37606	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
37607	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
37607	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
37607	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
37607	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
37609	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
37609	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	1	010
37609	Jan03	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
37609	Jan03	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	010
37609	Jan03	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
37609	Jan03	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	1	010
37609	Jan03	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
37609	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	010
37609	Jan03	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	5	0	010
37609	Jan03	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
37609	Jan03	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
37609	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
37609	Jan03	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
37609	Jan03	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
37609	Jan03	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
37609	Jan03	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
37609	Jan03	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
37609	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
37609	Jan03	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
37609	Jan03	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
37609	Jan03	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
37609	Jan03	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
37609	Jan03	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
37609	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
37609	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
37609	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
37609	Jan03	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
37609	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
37615	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
37615	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
37616	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
37616	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
37617	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
37617	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
37618	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
37618	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
37619	CPT12 May 11	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
37619	CPT12 May 11	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
37650	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
37650	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
37660	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
37660	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
37700	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
37700	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
37718	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
37718	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
37722	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
37722	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
37735	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
37735	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
37760	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
37760	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
37761	CPT10 30	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
37761	CPT10 30	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
37765	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	0	010
37765	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
37765	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
37765	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	010
37765	RUC	"Accessory, Procedure"	SD333	tumescent tubing	item	11	1	0	010
37765	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
37765	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
37765	RUC	"Wound Care, Dressings"	SG087	"stockings, knee length, 20-30mm compression"	pair	41.2	1	0	010
37765	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
37765	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
37765	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
37765	RUC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	1	0	010
37765	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
37765	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
37765	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	010
37765	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
37765	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
37765	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
37765	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
37765	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
37765	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
37765	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	100	0	010
37765	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
37765	RUC	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1.5	0	010
37765	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
37765	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	5	0	010
37765	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
37765	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
37765	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	10	0	010
37765	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
37765	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	010
37765	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
37765	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
37765	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	50	0	010
37766	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
37766	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	010
37766	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
37766	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
37766	RUC	"Accessory, Procedure"	SD333	tumescent tubing	item	11	1	0	010
37766	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
37766	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	10	0	010
37766	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	5	0	010
37766	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	4	0	010
37766	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	50	0	010
37766	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
37766	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	20	0	010
37766	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
37766	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
37766	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
37766	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	100	0	010
37766	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
37766	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
37766	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
37766	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	010
37766	RUC	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1.5	0	010
37766	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
37766	RUC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	1	0	010
37766	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
37766	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
37766	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
37766	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
37766	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
37766	RUC	"Wound Care, Dressings"	SG087	"stockings, knee length, 20-30mm compression"	pair	41.2	1	0	010
37766	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
37766	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
37766	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
37766	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
37766	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	010
37780	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
37780	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
37785	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
37785	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
37785	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
37785	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
37785	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	60	0	090
37785	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
37785	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
37785	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	4	0	090
37785	CMS	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8	2	0	090
37785	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
37785	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	090
37785	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
37785	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	090
37785	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
37785	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
37785	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
37785	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
37785	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	090
37785	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	3	0	090
37785	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
37785	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
37785	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
37785	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
37785	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
37785	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
37785	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
37788	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
37788	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
37788	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
37788	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
37790	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
37790	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
37790	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
37790	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
38100	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
38100	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
38101	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
38101	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
38115	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
38115	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
38120	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
38120	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
38220	RUC	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.18	1	0	XXX
38220	RUC	Lab	SL103	petri dish	item	0.39	1	0	XXX
38220	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
38220	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	XXX
38220	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	XXX
38220	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
38220	RUC	"Kit, Pack, Tray"	SA062	"tray, bone marrow biopsy-aspiration"	tray	44.06	1	0	XXX
38220	RUC	Lab	SL130	spatula (pathology)	item	0.99	1	0	XXX
38220	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	1	0	XXX
38220	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5	0	XXX
38220	RUC	Lab	SL068	fixative (for tissue specimen)	ml	0.013	50	0	XXX
38221	RUC	Lab	SL103	petri dish	item	0.39	1	0	XXX
38221	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	XXX
38221	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
38221	RUC	"Kit, Pack, Tray"	SA062	"tray, bone marrow biopsy-aspiration"	tray	44.06	1	0	XXX
38221	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
38221	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	XXX
38221	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	XXX
38221	RUC	Lab	SL068	fixative (for tissue specimen)	ml	0.013	50	0	XXX
38221	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	XXX
38221	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	1	0	XXX
38221	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5	0	XXX
38221	RUC	Lab	SL130	spatula (pathology)	item	0.99	1	0	XXX
38222	RUC	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.18	1	0	XXX
38222	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	XXX
38222	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	1	0	XXX
38222	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5	0	XXX
38222	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
38222	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
38222	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	XXX
38222	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	XXX
38222	RUC	"Kit, Pack, Tray"	SA062	"tray, bone marrow biopsy-aspiration"	tray	44.06	1	0	XXX
38222	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	XXX
38222	RUC	Lab	SL130	spatula (pathology)	item	0.99	1	0	XXX
38222	RUC	Lab	SL103	petri dish	item	0.39	1	0	XXX
38222	RUC	Lab	SL068	fixative (for tissue specimen)	ml	0.013	100	0	XXX
38300	Jan03	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
38300	Jan03	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
38300	Jan03	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
38300	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	010
38300	Jan03	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
38300	Jan03	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
38300	Jan03	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	5	0	010
38300	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	1	010
38300	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
38300	Jan03	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
38300	Jan03	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	1	010
38300	Jan03	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	010
38300	Jan03	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
38300	Jan03	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
38300	Jan03	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
38300	Jan03	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
38300	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
38300	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
38300	Jan03	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
38300	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
38300	Jan03	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
38300	Jan03	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
38300	Jan03	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
38300	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
38300	Jan03	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
38300	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	010
38300	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
38300	Jan03	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
38305	Jan04 19	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
38305	Jan04 19	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
38308	Jan04 19	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
38308	Jan04 19	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
38380	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
38380	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
38381	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
38381	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
38382	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
38382	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
38500	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
38500	Jan03	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
38500	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
38500	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	010
38500	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
38500	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
38500	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
38500	Jan03	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
38500	Jan03	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
38500	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
38500	Jan03	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	010
38500	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
38500	Jan03	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
38500	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
38500	Jan03	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	1	010
38505	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	1	0	000
38505	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
38505	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
38505	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
38505	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
38505	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
38505	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
38505	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
38505	RUC	"Hypodermic, IV"	SC108	Coaxial Biopsy Set	item	49	1	0	000
38505	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
38505	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
38505	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
38505	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
38505	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
38505	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
38510	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
38510	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
38510	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	010
38510	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
38510	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	010
38510	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
38510	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
38510	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
38510	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
38510	Jan03	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
38510	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
38510	Jan03	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
38510	Jan03	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
38510	Jan03	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
38510	Jan03	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
38510	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
38510	Jan03	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	010
38510	Jan03	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	1	010
38510	Jan03	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
38510	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
38520	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
38520	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
38525	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
38525	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
38530	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
38530	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
38531	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	010
38531	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	010
38531	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	010
38531	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	010
38542	Apr08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
38542	Apr08 ss	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
38550	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
38550	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
38555	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
38555	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
38562	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
38562	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
38564	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
38564	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
38570	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	010
38570	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	010
38570	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	010
38571	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	010
38571	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	010
38571	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	010
38572	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	010
38572	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	010
38572	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	010
38573	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	010
38573	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	010
38573	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	010
38573	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	010
38700	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
38700	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
38720	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
38720	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
38724	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
38724	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
38740	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
38740	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
38745	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
38745	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
38760	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
38760	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
38765	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		15	090
38765	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
38765	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
38765	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		1	090
38765	Sep02	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04		1	090
38765	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		4	090
38765	Sep02	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06		5	090
38765	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		60	090
38765	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
38765	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		36	090
38765	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
38770	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
38770	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
38780	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
38780	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
38792	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
38792	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
38792	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	1	0	000
38792	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
38792	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	000
38792	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
38792	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1	0	000
38792	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
38792	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
38792	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
38792	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
38792	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
39000	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
39000	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
39010	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
39010	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
39200	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
39200	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
39220	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
39220	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
39501	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
39501	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
39503	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
39503	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
39540	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
39540	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
39541	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
39541	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
39545	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
39545	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
39560	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
39560	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
39561	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
39561	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
40490	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
40490	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
40490	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
40490	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
40490	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	000
40490	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
40490	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
40490	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
40490	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
40490	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
40490	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
40490	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
40490	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
40490	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
40490	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
40490	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	000
40490	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
40490	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
40500	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
40500	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
40500	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
40500	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
40500	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
40500	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
40500	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40500	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
40500	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
40500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
40500	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
40500	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
40500	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
40500	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
40500	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
40500	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
40500	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
40500	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	090
40500	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
40500	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40510	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
40510	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	090
40510	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
40510	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
40510	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40510	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
40510	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40510	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
40510	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
40510	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
40510	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
40510	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
40510	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
40510	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
40510	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
40510	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
40510	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
40510	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
40510	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
40510	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
40520	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
40520	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
40520	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
40520	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
40520	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
40520	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
40520	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
40520	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	090
40520	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
40520	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40520	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
40520	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
40520	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40520	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
40520	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
40520	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
40520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
40520	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
40520	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
40520	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
40525	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
40525	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
40525	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
40525	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
40527	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
40527	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
40527	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
40527	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
40530	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
40530	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40530	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40530	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	090
40530	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
40530	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
40530	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
40530	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
40530	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
40530	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
40530	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
40530	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
40530	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
40530	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
40530	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
40530	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
40530	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
40530	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
40530	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
40530	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
40650	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
40650	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
40650	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
40650	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40650	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
40650	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	090
40650	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
40650	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
40650	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
40650	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
40650	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
40650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
40650	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
40650	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
40650	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
40650	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
40650	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
40650	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
40650	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
40650	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40652	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
40652	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
40652	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
40652	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
40652	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
40652	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
40652	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
40652	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40652	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
40652	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
40652	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
40652	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
40652	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
40652	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
40652	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
40652	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	090
40652	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
40652	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
40652	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40652	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
40654	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
40654	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
40654	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
40654	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
40654	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
40654	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
40654	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
40654	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
40654	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
40654	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40654	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
40654	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
40654	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
40654	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
40654	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
40654	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
40654	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
40654	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	090
40654	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
40654	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40700	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
40700	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
40700	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
40700	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
40701	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
40701	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
40701	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
40701	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
40702	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
40702	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
40702	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
40702	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
40720	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
40720	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
40720	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
40720	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
40761	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
40761	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
40761	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
40761	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
40800	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
40800	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
40800	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
40800	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
40800	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	010
40800	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
40800	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
40800	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
40800	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
40800	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
40800	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
40800	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	010
40800	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
40800	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	010
40800	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
40800	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
40800	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
40800	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
40800	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
40800	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
40800	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
40800	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
40800	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
40800	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	010
40800	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
40800	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
40800	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	010
40800	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
40800	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
40800	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
40801	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
40801	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
40801	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	010
40801	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	010
40801	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	010
40801	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
40801	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
40801	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	010
40801	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
40801	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
40801	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
40801	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
40801	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
40801	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
40801	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
40801	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
40801	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
40801	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
40801	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
40801	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
40801	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
40801	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
40801	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
40801	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
40801	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
40801	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
40801	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
40801	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
40801	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
40801	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	010
40804	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
40804	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
40804	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
40804	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
40804	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
40804	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
40804	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
40804	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
40804	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
40804	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
40804	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
40804	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
40804	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
40804	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
40804	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
40804	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
40804	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	010
40804	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
40804	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
40804	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
40804	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
40804	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	010
40804	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	2	010
40804	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
40804	RUC	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.34	1	0	010
40804	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
40804	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	0	010
40805	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	010
40805	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
40805	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	010
40805	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
40805	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
40805	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
40805	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
40805	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
40805	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
40805	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
40805	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
40805	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
40805	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
40805	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
40805	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	010
40805	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
40805	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
40805	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
40805	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
40805	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
40805	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
40805	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
40805	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
40805	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
40805	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
40805	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
40805	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	010
40805	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	010
40805	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
40805	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
40806	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
40806	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
40806	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
40806	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
40806	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
40806	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	000
40806	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
40806	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	000
40806	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	000
40806	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
40806	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
40806	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
40806	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
40806	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
40806	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	000
40806	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
40806	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
40806	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
40806	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
40806	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
40806	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	000
40806	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
40806	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	000
40808	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
40808	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
40808	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
40808	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
40808	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
40808	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
40808	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	6	0	010
40808	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
40808	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
40808	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
40808	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
40808	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
40808	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
40808	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
40808	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	010
40808	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
40808	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
40808	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
40808	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
40808	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
40808	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
40808	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
40808	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
40808	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
40808	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
40808	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
40810	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
40810	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
40810	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
40810	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
40810	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
40810	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
40810	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
40810	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
40810	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
40810	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
40810	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	010
40810	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
40810	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
40810	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
40810	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
40810	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
40810	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	010
40810	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
40810	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
40810	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
40810	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	010
40810	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
40810	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	010
40810	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
40810	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
40810	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
40810	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
40810	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
40812	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	010
40812	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
40812	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	010
40812	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
40812	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	010
40812	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
40812	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
40812	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
40812	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
40812	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
40812	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
40812	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
40812	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
40812	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
40812	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	010
40812	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
40812	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
40812	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
40812	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
40812	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	010
40812	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
40812	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
40812	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
40812	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
40812	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
40812	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
40812	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
40812	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
40814	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
40814	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	090
40814	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
40814	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
40814	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
40814	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	090
40814	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
40814	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
40814	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
40814	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
40814	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
40814	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
40814	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40814	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
40814	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
40814	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
40814	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
40814	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	3	2	090
40814	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	6	0	090
40814	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	090
40814	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
40814	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
40814	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	090
40814	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
40814	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
40814	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
40814	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40814	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
40816	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
40816	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
40816	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	6	0	090
40816	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	090
40816	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
40816	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
40816	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	2	0	090
40816	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
40816	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
40816	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
40816	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
40816	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
40816	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
40816	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
40816	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40816	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
40816	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
40816	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
40816	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
40816	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
40816	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
40816	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
40816	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40816	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	3	2	090
40816	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	090
40816	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	090
40816	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
40816	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	090
40818	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
40818	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
40818	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
40818	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40818	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
40818	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	3	2	090
40818	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40818	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	090
40818	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
40818	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
40818	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
40818	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	2	0	090
40818	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
40818	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
40818	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
40818	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	090
40818	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
40818	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
40818	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
40818	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	090
40818	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
40818	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
40818	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	090
40818	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
40818	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
40818	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
40818	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
40818	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	6	0	090
40819	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	2	0	090
40819	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
40819	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
40819	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	090
40819	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
40819	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
40819	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	090
40819	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
40819	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	3	2	090
40819	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
40819	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
40819	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
40819	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
40819	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
40819	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
40819	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
40819	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40819	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	090
40819	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
40819	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
40819	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
40819	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	090
40819	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
40819	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	6	0	090
40819	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
40819	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
40819	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40819	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
40820	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
40820	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	010
40820	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	2	010
40820	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
40820	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	3	2	010
40820	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	010
40820	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	3	2	010
40820	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
40820	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
40820	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	010
40820	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
40820	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
40820	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	14	12	010
40820	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	010
40820	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	3	2	010
40820	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	010
40820	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
40820	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
40820	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
40820	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	010
40820	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	3	2	010
40820	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
40820	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	3	2	010
40820	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	3	2	010
40820	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
40820	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
40820	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	2	010
40820	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
40820	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	010
40830	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	010
40830	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
40830	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
40830	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
40830	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
40830	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	010
40830	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
40830	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
40830	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
40830	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
40830	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
40830	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
40830	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
40830	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
40830	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
40830	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	010
40830	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
40830	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
40830	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
40830	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
40830	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
40830	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
40830	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
40830	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
40830	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
40830	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	010
40830	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	010
40830	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
40831	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
40831	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
40831	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
40831	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	010
40831	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
40831	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
40831	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
40831	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	010
40831	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
40831	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
40831	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
40831	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
40831	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
40831	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
40831	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
40831	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
40831	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
40831	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
40831	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
40831	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	010
40831	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
40831	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	010
40831	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
40831	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
40831	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
40831	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	010
40831	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
40831	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
40831	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
40840	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
40840	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
40840	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
40840	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
40840	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	8	0	090
40840	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
40840	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
40840	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
40840	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
40840	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
40840	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
40840	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
40840	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
40840	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
40840	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
40840	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
40840	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
40840	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
40840	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	090
40840	CMS	"Cutters, Closures, Cautery"	SF051	"suture, polyester, 0 to 3-0 (Mersilene)"	item	5.8	2	0	090
40840	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
40840	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
40840	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40840	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
40840	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40840	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
40840	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	1	0	090
40840	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
40840	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
40840	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
40840	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
40840	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
40840	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
40842	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
40842	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
40842	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40842	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
40842	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
40842	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
40842	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
40842	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
40842	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
40842	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
40842	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
40842	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
40842	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
40842	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
40842	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
40842	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
40842	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
40842	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
40842	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
40842	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	1	0	090
40842	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
40842	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
40842	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
40842	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	090
40842	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	8	0	090
40842	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
40842	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
40842	CMS	"Cutters, Closures, Cautery"	SF051	"suture, polyester, 0 to 3-0 (Mersilene)"	item	5.8	2	0	090
40842	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
40842	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40842	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
40842	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
40842	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
40843	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
40843	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
40843	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
40843	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
40843	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
40843	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
40843	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
40843	CMS	"Cutters, Closures, Cautery"	SF051	"suture, polyester, 0 to 3-0 (Mersilene)"	item	5.8	4	0	090
40843	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
40843	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
40843	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
40843	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
40843	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
40843	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
40843	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
40843	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
40843	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	2	0	090
40843	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
40843	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
40843	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	1	0	090
40843	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40843	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
40843	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
40843	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
40843	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	4	0	090
40843	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	8	0	090
40843	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
40843	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
40843	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	090
40843	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
40843	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
40843	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40843	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
40844	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
40844	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	12	0	090
40844	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40844	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
40844	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
40844	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40844	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	4	0	090
40844	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
40844	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
40844	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	1	0	090
40844	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
40844	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
40844	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	090
40844	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
40844	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
40844	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
40844	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
40844	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
40844	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
40844	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
40844	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
40844	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
40844	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
40844	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	6	5	090
40844	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
40844	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
40844	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
40844	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
40844	CMS	"Cutters, Closures, Cautery"	SF051	"suture, polyester, 0 to 3-0 (Mersilene)"	item	5.8	4	0	090
40844	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
40844	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
40844	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
40844	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
40845	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
40845	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40845	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
40845	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
40845	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	12	0	090
40845	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
40845	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
40845	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
40845	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
40845	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
40845	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
40845	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
40845	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
40845	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
40845	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
40845	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
40845	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
40845	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40845	CMS	"Cutters, Closures, Cautery"	SF051	"suture, polyester, 0 to 3-0 (Mersilene)"	item	5.8	4	0	090
40845	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
40845	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
40845	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	6	5	090
40845	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
40845	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	1	0	090
40845	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
40845	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
40845	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	090
40845	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
40845	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
40845	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
40845	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
40845	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
40845	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	4	0	090
41000	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
41000	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	010
41000	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
41000	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
41000	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
41000	Jan03	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
41000	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
41000	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41000	Jan03	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
41000	Jan03	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
41000	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
41000	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41000	Jan03	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41000	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41005	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
41005	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
41005	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
41005	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
41005	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
41005	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
41005	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
41005	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
41005	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	010
41005	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
41005	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
41005	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	010
41005	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
41005	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
41005	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	010
41005	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
41005	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
41005	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
41005	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
41005	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41005	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	010
41005	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	010
41005	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
41005	CMS	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	3.73	1	0	010
41005	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
41005	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	010
41005	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41005	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41005	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
41005	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	010
41005	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
41005	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
41006	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
41006	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
41006	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
41006	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
41006	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
41006	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
41006	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41006	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41006	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
41006	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
41006	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
41006	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
41006	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
41006	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
41006	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
41006	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
41006	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
41006	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41006	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
41006	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41006	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
41006	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
41006	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41006	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41006	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
41006	CMS	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	3.73	1	0	090
41006	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	090
41006	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
41006	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
41006	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41006	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
41006	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41007	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
41007	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
41007	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
41007	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
41007	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
41007	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
41007	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
41007	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
41007	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41007	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
41007	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41007	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41007	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41007	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
41007	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
41007	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41007	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
41007	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
41007	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41007	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
41007	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
41007	CMS	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	3.73	1	0	090
41007	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
41007	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
41007	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41007	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
41007	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	090
41007	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
41007	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
41007	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41007	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
41007	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
41008	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
41008	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
41008	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
41008	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
41008	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
41008	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
41008	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
41008	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41008	CMS	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	3.73	1	0	090
41008	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	090
41008	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
41008	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
41008	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41008	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
41008	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41008	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41008	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
41008	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
41008	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
41008	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
41008	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
41008	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
41008	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
41008	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
41008	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
41008	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41008	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
41008	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
41008	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
41008	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41008	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41008	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41009	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
41009	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41009	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41009	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
41009	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
41009	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
41009	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41009	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
41009	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41009	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
41009	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41009	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41009	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
41009	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
41009	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
41009	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
41009	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
41009	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
41009	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41009	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
41009	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
41009	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
41009	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
41009	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
41009	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
41009	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41009	CMS	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	3.73	1	0	090
41009	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	090
41009	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
41009	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
41009	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
41009	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
41010	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	010
41010	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
41010	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
41010	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
41010	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
41010	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
41010	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
41010	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
41010	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	010
41010	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	010
41010	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
41010	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
41010	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
41010	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	010
41010	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
41010	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	010
41010	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
41010	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
41010	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	010
41010	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41010	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
41010	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41010	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41010	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
41010	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41010	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
41010	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
41010	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
41010	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
41010	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	2	1	010
41010	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
41010	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
41015	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
41015	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
41015	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41015	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	2	090
41015	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	2	090
41015	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41015	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
41015	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
41015	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
41015	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41015	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
41015	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	2	2	090
41015	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
41015	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
41015	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41015	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41015	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41015	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
41015	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41015	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
41015	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	2	0	090
41015	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
41015	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	6	4	090
41015	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
41015	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	15	5	090
41015	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
41015	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41015	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	0	2	090
41016	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41016	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	6	4	090
41016	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
41016	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
41016	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41016	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41016	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
41016	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41016	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41016	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
41016	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	2	090
41016	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
41016	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41016	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	2	090
41016	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41016	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
41016	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	0	2	090
41016	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
41016	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
41016	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	2	2	090
41016	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	15	5	090
41016	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
41016	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
41016	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41016	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
41016	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
41016	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	2	0	090
41016	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
41017	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
41017	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	2	090
41017	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
41017	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41017	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41017	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41017	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41017	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
41017	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
41017	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	6	4	090
41017	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
41017	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	2	090
41017	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	0	2	090
41017	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
41017	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41017	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41017	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	2	2	090
41017	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
41017	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41017	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
41017	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
41017	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	15	5	090
41017	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
41017	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
41017	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
41017	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	2	0	090
41017	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
41017	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41018	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
41018	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
41018	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	2	2	090
41018	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
41018	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
41018	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41018	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	2	0	090
41018	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
41018	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
41018	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	15	5	090
41018	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41018	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
41018	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41018	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
41018	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	0	2	090
41018	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
41018	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41018	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
41018	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	6	4	090
41018	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
41018	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41018	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41018	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
41018	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41018	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	2	090
41018	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	2	090
41018	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
41018	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41100	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
41100	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
41100	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
41100	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
41100	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
41100	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
41100	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	1	010
41100	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	1	010
41100	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
41100	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	1	010
41100	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	010
41100	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
41100	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	010
41100	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	010
41100	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
41100	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	1	010
41100	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	1	010
41100	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	010
41100	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41100	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	010
41100	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	1	010
41100	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41100	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	010
41100	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41100	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41100	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
41100	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
41105	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	1	010
41105	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
41105	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	1	010
41105	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
41105	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
41105	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41105	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	010
41105	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41105	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
41105	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	1	010
41105	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	010
41105	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
41105	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
41105	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
41105	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	1	010
41105	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	010
41105	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	1	010
41105	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
41105	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
41105	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
41105	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	010
41105	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41105	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41105	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	010
41105	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
41105	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	010
41105	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	1	010
41108	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41108	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	1	010
41108	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41108	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41108	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	1	010
41108	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	010
41108	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
41108	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
41108	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	1	010
41108	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
41108	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	1	010
41108	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	010
41108	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	010
41108	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
41108	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	010
41108	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
41108	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
41108	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
41108	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
41108	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	1	010
41108	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41108	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
41108	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	1	010
41108	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	010
41108	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
41108	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
41108	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	010
41110	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
41110	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
41110	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
41110	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
41110	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	010
41110	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41110	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41110	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41110	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41110	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
41110	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	010
41110	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
41110	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	010
41110	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
41110	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
41110	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
41110	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
41110	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
41110	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
41110	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
41110	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
41110	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
41110	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
41110	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
41110	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	010
41110	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
41110	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
41110	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
41112	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
41112	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41112	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
41112	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
41112	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
41112	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41112	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41112	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
41112	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
41112	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41112	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	2	0	090
41112	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41112	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41112	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
41112	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41112	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
41112	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
41112	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
41112	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	090
41112	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41112	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	6	0	090
41112	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	090
41112	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
41112	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
41112	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
41112	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	090
41112	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	3	2	090
41112	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	090
41113	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41113	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
41113	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41113	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41113	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
41113	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
41113	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41113	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
41113	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	2	0	090
41113	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
41113	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41113	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	090
41113	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
41113	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
41113	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41113	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	090
41113	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41113	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
41113	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	090
41113	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
41113	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	6	0	090
41113	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41113	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	090
41113	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
41113	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	3	2	090
41113	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
41113	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
41113	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
41114	Mar03 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
41114	Mar03 9	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3.5	090
41114	Mar03 9	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3.5	090
41114	Mar03 9	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3.5	090
41114	Mar03 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
41115	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
41115	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	010
41115	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	010
41115	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
41115	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
41115	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
41115	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	010
41115	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	010
41115	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
41115	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	010
41115	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	2	1	010
41115	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	010
41115	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
41115	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
41115	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
41115	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
41115	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
41115	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
41115	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
41115	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
41115	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
41115	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
41115	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
41115	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
41115	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
41115	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41115	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
41115	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
41115	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41115	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
41115	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41115	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41115	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
41116	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
41116	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41116	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41116	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41116	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	1	090
41116	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41116	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	090
41116	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
41116	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
41116	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
41116	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
41116	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	090
41116	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
41116	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41116	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
41116	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
41116	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
41116	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	2	1	090
41116	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
41116	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
41116	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
41116	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41116	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	090
41116	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
41116	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
41116	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
41116	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
41116	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41116	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	090
41116	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2.5	1.5	090
41116	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41116	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
41116	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
41120	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	15.28		4	090
41120	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
41120	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		4	090
41120	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
41120	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
41120	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
41120	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
41120	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
41120	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
41120	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
41120	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4	090
41120	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
41120	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
41130	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
41130	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4	090
41130	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		4	090
41130	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
41130	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
41130	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
41130	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	15.28		4	090
41130	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
41130	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
41130	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
41130	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
41130	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
41130	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
41135	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
41135	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
41135	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
41135	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4	090
41135	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
41135	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
41135	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
41135	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
41135	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		4	090
41135	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	15.28		4	090
41135	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
41135	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
41135	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
41135	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
41135	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
41140	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		4	090
41140	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
41140	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
41140	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
41140	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		5	090
41140	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
41140	Mar04 I	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2	090
41140	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		5	090
41140	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		5	090
41140	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
41140	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
41140	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
41140	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
41140	Mar04 I	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.93		1	090
41140	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		5	090
41140	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	15.28		5	090
41140	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
41145	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
41145	Mar04 I	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2	090
41145	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		6.5	090
41145	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
41145	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		5.5	090
41145	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6.5	090
41145	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6.5	090
41145	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		6.5	090
41145	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		5	090
41145	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	15.28		6.5	090
41145	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6.5	090
41145	Mar04 I	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.93		1	090
41145	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		20	090
41145	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		10	090
41145	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		6.5	090
41145	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
41145	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		5	090
41150	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
41150	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
41150	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
41150	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
41150	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		4	090
41150	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
41150	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
41150	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		5	090
41150	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		5	090
41150	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
41150	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		5	090
41150	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	15.28		5	090
41150	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
41150	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		5	090
41150	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
41153	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		5	090
41153	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
41153	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		5	090
41153	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		4	090
41153	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
41153	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
41153	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
41153	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
41153	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		5	090
41153	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	15.28		5	090
41153	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		5	090
41153	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
41153	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
41153	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
41153	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
41155	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		4	090
41155	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
41155	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
41155	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
41155	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
41155	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
41155	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		5	090
41155	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
41155	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	15.28		5	090
41155	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		5	090
41155	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
41155	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
41155	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
41155	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		5	090
41155	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		5	090
41250	Feb05 N	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
41250	Feb05 N	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
41250	Feb05 N	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
41250	Feb05 N	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
41250	Feb05 N	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
41250	Feb05 N	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	010
41250	Feb05 N	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41250	Feb05 N	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	010
41250	Feb05 N	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	2	1	010
41250	Feb05 N	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
41250	Feb05 N	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
41250	Feb05 N	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41250	Feb05 N	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
41250	Feb05 N	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
41250	Feb05 N	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
41250	Feb05 N	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41250	Feb05 N	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41250	Feb05 N	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	010
41251	Feb05 N	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
41251	Feb05 N	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
41251	Feb05 N	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	2	1	010
41251	Feb05 N	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
41251	Feb05 N	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
41251	Feb05 N	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
41251	Feb05 N	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
41251	Feb05 N	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	010
41251	Feb05 N	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41251	Feb05 N	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
41251	Feb05 N	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41251	Feb05 N	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
41251	Feb05 N	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41251	Feb05 N	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	010
41251	Feb05 N	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41251	Feb05 N	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
41251	Feb05 N	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
41251	Feb05 N	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	010
41252	Feb05 N	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
41252	Feb05 N	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
41252	Feb05 N	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41252	Feb05 N	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
41252	Feb05 N	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
41252	Feb05 N	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
41252	Feb05 N	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
41252	Feb05 N	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	010
41252	Feb05 N	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	010
41252	Feb05 N	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
41252	Feb05 N	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
41252	Feb05 N	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41252	Feb05 N	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	010
41252	Feb05 N	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41252	Feb05 N	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
41252	Feb05 N	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41252	Feb05 N	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
41252	Feb05 N	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	2	1	010
41510	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
41510	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		2	090
41510	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
41510	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
41510	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
41510	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
41510	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		2	090
41510	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	15.28		2	090
41510	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
41510	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
41510	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
41510	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
41510	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
41512	CPT09 10	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
41512	CPT09 10	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41		3	090
41512	CPT09 10	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		3	090
41512	CPT09 10	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
41512	CPT09 10	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
41512	CPT09 10	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
41512	CPT09 10	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		3	090
41512	CPT09 10	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3	090
41512	CPT09 10	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
41512	CPT09 10	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		3	090
41512	CPT09 10	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
41512	CPT09 10	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
41512	CPT09 10	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		3	090
41512	CPT09 10	"Accessory, Procedure"	SD070	endosheath	item	15.28		3	090
41520	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41520	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41520	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
41520	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	090
41520	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41520	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
41520	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	090
41520	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	3	2	090
41520	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
41520	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
41520	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
41520	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	090
41520	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
41520	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41520	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
41520	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41520	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
41520	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
41520	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
41520	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
41520	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
41520	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
41520	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
41520	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	3	2	090
41520	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41520	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41520	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
41520	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
41520	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
41520	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
41520	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
41530	CMS	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1	0	000
41530	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	3	2	000
41530	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
41530	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	3	2	000
41530	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	3	2	000
41530	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	1	0	000
41530	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	3	2	000
41530	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1	0	000
41530	CMS	"Accessory, Procedure"	SD328	single-channel radio-frequency handpiece	item	353.64	1	0	000
41530	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	3	2	000
41530	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	000
41530	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28	3	2	000
41530	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	000
41530	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1	0	000
41530	CMS	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	1	0	000
41530	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32	3	2	000
41530	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	7	2	000
41530	CMS	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.51	1	0	000
41530	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
41530	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	2	000
41530	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	000
41530	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	000
41530	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
41530	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	3	2	000
41530	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	2	0	000
41800	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
41800	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
41800	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	010
41800	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	1	010
41800	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41800	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
41800	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	010
41800	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
41800	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	010
41800	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	010
41800	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41800	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41800	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
41800	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
41800	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	010
41800	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	6	4	010
41800	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
41800	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	2	010
41800	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
41800	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	2	010
41800	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
41800	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	1	010
41800	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
41800	CMS	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	3.73	3	0	010
41800	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
41800	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
41800	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
41800	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	2	1	010
41800	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41800	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	010
41800	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
41800	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	2	1	010
41805	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	3	2	010
41805	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
41805	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
41805	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	3	2	010
41805	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	010
41805	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
41805	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	010
41805	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	3	2	010
41805	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41805	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
41805	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41805	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41805	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	3	2	010
41805	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
41805	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
41805	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	6	4	010
41805	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	010
41805	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
41805	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
41805	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
41805	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	6	4	010
41805	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41805	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
41805	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	010
41805	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
41805	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	6	4	010
41805	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	3	2	010
41805	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	010
41806	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
41806	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41806	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
41806	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	010
41806	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
41806	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	010
41806	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	3	2	010
41806	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	3	2	010
41806	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	3	2	010
41806	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	3	2	010
41806	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
41806	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41806	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	6	4	010
41806	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
41806	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	3	2	010
41806	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41806	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41806	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	010
41806	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
41806	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
41806	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
41806	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
41806	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	6	4	010
41806	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	6	4	010
41806	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
41806	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	010
41806	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
41806	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	3	2	010
41806	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	010
41822	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	010
41822	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
41822	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
41822	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
41822	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
41822	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
41822	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
41822	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
41822	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
41822	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
41822	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	010
41822	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
41822	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41822	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
41822	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
41822	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
41822	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41822	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41822	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
41822	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	010
41822	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
41822	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	010
41822	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
41822	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	010
41822	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
41822	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41822	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
41823	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
41823	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41823	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
41823	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41823	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
41823	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
41823	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
41823	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41823	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
41823	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
41823	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41823	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
41823	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
41823	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
41823	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41823	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
41823	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
41823	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41823	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
41823	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41823	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
41823	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41823	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
41823	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
41823	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
41823	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
41823	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
41825	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
41825	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
41825	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
41825	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
41825	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
41825	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41825	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
41825	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41825	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41825	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41825	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
41825	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	010
41825	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
41825	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
41825	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
41825	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	010
41825	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
41825	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
41825	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
41825	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
41825	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
41825	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	010
41825	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
41825	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
41825	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	010
41825	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
41825	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
41825	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	010
41826	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
41826	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
41826	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
41826	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
41826	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
41826	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
41826	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	2	010
41826	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
41826	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41826	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	1	010
41826	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	010
41826	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
41826	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41826	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	2	010
41826	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
41826	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
41826	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	010
41826	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	010
41826	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
41826	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	010
41826	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	3	2	010
41826	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41826	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
41826	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41826	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	010
41826	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
41826	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	010
41826	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
41827	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
41827	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
41827	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
41827	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41827	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41827	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
41827	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41827	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41827	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
41827	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
41827	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
41827	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
41827	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
41827	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41827	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
41827	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
41827	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41827	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
41827	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
41827	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
41827	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41827	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
41827	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
41827	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
41827	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
41827	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41827	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
41827	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
41827	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
41827	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
41827	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
41828	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
41828	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
41828	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
41828	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
41828	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
41828	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
41828	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
41828	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
41828	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
41828	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
41828	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41828	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41828	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
41828	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
41828	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
41828	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
41828	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
41828	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
41828	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	010
41828	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
41828	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	010
41828	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
41828	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
41830	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1	0	010
41830	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
41830	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	010
41830	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
41830	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
41830	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
41830	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	010
41830	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
41830	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	2	010
41830	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
41830	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
41830	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	1	010
41830	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	010
41830	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
41830	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	2	010
41830	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
41830	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	3	2	010
41830	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41830	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
41830	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
41830	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	010
41830	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
41830	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41830	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41830	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41830	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	010
41830	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
41830	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
41830	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	010
41872	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41872	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
41872	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
41872	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
41872	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41872	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
41872	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
41872	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41872	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
41872	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41872	CMS	"Cutters, Closures, Cautery"	SF050	"suture, plain, gut, 2-0 to 6-0"	item	6.05	2	0	090
41872	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
41872	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
41872	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
41872	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41872	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41872	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
41872	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
41872	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
41872	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
41872	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
41872	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41872	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
41872	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
41872	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
41872	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
41872	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41874	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
41874	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41874	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
41874	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41874	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
41874	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
41874	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41874	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
41874	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
41874	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
41874	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41874	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
41874	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
41874	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41874	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
41874	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
41874	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41874	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
41874	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
41874	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41874	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
41874	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
41874	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
41874	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
41874	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
41874	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
41874	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
42000	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
42000	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42000	Jan03	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
42000	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
42000	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	010
42000	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
42000	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42000	Jan03	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
42000	Jan03	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
42000	Jan03	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
42000	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42000	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42000	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
42000	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
42100	Feb05 N	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42100	Feb05 N	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42100	Feb05 N	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
42100	Feb05 N	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
42100	Feb05 N	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
42100	Feb05 N	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42100	Feb05 N	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
42100	Feb05 N	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
42100	Feb05 N	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
42100	Feb05 N	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
42100	Feb05 N	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42100	Feb05 N	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
42104	Feb05 N	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
42104	Feb05 N	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
42104	Feb05 N	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
42104	Feb05 N	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
42104	Feb05 N	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	2	1	010
42104	Feb05 N	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	010
42104	Feb05 N	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
42104	Feb05 N	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42104	Feb05 N	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42104	Feb05 N	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
42104	Feb05 N	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
42104	Feb05 N	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42104	Feb05 N	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
42104	Feb05 N	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42104	Feb05 N	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
42106	Feb05 N	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	010
42106	Feb05 N	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
42106	Feb05 N	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	010
42106	Feb05 N	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	2	1	010
42106	Feb05 N	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
42106	Feb05 N	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
42106	Feb05 N	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
42106	Feb05 N	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
42106	Feb05 N	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42106	Feb05 N	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
42106	Feb05 N	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
42106	Feb05 N	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42106	Feb05 N	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
42106	Feb05 N	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42106	Feb05 N	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
42106	Feb05 N	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
42106	Feb05 N	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
42106	Feb05 N	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42107	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
42107	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
42107	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
42107	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
42107	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
42107	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
42107	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
42107	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
42107	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	090
42107	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
42107	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
42107	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
42107	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	2	0	090
42107	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
42107	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
42107	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	090
42107	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
42107	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
42107	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	090
42107	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	6	0	090
42107	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
42107	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	090
42107	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
42107	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
42107	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
42107	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
42107	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	1	090
42120	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
42120	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
42120	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
42120	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		3	090
42120	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
42120	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
42120	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
42120	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
42120	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	15.28		3	090
42120	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
42120	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
42120	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
42120	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		3	090
42140	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
42140	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	090
42140	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
42140	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
42140	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
42140	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
42140	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
42140	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
42140	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
42140	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
42140	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	6	0	090
42140	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	2	0	090
42140	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
42140	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2.5	1.5	090
42140	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
42140	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
42140	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
42140	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
42140	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
42140	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
42140	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
42140	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
42140	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
42140	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
42140	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
42140	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
42140	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
42145	Apr08 ss	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
42145	Apr08 ss	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
42145	Apr08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
42145	Apr08 ss	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
42145	Apr08 ss	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
42145	Apr08 ss	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
42145	Apr08 ss	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
42145	Apr08 ss	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
42145	Apr08 ss	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
42145	Apr08 ss	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
42145	Apr08 ss	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
42160	Feb05 N	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	010
42160	Feb05 N	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	2	1	010
42160	Feb05 N	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
42160	Feb05 N	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
42160	Feb05 N	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
42160	Feb05 N	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
42160	Feb05 N	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
42160	Feb05 N	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
42160	Feb05 N	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42160	Feb05 N	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
42160	Feb05 N	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
42160	Feb05 N	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42160	Feb05 N	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42160	Feb05 N	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
42160	Feb05 N	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42180	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
42180	Jan03	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
42180	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	010
42180	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42180	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
42180	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42180	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	010
42180	Jan03	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
42180	Jan03	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
42180	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
42180	Jan03	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
42180	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42180	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
42180	Jan03	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	010
42180	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42180	Jan03	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
42180	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
42180	Jan03	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	010
42182	Jan03	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
42182	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42182	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
42182	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	010
42182	Jan03	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
42182	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	010
42182	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
42182	Jan03	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
42182	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
42182	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42182	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42182	Jan03	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
42182	Jan03	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
42182	Jan03	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	010
42182	Jan03	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	010
42182	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
42182	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
42182	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42200	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
42200	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
42200	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
42200	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
42200	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
42200	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
42200	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
42200	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
42200	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		1	090
42200	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
42205	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
42205	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
42205	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
42205	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
42205	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
42205	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		1	090
42205	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
42205	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
42205	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
42205	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
42210	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
42210	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
42210	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
42210	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
42210	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
42210	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
42210	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
42210	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
42210	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
42210	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		1	090
42215	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
42215	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
42215	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
42215	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		1	090
42215	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
42215	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
42215	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
42215	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3.5	090
42215	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
42215	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		7	090
42220	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
42220	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
42220	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
42220	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
42220	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
42220	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
42220	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
42220	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
42220	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		1	090
42220	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
42225	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		7	090
42225	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
42225	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		3.5	090
42225	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
42225	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
42225	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
42225	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
42225	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
42225	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
42225	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
42225	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
42225	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
42225	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3.5	090
42225	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
42225	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
42226	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
42226	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
42226	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
42226	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
42226	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
42226	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		3.5	090
42226	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
42226	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
42226	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
42226	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
42226	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
42226	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
42226	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
42226	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
42226	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
42227	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
42227	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
42227	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
42227	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
42227	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
42227	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		3	090
42227	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
42227	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
42227	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
42227	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
42227	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
42227	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
42227	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
42227	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
42227	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
42235	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
42235	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
42235	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
42235	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
42235	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		3	090
42235	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
42235	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
42235	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
42235	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
42235	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
42235	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
42235	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
42235	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
42235	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
42235	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
42260	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
42260	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
42260	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
42260	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
42260	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
42260	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	1	0	090
42260	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
42260	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
42260	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
42260	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
42260	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
42260	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
42260	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
42260	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
42260	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
42260	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
42260	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	8	0	090
42260	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
42260	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
42260	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
42260	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	090
42260	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
42260	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
42260	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
42260	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
42260	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
42260	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
42260	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
42260	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
42260	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
42260	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
42280	Sep04 I	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
42280	Sep04 I	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	010
42280	Sep04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
42280	Sep04 I	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
42280	Sep04 I	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	010
42280	Sep04 I	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	0	010
42280	Sep04 I	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
42280	Sep04 I	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
42280	Sep04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
42280	Sep04 I	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	4	0	010
42280	Sep04 I	Lab	SL202	"tissue conditioner, coesoft (0.5 oz, each, liquid and powder)"	item	6.99	1	0	010
42280	Sep04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
42280	Sep04 I	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.37	1	0	010
42280	Sep04 I	Lab	SL046	dental impression tray	item	0.48	1	0	010
42280	Sep04 I	Lab	SL047	dental stone powder	lb	3.78	0.75	0	010
42280	Sep04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
42280	Sep04 I	Lab	SL081	"impression material, alginate (dental)"	lb	8.96	0.18	0	010
42280	Sep04 I	Lab	SL150	"wax, bite registration wafer"	item	0.37	1	0	010
42280	Sep04 I	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
42280	Sep04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
42281	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
42281	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
42281	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
42281	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
42281	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42281	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	010
42281	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
42281	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	010
42281	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
42281	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
42281	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	010
42281	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
42281	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
42281	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	010
42300	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
42300	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	010
42300	Jan03	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
42300	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
42300	Jan03	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
42300	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
42300	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
42300	Jan03	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
42300	Jan03	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
42300	Jan03	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
42300	Jan03	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
42300	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42300	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	010
42300	Jan03	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	010
42300	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
42305	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
42305	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
42310	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
42310	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
42310	Jan03	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
42310	Jan03	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
42310	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
42310	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
42310	Jan03	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
42310	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42310	Jan03	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
42310	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
42310	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	010
42320	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	010
42320	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
42320	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42320	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	010
42320	Jan03	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
42320	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
42320	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
42320	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
42320	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42320	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42320	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
42320	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42320	Jan03	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
42320	Jan03	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
42320	Jan03	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
42320	Jan03	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
42320	Jan03	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	010
42320	Jan03	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
42330	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
42330	Jan03	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
42330	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	010
42330	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42330	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
42330	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	010
42330	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
42330	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42330	Jan03	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
42330	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
42330	Jan03	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
42330	Jan03	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
42330	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42330	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
42330	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42335	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	090
42335	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
42335	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
42335	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	090
42335	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
42335	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
42335	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	2	0	090
42335	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
42335	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
42335	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
42335	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
42335	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
42335	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
42335	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
42335	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
42335	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
42335	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	2	0	090
42335	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
42335	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
42335	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
42335	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
42335	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
42335	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
42335	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
42335	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
42335	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
42335	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
42335	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
42335	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
42335	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
42335	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
42335	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
42335	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
42335	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
42340	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
42340	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
42340	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
42340	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
42340	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
42340	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
42340	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
42340	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
42340	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	2	0	090
42340	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
42340	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
42340	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
42340	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
42340	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
42340	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
42340	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
42340	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
42340	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
42340	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
42340	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
42340	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
42340	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
42340	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
42340	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
42340	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	090
42340	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
42340	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
42340	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
42340	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
42340	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	2	0	090
42340	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
42340	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
42340	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
42340	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
42340	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	090
42400	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
42400	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
42400	Jan03	"Hypodermic, IV"	SC032	"needle, biopsy for breast-prostate core sample"	item	33.2	1	0	000
42400	Jan03	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
42400	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
42400	Jan03	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
42400	Jan03	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
42400	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
42405	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
42405	Jan03	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
42405	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42405	Jan03	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
42405	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
42405	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	010
42405	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42405	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42405	Jan03	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
42405	Jan03	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
42405	Jan03	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
42405	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
42405	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
42405	Jan03	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	010
42405	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42405	Jan03	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	1	010
42408	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
42408	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
42408	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
42408	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
42408	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
42408	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
42408	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
42408	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
42408	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
42408	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
42408	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
42408	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
42408	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
42408	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
42408	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
42408	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
42408	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
42408	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
42408	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
42408	CMS	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	3.73	1	0	090
42408	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
42408	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
42408	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	2	0	090
42408	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
42408	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	090
42408	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
42408	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
42408	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	2	0	090
42408	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
42408	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
42408	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
42408	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
42409	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
42409	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
42409	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
42409	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
42409	CMS	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	3.73	1	0	090
42409	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
42409	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
42409	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
42409	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
42409	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
42409	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
42409	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
42409	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
42409	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
42409	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
42409	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
42409	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
42409	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
42409	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	2	0	090
42409	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
42409	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	090
42409	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
42409	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
42409	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
42409	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
42409	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
42409	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
42409	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
42409	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
42409	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
42409	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	2	0	090
42409	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
42410	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
42410	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
42415	Apr08 df	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
42415	Apr08 df	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
42420	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
42420	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
42425	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
42425	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
42426	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
42426	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
42440	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
42440	Feb08 ss	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
42450	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
42450	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	2	090
42450	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	2	090
42450	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	090
42450	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	1	090
42450	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	090
42450	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3	2	090
42450	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
42450	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
42450	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	090
42450	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
42450	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
42450	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
42450	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	2	1	090
42450	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	090
42450	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
42450	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
42450	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
42450	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
42450	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
42450	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	090
42500	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	090
42500	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3	2	090
42500	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	2	090
42500	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	2	090
42500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
42500	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
42500	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	090
42500	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	090
42500	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
42500	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
42500	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
42500	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	090
42500	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
42500	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	2	1	090
42500	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
42500	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
42500	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
42500	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
42500	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
42500	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	090
42500	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	1	090
42505	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	090
42505	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
42505	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	090
42505	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	2	090
42505	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	2	090
42505	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3	2	090
42505	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
42505	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	090
42505	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	090
42505	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	1	090
42505	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
42505	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
42505	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	2	1	090
42505	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
42505	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
42505	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
42505	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
42505	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
42505	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
42505	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
42505	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	090
42507	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
42507	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
42507	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
42507	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
42507	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
42507	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
42507	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
42507	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
42509	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3.5	090
42509	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
42509	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3.5	090
42509	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
42509	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2.5	090
42509	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3.5	090
42509	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3.5	090
42509	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3.5	090
42509	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
42509	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3.5	090
42510	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
42510	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
42510	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
42510	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
42510	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
42510	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
42510	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
42510	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
42550	Jan04 21	"Hypodermic, IV"	SC047	sialography infusion unit	item	37.71	1	0	000
42600	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	090
42600	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
42600	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
42600	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
42600	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
42600	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
42600	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
42600	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
42600	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
42600	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
42600	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
42600	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
42600	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
42600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
42600	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
42600	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
42600	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
42600	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
42600	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
42600	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
42600	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
42600	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
42600	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
42600	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	2	0	090
42600	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
42600	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
42600	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
42600	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
42600	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
42600	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
42600	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
42600	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
42600	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
42650	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
42650	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	000
42650	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
42650	Jan03	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
42650	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
42650	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
42660	Jan03	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	000
42660	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
42660	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
42660	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	000
42660	Jan03	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
42660	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
42660	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
42665	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
42665	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
42665	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	2	0	090
42665	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
42665	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
42665	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
42665	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	090
42665	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
42665	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
42665	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
42665	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
42665	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
42665	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
42665	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
42665	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
42665	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
42665	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
42665	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
42665	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
42665	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
42665	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
42665	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
42665	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
42665	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
42665	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
42665	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
42665	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
42665	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
42665	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
42665	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
42700	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	2	1	010
42700	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
42700	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42700	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
42700	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
42700	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
42700	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	010
42700	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42700	Jan03	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
42700	Jan03	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
42700	Jan03	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
42700	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42700	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42700	Jan03	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
42720	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
42720	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	010
42720	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42720	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
42720	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
42720	Jan03	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
42720	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
42720	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42720	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	2	1	010
42720	Jan03	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
42720	Jan03	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
42720	Jan03	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
42720	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42720	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42725	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		1	090
42725	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		1	090
42725	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
42725	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
42725	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
42725	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
42725	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
42725	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		1	090
42725	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
42800	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	010
42800	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
42800	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
42800	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
42800	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
42800	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42800	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42800	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
42800	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
42800	RUC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	010
42800	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42800	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42804	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
42804	Jan03	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	010
42804	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42804	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
42804	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
42804	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	010
42804	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	4	2	010
42804	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
42804	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42804	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	010
42804	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	010
42804	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
42804	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42804	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42806	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
42806	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	010
42806	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
42806	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
42806	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
42806	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	010
42806	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42806	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42806	Jan03	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	010
42806	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	010
42806	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42806	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	4	2	010
42806	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
42806	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42808	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	010
42808	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
42808	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42808	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
42808	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
42808	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42808	Jan03	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
42808	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42808	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42808	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
42808	Jan03	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
42809	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
42809	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42809	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
42809	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
42809	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
42809	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
42809	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
42809	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	010
42809	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
42810	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
42810	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
42810	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
42810	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
42810	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
42810	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
42810	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	090
42810	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	090
42810	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	090
42810	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
42810	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	090
42810	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	3	2	090
42810	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
42810	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
42810	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
42810	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
42810	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
42810	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	090
42810	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
42810	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	090
42810	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
42810	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
42810	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
42815	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2.5	090
42815	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2.5	090
42815	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
42815	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
42815	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1.5	090
42815	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2.5	090
42815	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		2.5	090
42815	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2.5	090
42815	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
42815	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2.5	090
42820	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
42820	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
42821	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1.5	090
42821	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
42825	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
42825	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
42826	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
42826	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1.5	090
42830	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1.5	090
42830	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
42831	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
42831	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
42835	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
42835	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1.5	090
42836	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1.5	090
42836	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
42842	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	15.28		3	090
42842	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
42842	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
42842	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
42842	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
42842	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		2	090
42842	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		3	090
42842	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
42842	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
42842	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
42842	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
42842	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
42842	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
42844	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
42844	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4	090
42844	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
42844	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		3	090
42844	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
42844	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
42844	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
42844	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	15.28		4	090
42844	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
42844	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
42844	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
42844	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
42844	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
42845	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		5	090
42845	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
42845	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		3	090
42845	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
42845	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
42845	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
42845	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
42845	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	15.28		5	090
42845	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
42845	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
42845	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		5	090
42845	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		5	090
42845	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		5	090
42860	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1.5	090
42860	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
42870	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		2	090
42870	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2.5	090
42870	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
42870	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
42870	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2.5	090
42870	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2.5	090
42870	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		2.5	090
42870	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	15.28		2.5	090
42870	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2.5	090
42870	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
42870	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
42870	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
42870	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2.5	090
42890	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		2	090
42890	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	15.28		4	090
42890	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
42890	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
42890	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
42890	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
42890	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
42890	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4	090
42890	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
42890	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
42890	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
42890	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
42890	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
42892	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
42892	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
42892	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
42892	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		3	090
42892	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
42892	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4	090
42892	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
42892	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
42892	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
42892	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
42892	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
42892	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
42892	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
42892	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	15.28		4	090
42892	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
42894	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
42894	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
42894	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		3	090
42894	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
42894	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
42894	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
42894	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		5	090
42894	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		5	090
42894	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		5	090
42894	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		5	090
42894	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
42894	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
42894	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
42894	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
42894	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	15.28		5	090
42900	Jan03	"Gown, Drape"	SB026	"gown, patient"	item	0.59		1	010
42900	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	010
42900	Jan03	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		1	010
42900	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	010
42900	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	010
42900	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41		1	010
42900	Jan03	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		1	010
42950	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3.5	090
42950	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3.5	090
42950	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		2	090
42950	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
42950	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3.5	090
42950	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3.5	090
42950	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3.5	090
42950	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	15.28		3.5	090
42950	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
42950	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
42950	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
42950	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		3.5	090
42950	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
42953	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
42953	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
42953	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
42953	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
42953	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		3	090
42953	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
42953	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
42953	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
42953	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	15.28		4	090
42953	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
42953	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
42953	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4	090
42953	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
42953	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
42953	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
42955	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	15.28		3	090
42955	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		2	090
42955	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
42955	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
42955	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
42955	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
42955	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
42955	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		3	090
42955	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
42955	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
42955	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
42955	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
42955	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
42955	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
42955	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
42960	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	010
42960	Jan03	"Gown, Drape"	SB026	"gown, patient"	item	0.59		1	010
42960	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	010
42960	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	010
42960	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	010
42960	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		1	010
42960	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41		1	010
42960	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		1	010
42960	Jan03	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		1	010
42961	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		1	090
42961	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
42961	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
42961	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		1	090
42961	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		1	090
42961	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
42961	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
42961	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
42961	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
42962	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		1	090
42962	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
42962	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
42962	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
42962	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		1	090
42962	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
42962	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
42962	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		1	090
42962	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
42970	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
42970	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		1	090
42970	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
42970	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
42970	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
42970	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		1	090
42970	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
42970	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		1	090
42970	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
42971	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		1	090
42971	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
42971	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
42971	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
42971	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		1	090
42971	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
42971	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		1	090
42971	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
42971	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
42972	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
42972	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
42972	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
42972	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
42972	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		1	090
42972	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
42972	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
42972	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		1	090
42972	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		1	090
43020	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43020	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43030	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
43030	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43045	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43045	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
43100	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43100	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
43101	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43101	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43107	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43107	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43107	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
43108	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
43108	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43112	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
43112	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43112	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43113	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
43113	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43116	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
43116	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43117	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43117	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
43117	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43118	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
43118	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43121	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
43121	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
43122	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
43122	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
43123	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43123	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
43124	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
43124	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43130	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
43130	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43135	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43135	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43180	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
43197	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
43197	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	5	0	000
43197	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43197	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43197	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
43197	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
43197	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43197	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
43197	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43197	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	2	0	000
43197	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
43197	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43197	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	10	0	000
43197	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
43197	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
43197	CMS	Lab	SL464	Atomizer tips (disposable)	item		1	0	000
43197	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	2	0	000
43198	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43198	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
43198	CMS	Lab	SL464	Atomizer tips (disposable)	item		1	0	000
43198	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	10	0	000
43198	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43198	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
43198	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43198	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
43198	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	5	0	000
43198	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	2	0	000
43198	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	2	0	000
43198	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
43198	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
43198	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
43198	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43198	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
43198	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0	000
43198	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43200	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43200	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43200	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43200	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43200	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
43200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
43200	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43200	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43200	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43200	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43200	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43200	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43200	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43200	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43200	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43200	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43200	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43200	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43200	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43200	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43200	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43200	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43201	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	
43201	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
43201	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	3	0	
43201	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
43201	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
43201	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
43201	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
43201	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
43201	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
43201	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
43201	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
43201	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
43201	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	
43201	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	
43201	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
43201	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
43201	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	
43201	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
43201	CMS	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.51	2	0	
43201	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
43201	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
43201	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	
43201	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	
43202	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	
43202	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
43202	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
43202	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
43202	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	
43202	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	
43202	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
43202	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
43202	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
43202	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
43202	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
43202	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
43202	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
43202	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
43202	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	
43202	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
43202	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
43202	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	
43202	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	
43202	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	
43202	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
43202	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	
43202	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
43206	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	
43206	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
43206	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
43206	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
43206	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
43206	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
43206	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
43206	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
43206	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
43206	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
43206	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
43206	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
43206	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	
43206	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
43206	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	
43206	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
43206	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	
43206	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
43206	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
43206	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	
43206	CMS	"Accessory, Procedure"	SD285	"catheter, optical endomicroscopy"	item		1	0	
43206	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	
43213	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	
43213	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	
43213	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
43213	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
43213	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	
43213	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	
43213	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
43213	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
43213	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
43213	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	
43213	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
43213	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	
43213	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
43213	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
43213	CMS	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	205.91	3	0	
43213	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	0	
43213	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	
43213	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
43213	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
43213	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
43213	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
43213	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
43213	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
43213	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
43215	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	
43215	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	
43215	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	
43215	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
43215	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
43215	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
43215	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
43215	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	
43215	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28	1	0	
43215	CMS	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	28.35	1	0	
43215	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
43215	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
43215	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
43215	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
43215	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
43215	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
43215	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
43215	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	
43215	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
43215	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
43215	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
43215	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	
43215	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	
43215	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
43215	CMS	"Accessory, Procedure"	SD289	PROXY endoscopic grasping forceps	item	18.73	1	0	
43216	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
43216	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	
43216	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
43216	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
43216	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	
43216	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	
43216	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	
43216	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
43216	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	
43216	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
43216	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
43216	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
43216	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
43216	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	
43216	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
43216	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
43216	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
43216	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	
43216	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
43216	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
43216	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
43216	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	
43216	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	
43216	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	
43216	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
43217	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
43217	CMS	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	28.35	1	0	
43217	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
43217	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
43217	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
43217	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
43217	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
43217	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	
43217	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
43217	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	
43217	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
43217	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	
43217	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
43217	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
43217	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
43217	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
43217	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	
43217	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
43217	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	
43217	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	
43217	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
43217	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	
43217	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
43217	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	
43217	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	
43217	CMS	"Accessory, Procedure"	SD289	PROXY endoscopic grasping forceps	item	18.73	1	0	
43220	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
43220	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	
43220	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
43220	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	
43220	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	
43220	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	
43220	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
43220	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
43220	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
43220	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
43220	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
43220	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	
43220	CMS	"Accessory, Procedure"	SD287	"endoscopic balloon, dilation"	item	162.43	3	0	
43220	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	
43220	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
43220	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
43220	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
43220	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
43220	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
43220	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
43220	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
43220	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	
43220	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
43220	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
43226	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	
43226	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
43226	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	
43226	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
43226	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	
43226	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
43226	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	
43226	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	
43226	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
43226	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	
43226	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
43226	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
43226	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
43226	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	
43226	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
43226	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
43226	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
43226	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
43226	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
43226	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
43226	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
43226	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
43226	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
43226	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	
43227	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	
43227	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
43227	CMS	"Accessory, Procedure"	SD284	"cautery, bipolar, probe, endoscopy"	item	150.15	1	0	
43227	CMS	"Accessory, Procedure"	SD282	endoscopic clip	item	44.51	1	0	
43227	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	
43227	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
43227	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
43227	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
43227	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
43227	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	
43227	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	
43227	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	
43227	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
43227	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	
43227	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
43227	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
43227	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	
43227	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
43227	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
43227	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	
43227	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
43227	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
43227	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
43227	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	
43227	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
43227	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
43229	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	
43229	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
43229	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
43229	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
43229	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
43229	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	
43229	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	
43229	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
43229	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
43229	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
43229	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
43229	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
43229	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
43229	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
43229	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	
43229	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
43229	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	
43229	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	0	
43229	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
43229	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	
43229	CMS	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	205.91	1	0	
43229	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	
43229	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
43229	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
43235	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43235	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43235	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43235	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
43235	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43235	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43235	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
43235	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43235	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43235	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43235	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43235	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43235	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43235	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43235	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43235	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43235	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43235	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43235	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43235	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43235	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43235	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43236	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43236	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43236	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	3	0	000
43236	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
43236	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43236	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
43236	CMS	"Hypodermic, IV"	SC044	"needle, variceal injection"	item	60	1	0	000
43236	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43236	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43236	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43236	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43236	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43236	CMS	"Hypodermic, IV"	SC079	"needle, micropigmentation (tattoo)"	item	33.54	1	0	000
43236	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43236	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43236	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43236	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43236	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43236	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43236	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43236	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43236	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43236	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43236	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43236	CMS	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.51	2	0	000
43239	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43239	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
43239	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4	0	000
43239	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43239	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43239	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
43239	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
43239	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43239	RUC	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	000
43239	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
43239	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2	0	000
43239	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	8	0	000
43239	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43239	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43239	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43239	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43239	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43239	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43239	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
43239	RUC	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43239	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
43239	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
43239	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43239	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43239	RUC	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43239	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43245	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43245	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43245	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43245	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43245	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43245	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
43245	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
43245	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43245	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43245	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43245	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43245	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43245	CMS	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	205.91	1	0	000
43245	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43245	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43245	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43245	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43245	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43245	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43245	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43245	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43245	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43245	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43247	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43247	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43247	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43247	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43247	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43247	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43247	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43247	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43247	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
43247	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43247	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
43247	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43247	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43247	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43247	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28	1	0	000
43247	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43247	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43247	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43247	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43247	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43247	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43247	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43247	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43248	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43248	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43248	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43248	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43248	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43248	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43248	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43248	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
43248	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43248	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43248	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
43248	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43248	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43248	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43248	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43248	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
43248	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43248	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43248	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43248	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43248	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43248	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43248	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43248	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
43249	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43249	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43249	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43249	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
43249	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43249	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43249	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43249	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43249	CMS	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	205.91	3	0	000
43249	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43249	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43249	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43249	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
43249	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43249	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43249	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43249	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43249	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43249	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43249	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43249	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43249	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43249	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43249	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
43250	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43250	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43250	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43250	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
43250	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43250	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43250	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43250	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43250	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43250	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
43250	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43250	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43250	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43250	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	000
43250	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43250	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43250	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43250	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43250	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43250	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	000
43250	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43250	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
43250	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43250	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43250	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43251	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43251	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43251	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43251	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43251	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43251	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43251	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	000
43251	CMS	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	28.35	1	0	000
43251	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43251	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43251	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43251	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43251	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
43251	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43251	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43251	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
43251	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
43251	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43251	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43251	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43251	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43251	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43251	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43251	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43251	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43252	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
43252	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
43252	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43252	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43252	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43252	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43252	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43252	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43252	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43252	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43252	CMS	"Accessory, Procedure"	SD285	"catheter, optical endomicroscopy"	item		1	0	000
43252	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43252	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43252	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43252	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43252	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43252	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43252	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43252	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43252	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43252	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43252	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43255	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43255	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43255	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43255	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43255	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43255	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43255	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43255	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43255	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43255	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43255	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	000
43255	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
43255	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43255	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43255	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
43255	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43255	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43255	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43255	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43255	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43255	CMS	"Accessory, Procedure"	SD284	"cautery, bipolar, probe, endoscopy"	item	150.15	1	0	000
43255	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43255	CMS	"Accessory, Procedure"	SD282	endoscopic clip	item	44.51	1	0	000
43255	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43255	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43255	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
43270	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
43270	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43270	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43270	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43270	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
43270	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43270	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43270	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43270	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43270	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43270	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43270	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43270	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43270	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43270	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43270	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43270	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43270	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43270	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43270	CMS	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	205.91	1	0	000
43270	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
43270	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43270	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43270	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43279	CPT09 13	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43279	CPT09 13	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43280	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43280	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
43281	CPT10 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43281	CPT10 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43282	CPT10 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43282	CPT10 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43284	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43284	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43285	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43285	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43286	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
43286	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43286	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43287	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
43287	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43287	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43288	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43288	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43288	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
43300	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43300	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
43305	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
43305	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
43310	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
43310	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43312	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
43312	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
43313	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
43313	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
43314	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
43314	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
43320	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43320	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43325	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43325	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43327	CPT11 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43327	CPT11 7	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43328	CPT11 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43328	CPT11 7	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43330	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43330	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43331	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43331	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43332	CPT11 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43332	CPT11 7	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43333	CPT11 7	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43333	CPT11 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43334	CPT11 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43334	CPT11 7	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43335	CPT11 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43335	CPT11 7	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43336	CPT11 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43336	CPT11 7	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43337	CPT11 7	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43337	CPT11 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43340	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43340	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43341	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43341	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43351	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43351	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
43352	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43352	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43360	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43360	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43361	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43361	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
43400	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43400	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43405	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43405	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
43410	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43410	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43415	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
43415	CPT12 5 Year	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43420	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43420	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43425	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43425	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43450	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
43450	Mod sed	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	
43450	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
43450	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
43450	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
43450	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
43450	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
43450	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
43450	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
43450	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
43450	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	
43450	Mod sed	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	
43450	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	
43450	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	
43450	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	
43450	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
43453	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
43453	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
43453	Mod sed	"Accessory, Procedure"	SD286	endoscopic guidewire	item	218.43	1	0	
43453	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
43453	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
43453	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
43453	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
43453	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
43453	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	
43453	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	
43453	Mod sed	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	
43453	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
43453	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
43453	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	
43453	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	
43453	Mod sed	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	
43453	Mod sed	"Accessory, Procedure"	SD287	"endoscopic balloon, dilation"	item	162.43	2	0	
43453	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
434XX	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43500	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43500	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43501	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43501	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43502	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43502	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43510	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43510	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43520	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43520	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43605	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43605	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43610	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43610	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43611	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43611	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43620	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43620	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43621	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43621	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43622	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43622	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43631	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43631	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43632	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43632	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43633	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43633	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43634	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43634	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43640	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43640	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43641	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43641	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43644	CPT05	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
43644	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43645	CPT05	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
43645	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43651	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43651	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43652	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43652	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43653	Sep02	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85		1	090
43653	Sep02	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		1	090
43653	Sep02	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		2	090
43653	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43653	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43754	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	0	000
43754	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
43754	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	10	0	000
43754	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43754	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	12	0	000
43754	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	5	0	000
43754	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43754	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
43754	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43754	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	1	0	000
43754	CMS	"Hypodermic, IV"	SC065	"adapter, luer lock"	item	45.49	1	0	000
43754	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43754	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43754	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
43754	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43754	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	0	000
43754	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1	0	000
43754	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1	0	000
43754	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
43754	CMS	Infection Control	SM008	biohazard specimen transport bag	item	0.08	1	0	000
43754	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
43754	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43755	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	12	0	000
43755	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
43755	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43755	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	1	0	000
43755	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	0	000
43755	CMS	Infection Control	SM008	biohazard specimen transport bag	item	0.08	4	0	000
43755	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43755	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43755	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
43755	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43755	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	0	000
43755	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1	0	000
43755	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1	0	000
43755	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43755	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	10	0	000
43755	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
43755	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43755	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1	0	000
43755	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
43755	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43755	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
43755	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	12	0	000
43755	CMS	"Hypodermic, IV"	SC065	"adapter, luer lock"	item	45.49	1	0	000
43755	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1	0	000
43756	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	1	0	000
43756	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
43756	CMS	Infection Control	SM008	biohazard specimen transport bag	item	0.08	1	0	000
43756	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43756	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	0	000
43756	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1	0	000
43756	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	0	000
43756	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	12	0	000
43756	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43756	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
43756	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43756	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1	0	000
43756	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
43756	CMS	"Hypodermic, IV"	SC065	"adapter, luer lock"	item	45.49	1	0	000
43756	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43756	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	10	0	000
43756	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43756	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43756	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
43756	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
43756	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43757	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1	0	000
43757	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1	0	000
43757	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	12	0	000
43757	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	9	0	000
43757	CMS	Infection Control	SM008	biohazard specimen transport bag	item	0.08	3	0	000
43757	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	0	000
43757	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1	0	000
43757	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1	0	000
43757	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	10	0	000
43757	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	1	0	000
43757	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43757	CMS	"Hypodermic, IV"	SC065	"adapter, luer lock"	item	45.49	1	0	000
43757	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
43757	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43757	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
43757	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
43757	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
43757	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43757	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43757	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	0	000
43757	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43757	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43757	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
43761	Mar04 R	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2	0	000
43762	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
43762	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
43762	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
43762	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
43762	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	1	0	000
43762	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43762	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
43762	RUC	"Hypodermic, IV"	SC090	"tube, gastrostomy"	item	91.73	1	0	000
43762	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
43762	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
43762	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	000
43762	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
43762	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
43762	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
43762	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
43763	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
43763	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	1	0	000
43763	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
43763	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
43763	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
43763	RUC	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	000
43763	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
43763	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
43763	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
43763	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
43763	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
43763	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43763	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
43763	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
43763	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
43763	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
43763	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
43763	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	2	0	000
43763	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
43763	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
43763	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	000
43763	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
43763	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
43763	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
43763	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
43763	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
43763	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	000
43763	RUC	"Hypodermic, IV"	SC090	"tube, gastrostomy"	item	91.73	1	0	000
43770	RUC05	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13		2	090
43770	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43770	RUC05	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.97		2	090
43770	RUC05	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47		2	090
43770	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43770	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
43770	RUC05	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
43771	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43771	RUC05	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13		2	090
43771	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43771	RUC05	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
43771	RUC05	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47		2	090
43771	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
43771	RUC05	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.97		2	090
43772	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43772	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43773	RUC05	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47		2	090
43773	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
43773	RUC05	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
43773	RUC05	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.97		2	090
43773	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43773	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43773	RUC05	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13		2	090
43774	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43774	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43800	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43800	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43810	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43810	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43820	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43820	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43825	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43825	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43830	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43830	Sep02	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		2	090
43830	Sep02	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85		1	090
43830	Sep02	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		1	090
43830	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43831	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
43831	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43831	Sep02	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		2	090
43831	Sep02	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85		1	090
43831	Sep02	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		1	090
43832	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43832	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43832	Sep02	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		1	090
43832	Sep02	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85		1	090
43832	Sep02	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		2	090
43840	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43840	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43842	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43842	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43843	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43843	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43845	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43845	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
43846	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
43846	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43847	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43847	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
43848	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43848	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
43860	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43860	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43865	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43865	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43870	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43870	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43880	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
43880	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
43886	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43886	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43886	RUC05	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.97		2	090
43886	RUC05	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13		2	090
43886	RUC05	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
43886	RUC05	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47		2	090
43886	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
43887	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43887	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43888	RUC05	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13		2	090
43888	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
43888	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
43888	RUC05	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47		2	090
43888	RUC05	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
43888	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
43888	RUC05	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.97		2	090
44005	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44005	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
44010	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44010	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
44020	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
44020	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44021	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44021	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
44025	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
44025	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44050	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44050	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
44055	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44055	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
44110	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44110	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
44111	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44111	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
44120	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44120	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
44125	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
44125	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44126	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
44126	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44127	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
44127	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44130	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
44130	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
44140	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
44140	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44141	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		4	090
44141	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4	090
44141	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44141	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
44143	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44143	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3	090
44143	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090
44143	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
44144	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44144	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		1	090
44144	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
44144	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		1	090
44145	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44145	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
44146	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		5	090
44146	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		5	090
44146	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44146	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
44147	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
44147	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44150	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
44150	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		5	090
44150	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		5	090
44150	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44151	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		5	090
44151	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		5	090
44151	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44151	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
44155	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44155	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		5	090
44155	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		5	090
44155	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
44156	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
44156	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		6	090
44156	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44156	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		6	090
44157	CPT07	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		4	090
44157	CPT07	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4	090
44157	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
44157	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
44158	CPT07	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4	090
44158	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
44158	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
44158	CPT07	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		4	090
44160	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44160	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
44180	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44180	RUC05	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44186	RUC05	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
44186	RUC05	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		4	090
44186	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44186	RUC05	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		15	090
44187	RUC05	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3	090
44187	RUC05	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090
44187	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
44187	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
44188	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
44188	RUC05	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3	090
44188	RUC05	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090
44188	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
44202	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
44202	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44204	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
44204	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44205	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44205	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
44206	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090
44206	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
44206	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
44207	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
44207	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
44208	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
44208	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
44208	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		1.5	090
44208	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090
44210	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
44210	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		2	090
44210	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		1	090
44210	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
44211	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
44211	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		2	090
44211	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4	090
44211	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
44212	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
44212	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
44212	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		2	090
44212	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4	090
44227	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
44227	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
44300	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44300	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44310	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44310	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44312	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44312	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44314	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
44314	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44316	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
44316	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44320	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
44320	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44322	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44322	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		6	090
44322	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		6	090
44322	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
44340	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
44340	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44345	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44345	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
44346	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44346	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
44380	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
44380	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
44380	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
44380	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
44380	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
44380	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
44380	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
44380	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
44380	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
44380	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
44380	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
44380	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
44380	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
44380	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
44380	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
44380	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
44380	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
44380	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
44381	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
44381	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
44381	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
44381	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
44381	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
44381	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
44381	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
44381	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
44381	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
44381	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
44381	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
44381	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
44381	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
44381	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
44381	CMS	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	205.91	3	0	000
44381	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
44381	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
44381	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
44381	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
44381	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
44382	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	000
44382	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
44382	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
44382	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
44382	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
44382	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
44382	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
44382	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
44382	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
44382	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
44382	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
44382	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
44382	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
44382	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
44382	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
44382	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
44382	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
44382	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
44382	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
44385	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
44385	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
44385	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
44385	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
44385	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
44385	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
44385	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
44385	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
44385	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
44385	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
44385	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
44385	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	0	000
44385	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
44385	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
44385	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
44385	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
44385	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
44385	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
44386	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
44386	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
44386	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
44386	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
44386	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
44386	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
44386	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	000
44386	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
44386	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
44386	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
44386	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
44386	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
44386	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
44386	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
44386	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
44386	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
44386	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
44386	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	0	000
44386	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
44388	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
44388	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
44388	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
44388	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	
44388	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
44388	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
44388	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
44388	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
44388	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	
44388	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
44388	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
44388	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
44388	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
44388	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
44388	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
44388	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
44388	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	
44388	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
44389	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	
44389	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
44389	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
44389	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
44389	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	
44389	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
44389	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
44389	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
44389	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
44389	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
44389	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	
44389	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
44389	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
44389	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
44389	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
44389	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
44389	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	
44389	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
44389	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
44390	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
44390	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
44390	CMS	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	28.35	1	0	
44390	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
44390	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
44390	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	
44390	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
44390	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
44390	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
44390	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
44390	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
44390	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
44390	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
44390	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
44390	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
44390	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	
44390	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
44390	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
44390	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	
44391	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
44391	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
44391	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	
44391	CMS	"Accessory, Procedure"	SD282	endoscopic clip	item	44.51	1	0	
44391	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	
44391	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
44391	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
44391	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	
44391	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	
44391	CMS	"Accessory, Procedure"	SD284	"cautery, bipolar, probe, endoscopy"	item	150.15	1	0	
44391	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
44391	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
44391	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
44391	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
44391	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
44391	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
44391	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
44391	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
44391	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
44391	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	
44391	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
44391	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
44392	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
44392	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
44392	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
44392	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
44392	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
44392	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
44392	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
44392	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
44392	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	
44392	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	
44392	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	
44392	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
44392	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	
44392	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
44392	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
44392	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
44392	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
44392	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
44392	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	
44392	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
44394	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
44394	CMS	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	28.35	1	0	
44394	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	
44394	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
44394	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
44394	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	
44394	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
44394	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	
44394	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
44394	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
44394	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
44394	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
44394	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
44394	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	
44394	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
44394	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	
44394	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
44394	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
44394	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
44394	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
44394	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
44401	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
44401	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
44401	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
44401	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
44401	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
44401	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
44401	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	
44401	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
44401	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
44401	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
44401	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
44401	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
44401	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
44401	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
44401	CMS	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	205.91	1	0	
44401	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
44401	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	
44401	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
44401	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	
44401	CMS	"Hypodermic, IV"	SC103	"catheter, RF ablation, endoscopic"	item	1500	1	0	
44401	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
44404	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	
44404	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
44404	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
44404	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
44404	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
44404	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
44404	CMS	"Hypodermic, IV"	SC044	"needle, variceal injection"	item	60	1	0	
44404	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
44404	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	3	0	
44404	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
44404	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
44404	CMS	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.51	2	0	
44404	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
44404	CMS	"Hypodermic, IV"	SC079	"needle, micropigmentation (tattoo)"	item	33.54	1	0	
44404	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
44404	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
44404	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
44404	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	
44404	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
44404	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
44405	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
44405	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
44405	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
44405	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	
44405	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
44405	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	
44405	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
44405	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
44405	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
44405	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
44405	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
44405	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
44405	CMS	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	205.91	1	0	
44405	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
44405	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
44405	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
44405	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
44405	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
44602	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44602	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44603	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44603	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
44604	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44604	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44605	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44605	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44605	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		2	090
44605	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		2	090
44615	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44615	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44620	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44620	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44625	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44625	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44626	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44626	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44640	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44640	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44650	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44650	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44660	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44660	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44661	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44661	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44680	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44680	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44700	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44700	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44705	CMS	Lab	SL066	"filter, nylon mesh (55mm)"	item	0.47	1	0	XXX
44705	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	50	0	XXX
44705	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
44705	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	XXX
44705	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	XXX
44705	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	1	0	XXX
44705	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	XXX
44705	CMS	Lab	SL020	bleach	ml	0.01	300	0	XXX
44705	CMS	Lab	SL018	"beaker, 250 ml"	item	0.44	1	0	XXX
44800	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
44800	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44820	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44820	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44850	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44850	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44900	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
44900	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44950	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44950	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44960	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
44960	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
44970	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
44970	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
45000	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
45000	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
45005	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
45005	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
45005	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1.5	0.5	010
45005	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	010
45005	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
45005	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
45005	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
45005	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
45005	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
45005	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
45005	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
45005	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
45005	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
45005	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
45005	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
45005	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
45005	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
45005	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
45005	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	2	1	010
45005	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	5.37	1	0	010
45005	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
45005	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
45005	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
45005	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	2	1	010
45005	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
45005	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
45020	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
45020	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
45100	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
45100	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
45108	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
45108	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
45110	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3	090
45110	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090
45110	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
45110	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
45111	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
45111	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
45112	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
45112	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
45113	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
45113	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
45113	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3	090
45113	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090
45114	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
45114	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
45116	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
45116	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
45119	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3	090
45119	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090
45119	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
45119	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
45120	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
45120	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
45121	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
45121	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
45123	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
45123	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
45126	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
45126	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3	090
45126	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090
45126	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
45130	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
45130	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
45135	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
45135	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
45136	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4	090
45136	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		4	090
45136	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
45136	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
45150	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
45150	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
45160	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
45160	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
45171	CPT10 31	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
45171	CPT10 31	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		3	090
45171	CPT10 31	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
45171	CPT10 31	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
45171	CPT10 31	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		1	090
45171	CPT10 31	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56		8	090
45171	CPT10 31	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		6	090
45171	CPT10 31	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
45171	CPT10 31	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1		2	090
45171	CPT10 31	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
45171	CPT10 31	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
45171	CPT10 31	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		1	090
45171	CPT10 31	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
45171	CPT10 31	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		1	090
45172	CPT10 31	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		6	090
45172	CPT10 31	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
45172	CPT10 31	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1		2	090
45172	CPT10 31	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		1	090
45172	CPT10 31	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		1	090
45172	CPT10 31	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		3	090
45172	CPT10 31	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
45172	CPT10 31	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
45172	CPT10 31	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		1	090
45172	CPT10 31	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
45172	CPT10 31	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56		8	090
45172	CPT10 31	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
45172	CPT10 31	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
45172	CPT10 31	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
45190	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
45190	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
45190	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
45190	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
45190	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
45190	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
45300	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
45300	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
45300	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	4	0	000
45300	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
45300	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
45300	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45300	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45300	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
45300	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
45300	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
45300	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
45300	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45300	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45300	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
45300	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
45300	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
45303	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45303	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45303	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45303	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45303	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	0	000
45303	CMS	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	205.91	3	0	000
45303	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	3	0	000
45303	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
45303	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	1.66	1	0	000
45303	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
45303	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
45303	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
45303	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
45303	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
45303	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
45303	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
45303	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45303	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
45303	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
45303	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45303	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
45303	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45303	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45305	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45305	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45305	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	0	000
45305	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45305	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45305	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45305	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
45305	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
45305	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	1.66	1	0	000
45305	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45305	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
45305	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45305	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
45305	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
45305	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
45305	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
45305	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45305	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
45305	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
45305	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
45305	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	3	0	000
45305	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
45307	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45307	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
45307	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
45307	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
45307	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45307	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45307	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45307	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	0	000
45307	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	1.66	1	0	000
45307	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45307	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45307	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
45307	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
45307	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45307	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45307	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
45307	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
45307	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
45307	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	3	0	000
45307	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
45307	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
45307	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
45308	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45308	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
45308	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
45308	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45308	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
45308	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45308	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
45308	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
45308	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
45308	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45308	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
45308	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
45308	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
45308	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
45308	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	1.66	1	0	000
45308	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45308	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45308	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	3	0	000
45308	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45308	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45308	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
45308	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	0	000
45309	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
45309	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45309	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	0	000
45309	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45309	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45309	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45309	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
45309	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
45309	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	1.66	1	0	000
45309	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	3	0	000
45309	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45309	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
45309	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45309	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
45309	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
45309	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
45309	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45309	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
45309	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45309	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
45309	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
45309	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
45315	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	1.66	1	0	000
45315	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45315	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
45315	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45315	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45315	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45315	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
45315	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45315	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
45315	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45315	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	0	000
45315	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
45315	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
45315	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	3	0	000
45315	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
45315	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
45315	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
45315	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45315	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
45315	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
45315	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45315	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
45317	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	1.66	1	0	000
45317	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45317	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45317	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
45317	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45317	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
45317	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
45317	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
45317	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45317	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	3	0	000
45317	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	0	000
45317	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
45317	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45317	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
45317	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
45317	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45317	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
45317	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
45317	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
45317	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45317	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
45317	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45320	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
45320	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45320	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45320	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
45320	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45320	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
45320	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
45320	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45320	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45320	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45320	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
45320	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
45320	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	0	000
45320	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45320	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
45320	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
45320	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
45320	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
45320	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
45320	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	1.66	1	0	000
45320	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45320	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	3	0	000
45330	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45330	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
45330	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
45330	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
45330	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45330	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
45330	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45330	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
45330	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
45330	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
45330	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
45330	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
45330	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45330	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
45330	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
45330	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
45330	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
45330	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45331	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
45331	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45331	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45331	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
45331	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
45331	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
45331	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
45331	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
45331	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45331	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
45331	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45331	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45331	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
45331	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
45331	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
45331	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
45331	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
45331	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
45331	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	000
45331	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
45332	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
45332	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	
45332	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
45332	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
45332	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
45332	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
45332	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
45332	CMS	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	28.35	1	0	
45332	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
45332	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	
45332	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
45332	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
45332	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
45332	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	
45332	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
45332	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
45332	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
45332	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
45332	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
45333	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
45333	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
45333	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
45333	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
45333	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
45333	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
45333	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	
45333	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	
45333	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	
45333	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
45333	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	
45333	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
45333	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
45333	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
45333	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
45333	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
45333	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
45333	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	
45333	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
45333	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	
45333	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
45334	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	
45334	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
45334	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
45334	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
45334	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
45334	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
45334	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
45334	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
45334	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	
45334	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	
45334	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
45334	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
45334	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
45334	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
45334	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
45334	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	
45334	CMS	"Accessory, Procedure"	SD282	endoscopic clip	item	44.51	1	0	
45334	CMS	"Accessory, Procedure"	SD284	"cautery, bipolar, probe, endoscopy"	item	150.15	1	0	
45334	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
45334	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	
45334	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
45334	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
45335	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
45335	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
45335	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	3	0	
45335	CMS	"Hypodermic, IV"	SC044	"needle, variceal injection"	item	60	1	0	
45335	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
45335	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
45335	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
45335	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
45335	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
45335	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
45335	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
45335	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
45335	CMS	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.51	2	0	
45335	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	
45335	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
45335	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	
45335	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
45335	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
45335	CMS	"Hypodermic, IV"	SC079	"needle, micropigmentation (tattoo)"	item	33.54	1	0	
45335	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
45338	CMS	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	28.35	1	0	
45338	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	
45338	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
45338	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
45338	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
45338	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
45338	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
45338	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
45338	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
45338	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
45338	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
45338	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
45338	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
45338	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	
45338	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
45338	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
45338	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	
45338	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
45338	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
45338	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	
45340	CMS	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	205.91	1	0	
45340	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
45340	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	
45340	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
45340	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
45340	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
45340	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
45340	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
45340	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
45340	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
45340	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
45340	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	
45340	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
45340	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
45340	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	
45340	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
45340	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
45340	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
45340	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
45346	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
45346	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
45346	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
45346	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
45346	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	
45346	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
45346	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
45346	CMS	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	205.91	1	0	
45346	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	
45346	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
45346	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
45346	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
45346	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
45346	CMS	"Hypodermic, IV"	SC103	"catheter, RF ablation, endoscopic"	item	1500	1	0	
45346	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
45346	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
45346	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	
45346	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
45346	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
45346	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
45346	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
45350	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45350	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
45350	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
45350	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45350	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
45350	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45350	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
45350	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
45350	CMS	"Kit, Pack, Tray"	SA115	hemorrhoidal banding system	item	376.3	1	0	000
45350	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45350	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
45350	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45350	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	4	0	000
45350	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
45350	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
45350	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45350	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
45350	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45350	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	1	0	000
45378	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
45378	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
45378	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
45378	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
45378	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
45378	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
45378	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
45378	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	
45378	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
45378	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
45378	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	
45378	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
45378	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	
45378	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
45378	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
45378	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
45378	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
45378	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
45379	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	
45379	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
45379	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
45379	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
45379	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
45379	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
45379	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
45379	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	
45379	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
45379	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
45379	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
45379	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
45379	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
45379	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	
45379	CMS	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	28.35	1	0	
45379	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
45379	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
45379	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
45379	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
45380	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
45380	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
45380	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
45380	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
45380	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
45380	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
45380	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
45380	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	
45380	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	
45380	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
45380	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
45380	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
45380	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
45380	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
45380	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
45380	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	
45380	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
45380	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	
45380	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
45381	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
45381	CMS	"Hypodermic, IV"	SC044	"needle, variceal injection"	item	60	1	0	
45381	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
45381	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	3	0	
45381	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
45381	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
45381	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	
45381	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
45381	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
45381	CMS	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.51	2	0	
45381	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
45381	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
45381	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
45381	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
45381	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
45381	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	
45381	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
45381	CMS	"Hypodermic, IV"	SC079	"needle, micropigmentation (tattoo)"	item	33.54	1	0	
45381	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
45381	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
45382	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
45382	CMS	"Accessory, Procedure"	SD284	"cautery, bipolar, probe, endoscopy"	item	150.15	1	0	
45382	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	
45382	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
45382	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
45382	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
45382	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
45382	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
45382	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
45382	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
45382	CMS	"Accessory, Procedure"	SD282	endoscopic clip	item	44.51	1	0	
45382	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
45382	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	
45382	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	
45382	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
45382	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	
45382	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
45382	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
45382	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
45382	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
45382	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	
45382	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
45384	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
45384	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
45384	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
45384	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
45384	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
45384	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	
45384	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	
45384	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
45384	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	
45384	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
45384	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
45384	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
45384	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
45384	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
45384	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
45384	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	
45384	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
45384	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	
45384	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
45384	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	
45384	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
45385	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45385	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
45385	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
45385	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45385	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
45385	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45385	RUC	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
45385	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
45385	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	10	0	000
45385	RUC	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	28.35	1	0	000
45385	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
45385	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
45385	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
45385	RUC	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	1	0	000
45385	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
45385	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45385	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	17	0	000
45385	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
45385	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
45385	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45385	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
45385	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
45385	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
45386	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
45386	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
45386	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
45386	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	
45386	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
45386	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
45386	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
45386	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
45386	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
45386	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
45386	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
45386	CMS	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	205.91	1	0	
45386	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	
45386	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
45386	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
45386	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
45386	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
45386	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
45386	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	
45388	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
45388	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	
45388	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
45388	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
45388	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
45388	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
45388	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
45388	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
45388	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
45388	CMS	"Hypodermic, IV"	SC103	"catheter, RF ablation, endoscopic"	item	1500	1	0	
45388	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	
45388	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
45388	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
45388	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
45388	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
45388	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
45388	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
45388	CMS	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	205.91	1	0	
45388	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
45388	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	
45388	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
45395	RUC05	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		4	090
45395	RUC05	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4	090
45395	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
45395	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
45397	RUC05	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4	090
45397	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
45397	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
45397	RUC05	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		4	090
45398	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	
45398	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
45398	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	
45398	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	
45398	CMS	"Kit, Pack, Tray"	SA115	hemorrhoidal banding system	item	376.3	1	0	
45398	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	
45398	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
45398	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
45398	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	
45398	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
45398	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	
45398	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
45398	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	
45398	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
45398	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	
45398	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	
45398	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	
45398	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	
45398	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
45400	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
45400	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
45402	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
45402	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
45500	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
45500	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
45500	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
45500	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
45500	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
45500	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
45505	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
45505	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
45505	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
45505	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
45505	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
45505	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
45520	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	000
45520	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	8	0	000
45520	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
45520	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
45520	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45520	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
45520	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
45520	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
45520	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
45520	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	4	0	000
45520	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45520	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	6	0	000
45520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
45520	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
45520	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45520	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
45520	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
45520	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
45520	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
45520	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
45520	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	000
45520	CMS	"Pharmacy, Rx"	SH062	sclerosing solution inj	ml	2.98	5	0	000
45520	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
45540	Sep02	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		1	090
45540	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		15	090
45540	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
45540	Sep02	"Accessory, Procedure"	SD117	sigmoidoscope	item	2.459		1	090
45540	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
45540	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		4	090
45541	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
45541	Apr06 J	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		15	090
45541	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
45541	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
45541	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
45541	Apr06 J	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		4	090
45541	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
45541	Apr06 J	"Accessory, Procedure"	SD117	sigmoidoscope	item	2.459		1	090
45541	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
45550	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
45550	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
45550	Apr06 J	"Accessory, Procedure"	SD117	sigmoidoscope	item	2.459		1	090
45550	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
45550	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
45550	Apr06 J	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		4	090
45550	Apr06 J	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		15	090
45550	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
45550	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
45560	Apr06 J	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		15	090
45560	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
45560	Apr06 J	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		4	090
45560	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
45560	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
45560	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
45560	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
45560	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
45562	Apr06 J	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		15	090
45562	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
45562	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
45562	Apr06 J	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		4	090
45562	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
45562	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
45562	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
45562	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
45563	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
45563	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
45563	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
45563	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
45563	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
45563	Apr06 J	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		4	090
45563	Apr06 J	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		15	090
45563	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
45563	Apr06 J	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090
45800	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
45800	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
45800	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
45800	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
45800	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
45800	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
45805	Apr06 J	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		4	090
45805	Apr06 J	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		15	090
45805	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
45805	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
45805	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
45805	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
45805	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
45805	Apr06 J	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090
45805	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
45820	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
45820	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
45820	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
45820	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
45820	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
45820	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
45825	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
45825	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
45825	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
45825	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
45825	Apr06 J	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		15	090
45825	Apr06 J	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090
45825	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
45825	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
45825	Apr06 J	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		4	090
45900	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
45900	Jan03	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	010
45905	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
45905	Jan03	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	010
45910	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
45910	Jan03	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	010
45915	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
45915	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
45915	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
45915	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
45915	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
45915	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
45915	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	2	1	010
45915	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
45915	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
45915	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
45915	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
45915	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
45915	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
45915	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
45915	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
45915	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
45915	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
45915	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	2	1	010
45915	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
45915	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	010
45915	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
45915	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46030	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
46030	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	000
46030	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
46030	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
46030	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
46030	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
46030	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
46030	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
46030	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
46030	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
46030	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
46030	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
46030	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
46030	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
46030	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
46030	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
46030	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
46030	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
46030	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
46030	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
46030	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	000
46030	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
46030	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	8	0	000
46030	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	96	0	000
46030	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
46030	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
46030	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
46030	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
46030	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
46030	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
46030	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
46030	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
46040	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
46040	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
46040	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
46040	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
46040	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
46040	RUC	"Accessory, Procedure"	SD026	"catheter, Pezzar (mushroom)"	item	12.02	1	0	090
46040	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
46040	RUC	"Accessory, Procedure"	SD003	anoscope	item	1.5	2	1	090
46040	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
46040	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
46040	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
46040	RUC	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	5.37	1	0	090
46040	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	3	090
46040	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
46040	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
46040	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
46040	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	2	1	090
46040	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	6	3	090
46040	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
46040	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
46040	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
46040	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	8	4	090
46040	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	090
46040	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
46040	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
46045	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46045	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46045	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
46045	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
46045	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46045	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
46050	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	010
46050	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46050	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
46050	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46050	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
46050	RUC	"Accessory, Procedure"	SD026	"catheter, Pezzar (mushroom)"	item	12.02	1	0	010
46050	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46050	RUC	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	010
46050	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
46050	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46050	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46050	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46050	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
46050	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
46050	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46050	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46050	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2	0	010
46050	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46050	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46050	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	010
46050	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
46050	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	010
46050	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
46050	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	010
46050	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46050	RUC	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	010
46050	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
46050	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
46060	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
46060	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
46060	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46060	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46060	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46060	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
46070	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
46070	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
46070	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46070	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46070	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46070	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
46080	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
46080	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46080	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
46080	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46080	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
46080	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	010
46080	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46080	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46080	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
46080	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46080	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46080	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46080	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46080	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	010
46080	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	010
46080	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
46080	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	010
46080	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	010
46080	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46080	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46080	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	010
46080	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
46080	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
46080	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46080	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	010
46080	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1.5	0.5	010
46080	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
46080	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
46083	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
46083	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
46083	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46083	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
46083	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
46083	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46083	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46083	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46083	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46083	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46083	RUC	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	010
46083	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46083	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	010
46083	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	010
46083	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
46083	RUC	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	010
46083	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46083	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46083	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
46083	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
46083	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46083	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	010
46083	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	010
46083	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
46083	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46083	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	010
46200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4.5	3.5	090
46200	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	2	1	090
46200	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
46200	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
46200	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
46200	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
46200	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
46200	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
46200	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	2	1	090
46200	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
46200	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
46200	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
46200	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
46200	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
46200	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	6	3	090
46200	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
46200	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
46200	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
46200	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
46200	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
46200	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
46200	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
46200	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	8	4	090
46200	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	5.37	1	0	090
46200	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
46200	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	090
46220	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46220	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
46220	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
46220	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46220	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46220	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
46220	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46220	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
46220	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46220	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46220	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46220	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
46220	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	5.37	1	0	010
46220	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	010
46220	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46220	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	010
46220	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
46220	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46220	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
46220	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46220	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	010
46220	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	010
46220	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
46220	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	010
46220	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
46220	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	010
46220	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	010
46220	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46221	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46221	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46221	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46221	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46221	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46221	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	2	1	010
46221	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46221	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
46221	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46221	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46221	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
46221	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	6	3	010
46221	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	8	4	010
46221	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46221	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46221	CMS	"Cutters, Closures, Cautery"	SF032	"rubber bands, sterile for ligation"	item	0.81	1	0	010
46221	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	2	1	010
46221	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
46230	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46230	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
46230	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46230	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
46230	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46230	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	010
46230	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46230	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46230	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
46230	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
46230	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	010
46230	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46230	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
46230	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	010
46230	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
46230	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	010
46230	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
46230	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46230	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	010
46230	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	010
46230	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
46230	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46230	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
46230	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
46230	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
46230	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46230	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46230	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	010
46230	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46230	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	010
46250	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	8	4	090
46250	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	090
46250	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
46250	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
46250	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	2	1	090
46250	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
46250	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
46250	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	6	3	090
46250	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
46250	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
46250	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	2	1	090
46250	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
46250	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
46250	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
46250	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
46250	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
46250	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
46250	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
46250	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
46250	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
46250	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
46250	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
46250	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	090
46250	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
46250	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	5.37	1	0	090
46255	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
46255	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
46255	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	2	1	090
46255	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
46255	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
46255	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
46255	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
46255	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	090
46255	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	8	4	090
46255	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
46255	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
46255	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
46255	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	5.37	1	0	090
46255	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
46255	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	6	3	090
46255	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
46255	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
46255	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
46255	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
46255	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	090
46255	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
46255	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
46255	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
46255	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
46255	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	2	1	090
46257	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
46257	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46257	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
46257	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46257	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46257	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
46258	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
46258	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
46258	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46260	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
46260	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46260	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46260	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
46260	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
46260	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46261	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46261	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
46261	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
46262	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
46262	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46262	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46262	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
46262	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
46262	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46270	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	090
46270	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
46270	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	2	1	090
46270	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	6	3	090
46270	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
46270	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
46270	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
46270	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
46270	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	8	4	090
46270	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
46270	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
46270	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
46270	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	5.37	1	0	090
46270	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	2	1	090
46270	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
46270	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
46270	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
46270	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
46270	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
46270	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
46270	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
46270	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
46270	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
46270	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
46270	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
46270	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
46275	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	5.37	1	0	090
46275	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
46275	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
46275	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
46275	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
46275	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	090
46275	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
46275	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
46275	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
46275	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
46275	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	6	3	090
46275	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
46275	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	2	1	090
46275	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	8	4	090
46275	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
46275	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
46275	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
46275	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	2	1	090
46275	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
46275	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
46275	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
46275	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
46275	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
46275	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
46275	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
46275	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
46280	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46280	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46280	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
46280	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46280	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
46280	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
46285	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
46285	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
46285	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	090
46285	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
46285	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
46285	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
46285	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	5.37	1	0	090
46285	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
46285	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
46285	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
46285	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
46285	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	8	4	090
46285	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
46285	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
46285	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	6	3	090
46285	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
46285	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
46285	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
46285	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	2	1	090
46285	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
46285	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
46285	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
46285	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
46285	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
46285	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	2	1	090
46285	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
46288	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46288	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46288	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46288	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
46288	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
46288	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
46320	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
46320	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
46320	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	010
46320	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	0.5	1	010
46320	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46320	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46320	RUC	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	010
46320	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46320	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
46320	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46320	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46320	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46320	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	010
46320	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
46320	RUC	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	010
46320	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46320	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
46320	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46320	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46320	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	010
46320	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
46320	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46320	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	010
46320	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	010
46320	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
46320	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46500	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46500	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	8	4	010
46500	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	2	1	010
46500	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	2	1	010
46500	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	010
46500	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	1	010
46500	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	2	0	010
46500	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
46500	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
46500	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	1	010
46500	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46500	RUC	"Pharmacy, Rx"	SH062	sclerosing solution inj	ml	2.98	5	0	010
46500	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46500	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
46500	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	8	0	010
46500	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	010
46500	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
46500	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	1	010
46500	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46500	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	010
46500	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	2	1	010
46500	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
46505	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	2	010
46505	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	2	010
46505	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	8	4	010
46505	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	1	0	010
46505	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	010
46505	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	4	010
46505	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	010
46505	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	6	3	010
46505	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
46505	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	2	010
46505	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	2	010
46505	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	1	010
46505	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
46505	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
46505	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46505	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	010
46505	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	1	010
46600	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
46600	RUC	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
46600	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
46600	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
46600	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
46600	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
46600	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
46600	RUC	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	000
46600	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
46600	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
46600	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
46600	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
46600	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
46600	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
46600	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
46600	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
46600	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
46600	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
46600	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
46600	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	000
46600	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
46600	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
46601	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
46601	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
46601	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
46601	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
46601	CMS	Lab	SL146	tubed culture media	item	0.92	0.5	0	000
46601	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
46601	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	000
46601	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
46601	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
46601	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	10	0	000
46601	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
46601	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	8	0	000
46601	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
46601	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
46604	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
46604	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
46604	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
46604	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
46604	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
46604	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
46604	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
46604	RUC	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	000
46604	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
46604	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
46604	RUC	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	205.91	2	0	000
46604	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
46604	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
46604	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	000
46604	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
46604	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
46604	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
46604	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
46604	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
46604	RUC	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
46604	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
46604	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
46604	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
46606	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
46606	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
46606	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
46606	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
46606	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
46606	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
46606	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
46606	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
46606	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
46606	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	000
46606	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
46606	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	000
46606	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
46606	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
46606	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
46606	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
46606	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
46606	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
46606	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
46606	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
46606	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
46606	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
46606	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
46606	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	5.37	1	0	000
46606	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
46606	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	000
46606	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
46607	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	000
46607	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	12	0	000
46607	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
46607	CMS	"Pharmacy, Rx"	SH092	LMX 4% anesthetic cream	gm	3.01	2	0	000
46607	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	000
46607	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
46607	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
46607	CMS	Lab	SL136	"stain, Lugol's"	ml	0.6	2	0	000
46607	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
46607	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
46607	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
46607	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
46607	CMS	Lab	SL146	tubed culture media	item	0.92	0.5	0	000
46607	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
46607	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	2	0	000
46607	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
46607	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	000
46607	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
46607	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	000
46607	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
46607	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
46607	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
46607	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	10	0	000
46608	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
46608	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
46608	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
46608	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
46608	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
46608	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	000
46608	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
46608	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
46608	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
46608	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
46608	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
46608	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
46608	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
46608	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	000
46608	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
46608	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
46608	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
46608	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
46608	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
46608	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
46608	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
46608	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
46608	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	000
46608	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
46608	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
46610	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	000
46610	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
46610	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
46610	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
46610	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
46610	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
46610	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
46610	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
46610	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
46610	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
46610	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
46610	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	000
46610	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
46610	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
46610	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	000
46610	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
46610	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
46610	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
46610	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
46610	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
46610	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
46610	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
46610	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
46610	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
46610	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
46611	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
46611	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
46611	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
46611	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	000
46611	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
46611	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
46611	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
46611	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
46611	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
46611	CMS	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	28.35	1	0	000
46611	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
46611	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
46611	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
46611	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
46611	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
46611	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	000
46611	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
46611	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
46611	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
46611	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
46611	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	5.37	1	0	000
46611	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
46611	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
46611	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
46611	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
46611	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
46611	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
46612	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
46612	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	000
46612	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
46612	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
46612	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
46612	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
46612	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
46612	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
46612	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
46612	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
46612	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
46612	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	000
46612	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
46612	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
46612	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
46612	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
46612	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
46612	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
46612	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
46612	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
46612	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
46612	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	000
46612	CMS	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	28.35	1	0	000
46612	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
46612	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
46612	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
46614	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
46614	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
46614	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
46614	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
46614	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
46614	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
46614	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
46614	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
46614	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	000
46614	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
46614	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
46614	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
46614	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
46614	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
46614	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
46614	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
46614	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
46614	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
46614	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
46614	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	000
46614	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
46614	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
46614	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
46615	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
46615	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
46615	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
46615	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
46615	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
46615	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
46615	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
46615	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
46615	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
46615	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
46615	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
46615	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
46615	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	000
46615	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
46615	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
46615	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
46615	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
46615	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
46615	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
46615	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
46615	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	000
46615	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
46615	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
46615	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
46700	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
46700	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46700	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46700	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
46700	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46700	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
46705	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
46705	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46705	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46705	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
46705	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
46705	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46706		"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
46707	CPT10 12	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46707	CPT10 12	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46707	CPT10 12	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46707	CPT10 12	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
46707	CPT10 12	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
46707	CPT10 12	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
46710	RUC05	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		1	090
46710	RUC05	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
46710	RUC05	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
46710	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
46710	RUC05	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46710	RUC05	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46710	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
46710	RUC05	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		1	090
46710	RUC05	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		1	090
46712	RUC05	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
46712	RUC05	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		1	090
46712	RUC05	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
46712	RUC05	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46712	RUC05	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		1	090
46712	RUC05	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3	090
46712	RUC05	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090
46712	RUC05	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46712	RUC05	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		1	090
46712	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
46712	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
46715	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46715	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46715	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46715	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
46715	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
46715	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
46716	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
46716	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
46716	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46716	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46716	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46716	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
46730	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46730	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46730	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46730	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
46730	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
46730	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
46735	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
46735	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46735	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46735	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
46735	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
46735	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46740	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
46740	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46740	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46740	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
46740	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
46740	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46742	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
46742	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46742	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46742	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46742	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
46742	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
46744	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46744	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46744	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46744	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
46744	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
46744	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
46746	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
46746	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46746	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
46746	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
46746	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46746	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46748	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46748	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46748	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46748	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
46748	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
46748	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
46750	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46750	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
46750	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
46750	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
46750	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46750	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46751	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
46751	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
46751	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
46751	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46751	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46751	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46753	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
46753	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46753	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
46753	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46753	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46753	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
46754	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46754	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	010
46754	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46754	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	010
46754	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	010
46754	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46754	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	010
46754	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46754	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
46754	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	010
46754	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46754	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
46754	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
46754	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	010
46754	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46754	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46754	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46754	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46754	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46754	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
46754	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46754	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
46754	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	010
46754	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
46760	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46760	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46760	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46760	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
46760	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
46760	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
46761	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46761	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46761	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46761	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
46761	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
46761	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
46900	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	6	0	010
46900	RUC	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	010
46900	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46900	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	010
46900	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
46900	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46900	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
46900	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
46900	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46900	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46900	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46900	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
46900	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
46900	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46900	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46900	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46900	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46900	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
46900	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
46900	RUC	"Pharmacy, Rx"	SH091	trichloroacetic acid 90% (sat soln)	ml	0.92	2	0	010
46900	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46900	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	4	0	010
46900	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	8	0	010
46910	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	010
46910	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
46910	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46910	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46910	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
46910	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46910	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
46910	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
46910	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
46910	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46910	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
46910	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	4	0	010
46910	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	8	0	010
46910	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
46910	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46910	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46910	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
46910	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46910	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
46910	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
46910	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46910	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	6	0	010
46910	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46910	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	010
46910	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46910	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
46916	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
46916	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
46916	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46916	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
46916	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46916	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
46916	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	010
46916	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
46916	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
46916	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	010
46916	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	010
46916	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46916	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	010
46916	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
46916	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46916	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	010
46916	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46916	CMS	"Gown, Drape"	SB003	"cover, probe (cryosurgery)"	item	0.79	1	0	010
46916	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
46916	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
46916	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
46916	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46916	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46916	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	010
46916	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46916	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46916	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	010
46916	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46916	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
46916	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46916	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
46916	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
46917	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	010
46917	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
46917	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46917	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46917	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
46917	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
46917	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	010
46917	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46917	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	010
46917	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	010
46917	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	010
46917	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
46917	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46917	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
46917	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46917	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
46917	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46917	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
46917	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
46917	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
46917	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
46917	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
46917	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
46917	CMS	"Cutters, Closures, Cautery"	SF029	"laser tip, bare (single use)"	item	189.55	1	0	010
46917	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46917	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	010
46917	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46917	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46917	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46917	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
46917	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	010
46917	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
46917	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46922	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
46922	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
46922	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	010
46922	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	010
46922	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
46922	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
46922	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46922	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46922	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46922	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
46922	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46922	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46922	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
46922	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	5.37	1	0	010
46922	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
46922	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
46922	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	010
46922	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46922	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46922	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
46922	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
46922	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
46922	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
46922	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
46922	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
46922	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46922	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46922	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46922	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	010
46922	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	010
46922	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	010
46922	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	010
46922	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	010
46922	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46924	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46924	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46924	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	010
46924	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	010
46924	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46924	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	010
46924	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	010
46924	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	010
46924	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
46924	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46924	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46924	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
46924	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
46924	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
46924	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	010
46924	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
46924	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
46924	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	010
46924	CMS	"Cutters, Closures, Cautery"	SF029	"laser tip, bare (single use)"	item	189.55	1	0	010
46924	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
46924	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	5.37	1	0	010
46924	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46924	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
46924	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46924	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
46924	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46924	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46924	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46924	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
46924	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
46924	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
46924	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
46924	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46924	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
46924	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
46930	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
46930	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	090
46930	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	090
46930	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	090
46930	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	090
46930	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
46930	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	2	1	090
46930	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	8	4	090
46930	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	2	1	090
46930	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	090
46930	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
46940	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46940	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46940	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
46940	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	010
46940	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
46940	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
46940	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46940	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
46940	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46940	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46940	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46940	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
46940	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	010
46940	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46940	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46940	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	010
46940	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	010
46940	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
46940	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	010
46940	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1.5	0.5	010
46940	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
46940	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	010
46940	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
46940	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46940	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46940	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46942	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	010
46942	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46942	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
46942	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46942	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	010
46942	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	010
46942	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	010
46942	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
46942	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
46942	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
46942	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
46942	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46942	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1.5	0.5	010
46942	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
46942	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	010
46942	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46942	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46942	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46942	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46942	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46942	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
46942	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	010
46942	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46942	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46942	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46942	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
46945	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
46945	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
46945	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		1	090
46945	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
46945	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
46945	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46945	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2		1	090
46945	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34		1	090
46945	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		5	090
46945	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
46945	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		1	090
46945	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		1	090
46946	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2		1	090
46946	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34		1	090
46946	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		1	090
46946	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
46946	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
46946	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
46946	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
46946	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		1	090
46946	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		1	090
46946	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		5	090
46946	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
46946	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46947	CPT05	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46947	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
46947	CPT05	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46947	CPT05	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46948	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
46948	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		1	090
46948	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
46948	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		1	090
46948	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34		1	090
46948	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46948	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		5	090
46948	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
46948	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2		1	090
46948	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		1	090
46948	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
46948	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		1	090
47000	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
47000	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
47000	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
47000	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
47000	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
47000	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
47000	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	10	0	000
47000	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1	0	000
47000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
47000	CMS	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	21.58	1	0	000
47000	CMS	"Hypodermic, IV"	SC033	"needle, biopsy, spring-loaded"	item	25.53	1	0	000
47010	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
47010	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	090
47010	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47010	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
47010	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
47010	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47010	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
47010	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
47010	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47010	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
47010	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47010	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
47015	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47015	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47015	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47015	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47015	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47015	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47015	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47015	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47015	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47015	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47015	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47015	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47100	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47100	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47100	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47100	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47100	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47100	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47100	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47100	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47100	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47100	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47100	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47100	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47120	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	090
47120	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
47120	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		80	090
47120	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
47120	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47120	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
47120	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
47120	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
47120	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
47120	Sep02	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
47120	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
47120	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		12	090
47122	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
47122	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
47122	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47122	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47122	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	090
47122	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
47122	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
47122	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
47122	Sep02	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
47122	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		80	090
47122	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		12	090
47122	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
47125	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	090
47125	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		80	090
47125	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47125	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47125	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
47125	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
47125	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
47125	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
47125	Sep02	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
47125	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
47125	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
47125	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		12	090
47130	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
47130	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	090
47130	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47130	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
47130	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		12	090
47130	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47130	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
47130	Sep02	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
47130	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
47130	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		80	090
47130	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
47130	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
47135	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
47135	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		8	090
47140	Mar04 T	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
47140	Mar04 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
47141	Mar04 T	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
47141	Mar04 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
47142	Mar04 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
47142	Mar04 T	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
47300	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47300	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47300	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47300	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47300	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47300	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47300	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47300	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47300	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47300	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47300	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47300	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47350	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47350	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47350	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47350	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47350	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47350	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47350	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47350	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47350	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47350	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47350	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47350	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47360	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
47360	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	090
47360	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47360	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47360	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47360	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
47360	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
47360	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
47360	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47360	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
47360	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
47360	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
47361	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
47361	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
47361	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	090
47361	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47361	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47361	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
47361	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
47361	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
47361	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
47361	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47361	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
47361	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47362	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47362	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
47362	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
47362	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
47362	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47362	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
47362	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47362	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
47362	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
47362	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	090
47362	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
47362	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47370	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47370	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
47371	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47371	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
47380	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
47380	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47381	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
47381	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47382	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
47382	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	
47382	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
47382	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	
47382	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
47382	Mod sed	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	21.58	1	0	
47382	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
47382	Mod sed	"Kit, Pack, Tray"	SA100	"kit, probe, radiofrequency, XIi-enhanced RF probe"	kit	1966.67	1	0	
47382	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	
47382	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
47382	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
47382	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
47382	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	
47382	Mod sed	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	
47382	Mod sed	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	
47382	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	
47382	Mod sed	"Kit, Pack, Tray"	SA096	"kit, introducer, radiofrequency, XIi-enhanced RF probe"	kit	278.8	1	0	
47382	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1	0	
47382	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
47382	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	
47382	Mod sed	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	
47382	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	
47382	Mod sed	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	0	
47382	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	
47382	Mod sed	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	
47382	Mod sed	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	
47382	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	
47382	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
47383	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
47383	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
47383	Mod sed	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	
47383	Mod sed	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	
47383	Mod sed	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	
47383	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	
47383	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
47383	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
47383	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	
47383	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	
47383	Mod sed	"Wound Care, Dressings"	SG057	"gauze, x-ray detectable, sterile 4in x 4in (10 pack uou)"	item	2.64	1	0	
47383	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
47383	Mod sed	"Accessory, Procedure"	SD227	"gas, argon"	cu ft	0.53	575	0	
47383	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
47383	Mod sed	"Accessory, Procedure"	SD233	"probe, cryoablation, renal"	item	1170.22	4	0	
47383	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	
47383	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
47383	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
47383	Mod sed	"Accessory, Procedure"	SD079	"gas, helium"	cu ft	1.02	455	0	
47383	Mod sed	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	0	
47383	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	
47383	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	
47383	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	
47383	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
47400	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
47400	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47400	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47400	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47400	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47400	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
47400	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
47400	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
47400	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
47400	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
47400	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
47400	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	090
47420	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47420	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47420	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47420	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47420	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47420	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47420	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47420	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47420	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47420	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47420	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47420	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47425	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47425	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47425	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47425	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47425	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47425	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47425	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47425	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47425	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47425	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47425	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47425	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47460	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47460	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47460	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47460	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47460	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47460	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47460	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47460	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47460	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47460	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47460	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47460	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47480	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
47480	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
47480	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	090
47480	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47480	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47480	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47480	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
47480	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47480	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
47480	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
47480	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
47480	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
47490	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
47490	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
47490	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
47490	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
47490	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47490	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47490	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	090
47490	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
47490	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
47490	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47490	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47490	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
47531	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
47531	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
47531	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
47531	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
47531	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
47531	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
47531	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
47531	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
47531	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	000
47531	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
47531	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
47531	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
47531	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
47531	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
47531	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
47531	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
47531	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
47531	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
47531	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
47531	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
47531	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
47531	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
47531	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
47531	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
47531	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
47532	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
47532	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
47532	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
47532	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
47532	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
47532	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
47532	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
47532	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
47532	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
47532	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	000
47532	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
47532	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
47532	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
47532	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
47532	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
47532	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
47532	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
47532	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
47532	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
47532	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
47532	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
47532	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
47532	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
47532	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
47532	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
47532	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
47532	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
47532	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
47532	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
47532	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
47532	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
47533	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
47533	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
47533	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
47533	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
47533	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
47533	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
47533	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
47533	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
47533	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
47533	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
47533	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
47533	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
47533	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
47533	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
47533	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
47533	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
47533	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
47533	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	000
47533	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
47533	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
47533	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	000
47533	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
47533	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
47533	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	000
47533	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
47533	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
47533	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
47533	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
47533	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
47533	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
47533	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
47533	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
47533	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
47533	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	000
47533	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
47533	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
47533	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
47533	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
47533	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
47534	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
47534	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
47534	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
47534	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
47534	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
47534	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	000
47534	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
47534	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
47534	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
47534	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
47534	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
47534	CMS	"Accessory, Procedure"	SD312	Internal/external biliary catheter	Item	57.8	1	0	000
47534	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
47534	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
47534	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
47534	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
47534	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
47534	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
47534	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
47534	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
47534	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
47534	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
47534	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
47534	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
47534	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
47534	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
47534	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
47534	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
47534	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
47534	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	000
47534	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
47534	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
47534	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
47534	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
47534	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
47534	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
47534	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
47534	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	000
47534	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
47535	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
47535	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
47535	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
47535	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
47535	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
47535	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
47535	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
47535	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
47535	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
47535	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
47535	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
47535	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	000
47535	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
47535	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
47535	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
47535	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
47535	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
47535	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
47535	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
47535	CMS	"Accessory, Procedure"	SD312	Internal/external biliary catheter	Item	57.8	1	0	000
47535	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
47535	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
47535	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
47535	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
47535	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	000
47535	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
47535	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
47535	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
47535	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
47535	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
47535	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	000
47535	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
47535	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
47535	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
47536	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
47536	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
47536	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
47536	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
47536	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
47536	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
47536	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
47536	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
47536	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
47536	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
47536	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	000
47536	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
47536	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
47536	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
47536	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	000
47536	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
47536	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
47536	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
47536	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
47536	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
47536	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
47536	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
47536	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
47536	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
47536	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
47536	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
47536	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
47536	CMS	"Accessory, Procedure"	SD312	Internal/external biliary catheter	Item	57.8	1	0	000
47536	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
47536	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
47536	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
47536	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
47536	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
47537	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	000
47537	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
47537	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
47537	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
47537	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
47537	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
47537	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
47537	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
47537	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
47537	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
47537	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
47537	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
47537	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
47537	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
47537	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
47537	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
47537	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
47537	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
47537	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
47537	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
47537	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
47537	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
47537	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
47537	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
47537	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
47537	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	000
47537	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
47538	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
47538	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	000
47538	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
47538	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
47538	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
47538	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	000
47538	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
47538	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
47538	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
47538	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
47538	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
47538	CMS	"Accessory, Procedure"	SD150	"catheter, balloon ureteral (Dowd)"	item	149.16	2	0	000
47538	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
47538	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
47538	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
47538	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
47538	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
47538	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
47538	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
47538	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
47538	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
47538	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
47538	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
47538	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
47538	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
47538	CMS	"Accessory, Procedure"	SD313	Viabil covered biliary stent	Item	2765.76	1	0	000
47538	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
47538	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
47538	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
47538	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
47538	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
47538	CMS	"Accessory, Procedure"	SD312	Internal/external biliary catheter	Item	57.8	1	0	000
47538	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
47538	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	000
47538	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
47538	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
47538	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
47538	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
47539	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
47539	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
47539	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
47539	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
47539	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
47539	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
47539	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
47539	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
47539	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
47539	CMS	"Accessory, Procedure"	SD312	Internal/external biliary catheter	Item	57.8	1	0	000
47539	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	000
47539	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
47539	CMS	"Accessory, Procedure"	SD150	"catheter, balloon ureteral (Dowd)"	item	149.16	2	0	000
47539	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
47539	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	000
47539	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
47539	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
47539	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	000
47539	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
47539	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
47539	CMS	"Accessory, Procedure"	SD313	Viabil covered biliary stent	Item	2765.76	1	0	000
47539	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
47539	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
47539	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	000
47539	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
47539	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
47539	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
47539	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
47539	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
47539	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
47539	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
47539	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
47539	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
47539	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
47539	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
47539	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
47539	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
47539	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
47539	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
47539	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
47539	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
47540	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
47540	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
47540	RUC	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
47540	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
47540	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
47540	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
47540	RUC	"Accessory, Procedure"	SD312	Internal/external biliary catheter	Item	57.8	1	0	000
47540	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
47540	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
47540	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
47540	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
47540	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
47540	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
47540	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
47540	RUC	"Accessory, Procedure"	SD150	"catheter, balloon ureteral (Dowd)"	item	149.16	2	0	000
47540	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
47540	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	000
47540	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
47540	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
47540	RUC	"Accessory, Procedure"	SD313	Viabil covered biliary stent	Item	2765.76	1	0	000
47540	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
47540	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
47540	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
47540	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
47540	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
47540	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
47540	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
47540	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
47540	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
47540	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	000
47540	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
47540	RUC	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	000
47540	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
47540	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
47540	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
47540	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
47540	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
47540	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
47540	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
47540	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
47540	RUC	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
47540	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
47541	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
47541	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
47541	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
47541	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
47541	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
47541	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
47541	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
47541	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
47541	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	000
47541	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
47541	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
47541	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
47541	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
47541	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
47541	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
47541	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
47541	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
47541	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
47541	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
47541	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
47541	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	000
47541	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
47541	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
47541	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
47541	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
47541	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
47541	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
47541	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
47541	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
47541	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	000
47541	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
47541	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
47541	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
47541	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
47541	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
47542	Mod sed	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
47542	Mod sed	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
47542	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
47542	Mod sed	"Accessory, Procedure"	SD150	"catheter, balloon ureteral (Dowd)"	item	149.16	1	0	000
47543	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
47543	Mod sed	"Accessory, Procedure"	SD314	Radial Jaw	Item	94.2	1	0	000
47544	Mod sed	"Accessory, Procedure"	SD315	Stone basket	Item	278.02	1	0	000
47544	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
47544	Mod sed	"Accessory, Procedure"	SD150	"catheter, balloon ureteral (Dowd)"	item	149.16	1	0	000
47544	Mod sed	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
47562	CPT13 MD Time	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
47562	CPT13 MD Time	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
47563	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
47563	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
47564	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47564	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
47570	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
47570	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
47600	CPT13 May 45	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		1	090
47600	CPT13 May 45	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
47600	CPT13 May 45	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47600	CPT13 May 45	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47600	CPT13 May 45	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
47605	CPT13 May 45	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47605	CPT13 May 45	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		1	090
47605	CPT13 May 45	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
47605	CPT13 May 45	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47605	CPT13 May 45	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
47610	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
47610	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47610	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
47610	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47610	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
47610	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47610	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47610	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47610	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47610	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47610	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
47610	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47612	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
47612	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47612	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
47612	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
47612	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
47612	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47612	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47612	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47612	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47612	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47620	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
47620	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47620	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
47620	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47620	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
47620	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47620	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47620	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47620	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
47620	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47700	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47700	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47700	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47700	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47700	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
47700	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47700	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47700	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47700	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47700	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47700	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47700	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47701	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
47701	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	090
47701	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
47701	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47701	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
47701	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
47701	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
47701	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
47701	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47701	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
47701	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
47701	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47711	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47711	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47711	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47711	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47711	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47711	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47711	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47711	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47711	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47711	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47711	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47711	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47712	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47712	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47712	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47712	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47712	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47712	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47712	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47712	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47712	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47712	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47712	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47712	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47715	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47715	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47715	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47715	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47715	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47715	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47715	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47715	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47715	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47715	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47715	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47715	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47720	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47720	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47720	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47720	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47720	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47720	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47720	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47720	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47720	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47720	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47720	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47720	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47721	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47721	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47721	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47721	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47721	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47721	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47721	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47721	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47721	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47721	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47721	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47721	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47740	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47740	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47740	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47740	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47740	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47740	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47740	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47740	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47740	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47740	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47740	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47740	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47741	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47741	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47741	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47741	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47741	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47741	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47741	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47741	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47741	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47741	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47741	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47741	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47760	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47760	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47760	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47760	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47760	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47760	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47760	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47760	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47760	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47760	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47760	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47760	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47765	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
47765	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
47765	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47765	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
47765	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
47765	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47765	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	090
47765	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
47765	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47765	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
47765	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47765	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
47780	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47780	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47780	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47780	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47780	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47780	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47780	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47780	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47780	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47780	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47780	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47780	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47785	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
47785	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
47785	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47785	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47785	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
47785	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
47785	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	090
47785	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
47785	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47785	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
47785	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47785	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
47800	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47800	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47800	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47800	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47800	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47800	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47800	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47800	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47800	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47800	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47800	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47800	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47801	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47801	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47801	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47801	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47801	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47801	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47801	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47801	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47801	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47801	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47801	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47801	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47802	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
47802	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	090
47802	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47802	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47802	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47802	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
47802	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
47802	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
47802	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47802	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
47802	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
47802	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
47900	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47900	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47900	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
47900	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
47900	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47900	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47900	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47900	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47900	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47900	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47900	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47900	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
48000	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
48000	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
48000	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48000	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
48000	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
48000	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48000	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48000	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48000	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48000	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
48000	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48001	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48001	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48001	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
48001	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
48001	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48001	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48001	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
48001	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
48001	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48001	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
48001	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48020	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
48020	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
48020	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
48020	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48020	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48020	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
48020	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48020	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48020	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48020	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48020	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
48100	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
48100	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48100	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
48100	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
48100	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48100	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48100	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
48100	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
48100	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48100	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48100	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48102	Feb05 O	"Hypodermic, IV"	SC033	"needle, biopsy, spring-loaded"	item	25.53	1	0	000
48102	Feb05 O	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
48102	Feb05 O	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
48102	Feb05 O	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	21.58	1	0	000
48102	Feb05 O	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
48102	Feb05 O	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
48102	Feb05 O	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1	0	000
48102	Feb05 O	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
48102	Feb05 O	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
48102	Feb05 O	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
48102	Feb05 O	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	000
48102	Feb05 O	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
48102	Feb05 O	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	000
48102	Feb05 O	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
48105	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48105	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48105	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
48105	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
48105	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48105	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48105	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
48105	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
48105	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48105	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
48105	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48120	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48120	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48120	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
48120	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48120	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
48120	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
48120	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48120	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48120	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
48120	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
48120	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48140	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48140	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48140	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
48140	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
48140	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48140	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48140	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
48140	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
48140	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48140	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
48140	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48145	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48145	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48145	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
48145	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48145	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
48145	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48145	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48145	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48145	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
48145	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
48145	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
48146	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
48146	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	090
48146	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
48146	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
48146	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
48146	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		12	090
48146	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		80	090
48146	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
48146	Sep02	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
48146	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
48146	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
48146	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
48148	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48148	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48148	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48148	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
48148	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
48148	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
48148	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
48148	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48148	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
48148	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48148	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48150	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		5	090
48150	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		100	090
48150	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
48150	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
48150	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		5	090
48150	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		10	090
48150	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		5	090
48150	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		30	090
48150	Sep02	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		5	090
48150	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
48150	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
48150	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		15	090
48152	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		5	090
48152	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		15	090
48152	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		100	090
48152	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		10	090
48152	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
48152	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
48152	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
48152	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
48152	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		5	090
48152	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		30	090
48152	Sep02	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		5	090
48152	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		5	090
48153	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		5	090
48153	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		100	090
48153	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
48153	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
48153	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		5	090
48153	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		10	090
48153	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		5	090
48153	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		30	090
48153	Sep02	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		5	090
48153	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
48153	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
48153	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		15	090
48154	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
48154	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		15	090
48154	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		5	090
48154	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
48154	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
48154	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
48154	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		100	090
48154	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		5	090
48154	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		30	090
48154	Sep02	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		5	090
48154	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		10	090
48154	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		5	090
48155	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		100	090
48155	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		5	090
48155	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
48155	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
48155	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		5	090
48155	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
48155	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		5	090
48155	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		30	090
48155	Sep02	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		5	090
48155	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
48155	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		10	090
48155	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		15	090
48500	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
48500	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48500	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
48500	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48500	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48500	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
48500	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48500	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48500	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		2	090
48500	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
48500	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48500	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
48510	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48510	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48510	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
48510	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
48510	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48510	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48510	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
48510	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
48510	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48510	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		2	090
48510	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
48510	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48520	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
48520	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
48520	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
48520	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48520	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
48520	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48520	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48520	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48520	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48520	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
48520	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48540	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48540	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
48540	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
48540	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
48540	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
48540	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48540	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48540	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
48540	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48540	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48540	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48545	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48545	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48545	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
48545	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
48545	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48545	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48545	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48545	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48547	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
48547	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48547	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
48547	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48547	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48547	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48547	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48547	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48548	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
48548	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48548	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
48548	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48548	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48548	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
48548	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48548	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48548	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
48548	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
48548	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48554	Mar04 T	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
48554	Mar04 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		10	090
48556	Mar04 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
48556	Mar04 T	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
49000	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49000	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49002	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49002	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49010	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49010	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49020	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
49020	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49040	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49040	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
49060	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
49060	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49062	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49062	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49082	CMS	"Kit, Pack, Tray"	SA070	"tray, thoracentesis"	tray	36.93	1	0	000
49082	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
49082	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1	5	0	000
49082	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
49082	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
49082	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
49082	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
49083	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
49083	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	000
49083	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
49083	CMS	"Kit, Pack, Tray"	SA070	"tray, thoracentesis"	tray	36.93	1	0	000
49083	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
49083	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
49083	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
49083	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1	5	0	000
49083	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	30	0	000
49083	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	000
49083	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
49180	CMS	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	21.58	1	0	000
49180	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
49180	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1	0	000
49180	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
49180	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	000
49180	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
49180	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
49180	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
49180	CMS	"Hypodermic, IV"	SC033	"needle, biopsy, spring-loaded"	item	25.53	1	0	000
49180	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
49180	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
49180	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1	0	000
49180	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
49180	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
49185	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
49185	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
49185	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
49185	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
49185	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
49185	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
49185	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
49185	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
49185	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
49185	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
49185	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
49185	RUC	"Pharmacy, Rx"	SH062	sclerosing solution inj	ml	2.98	300	0	000
49185	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
49185	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
49185	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
49185	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
49185	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
49185	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
49185	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
49185	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
49185	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
49203	CPT08 29	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
49203	CPT08 29	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49204	CPT08 29	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49204	CPT08 29	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
49205	CPT08 29	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49205	CPT08 29	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
49215	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
49215	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49215	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
49250	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
49250	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49255	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
49255	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49320	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
49320	Jan03	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	010
49321	Jan03	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	010
49321	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
49322	Jan03	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	010
49322	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
49323	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49323	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49324	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
49324	CPT07	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	010
49325	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
49325	CPT07	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	010
49400	CPT11 Letter	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	29.39	1	0	000
49400	CPT11 Letter	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
49400	CPT11 Letter	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
49400	CPT11 Letter	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
49400	CPT11 Letter	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
49402	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49402	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49405	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
49405	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
49405	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
49405	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
49405	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.58	1	0	000
49405	CMS	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.75	1	0	000
49405	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
49405	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
49405	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	000
49405	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	000
49405	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
49405	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
49405	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
49405	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
49405	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
49405	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
49405	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
49405	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
49405	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
49405	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
49405	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
49405	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
49405	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
49405	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
49405	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	1	0	000
49405	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
49405	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
49405	CMS	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	000
49405	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
49406	CMS	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	000
49406	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
49406	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
49406	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
49406	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
49406	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	1	0	000
49406	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
49406	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	000
49406	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
49406	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
49406	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
49406	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
49406	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
49406	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
49406	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
49406	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
49406	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
49406	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	000
49406	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.58	1	0	000
49406	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
49406	CMS	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.75	1	0	000
49406	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
49406	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
49406	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
49406	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
49406	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
49406	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
49406	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
49406	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
49407	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
49407	CMS	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.75	1	0	000
49407	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
49407	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	000
49407	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
49407	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
49407	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
49407	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.58	1	0	000
49407	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
49407	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
49407	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
49407	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
49407	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
49407	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
49407	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
49407	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
49407	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
49407	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
49407	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
49407	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
49407	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
49407	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
49407	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
49407	CMS	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	000
49407	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
49407	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	000
49407	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
49407	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	1	0	000
49407	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
49411	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
49411	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
49411	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
49411	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
49411	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	0	000
49411	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	000
49411	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
49411	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
49411	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
49411	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	000
49411	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
49411	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
49411	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
49411	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
49411	CMS	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	21.58	1	0	000
49411	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
49411	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
49411	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
49411	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	000
49411	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
49411	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
49411	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	000
49411	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
49418	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	
49418	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	
49418	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
49418	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
49418	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	
49418	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
49418	Mod sed	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	1	0	
49418	Mod sed	"Hypodermic, IV"	SC097	Peritoneal Dialysis Catheter	item	219	1	0	
49418	Mod sed	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	
49418	Mod sed	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	
49418	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	32	0	
49418	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	
49418	Mod sed	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	
49418	Mod sed	"Accessory, Procedure"	SD260	Y-set connection tubing	item	153.77	1	0	
49418	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
49418	Mod sed	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	
49418	Mod sed	"Accessory, Procedure"	SD259	Peritoneal Dialysis Sterile Solution (1500 ml)	item	7.97	1	0	
49418	Mod sed	"Accessory, Procedure"	SD257	Tunneler	item		1	0	
49418	Mod sed	"Accessory, Procedure"	SD206	"sheath, peel away"	item	42.72	1	0	
49418	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
49418	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	
49418	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
49419	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
49419	Sep02	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68		2	090
49419	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
49419	Sep02	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75		1	090
49419	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		2	090
49419	Sep02	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.97		1	090
49423	Jan04 9	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
49423	Jan04 9	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
49423	Jan04 9	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	000
49423	Jan04 9	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
49423	Jan04 9	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
49423	Jan04 9	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
49423	Jan04 9	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
49423	Jan04 9	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
49423	Jan04 9	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
49423	Jan04 9	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
49423	Jan04 9	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
49423	Jan04 9	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
49423	Jan04 9	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
49423	Jan04 9	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
49423	Jan04 9	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
49423	Jan04 9	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
49423	Jan04 9	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	000
49423	Jan04 9	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
49423	Jan04 9	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	000
49423	Jan04 9	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
49423	Jan04 9	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
49423	Jan04 9	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
49423	Jan04 9	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
49423	Jan04 9	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
49423	Jan04 9	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
49424	Jan04 9	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
49424	Jan04 9	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
49424	Jan04 9	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
49424	Jan04 9	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
49424	Jan04 9	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
49424	Jan04 9	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
49424	Jan04 9	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
49424	Jan04 9	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
49424	Jan04 9	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
49424	Jan04 9	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
49424	Jan04 9	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
49424	Jan04 9	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
49424	Jan04 9	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
49424	Jan04 9	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
49424	Jan04 9	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
49424	Jan04 9	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
49424	Jan04 9	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
49424	Jan04 9	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
49424	Jan04 9	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
49424	Jan04 9	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
49425	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
49425	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49426	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
49426	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49428	Feb05 P	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	010
49428	Feb05 P	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
49429	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
49429	Jan03	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	010
49436	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
49440	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	
49440	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	
49440	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
49440	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
49440	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	
49440	Mod sed	"Accessory, Procedure"	SD206	"sheath, peel away"	item	42.72	1	0	
49440	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	
49440	Mod sed	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	
49440	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	
49440	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
49440	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	
49440	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
49440	Mod sed	"Hypodermic, IV"	SC090	"tube, gastrostomy"	item	91.73	1	0	
49440	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
49441	Mod sed	"Accessory, Procedure"	SD206	"sheath, peel away"	item	42.72	1	0	
49441	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
49441	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	
49441	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	
49441	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
49441	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	
49441	Mod sed	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	
49441	Mod sed	"Accessory, Procedure"	SD243	"tube, jejunostomy"	item	90.15	1	0	
49441	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	
49441	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
49441	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	
49441	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
49441	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
49441	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	
49442	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	
49442	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
49442	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
49442	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	
49442	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	
49442	Mod sed	"Accessory, Procedure"	SD206	"sheath, peel away"	item	42.72	1	0	
49442	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
49442	Mod sed	"Hypodermic, IV"	SC090	"tube, gastrostomy"	item	91.73	1	0	
49442	Mod sed	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	
49442	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
49442	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	
49442	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	
49442	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
49442	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	
49446	Mod sed	"Accessory, Procedure"	SD206	"sheath, peel away"	item	42.72	1	0	
49446	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
49446	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
49446	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
49446	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
49446	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	
49446	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	
49446	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	
49446	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	
49446	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	
49446	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
49446	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	
49446	Mod sed	"Accessory, Procedure"	SD243	"tube, jejunostomy"	item	90.15	1	0	
49446	Mod sed	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	
49450	CMS	"Accessory, Procedure"	SD206	"sheath, peel away"	item	42.72	1	0	000
49450	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
49450	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
49450	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
49450	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	000
49450	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	000
49450	CMS	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
49450	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
49450	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
49450	CMS	"Hypodermic, IV"	SC090	"tube, gastrostomy"	item	91.73	1	0	000
49450	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
49450	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
49450	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
49450	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
49451	CMS	"Accessory, Procedure"	SD206	"sheath, peel away"	item	42.72	1	0	000
49451	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
49451	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
49451	CMS	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
49451	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
49451	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
49451	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
49451	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	000
49451	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
49451	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
49451	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
49451	CMS	"Accessory, Procedure"	SD243	"tube, jejunostomy"	item	90.15	1	0	000
49451	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
49451	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	000
49452	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	000
49452	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
49452	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
49452	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
49452	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
49452	CMS	"Accessory, Procedure"	SD243	"tube, jejunostomy"	item	90.15	1	0	000
49452	CMS	"Accessory, Procedure"	SD206	"sheath, peel away"	item	42.72	1	0	000
49452	CMS	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
49452	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
49452	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
49452	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
49452	CMS	"Hypodermic, IV"	SC090	"tube, gastrostomy"	item	91.73	1	0	000
49452	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	000
49452	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
49452	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
49460	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	4	0	000
49460	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
49460	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
49460	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
49460	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
49460	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
49460	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
49460	CMS	"Accessory, Procedure"	SD206	"sheath, peel away"	item	42.72	1	0	000
49460	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
49460	CMS	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
49460	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	4	0	000
49460	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
49460	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	000
49460	CMS	"Accessory, Procedure"	SD174	"guidewire, steerable (Hi-Torque)"	item	40.47	1	0	000
49460	CMS	"Accessory, Procedure"	SD176	"guidewire, torque"	item	59.22	1	0	000
49465	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
49465	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
49465	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
49465	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
49465	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	000
49465	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
49465	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
49491	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
49491	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
49492	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
49492	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
49495	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
49495	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49496	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49496	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49500	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49500	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49501	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49501	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49505	Jan04 19	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49505	Jan04 19	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49507	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49507	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49520	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49520	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49521	CPT12	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49521	CPT12	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49525	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49525	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49540	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49540	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49550	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49550	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49553	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49553	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49555	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49555	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49557	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49557	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49560	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49560	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49561	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49561	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49565	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49565	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49566	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49566	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49570	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49570	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49572	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49572	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49580	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49580	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49582	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49582	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49585	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49585	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49587	CPT12	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49587	CPT12	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49590	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49590	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49600	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49600	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
49605	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
49605	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49606	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
49610	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
49611	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
49611	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49650	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49650	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49651	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
49651	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49652	CPT09 15	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49652	CPT09 15	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
49653	CPT09 15	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
49653	CPT09 15	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
49654	CPT09 15	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49654	CPT09 15	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
49655	CPT09 15	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
49655	CPT09 15	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
49656	CPT09 15	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
49656	CPT09 15	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
49657	CPT09 15	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
49657	CPT09 15	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
49900	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
49900	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
49904	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
49904	Sep02	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8		5	090
49904	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		5	090
49904	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		10	090
49904	Sep02	"Wound Care, Dressings"	SG040	"dressing, 5in x 9in (Adaptic)"	item	1.04		5	090
49904	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
50010	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50010	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50020	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
50020	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50040	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50040	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50045	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50045	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50060	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50060	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50065	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50065	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50070	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50070	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50075	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
50075	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50080	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
50080	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50081	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
50081	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50100	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50100	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50120	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50120	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50125	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50125	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50130	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50130	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50135	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50135	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50200	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	
50200	Mod sed	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1	0	
50200	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
50200	Mod sed	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	21.58	1	0	
50200	Mod sed	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	
50200	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
50200	Mod sed	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	
50200	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
50200	Mod sed	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	
50200	Mod sed	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	
50200	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	
50200	Mod sed	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	
50200	Mod sed	"Hypodermic, IV"	SC033	"needle, biopsy, spring-loaded"	item	25.53	1	0	
50200	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	
50200	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	
50200	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
50200	Mod sed	Lab	SL040	"cytology, preservative and vial (Preserv-cyt)"	item	1.18	3	0	
50205	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
50205	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50220	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50220	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50225	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50225	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50230	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50230	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
50234	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50234	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50236	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
50236	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		2	090
50240	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
50240	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50250	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
50250	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
50280	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50280	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50290	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50290	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50320	Mar04 T	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
50320	Mar04 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
50340	Mar04 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
50340	Mar04 T	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
50360	CPT14 May 34	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
50360	CPT14 May 34	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
50365	Mar04 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		9	090
50365	Mar04 T	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
50370	Mar04 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
50370	Mar04 T	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
50380	Mar04 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		9	090
50380	Mar04 T	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
50382	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	
50382	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	
50382	Mod sed	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	
50382	Mod sed	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	
50382	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
50382	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
50382	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
50382	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
50382	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
50382	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
50382	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
50382	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	
50382	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
50382	Mod sed	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	
50382	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	
50382	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
50382	Mod sed	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	
50382	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
50382	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
50382	Mod sed	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	
50382	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	
50382	Mod sed	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	
50382	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	
50382	Mod sed	"Accessory, Procedure"	SD218	"stent, ureteral, without guidewire"	item	109.14	1	0	
50382	Mod sed	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	
50382	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
50382	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	
50384	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	
50384	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
50384	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
50384	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	
50384	Mod sed	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	
50384	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	
50384	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	
50384	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
50384	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
50384	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
50384	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
50384	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
50384	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
50384	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
50384	Mod sed	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	
50384	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
50384	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	
50384	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
50384	Mod sed	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	
50384	Mod sed	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	
50384	Mod sed	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	
50384	Mod sed	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	
50384	Mod sed	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	
50384	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	
50384	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	
50384	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
50385	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
50385	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
50385	Mod sed	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	
50385	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	
50385	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
50385	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
50385	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	
50385	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
50385	Mod sed	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	
50385	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
50385	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	
50385	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
50385	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
50385	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	
50385	Mod sed	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	
50385	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
50385	Mod sed	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	
50385	Mod sed	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	
50385	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	
50385	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	
50385	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
50385	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
50385	Mod sed	"Accessory, Procedure"	SD218	"stent, ureteral, without guidewire"	item	109.14	1	0	
50385	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	4	0	
50386	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
50386	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
50386	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
50386	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
50386	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	
50386	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	
50386	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
50386	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
50386	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
50386	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
50386	Mod sed	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	
50386	Mod sed	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	
50386	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	
50386	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
50386	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	
50386	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
50386	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	4	0	
50386	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	
50386	Mod sed	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	
50386	Mod sed	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	
50386	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
50386	Mod sed	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	
50386	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	
50387	Mod sed	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	
50387	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
50387	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	
50387	Mod sed	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	
50387	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	
50387	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
50387	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	
50387	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
50387	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
50387	Mod sed	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	
50387	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
50387	Mod sed	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	
50387	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
50387	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
50387	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	
50387	Mod sed	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	
50387	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
50387	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	
50387	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
50387	Mod sed	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	
50387	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
50387	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	
50387	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	
50387	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
50387	Mod sed	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	
50387	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
50389	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50389	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
50389	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	000
50389	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50389	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
50389	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
50389	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
50389	CMS	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	000
50389	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
50389	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
50389	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
50389	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
50389	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
50389	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
50389	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
50389	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
50389	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
50389	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	000
50389	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
50389	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
50389	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
50389	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
50389	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
50389	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
50389	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
50389	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
50391	CPT05	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
50391	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
50391	CPT05	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	000
50391	CPT05	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
50391	CPT05	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
50391	CPT05	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
50391	CPT05	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	000
50391	CPT05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
50391	CPT05	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3	0	000
50391	CPT05	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
50391	CPT05	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
50400	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50400	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50405	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
50405	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50430	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
50430	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
50430	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
50430	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
50430	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	
50430	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
50430	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	
50430	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	
50430	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	
50430	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
50430	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
50430	Mod sed	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	
50430	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	
50430	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
50430	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
50430	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
50430	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	
50430	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	
50430	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
50430	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
50430	Mod sed	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	
50430	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	
50430	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
50430	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
50430	Mod sed	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	
50430	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	
50430	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
50430	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
50431	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
50431	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
50431	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
50431	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
50431	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
50431	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
50431	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50431	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
50431	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
50431	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
50431	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
50431	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
50431	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
50431	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
50431	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
50431	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
50431	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
50431	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
50432	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	
50432	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
50432	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	
50432	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
50432	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
50432	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
50432	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	
50432	Mod sed	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	
50432	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
50432	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
50432	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	
50432	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
50432	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
50432	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	
50432	Mod sed	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	
50432	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
50432	Mod sed	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	
50432	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
50432	Mod sed	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	
50432	Mod sed	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	
50432	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	
50432	Mod sed	"Hypodermic, IV"	SC035	"needle, Chiba"	item	10.1	1	0	
50432	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
50432	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
50432	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
50432	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
50432	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
50432	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
50432	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	
50432	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
50432	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	
50432	Mod sed	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	
50432	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	
50432	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
50432	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
50432	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	
50432	Mod sed	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	
50433	Mod sed	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	
50433	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	
50433	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
50433	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	
50433	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
50433	Mod sed	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	
50433	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
50433	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
50433	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	
50433	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	
50433	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
50433	Mod sed	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	
50433	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
50433	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	
50433	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
50433	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
50433	Mod sed	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	
50433	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
50433	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	
50433	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	
50433	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
50433	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
50433	Mod sed	"Accessory, Procedure"	SD306	Nephroureteral Catheter	item	104.17	1	0	
50433	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	
50433	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
50433	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	
50433	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
50433	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
50433	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
50433	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
50433	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	
50433	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
50433	Mod sed	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	
50433	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
50433	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
50433	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	
50433	Mod sed	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	
50433	Mod sed	"Hypodermic, IV"	SC035	"needle, Chiba"	item	10.1	1	0	
50433	Mod sed	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	
50434	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	
50434	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
50434	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	
50434	Mod sed	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	
50434	Mod sed	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	
50434	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
50434	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
50434	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
50434	Mod sed	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	
50434	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
50434	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
50434	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	
50434	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
50434	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
50434	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
50434	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
50434	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	
50434	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	
50434	Mod sed	"Accessory, Procedure"	SD306	Nephroureteral Catheter	item	104.17	1	0	
50434	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	
50434	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
50434	Mod sed	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	
50434	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	
50434	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	
50434	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
50434	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
50434	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
50434	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	
50434	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
50434	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
50434	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	
50434	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
50434	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	
50435	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
50435	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
50435	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
50435	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
50435	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
50435	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
50435	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
50435	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
50435	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
50435	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
50435	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
50435	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50435	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
50435	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
50435	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
50435	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
50435	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
50435	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	000
50435	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50435	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
50435	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
50435	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
50435	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
50435	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
50435	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
50435	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	000
50435	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
50435	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
50435	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
50435	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
50435	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
50500	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50500	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50520	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50520	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50525	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
50525	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50526	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
50526	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50540	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50540	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50541	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
50541	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50542	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50542	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50543	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
50543	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
50543	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
50544	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
50544	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50545	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50545	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
50546	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50546	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50547	Mar04 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
50547	Mar04 T	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
50548	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
50548	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50551	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50551	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50551	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
50551	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
50551	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
50551	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
50553	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
50553	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50553	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50553	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
50553	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
50553	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
50555	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
50555	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
50555	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50555	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
50555	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50557	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
50557	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
50557	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
50557	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50557	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50557	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
50561	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
50561	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
50561	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50561	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
50561	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50561	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
50562	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	000
50590	CPT13 May 46	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
50592	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	
50592	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	
50592	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
50592	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
50592	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	
50592	Mod sed	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	
50592	Mod sed	"Kit, Pack, Tray"	SA026	"kit, radiofrequency introducer"	kit	28.575	1	0	
50592	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	
50592	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
50592	Mod sed	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	0	
50592	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	
50592	Mod sed	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	21.58	1	0	
50592	Mod sed	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	
50592	Mod sed	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	
50592	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
50592	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	
50592	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	
50592	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
50592	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
50592	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
50592	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
50592	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
50592	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	
50592	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	
50592	Mod sed	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	
50592	Mod sed	"Accessory, Procedure"	SD109	"probe, radiofrequency, 3 array (StarBurstSDE)"	item	2289	1	0	
50592	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
50592	Mod sed	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	
50592	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
50593	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
50593	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	
50593	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	
50593	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
50593	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	
50593	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	
50593	Mod sed	"Accessory, Procedure"	SD233	"probe, cryoablation, renal"	item	1170.22	2.5	0	
50593	Mod sed	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	
50593	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	
50593	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
50593	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
50593	Mod sed	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	
50593	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
50593	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	
50593	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
50593	Mod sed	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	
50593	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
50593	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	
50593	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
50593	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	
50593	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	
50593	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
50593	Mod sed	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	
50593	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
50593	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	
50593	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
50600	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50600	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
50605	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
50605	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50606	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	
50606	Mod sed	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	
50606	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	
50606	Mod sed	"Accessory, Procedure"	SD008	"brush, ureteral"	item	37.79	1	0	
50610	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
50610	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50620	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
50620	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50630	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
50630	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50650	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50650	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50660	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50660	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50684	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
50684	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
50684	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
50684	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
50684	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
50684	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
50684	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
50684	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
50684	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
50684	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
50684	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50684	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	1	0	000
50684	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
50684	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
50684	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
50686	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
50686	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
50686	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
50686	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
50686	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
50686	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
50686	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
50686	CMS	"Hypodermic, IV"	SC048	spinal manometer	item	4.29	1	0	000
50686	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
50686	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50686	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
50686	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	1	0	000
50690	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
50690	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
50690	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
50690	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
50690	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	000
50690	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
50690	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50690	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
50690	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
50690	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
50690	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
50690	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
50690	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
50693	Mod sed	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	
50693	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
50693	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
50693	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	
50693	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	
50693	Mod sed	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	
50693	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
50693	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	
50693	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
50693	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
50693	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
50693	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	
50693	Mod sed	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	
50693	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
50693	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
50693	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	
50693	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
50693	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	
50693	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	
50693	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	
50693	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	
50693	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
50693	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
50693	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
50693	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
50693	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
50693	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	
50693	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	
50693	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
50693	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
50693	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
50693	Mod sed	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	
50693	Mod sed	"Accessory, Procedure"	SD218	"stent, ureteral, without guidewire"	item	109.14	1	0	
50693	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	
50694	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	
50694	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	
50694	Mod sed	"Hypodermic, IV"	SC035	"needle, Chiba"	item	10.1	1	0	
50694	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
50694	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
50694	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
50694	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	
50694	Mod sed	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	
50694	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
50694	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
50694	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	
50694	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
50694	Mod sed	"Accessory, Procedure"	SD218	"stent, ureteral, without guidewire"	item	109.14	1	0	
50694	Mod sed	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	
50694	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
50694	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	
50694	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	
50694	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
50694	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	
50694	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
50694	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
50694	Mod sed	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	
50694	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	
50694	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
50694	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
50694	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
50694	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
50694	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
50694	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	
50694	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	
50694	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
50694	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
50694	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
50694	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	
50694	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	
50694	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
50694	Mod sed	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	
50695	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
50695	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	
50695	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	
50695	Mod sed	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	
50695	Mod sed	"Hypodermic, IV"	SC035	"needle, Chiba"	item	10.1	1	0	
50695	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
50695	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
50695	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
50695	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
50695	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
50695	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	
50695	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	
50695	Mod sed	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	
50695	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	
50695	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
50695	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	
50695	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
50695	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	
50695	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	
50695	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
50695	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
50695	Mod sed	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	
50695	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	
50695	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
50695	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
50695	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	
50695	Mod sed	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	
50695	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	
50695	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	
50695	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	
50695	Mod sed	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	
50695	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	
50695	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
50695	Mod sed	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	
50695	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
50695	Mod sed	"Accessory, Procedure"	SD218	"stent, ureteral, without guidewire"	item	109.14	1	0	
50695	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	
50695	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	
50695	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
50695	Mod sed	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	
50700	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50700	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50705	Mod sed	"Cutters, Closures, Cautery"	SF057	Non-detachable embolization coil	item	260.53	6	0	
50705	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	
50705	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	
50706	Mod sed	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	
50706	Mod sed	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	205.91	1	0	
50706	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	
50706	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	
50715	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50715	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50722	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50722	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50725	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50725	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50727	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50727	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50728	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50728	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50740	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50740	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50750	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50750	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50760	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50760	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50770	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50770	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50780	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50780	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50782	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50782	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50783	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50783	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50785	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50785	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50800	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
50800	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50810	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50810	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4.5	090
50815	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
50815	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50820	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
50820	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50825	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50825	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
50830	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
50830	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50840	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
50840	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50845	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
50845	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50860	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50860	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50900	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50900	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50920	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50920	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50930	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50930	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50940	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50940	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50945	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
50945	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50947	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
50947	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50948	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
50948	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
50951	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
50951	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
50951	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
50951	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50951	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
50951	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50953	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
50953	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
50953	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
50953	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
50953	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50953	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50955	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50955	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
50955	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
50955	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
50955	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50955	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
50957	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50957	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50957	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
50957	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
50957	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
50957	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
50961	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50961	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
50961	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50961	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
50961	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
50961	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
51020	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51020	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51020	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
51020	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51030	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51030	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51030	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51030	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
51040	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51040	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51040	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
51040	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
51045	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51045	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51045	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
51045	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51050	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51050	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51050	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
51050	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
51060	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51060	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
51060	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51060	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51065	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51065	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51065	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51065	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
51080	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
51080	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51080	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51080	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51100	Feb05 H	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
51100	Feb05 H	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
51100	Feb05 H	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
51100	Feb05 H	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
51100	Feb05 H	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
51100	Feb05 H	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
51100	Feb05 H	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
51100	Feb05 H	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
51100	Feb05 H	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
51100	Feb05 H	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
51100	Feb05 H	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
51100	Feb05 H	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
51100	Feb05 H	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
51101	Feb05 H	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
51101	Feb05 H	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
51101	Feb05 H	"Kit, Pack, Tray"	SA006	"kit, catheter, suprapubic"	kit	52.68	1	0	000
51101	Feb05 H	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
51101	Feb05 H	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
51101	Feb05 H	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
51101	Feb05 H	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
51101	Feb05 H	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
51101	Feb05 H	"Cutters, Closures, Cautery"	SF038	"suture, prolene, 3-0 to 7-0, p, ps, pc"	item	19.79	1	0	000
51101	Feb05 H	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	000
51101	Feb05 H	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
51101	Feb05 H	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
51101	Feb05 H	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
51101	Feb05 H	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	000
51101	Feb05 H	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
51101	Feb05 H	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
51102	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
51102	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	010
51102	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
51102	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	010
51102	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	0	1	010
51102	RUC	"Accessory, Procedure"	SD034	"catheter, ureteral, Stamey open-tip"	item	41.4	1	0	010
51102	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	010
51102	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
51102	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
51102	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
51102	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
51102	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	010
51102	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
51102	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	010
51102	RUC	"Cutters, Closures, Cautery"	SF038	"suture, prolene, 3-0 to 7-0, p, ps, pc"	item	19.79	1	0	010
51102	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
51102	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	010
51102	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	010
51500	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
51500	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		4	090
51500	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		15	090
51500	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
51520	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51520	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51520	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51520	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
51525	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
51525	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51525	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51525	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51530	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51530	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51530	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
51535	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51535	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51535	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
51550	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
51550	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51550	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51555	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
51555	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51555	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
51565	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
51565	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51565	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
51570	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
51570	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51570	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		0.3	090
51570	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51575	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
51575	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51575	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		0.3	090
51575	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51580	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51580	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		0.3	090
51580	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51580	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
51585	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
51585	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51585	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		0.3	090
51585	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51590	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
51590	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51590	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		0.3	090
51590	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51595	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51595	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
51595	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51595	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		0.3	090
51596	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		30	090
51596	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
51596	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51597	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
51597	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51597	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51600	Oct00	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
51600	Oct00	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
51600	Oct00	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
51600	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	000
51600	Oct00	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1	0	000
51600	Oct00	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
51600	Oct00	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
51600	Oct00	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	2	0	000
51600	Oct00	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
51600	Oct00	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
51600	Oct00	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
51600	Oct00	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
51600	Oct00	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
51610	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
51610	Jan03	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	000
51610	Jan03	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
51610	Jan03	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
51610	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
51700	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
51700	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
51700	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
51700	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
51700	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
51700	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
51700	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	000
51700	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
51700	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	000
51700	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
51700	CMS	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	000
51700	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
51700	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
51701	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
51701	RUC	"Accessory, Procedure"	SD030	"catheter, straight"	item	2.76	1	0	000
51701	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	000
51701	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
51701	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
51701	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
51701	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
51701	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
51701	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
51701	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
51702	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
51702	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	000
51702	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	000
51702	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
51702	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
51702	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
51702	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
51702	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
51702	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
51702	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
51702	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
51703	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
51703	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
51703	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	000
51703	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
51703	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
51703	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
51703	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
51703	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
51703	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
51703	RUC	"Accessory, Procedure"	SD014	catheter stylet	item	38.02	1	0	000
51703	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	000
51703	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
51705	CPT12 5 Year	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
51705	CPT12 5 Year	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
51705	CPT12 5 Year	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
51705	CPT12 5 Year	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	010
51705	CPT12 5 Year	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	8	0	010
51705	CPT12 5 Year	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
51705	CPT12 5 Year	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	15	0	010
51705	CPT12 5 Year	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	010
51705	CPT12 5 Year	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	1	0	010
51705	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	010
51705	CPT12 5 Year	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	010
51705	CPT12 5 Year	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	4	0	010
51705	CPT12 5 Year	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	30	0	010
51710	RUC	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	010
51710	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
51710	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	010
51710	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	1	0	010
51710	RUC	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	3	0	010
51710	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
51710	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	010
51710	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	010
51710	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
51710	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
51710	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
51710	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
51715	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
51715	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
51715	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
51715	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
51715	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1	0	000
51715	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
51720	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
51720	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
51720	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
51720	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
51720	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
51720	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
51720	CMS	"Accessory, Procedure"	SD030	"catheter, straight"	item	2.76	1	0	000
51720	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
51720	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	000
51720	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
51720	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
51720	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
51725	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
51725	RUC	"Accessory, Procedure"	SD130	"tubing, latex"	foot	0.55	3		000
51725	RUC	"Accessory, Procedure"	SD012	catheter adapter	item	0.59	1		000
51725	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		000
51725	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		000
51725	RUC	"Hypodermic, IV"	SC048	spinal manometer	item	4.29	1		000
51725	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1		000
51725	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1		000
51725	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3		000
51725	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		000
51726	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
51726	CMS	"Accessory, Procedure"	SD125	transducer dome (pressure)	item	3.58	1		000
51726	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1		000
51726	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		000
51726	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		000
51726	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		000
51726	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		000
51726	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1		000
51726	CMS	"Accessory, Procedure"	SD027	"catheter, pressure, urodynamic"	item	19.35	1		000
51726	CMS	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	2		000
51726	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3		000
51726	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		000
51726	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		000
51726	CMS	"Accessory, Procedure"	SD128	"tubing, for pump head"	item	4.85	1		000
51727	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5		000
51727	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	3		000
51727	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		000
51727	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1		000
51727	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1		000
51727	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2		000
51727	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1		000
51727	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		000
51727	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		000
51727	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		000
51727	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		000
51727	CMS	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	2		000
51727	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	5		000
51727	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		000
51727	CMS	"Accessory, Procedure"	SD128	"tubing, for pump head"	item	4.85	1		000
51727	CMS	"Accessory, Procedure"	SD130	"tubing, latex"	foot	0.55	3		000
51727	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10		000
51727	CMS	"Accessory, Procedure"	SD030	"catheter, straight"	item	2.76	1		000
51727	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3		000
51727	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		000
51727	CMS	"Accessory, Procedure"	SD027	"catheter, pressure, urodynamic"	item	19.35	1		000
51727	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
51727	CMS	"Accessory, Procedure"	SD017	"catheter, balloon, rectal pressure"	item	35.89	1		000
51727	CMS	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	3		000
51727	CMS	"Accessory, Procedure"	SD125	transducer dome (pressure)	item	3.58	2		000
51728	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		000
51728	CMS	"Accessory, Procedure"	SD130	"tubing, latex"	foot	0.55	3		000
51728	CMS	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	2		000
51728	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
51728	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10		000
51728	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1		000
51728	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		000
51728	CMS	"Accessory, Procedure"	SD027	"catheter, pressure, urodynamic"	item	19.35	1		000
51728	CMS	Lab	SL018	"beaker, 250 ml"	item	0.44	1		000
51728	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5		000
51728	CMS	"Accessory, Procedure"	SD030	"catheter, straight"	item	2.76	1		000
51728	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	5		000
51728	CMS	"Accessory, Procedure"	SD125	transducer dome (pressure)	item	3.58	2		000
51728	CMS	"Accessory, Procedure"	SD128	"tubing, for pump head"	item	4.85	1		000
51728	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		000
51728	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		000
51728	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1		000
51728	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1		000
51728	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		000
51728	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		000
51728	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3		000
51728	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2		000
51728	CMS	"Accessory, Procedure"	SD017	"catheter, balloon, rectal pressure"	item	35.89	1		000
51728	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		000
51728	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	3		000
51729	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	5		000
51729	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2		000
51729	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		000
51729	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		000
51729	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	3		000
51729	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		000
51729	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		000
51729	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1		000
51729	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5		000
51729	CMS	"Accessory, Procedure"	SD030	"catheter, straight"	item	2.76	1		000
51729	CMS	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	3		000
51729	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		000
51729	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1		000
51729	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10		000
51729	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3		000
51729	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		000
51729	CMS	"Accessory, Procedure"	SD017	"catheter, balloon, rectal pressure"	item	35.89	1		000
51729	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1		000
51729	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
51729	CMS	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	2		000
51729	CMS	"Accessory, Procedure"	SD130	"tubing, latex"	foot	0.55	3		000
51729	CMS	"Accessory, Procedure"	SD128	"tubing, for pump head"	item	4.85	1		000
51729	CMS	"Accessory, Procedure"	SD125	transducer dome (pressure)	item	3.58	2		000
51729	CMS	Lab	SL018	"beaker, 250 ml"	item	0.44	1		000
51729	CMS	"Accessory, Procedure"	SD027	"catheter, pressure, urodynamic"	item	19.35	1		000
51729	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		000
51736	RUC	Lab	SL018	"beaker, 250 ml"	item	0.44	1		XXX
51741	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
51741	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	1		XXX
51741	RUC	"Office Supply, Grocery"	SK060	"paper, recording, roll (per foot)"	foot	0.14	1		XXX
51741	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4		XXX
51741	RUC	Lab	SL018	"beaker, 250 ml"	item	0.44	1		XXX
51784	RUC	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	3		000
51784	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		000
51784	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		000
51784	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
51784	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		000
51785	CMS	"Accessory, Procedure"	SD051	"electrode needle, monopolar EMG w-lead"	item	2.95	2		000
51785	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		000
51785	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		000
51785	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1		000
51785	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		000
51785	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3		000
51785	CMS	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	1		000
51785	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
51785	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		000
51792	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		000
51792	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1		000
51792	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1		000
51792	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
51792	RUC	"Hypodermic, IV"	SC048	spinal manometer	item	4.29	1		000
51792	RUC	"Accessory, Procedure"	SD130	"tubing, latex"	foot	0.55	3		000
51792	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1		000
51792	RUC	"Accessory, Procedure"	SD012	catheter adapter	item	0.59	1		000
51792	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3		000
51792	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		000
51792	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		000
51792	RUC	"Accessory, Procedure"	SD056	"electrode, EMG sponge"	item	16.57	1		000
51797	CMS	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	1		ZZZ
51797	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		ZZZ
51797	CMS	"Accessory, Procedure"	SD125	transducer dome (pressure)	item	3.58	1		ZZZ
51797	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		ZZZ
51797	CMS	"Accessory, Procedure"	SD017	"catheter, balloon, rectal pressure"	item	35.89	1		ZZZ
51797	CMS	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	0.66	1		ZZZ
51797	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		ZZZ
51797	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1		ZZZ
51797	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1		ZZZ
51797	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		ZZZ
51798	RUC	"Office Supply, Grocery"	SK060	"paper, recording, roll (per foot)"	foot	0.14	1		XXX
51798	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	10		XXX
51798	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
51798	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
51798	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	1		XXX
51798	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
51800	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
51800	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51800	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51800	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51820	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
51820	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
51820	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51820	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
51840	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
51840	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2.5	090
51840	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51840	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1.5	090
51841	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2.5	090
51841	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51841	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
51841	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1.5	090
51845	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
51845	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51845	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51860	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
51860	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51860	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51860	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
51865	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
51865	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
51865	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51865	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51880	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51880	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
51880	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
51880	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51900	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
51900	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51900	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
51900	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51920	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51920	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51920	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
51920	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51925	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		4	090
51925	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
51925	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51925	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
51940	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
51940	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51940	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51940	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		30	090
51960	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		30	090
51960	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
51960	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51960	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51980	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51980	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
51980	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51980	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
51990	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
51990	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
51990	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		8	090
51990	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
51992	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
51992	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		8	090
51992	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
51992	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
52000	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
52000	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	4	0	000
52000	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52000	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	000
52000	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
52000	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1	0	000
52000	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	3	0	000
52000	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
52000	RUC	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.82	1	0	000
52001	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
52001	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3	0	000
52001	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1	0	000
52001	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	000
52001	RUC	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	3	0	000
52001	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
52001	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
52001	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	000
52001	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52005	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
52005	CMS	"Accessory, Procedure"	SD015	catheter tip adapter	item	1.03	1	0	000
52005	CMS	"Accessory, Procedure"	SD033	"catheter, ureteral, open-ended"	item	10.31	1	0	000
52005	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52005	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
52005	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1	0	000
52005	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
52005	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52007	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
52007	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52007	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1	0	000
52007	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52007	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
52007	CMS	"Accessory, Procedure"	SD167	endoscopic deflecting brush	item	79.72	1	0	000
52007	CMS	"Accessory, Procedure"	SD015	catheter tip adapter	item	1.03	1	0	000
52007	CMS	"Accessory, Procedure"	SD033	"catheter, ureteral, open-ended"	item	10.31	1	0	000
52007	CMS	"Accessory, Procedure"	SD157	"catheter, ureteral, acorn tip"	item	11.67	1	0	000
52007	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
52007	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
52010	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52010	CMS	"Accessory, Procedure"	SD157	"catheter, ureteral, acorn tip"	item	11.67	1	0	000
52010	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52010	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
52010	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
52010	CMS	"Accessory, Procedure"	SD033	"catheter, ureteral, open-ended"	item	10.31	1	0	000
52010	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
52010	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
52010	CMS	"Accessory, Procedure"	SD015	catheter tip adapter	item	1.03	1	0	000
52010	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1	0	000
52204	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
52204	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
52204	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
52204	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1	0	000
52204	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
52204	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
52204	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52204	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
52204	CMS	"Accessory, Procedure"	SD033	"catheter, ureteral, open-ended"	item	10.31	1	0	000
52204	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52204	CMS	"Accessory, Procedure"	SD164	"electrode, Bugbee"	item	71.56	1	0	000
52214	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
52214	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	000
52214	RUC	"Accessory, Procedure"	SD015	catheter tip adapter	item	1.03	1	0	000
52214	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	000
52214	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	50	0	000
52214	RUC	"Cutters, Closures, Cautery"	SF028	laser tip (single use)	item	369.99	1	0	000
52214	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52214	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1	0	000
52214	RUC	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.82	1	0	000
52214	RUC	"Accessory, Procedure"	SD030	"catheter, straight"	item	2.76	1	0	000
52214	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1	0	000
52214	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	4	0	000
52214	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	000
52214	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	2	0	000
52214	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
52214	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
52214	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
52224	CMS	"Cutters, Closures, Cautery"	SF028	laser tip (single use)	item	369.99	1	0	000
52224	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1	0	000
52224	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52224	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	3	0	000
52224	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
52224	CMS	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.82	1	0	000
52224	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	000
52224	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
52224	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
52224	CMS	"Accessory, Procedure"	SD030	"catheter, straight"	item	2.76	1	0	000
52224	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
52224	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	2	0	000
52224	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	000
52224	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	4	0	000
52224	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
52224	CMS	"Accessory, Procedure"	SD015	catheter tip adapter	item	1.03	1	0	000
52224	CMS	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	000
52224	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
52265	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52265	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	000
52265	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52265	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
52265	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1	0	000
52265	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
52265	RUC	"Accessory, Procedure"	SD164	"electrode, Bugbee"	item	71.56	1	0	000
52270	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
52270	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1	0	000
52270	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52270	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52270	CMS	"Cutters, Closures, Cautery"	SF045	"blade, urethrotome"	item	92.36	1	0	000
52270	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
52270	CMS	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	000
52275	CMS	"Accessory, Procedure"	SD074	filiform	item	65.56	1	0	000
52275	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
52275	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
52275	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	000
52275	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52275	CMS	"Accessory, Procedure"	SD164	"electrode, Bugbee"	item	71.56	1	0	000
52275	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1	0	000
52275	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52275	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
52275	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
52275	CMS	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	000
52281	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
52281	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
52281	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52281	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52281	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
52281	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1	0	000
52281	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
52283	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
52283	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
52283	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52283	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
52283	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1	0	000
52283	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52283	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
52283	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
52285	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52285	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
52285	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
52285	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52285	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1	0	000
52287	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
52287	CMS	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	000
52287	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1	0	000
52287	CMS	"Accessory, Procedure"	SD030	"catheter, straight"	item	2.76	1	0	000
52287	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
52287	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	4	0	000
52287	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	1	0	000
52287	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
52287	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	000
52287	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	50	0	000
52287	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	000
52287	CMS	"Hypodermic, IV"	SC099	"needle, cystoscope"	item	35.52	1	0	000
52287	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
52287	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
52287	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
52287	CMS	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.82	1	0	000
52287	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	3	0	000
52310	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
52310	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52310	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52310	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
52310	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1	0	000
52315	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1	0	000
52315	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
52315	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
52315	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
52315	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52315	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
52315	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52317	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1	0	000
52317	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
52317	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
52317	CMS	"Cutters, Closures, Cautery"	SF028	laser tip (single use)	item	369.99	1	0	000
52317	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
52317	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52317	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	000
52317	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52330	CMS	"Accessory, Procedure"	SD033	"catheter, ureteral, open-ended"	item	10.31	1	0	000
52330	CMS	"Accessory, Procedure"	SD157	"catheter, ureteral, acorn tip"	item	11.67	1	0	000
52330	CMS	"Accessory, Procedure"	SD015	catheter tip adapter	item	1.03	1	0	000
52330	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	000
52330	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1	0	000
52330	CMS	"Accessory, Procedure"	SD150	"catheter, balloon ureteral (Dowd)"	item	149.16	1	0	000
52330	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
52330	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52330	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
52330	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52332	CMS	"Accessory, Procedure"	SD239	"stent, ureteral, w-guidewire, 3cm flexible tip"	item	114.78	1	0	000
52332	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52332	CMS	"Accessory, Procedure"	SD033	"catheter, ureteral, open-ended"	item	10.31	1	0	000
52332	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
52332	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1	0	000
52332	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52400	Apr08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
52441	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
52441	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
52441	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
52441	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
52441	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
52441	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
52441	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
52441	RUC	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.82	1	0	000
52441	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	2	0	000
52441	RUC	"Accessory, Procedure"	SD030	"catheter, straight"	item	2.76	1	0	000
52441	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
52441	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
52441	RUC	"Accessory, Procedure"	SD291	Urolift Implant and implantation device	item	875	1	0	000
52441	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1	0	000
52441	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
52441	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	30	0	000
52441	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	000
52441	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
52441	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
52441	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
52441	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
52441	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	4	0	000
52441	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	000
52441	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
52441	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	1	0	000
52441	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
52442	RUC	"Accessory, Procedure"	SD291	Urolift Implant and implantation device	item	875	1	0	ZZZ
52450	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
52500	Apr08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
52601	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34		1	090
52601	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
52601	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		1	090
52601	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15		1	090
52601	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
52601	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
52630	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
52640	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
52647	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	090
52647	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	090
52647	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
52647	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	090
52647	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1	0	090
52647	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
52647	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1	0	090
52647	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
52647	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3	0	090
52647	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	090
52647	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	090
52647	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
52647	CMS	"Accessory, Procedure"	SD124	"tourniquet, non-latex 1in x 18in"	item	0.1	1	0	090
52647	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	090
52647	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	2	0	090
52647	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	090
52647	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	090
52647	CMS	"Cutters, Closures, Cautery"	SF030	"laser tip, diffuser fiber"	item	730	1	0	090
52647	CMS	"Gown, Drape"	SB017	"drape-sleeve, sterile (4in x 8ft)"	item	0.2	1	0	090
52647	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
52647	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	090
52647	CMS	"Accessory, Procedure"	SD129	"tubing, irrigation (cysto)"	item	3.54	1	0	090
52648	CMS	"Gown, Drape"	SB017	"drape-sleeve, sterile (4in x 8ft)"	item	0.2	1	0	090
52648	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3	0	090
52648	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	090
52648	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	090
52648	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
52648	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	090
52648	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
52648	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
52648	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	090
52648	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
52648	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
52648	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	090
52648	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	090
52648	CMS	"Accessory, Procedure"	SD124	"tourniquet, non-latex 1in x 18in"	item	0.1	1	0	090
52648	CMS	"Accessory, Procedure"	SD129	"tubing, irrigation (cysto)"	item	3.54	1	0	090
52648	CMS	"Cutters, Closures, Cautery"	SF030	"laser tip, diffuser fiber"	item	730	1	0	090
52648	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	090
52648	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	090
52648	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1	0	090
52648	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	2	0	090
52648	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1	0	090
52648	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	090
52649	CPT12 5 Year	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03		1	090
52649	CPT12 5 Year	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		1	090
52649	CPT12 5 Year	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05		1	090
52649	CPT12 5 Year	Lab	SL018	"beaker, 250 ml"	item	0.44		1	090
52649	CPT12 5 Year	"Office Supply, Grocery"	SK060	"paper, recording, roll (per foot)"	foot	0.14		2	090
52649	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
52700	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
53000	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	010
53000	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
53010	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
53010	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
53010	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
53010	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
53040	Mar04 E	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
53040	Mar04 E	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
53060	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	010
53060	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
53060	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
53060	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
53060	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
53080	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
53080	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
53080	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
53080	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		3	090
53085	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
53085	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		3	090
53085	Sep02	"Wound Care, Dressings"	SG065	"packing, gauze w-iodoform 1in (5 yd uou)"	item	5.215		1	090
53085	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		3	090
53085	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
53085	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
53200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
53210	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
53210	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
53210	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
53215	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
53215	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
53215	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
53220	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
53220	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
53220	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
53230	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
53230	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
53230	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
53230	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
53235	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
53235	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
53235	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
53240	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
53240	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
53240	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
53240	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
53250	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
53250	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
53250	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
53260	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
53260	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
53260	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	010
53260	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
53260	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
53265	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
53265	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	3	0	010
53265	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
53265	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
53265	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
53265	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	010
53265	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
53265	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
53265	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
53270	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
53270	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
53270	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
53270	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	010
53270	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
53275	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	010
53275	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
53400	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	010
53400	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	010
53400	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	010
53405	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
53405	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
53405	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
53410	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
53410	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
53410	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
53415	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
53415	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
53415	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
53420	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
53420	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
53420	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
53425	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
53425	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
53425	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
53430	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
53430	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
53430	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
53431	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
53431	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
53431	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
53431	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
53440	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
53440	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
53442	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
53442	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
53444	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
53444	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
53445	Feb08 ss	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
53445	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
53445	Feb08 ss	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
53446	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		2	090
53446	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
53447	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
53447	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		2	090
53448	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
53448	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		2	090
53449	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
53449	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
53449	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
53450	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
53450	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
53450	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
53460	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
53460	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
53460	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
53500	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
53500	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
53500	Sep02	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27		1	090
53500	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		3	090
53500	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		3	090
53502	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
53502	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
53502	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
53502	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
53505	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
53505	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
53505	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
53510	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
53510	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
53510	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
53515	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
53515	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
53515	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
53520	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
53520	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
53520	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
53600	Oct00	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
53600	Oct00	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
53600	Oct00	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
53600	Oct00	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
53600	Oct00	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
53600	Oct00	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	000
53600	Oct00	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
53600	Oct00	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
53600	Oct00	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
53600	Oct00	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
53601	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
53601	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	000
53601	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
53601	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
53601	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
53601	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
53601	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
53601	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
53601	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
53601	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
53620	Oct00	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
53620	Oct00	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
53620	Oct00	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
53620	Oct00	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
53620	Oct00	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
53620	Oct00	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
53620	Oct00	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.67	0	000
53620	Oct00	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	000
53620	Oct00	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
53620	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
53620	Oct00	"Accessory, Procedure"	SD074	filiform	item	65.56	1	0	000
53621	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
53621	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
53621	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
53621	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
53621	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
53621	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
53621	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
53621	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.67	0	000
53621	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	000
53621	RUC	"Accessory, Procedure"	SD074	filiform	item	65.56	1	0	000
53621	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
53660	RUC	"Accessory, Procedure"	SD030	"catheter, straight"	item	2.76	1	0	000
53660	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
53660	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
53660	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	000
53660	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
53660	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
53660	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
53660	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
53660	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
53660	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
53660	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
53661	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
53661	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
53661	RUC	"Accessory, Procedure"	SD030	"catheter, straight"	item	2.76	1	0	000
53661	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	000
53661	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
53661	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
53661	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
53661	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
53661	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
53661	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
53661	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
53850	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	090
53850	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	090
53850	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
53850	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	090
53850	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	4	0	090
53850	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	2	0	090
53850	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	10	0	090
53850	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	6	0	090
53850	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	090
53850	RUC	"Kit, Pack, Tray"	SA036	"kit, transurethral microwave thermotherapy"	kit	1000	1	0	090
53850	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	2	0	090
53850	RUC	"Accessory, Procedure"	SD271	Rectal probe	item	51.63	1	0	090
53850	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
53850	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	1	0	090
53850	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	30	0	090
53850	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
53850	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
53850	RUC	"Gown, Drape"	SB017	"drape-sleeve, sterile (4in x 8ft)"	item	0.2	1	0	090
53850	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	090
53850	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	090
53850	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
53850	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
53850	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
53850	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
53850	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	090
53850	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
53850	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	090
53850	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
53852	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
53852	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	2	0	090
53852	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	4	0	090
53852	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	10	0	090
53852	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	090
53852	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	2	0	090
53852	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	090
53852	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	30	0	090
53852	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	1	0	090
53852	RUC	"Accessory, Procedure"	SD271	Rectal probe	item	51.63	1	0	090
53852	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	090
53852	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
53852	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	090
53852	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	090
53852	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
53852	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	090
53852	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
53852	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	090
53852	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
53852	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	090
53852	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
53852	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
53852	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
53852	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	090
53852	RUC	"Gown, Drape"	SB017	"drape-sleeve, sterile (4in x 8ft)"	item	0.2	1	0	090
53852	RUC	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	17.33	1	0	090
53852	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
53852	RUC	"Kit, Pack, Tray"	SA037	"kit, transurethral needle ablation (TUNA)"	kit	900	1	0	090
53852	RUC	"Accessory, Procedure"	SD129	"tubing, irrigation (cysto)"	item	3.54	1	0	090
53852	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
53852	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	6	0	090
53854	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
53854	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	090
53854	RUC	"Accessory, Procedure"	SD271	Rectal probe	item	51.63	1	0	090
53854	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
53854	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	090
53854	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	090
53854	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
53854	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
53854	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	090
53854	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
53854	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
53854	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
53854	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	090
53854	RUC	"Kit, Pack, Tray"	SA128	"kit, Rezum delivery device"	item	1220	1	0	090
53854	RUC	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	17.33	1	0	090
53854	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	090
53854	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
53854	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	2	0	090
53854	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	090
53854	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	4	0	090
53854	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	090
53854	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	10	0	090
53854	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	6	0	090
53854	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	30	0	090
53854	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	1	0	090
53854	RUC	"Accessory, Procedure"	SD129	"tubing, irrigation (cysto)"	item	3.54	1	0	090
53854	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
53854	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
53854	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	090
53854	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	2	0	090
53854	RUC	"Gown, Drape"	SB017	"drape-sleeve, sterile (4in x 8ft)"	item	0.2	1	0	090
53855	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	000
53855	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
53855	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	000
53855	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
53855	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
53855	CMS	"Accessory, Procedure"	SD074	filiform	item	65.56	1	0	000
53855	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
53855	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2	0	000
53855	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
53855	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	000
53855	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
53855	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
53855	CMS	"Kit, Pack, Tray"	SA101	"kit, stent, urethral, prostatic, insertion tool and surveyor"	kit	512.34	1	0	000
53860	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
53860	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
53860	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
53860	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	090
53860	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
53860	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
53860	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	6	0	090
53860	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
53860	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	090
53860	CMS	"Office Supply, Grocery"	SK051	"pad, feminine maxi"	item	0.39	1	0	090
53860	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	0	090
53860	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	1	0	090
53860	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	1	0	090
53860	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	090
53860	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
53860	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	090
53860	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	090
53860	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.58	1	0	090
53860	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	3	0	090
53860	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3	0	090
53860	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
53860	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	090
53860	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	090
53860	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	090
53860	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	2	0	090
53860	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	090
53860	CMS	"Accessory, Procedure"	SD245	Renessa probe	item	2206.82	1	0	090
53860	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	090
53860	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	090
53860	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
54000	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
54000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
54000	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
54000	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
54000	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	010
54000	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
54000	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
54000	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
54000	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
54000	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
54000	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	1	0	010
54001	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	010
54001	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
54001	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
54001	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
54001	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	010
54001	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
54001	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
54001	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
54001	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
54001	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
54001	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
54001	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
54001	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	1	0	010
54001	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
54015	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	010
54015	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
54050	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
54050	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	010
54050	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
54050	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
54050	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	010
54050	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	010
54050	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	010
54050	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
54050	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
54050	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
54050	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
54055	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
54055	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
54055	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	010
54055	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	010
54055	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
54055	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	010
54055	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
54055	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
54055	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
54055	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
54055	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	010
54056	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	1	0	010
54056	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	010
54056	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
54056	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	010
54056	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
54056	RUC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	30	0	010
54056	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
54056	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	010
54056	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
54056	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	010
54056	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
54056	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
54056	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
54056	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
54057	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
54057	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
54057	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
54057	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	010
54057	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
54057	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
54057	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
54057	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
54057	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	1	0	010
54057	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	010
54057	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	010
54057	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	010
54057	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
54060	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	1	0	010
54060	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	010
54060	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
54060	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	010
54060	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
54060	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
54060	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
54060	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
54060	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
54060	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	010
54060	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
54060	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
54060	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
54060	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
54060	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
54060	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
54060	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
54060	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
54065	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	010
54065	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
54065	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	1	0	010
54065	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
54065	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	010
54065	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
54065	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
54065	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
54065	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	010
54065	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
54065	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
54065	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
54065	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	1	0	010
54065	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
54065	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
54100	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	0	000
54100	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
54100	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
54100	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	000
54100	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
54100	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
54100	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
54100	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
54100	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
54100	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
54100	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
54100	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
54100	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
54100	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
54100	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
54100	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
54100	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
54100	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
54100	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
54105	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
54105	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
54105	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
54105	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
54105	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	010
54105	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	3	0	010
54105	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
54105	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1	0	010
54105	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
54105	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
54105	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
54105	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
54105	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	010
54105	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
54110	Mar04 V	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
54110	Mar04 V	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
54111	Mar04 V	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
54111	Mar04 V	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
54112	Mar04 V	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54112	Mar04 V	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
54115	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	090
54115	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
54115	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	090
54115	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3.5	2.5	090
54115	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
54115	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
54115	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
54120	Mar04 V	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
54120	Mar04 V	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
54125	Mar04 V	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
54125	Mar04 V	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
54130	Mar04 V	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
54130	Mar04 V	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
54135	Mar04 V	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
54135	Mar04 V	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3.5	090
54150	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
54150	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
54150	CMS	"Kit, Pack, Tray"	SA086	"tray, circumcision"	tray	23.54	1	0	000
54150	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.58	1	0	000
54150	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
54150	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	2	0	000
54150	CMS	"Pharmacy, Rx"	SH030	Emla cream	gm	2.19	1	0	000
54150	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
54160	CMS	"Pharmacy, Rx"	SH030	Emla cream	gm	2.19	1	0	010
54160	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	010
54160	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
54160	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
54160	CMS	"Kit, Pack, Tray"	SA086	"tray, circumcision"	tray	23.54	1	0	010
54160	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
54160	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
54161	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
54161	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	010
54161	Jan03	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		1	010
54162	CMS	"Kit, Pack, Tray"	SA086	"tray, circumcision"	tray	23.54	1	0	090
54162	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	090
54162	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	090
54162	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	090
54162	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	090
54162	CMS	"Pharmacy, Rx"	SH030	Emla cream	gm	2.19	1	0	090
54162	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	090
54163	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
54163	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
54164	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
54164	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
54200	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	010
54200	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
54200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
54200	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
54200	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
54200	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	010
54200	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
54200	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
54200	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
54200	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
54200	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
54200	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
54205	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
54205	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54205	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54205	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54220	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
54220	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
54220	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
54220	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
54220	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
54220	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
54220	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
54220	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
54220	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
54220	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
54220	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
54220	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	0	000
54220	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	000
54220	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
54220	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
54220	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
54220	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
54220	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
54220	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
54220	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
54230	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	000
54230	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
54230	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
54230	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
54230	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
54230	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
54230	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
54231	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
54231	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
54231	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1.5	0	000
54231	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
54231	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
54231	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
54235	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
54235	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
54235	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
54235	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
54240	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1		000
54240	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		000
54240	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		000
54240	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	30		000
54250	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		000
54300	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
54300	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54300	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54304	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
54304	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54304	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54304	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		30	090
54308	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54308	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54308	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		30	090
54312	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54312	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54312	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		30	090
54316	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54316	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54316	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
54316	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		30	090
54318	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		30	090
54318	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54318	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54322	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54322	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54322	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54324	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54324	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54324	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		30	090
54326	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
54326	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54326	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54326	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
54328	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54328	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54328	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
54328	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		30	090
54332	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54332	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54332	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
54332	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		30	090
54336	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		35	090
54336	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
54336	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
54336	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54340	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54340	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54340	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
54340	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
54344	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54344	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54344	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
54344	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
54348	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54348	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
54348	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54348	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		30	090
54352	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
54352	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54352	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
54352	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		35	090
54360	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54360	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54360	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54380	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		30	090
54380	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54380	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54385	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		30	090
54385	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
54385	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54390	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
54390	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54390	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		30	090
54400	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54400	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54400	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54400	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54401	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54401	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
54401	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
54405	Apr08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54405	Apr08	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54405	Apr08	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
54406	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54406	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54408	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54408	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54410	Feb08 ss	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54410	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
54411	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
54411	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54415	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54415	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54416	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
54416	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54417	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54417	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54420	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54420	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
54420	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54420	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54430	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54430	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
54430	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54430	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54435	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
54435	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54435	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
54435	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
54437	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
54438	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
54438	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
54450	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	000
54505	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	010
54505	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
54505	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	010
54512	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54512	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		10	090
54512	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
54512	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54520	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
54520	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
54520	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54520	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
54522	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54522	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
54522	Sep02	"Wound Care, Dressings"	SG071	scrotal support	item	6.695		1	090
54522	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		10	090
54522	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
54530	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54530	Feb08 ss	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
54530	Feb08 ss	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54530	Feb08 ss	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54535	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54535	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54535	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54535	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54550	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54550	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
54550	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
54550	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54560	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54560	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54560	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54560	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54600	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
54600	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54600	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
54600	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
54620	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	010
54620	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	010
54620	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
54640	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		2	090
54640	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22		1	090
54640	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		5	090
54640	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014		7	090
54650	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54650	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54650	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54650	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54660	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
54660	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
54660	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54660	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
54670	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54670	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
54670	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54670	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
54680	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54680	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
54680	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54680	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54690	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
54690	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54690	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54690	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54692	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
54692	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
54700	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
54700	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	010
54830	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
54830	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
54830	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54830	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
54840	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
54840	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
54840	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
54840	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54860	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
54860	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
54860	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54860	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54861	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
54861	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54861	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54861	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54865	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
54865	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54865	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
54865	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
54900	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54900	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54900	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
54900	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
54901	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
54901	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
54901	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54901	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
55000	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
55000	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
55000	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
55000	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
55000	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	000
55000	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
55000	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
55000	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
55000	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
55000	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
55000	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	0	000
55000	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
55000	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
55040	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
55040	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55040	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
55040	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
55041	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
55041	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
55041	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55041	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
55060	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
55060	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55060	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
55060	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
55100	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	010
55100	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32	1	0	010
55100	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
55100	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
55100	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	010
55100	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
55100	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	010
55100	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
55100	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
55100	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
55100	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
55100	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
55100	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	010
55100	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
55100	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	010
55100	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
55100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
55100	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
55100	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
55110	Mar04 V	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
55110	Mar04 V	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
55120	Mar04 V	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
55120	Mar04 V	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
55150	Mar04 V	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
55150	Mar04 V	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
55175	Mar04 V	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
55175	Mar04 V	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
55180	Mar04 V	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
55180	Mar04 V	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
55200	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
55200	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
55200	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	090
55200	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
55200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	090
55200	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
55200	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
55200	CMS	"Accessory, Procedure"	SD164	"electrode, Bugbee"	item	71.56	1	0	090
55200	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
55200	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	090
55200	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
55250	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	090
55250	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
55250	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
55250	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
55250	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
55250	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	090
55250	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
55250	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
55250	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
55250	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2.5	1.5	090
55250	CMS	"Accessory, Procedure"	SD164	"electrode, Bugbee"	item	71.56	1	0	090
55400	Mar04 V	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
55400	Mar04 V	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
55500	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
55500	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
55500	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
55500	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55520	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
55520	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
55520	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55520	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
55530	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
55530	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
55530	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55530	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
55535	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
55535	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
55535	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55535	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
55540	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
55540	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55540	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
55540	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
55550	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
55550	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		4	090
55550	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
55550	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		15	090
55600	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
55600	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
55600	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55600	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
55605	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
55605	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55605	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
55605	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
55650	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
55650	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
55650	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55650	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
55680	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
55680	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
55680	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
55680	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55700	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
55700	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
55700	CMS	Lab	SL034	"cup, biopsy-specimen 86oz"	item	1.47	6	0	000
55700	CMS	Lab	SL072	formalin	ml	0.009	708	0	000
55700	CMS	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	9.88	1	0	000
55700	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
55700	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
55700	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
55700	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	000
55700	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
55700	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
55700	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
55700	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	50	0	000
55700	CMS	"Hypodermic, IV"	SC032	"needle, biopsy for breast-prostate core sample"	item	33.2	1	0	000
55700	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
55700	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
55705	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
55705	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	010
55706	CPT09 16	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	010
55706	CPT09 16	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	010
55720	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
55720	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
55720	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55720	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
55725	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
55725	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
55725	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
55801	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
55801	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
55801	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
55810	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55810	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
55810	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
55810	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
55812	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
55812	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
55812	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
55812	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55815	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
55815	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55815	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
55815	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
55821	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
55821	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
55821	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
55831	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
55831	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
55831	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
55840	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55840	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
55840	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
55840	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
55840	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		3	090
55842	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55842	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
55842	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
55842	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
55842	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		3	090
55845	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
55845	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
55845	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
55845	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55845	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		3	090
55860	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55860	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
55860	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
55860	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
55862	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
55862	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55862	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
55862	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
55865	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
55865	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55865	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
55865	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
55866	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
55866	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
55870	Jan03	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
55870	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
55873	CMS	"Accessory, Procedure"	SD227	"gas, argon"	cu ft	0.53	523	0	090
55873	CMS	"Accessory, Procedure"	SD079	"gas, helium"	cu ft	1.02	473	0	090
55873	CMS	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.14	1	0	090
55873	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
55873	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	8	0	090
55873	CMS	"Accessory, Procedure"	SD074	filiform	item	65.56	1	0	090
55873	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
55873	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	090
55873	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	090
55873	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
55873	CMS	"Kit, Pack, Tray"	SA099	"Kit, probe, cryoablation, prostate (Galil-Endocare)"	kit	4000	1	0	090
55873	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
55873	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	090
55873	CMS	"Kit, Pack, Tray"	SA006	"kit, catheter, suprapubic"	kit	52.68	1	0	090
55873	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
55873	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1	0	090
55873	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	090
55873	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.58	1	0	090
55873	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	090
55873	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	2	0	090
55873	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	090
55873	CMS	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	090
55873	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	090
55873	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	2	0	090
55873	CMS	"Pharmacy, NonRx"	SJ079	"basin, sterile 500cc"	item	3.51	1	0	090
55873	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	090
55873	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	50	0	090
55873	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	090
55873	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	4	0	090
55873	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	090
55873	CMS	"Gown, Drape"	SB017	"drape-sleeve, sterile (4in x 8ft)"	item	0.2	2	0	090
55873	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
55874	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
55874	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
55874	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
55874	RUC	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	9.88	1	0	000
55874	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
55874	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	0	000
55874	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
55874	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
55874	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	000
55874	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
55874	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
55874	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	000
55874	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2	0	000
55874	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	000
55874	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	10	0	000
55874	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
55874	RUC	"Accessory, Procedure"	SD325	Endocavity Balloon	item	39.9	1	0	000
55874	RUC	"Kit, Pack, Tray"	SA126	Biodegradable Material Kit - PeriProstatic	item	2965	1	0	000
55874	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	10	0	000
55874	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
55875	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55875	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
55875	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
55875	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
55876	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
55876	CMS	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	17.33	1	0	000
55876	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
55876	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	2	0	000
55876	CMS	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	9.88	1	0	000
55876	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
55880	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
55880	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		3	090
55880	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
55880	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
56405	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	1	010
56405	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
56405	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
56405	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	55	0	010
56405	RUC	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	2.07	2	0	010
56405	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	010
56405	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
56405	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	010
56405	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	1	010
56405	RUC	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	010
56405	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
56405	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2	0	010
56420	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	45	0	010
56420	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
56420	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
56420	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
56420	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	010
56420	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
56420	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	2	1	010
56420	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
56420	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	010
56440	CPT07	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
56440	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
56441	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
56441	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	010
56441	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	1	010
56441	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	1	010
56441	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
56441	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
56441	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
56441	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
56441	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	010
56441	CMS	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	010
56441	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2	0	010
56441	CMS	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	2.07	2	0	010
56441	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
56441	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	55	0	010
56501	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	010
56501	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	010
56501	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1	0	010
56501	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
56501	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
56501	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	2	1	010
56501	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	010
56501	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
56501	CMS	"Pharmacy, Rx"	SH064	silver sulfadiazene cream (Silvadene)	gm	0.26	1	0	010
56501	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	1	0	010
56501	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	55	0	010
56501	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
56501	CMS	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	010
56501	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
56501	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
56515	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1	0	010
56515	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
56515	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	2	1	010
56515	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	010
56515	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
56515	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
56515	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	010
56515	CMS	"Pharmacy, Rx"	SH064	silver sulfadiazene cream (Silvadene)	gm	0.26	1	0	010
56515	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	1	0	010
56515	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	55	0	010
56515	CMS	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	010
56515	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
56515	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
56515	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	010
56515	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
56605	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
56605	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
56605	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
56605	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	000
56605	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
56605	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
56605	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
56605	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
56605	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
56606	Mar02	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	ZZZ
56606	Mar02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	ZZZ
56606	Mar02	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	ZZZ
56606	Mar02	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	ZZZ
56606	Mar02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	ZZZ
56606	Mar02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	ZZZ
56620	Feb08	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		4	090
56620	Feb08	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
56620	Feb08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
56620	Feb08	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
56620	Feb08	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
56625	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
56625	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		3	090
56625	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
56625	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
56625	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		9	090
56630	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
56630	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
56630	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		16	090
56630	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		3	090
56630	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
56630	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
56630	Sep02	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84		1	090
56630	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
56631	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
56631	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
56631	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
56631	Sep02	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84		1	090
56631	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
56631	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		24	090
56631	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
56631	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
56632	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		5	090
56632	Sep02	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84		1	090
56632	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
56632	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
56632	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
56632	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		24	090
56632	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		5	090
56632	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
56633	Sep02	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84		1	090
56633	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
56633	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
56633	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		3	090
56633	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
56633	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
56633	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		16	090
56633	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
56634	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		24	090
56634	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
56634	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
56634	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
56634	Sep02	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84		1	090
56634	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
56634	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
56634	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
56637	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
56637	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
56637	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
56637	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
56637	Sep02	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84		1	090
56637	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
56637	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		24	090
56640	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
56640	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
56640	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
56640	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		3	090
56640	Sep02	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84		1	090
56640	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
56640	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		24	090
56700	Apr07 T	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	010
56700	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	010
56700	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
56700	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	010
56700	Apr07 T	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		10	010
56700	Apr07 T	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		1	010
56700	Apr07 T	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	010
56700	Apr07 T	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	010
56700	Apr07 T	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	010
56740	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	010
56740	Apr07 T	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		1	010
56740	Apr07 T	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	010
56740	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
56740	Apr07 T	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		10	010
56740	Apr07 T	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	010
56740	Apr07 T	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	010
56740	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	010
56740	Apr07 T	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	010
56800	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
56800	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	010
56800	Jan03	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	010
56805	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
56805	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
56805	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
56805	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		3	090
56805	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
56810	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
56810	Jan03	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	010
56810	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	010
56820	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
56820	CMS	Lab	SL136	"stain, Lugol's"	ml	0.6	2	0	000
56820	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	2.1	0	000
56820	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
56820	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	000
56820	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
56821	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	000
56821	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	000
56821	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
56821	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	2.1	0	000
56821	CMS	Infection Control	SM002	autoclave bag	item	0.07	2	0	000
56821	CMS	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	000
56821	CMS	Lab	SL136	"stain, Lugol's"	ml	0.6	2	0	000
56821	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
56821	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
56821	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
56821	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
56821	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
56821	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
56821	CMS	"Hypodermic, IV"	SC046	"punch, biopsy"	item	2.69	1	0	000
56821	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
56821	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	000
56821	CMS	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.34	1	0	000
57000	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
57000	Jan03	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	010
57000	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	010
57010	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57010	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57010	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57010	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57010	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57020	Jan03	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	55	0	000
57020	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
57020	Jan03	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	000
57020	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
57020	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
57020	Jan03	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
57022	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
57022	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	010
57022	Jan03	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	010
57023	Jan03	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	010
57023	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	010
57023	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
57061	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	55	0	010
57061	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	2	1	010
57061	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
57061	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	010
57061	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
57061	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2	0	010
57061	RUC	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	010
57061	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
57061	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	010
57061	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
57061	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	010
57061	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
57061	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
57061	RUC	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1	0	010
57065	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
57065	CMS	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	010
57065	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2	0	010
57065	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1	0	010
57065	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
57065	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
57065	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	2	1	010
57065	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
57065	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
57065	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
57065	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	010
57065	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	55	0	010
57065	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	010
57065	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	010
57100	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
57100	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
57100	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
57100	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
57100	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	000
57100	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
57100	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
57100	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
57105	Mar03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	1	010
57105	Mar03	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
57105	Mar03	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	1	010
57105	Mar03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
57105	Mar03	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
57105	Mar03	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	2	1	010
57105	Mar03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	1	010
57105	Mar03	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	2	010
57105	Mar03	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
57105	Mar03	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	12	010
57105	Mar03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	2	010
57105	Mar03	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
57105	Mar03	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	10	010
57105	Mar03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
57106	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
57106	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57106	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		3	090
57106	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57106	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
57107	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
57107	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		3	090
57107	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57107	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
57107	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57109	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57109	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		3	090
57109	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57109	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
57109	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
57110	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57110	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57110	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57110	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57110	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57111	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57111	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
57111	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57111	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		3	090
57111	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
57120	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57120	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57120	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57120	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57120	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57130	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
57130	CMS	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	010
57130	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1	0	010
57130	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
57130	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
57130	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	010
57130	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	010
57130	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	010
57130	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2	0	010
57130	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	55	0	010
57130	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
57130	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
57130	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	2	1	010
57130	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
57135	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	2	1	010
57135	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
57135	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	010
57135	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
57135	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
57135	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
57135	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	010
57135	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	55	0	010
57135	CMS	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	010
57135	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
57135	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1	0	010
57135	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2	0	010
57135	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	010
57135	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
57150	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	000
57150	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3	0	000
57150	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	000
57150	RUC	"Accessory, Procedure"	SD129	"tubing, irrigation (cysto)"	item	3.54	1	0	000
57150	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
57150	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	2	0	000
57150	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
57150	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
57150	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
57155	Mod sed	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	
57155	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
57155	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	
57155	Mod sed	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	
57155	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
57155	Mod sed	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	
57155	Mod sed	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	
57155	Mod sed	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	
57155	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
57155	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	
57156	CPT11 30	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
57156	CPT11 30	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
57156	CPT11 30	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
57156	CPT11 30	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
57156	CPT11 30	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	000
57156	CPT11 30	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
57156	CPT11 30	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
57156	CPT11 30	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
57156	CPT11 30	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	2	0	000
57156	CPT11 30	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
57156	CPT11 30	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
57160	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2	0	000
57160	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
57160	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
57160	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	000
57170	Feb05 M	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
57170	Feb05 M	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	000
57180	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	45	0	010
57180	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	010
57180	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	010
57180	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	10	0	010
57180	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
57180	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
57180	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
57180	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	2	1	010
57180	CMS	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	2.07	2	0	010
57180	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	010
57180	CMS	Infection Control	SM003	autoclave tape	yd	0.05	1	0	010
57180	CMS	"Wound Care, Dressings"	SG092	"packing, gauze, plain, 1 in (5 yd uou)"	item	5.79	1	0	010
57180	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
57180	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	010
57200	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57200	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57200	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57200	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57210	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57210	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57210	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57210	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57220	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57220	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57220	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57220	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57230	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57230	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57230	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57230	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57240	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57240	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57240	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57250	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57250	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57250	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57260	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57260	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57260	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57265	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57265	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57265	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57268	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57268	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57268	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57268	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57270	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57270	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57270	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57270	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57280	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57280	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57280	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57280	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57282	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57282	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57282	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57283	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57283	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57283	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57284	CPT08 E*	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57284	CPT08 E*	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57284	CPT08 E*	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
57284	CPT08 E*	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57285	CPT08 E	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
57285	CPT08 E	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57285	CPT08 E	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57285	CPT08 E	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57287	Feb08 ss	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57287	Feb08 ss	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
57287	Feb08 ss	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		4	090
57287	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
57288	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57288	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
57288	CPT12 5 Year	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57288	CPT12 5 Year	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57289	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
57289	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		3	090
57289	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57289	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
57291	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57291	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57291	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57291	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57292	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57292	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57292	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57292	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57295	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57295	RUC05	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57295	RUC05	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57295	RUC05	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57296	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57296	CPT07	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57296	CPT07	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
57296	CPT07	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57300	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57300	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
57300	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
57300	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		3	090
57305	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
57305	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		3	090
57305	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57305	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
57307	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		3	090
57307	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		15	090
57307	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		4	090
57307	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57307	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
57307	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
57308	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57308	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
57308	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
57308	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57310	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
57310	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
57310	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57310	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
57310	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57310	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57310	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57310	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57311	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57311	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57311	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57311	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57311	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57311	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
57311	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
57311	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
57320	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
57320	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
57320	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57320	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57320	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57320	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57320	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
57320	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57330	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57330	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57330	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57330	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57330	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57335	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
57335	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		9	090
57335	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
57335	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57335	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		3	090
57415	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	010
57415	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
57415	Jan03	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	010
57420	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
57420	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	000
57420	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
57420	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
57420	CMS	Lab	SL136	"stain, Lugol's"	ml	0.6	2	0	000
57420	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	2.1	0	000
57420	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	000
57421	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	000
57421	CMS	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	2.07	2	0	000
57421	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
57421	CMS	Lab	SL136	"stain, Lugol's"	ml	0.6	2	0	000
57421	CMS	Infection Control	SM002	autoclave bag	item	0.07	2	0	000
57421	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	000
57421	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
57421	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
57421	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
57421	CMS	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.34	1	0	000
57421	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
57421	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
57421	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	2.1	0	000
57421	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
57421	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
57421	CMS	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	000
57421	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	000
57423	CPT08 E	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
57423	CPT08 E	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57423	CPT08 E	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57423	CPT08 E	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57425	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57425	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57425	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57426	CPT10 14	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
57426	CPT10 14	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
57426	CPT10 14	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		3	090
57426	CPT10 14	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
57452	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
57452	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
57452	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	000
57452	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
57452	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	2.1	0	000
57452	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
57452	CMS	Lab	SL136	"stain, Lugol's"	ml	0.6	2	0	000
57454	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	000
57454	CMS	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	000
57454	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
57454	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	2.1	0	000
57454	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
57454	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
57454	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
57454	CMS	Lab	SL136	"stain, Lugol's"	ml	0.6	2	0	000
57454	CMS	Infection Control	SM002	autoclave bag	item	0.07	2	0	000
57454	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
57455	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
57455	CMS	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	000
57455	CMS	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	2.07	2	0	000
57455	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
57455	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
57455	CMS	Lab	SL136	"stain, Lugol's"	ml	0.6	2	0	000
57455	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	000
57455	CMS	Infection Control	SM002	autoclave bag	item	0.07	2	0	000
57455	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	3	0	000
57455	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
57455	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	2.1	0	000
57456	CMS	Infection Control	SM002	autoclave bag	item	0.07	2	0	000
57456	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
57456	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	2.1	0	000
57456	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
57456	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	000
57456	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
57456	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
57456	CMS	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	2.07	2	0	000
57456	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
57456	CMS	Lab	SL136	"stain, Lugol's"	ml	0.6	2	0	000
57456	CMS	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	000
57460	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	000
57460	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
57460	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
57460	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
57460	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	000
57460	CMS	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.34	1	0	000
57460	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
57460	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
57460	CMS	"Cutters, Closures, Cautery"	SF017	"cautery, monopolar, electrode, loop"	item	25.11	1	0	000
57460	CMS	"Cutters, Closures, Cautery"	SF014	"cautery, electrode extender"	item	10.48	1	0	000
57460	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	4	0	000
57460	CMS	Infection Control	SM002	autoclave bag	item	0.07	2	0	000
57460	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
57460	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	000
57460	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	20	0	000
57460	CMS	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	2.07	2	0	000
57460	CMS	"Cutters, Closures, Cautery"	SF019	"cautery, monopolar, electrode, spatula"	item	45.4	1	0	000
57460	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
57460	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	000
57460	CMS	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	000
57460	CMS	Lab	SL136	"stain, Lugol's"	ml	0.6	2	0	000
57460	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	000
57460	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
57460	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
57461	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
57461	CMS	"Cutters, Closures, Cautery"	SF014	"cautery, electrode extender"	item	10.48	1	0	000
57461	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	4	0	000
57461	CMS	"Cutters, Closures, Cautery"	SF019	"cautery, monopolar, electrode, spatula"	item	45.4	1	0	000
57461	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
57461	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
57461	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	20	0	000
57461	CMS	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.34	1	0	000
57461	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	000
57461	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
57461	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
57461	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	000
57461	CMS	"Cutters, Closures, Cautery"	SF017	"cautery, monopolar, electrode, loop"	item	25.11	1	0	000
57461	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	000
57461	CMS	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	000
57461	CMS	Infection Control	SM002	autoclave bag	item	0.07	2	0	000
57461	CMS	Lab	SL136	"stain, Lugol's"	ml	0.6	2	0	000
57461	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
57461	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	000
57461	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
57461	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	000
57461	CMS	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	2.07	2	0	000
57461	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
57461	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	3	0	000
57465	RUC	"Accessory, Procedure"	SD337	digital imaging speculum	item	5.8	1	0	ZZZ
57500	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	30	0	000
57500	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
57500	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	000
57500	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	000
57500	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
57500	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
57500	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
57500	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
57500	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
57500	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	000
57500	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
57500	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
57500	RUC	Infection Control	SM002	autoclave bag	item	0.07	1	0	000
57500	RUC	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	000
57500	RUC	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	2.07	10	0	000
57500	RUC	Lab	SL136	"stain, Lugol's"	ml	0.6	2	0	000
57500	RUC	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	2.1	0	000
57505	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	55	0	010
57505	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	010
57505	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
57505	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	2	1	010
57505	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
57505	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
57505	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	010
57505	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
57505	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
57505	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
57510	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
57510	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
57510	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	010
57510	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	010
57510	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	010
57510	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
57510	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	010
57510	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	55	0	010
57510	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
57510	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
57510	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
57511	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
57511	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
57511	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
57511	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	55	0	010
57511	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
57511	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
57511	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	2	1	010
57511	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	010
57511	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	3	0	010
57511	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	010
57513	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	2	1	010
57513	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
57513	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	3	0	010
57513	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	010
57513	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
57513	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	010
57513	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
57513	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	55	0	010
57520	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	090
57520	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
57520	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	2.5	1.5	090
57520	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	090
57520	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
57520	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2.5	1.5	090
57520	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	1	0	090
57520	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1	0	090
57520	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	090
57520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2.5	1.5	090
57522	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	090
57522	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	2	1	090
57522	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	090
57522	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	090
57522	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	1	090
57522	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
57522	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	090
57522	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1	0	090
57522	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
57522	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	1	0	090
57530	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57530	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57530	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57530	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57530	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57531	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
57531	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57531	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		3	090
57531	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
57531	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57540	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57540	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57540	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57540	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57540	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57545	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57545	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57545	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57545	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57545	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57550	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57550	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57550	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57550	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57550	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57555	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57555	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
57555	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
57555	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57555	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57555	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57555	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57556	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57556	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57556	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57556	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57556	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57558	Mar02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
57558	Mar02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
57558	Mar02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	2	1	010
57558	Mar02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	010
57700	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
57700	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
57700	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
57700	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		3	090
57700	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57720	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
57720	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
57720	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
57720	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57720	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57800	Apr07 T	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
57800	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
57800	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	000
57800	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
58100	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	000
58100	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
58100	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
58100	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
58100	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
58100	RUC	"Accessory, Procedure"	SD329	Uterine Sound	item	3.17	1	0	000
58100	RUC	"Accessory, Procedure"	SD039	"curette, suction, endometrial (Pipelle)"	item	5.75	1	0	000
58100	RUC	"Accessory, Procedure"	SD330	Tenaculum	item	3.77	1	0	000
58100	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	1	0	000
58110	RUC	"Accessory, Procedure"	SD039	"curette, suction, endometrial (Pipelle)"	item	5.75	1	0	ZZZ
58120	Apr06 J	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	010
58120	Apr06 J	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	010
58120	Apr06 J	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	2	1	010
58120	Apr06 J	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
58120	Apr06 J	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	010
58120	Apr06 J	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
58120	Apr06 J	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
58120	Apr06 J	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
58120	Apr06 J	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32	1	0	010
58120	Apr06 J	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
58120	Apr06 J	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
58120	Apr06 J	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.13	1	0	010
58120	Apr06 J	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
58120	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
58140	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58140	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58140	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58140	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58140	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58145	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58145	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58145	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58145	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58145	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58146	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58146	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58146	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58146	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58150	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58150	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	090
58150	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58150	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58152	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1.5	090
58152	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58152	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1.5	090
58152	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
58180	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58180	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58180	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	090
58180	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58200	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	090
58200	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58200	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58200	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58210	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58210	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58210	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
58210	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58240	CPT07	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		6	090
58240	CPT07	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58240	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
58240	CPT07	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
58260	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58260	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58260	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58262	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
58262	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58262	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58263	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58263	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
58263	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58267	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
58267	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2.5	090
58267	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2.5	090
58270	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58270	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58270	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58275	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58275	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
58275	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58280	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58280	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
58280	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58285	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58285	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		3	090
58285	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
58290	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58290	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58290	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58290	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58291	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58291	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58291	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58291	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58292	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58292	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58292	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58292	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58294	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58294	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58294	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58294	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58300	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	XXX
58300	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	XXX
58300	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	50	0	XXX
58301	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
58301	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
58301	CMS	"Office Supply, Grocery"	SK052	"pad, feminine mini"	item	0.37	1	0	000
58301	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
58301	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
58301	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
58301	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
58301	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	000
58301	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	1	0	000
58301	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	50	0	000
58301	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
58301	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	4	0	000
58301	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
58301	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
58301	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
58301	CMS	"Accessory, Procedure"	SD118	"specula, vaginal"	item	1.36	1	0	000
58321	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
58321	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
58321	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
58321	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
58321	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
58321	CMS	"Accessory, Procedure"	SD118	"specula, vaginal"	item	1.36	1	0	000
58321	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
58321	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
58321	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
58321	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1	0	000
58321	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
58321	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	000
58321	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	000
58322	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
58322	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
58322	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
58322	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	000
58322	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
58322	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
58322	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
58322	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
58322	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	000
58322	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
58322	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
58322	CMS	"Accessory, Procedure"	SD118	"specula, vaginal"	item	1.36	1	0	000
58322	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1	0	000
58323	Feb05 M	Lab	SL108	pipette	item	0.06	2	0	000
58323	Feb05 M	Lab	SL122	"slide, microscope"	item	0.36	1	0	000
58323	Feb05 M	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
58323	Feb05 M	Lab	SL030	"cover slip, glass"	item	0.079	1	0	000
58323	Feb05 M	Lab	SL143	test tube	item	0.2	5	0	000
58340	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	3	0	000
58340	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	000
58340	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
58340	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
58340	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1	0	000
58340	CMS	"Hypodermic, IV"	SC041	"needle, arterial (Seldinger)"	item	4.45	1	0	000
58340	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
58340	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
58340	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
58340	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
58340	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	0	000
58340	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	3	0	000
58340	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
58340	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
58340	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
58340	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	3	0	000
58345	Jan03	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	010
58345	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	010
58345	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
58346	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58346	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58346	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58350	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
58350	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
58350	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
58350	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	2	0	010
58350	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	010
58350	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
58350	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	010
58350	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	55	0	010
58350	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	010
58350	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	2	1	010
58353	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	55	0	010
58353	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	2	1	010
58353	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	010
58353	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	2	0	010
58353	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	010
58353	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
58353	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
58353	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	010
58353	CMS	"Accessory, Procedure"	SD018	"catheter, balloon, thermal ablation (Thermachoice)"	tray	762.59	1	0	010
58353	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
58353	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
58356	CPT05	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	100	0	010
58356	CPT05	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
58356	CPT05	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	010
58356	CPT05	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
58356	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
58356	CPT05	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	2	1	010
58356	CPT05	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
58356	CPT05	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	010
58356	CPT05	"Gown, Drape"	SB038	safety glasses	item	1.92	2	0	010
58356	CPT05	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	010
58356	CPT05	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	010
58356	CPT05	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20	0	010
58356	CPT05	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
58356	CPT05	"Accessory, Procedure"	SD039	"curette, suction, endometrial (Pipelle)"	item	5.75	1	0	010
58356	CPT05	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60	0	010
58356	CPT05	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1	0	010
58356	CPT05	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	20	0	010
58356	CPT05	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
58356	CPT05	"Accessory, Procedure"	SD215	"probe, endometrial cryoablation (Her Option)"	item	1295	1	0	010
58400	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58400	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58400	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58400	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58400	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58410	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58410	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58410	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58410	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58410	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58520	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58520	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58520	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58520	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58520	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58540	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58540	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58540	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58540	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58540	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58541	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
58541	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58541	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58541	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58542	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
58542	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58542	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58542	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58543	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58543	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58543	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58543	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
58544	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58544	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58544	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58544	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
58545	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	090
58545	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58545	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58546	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58546	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58546	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	090
58548	CPT07	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		3	090
58548	CPT07	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
58548	CPT07	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58548	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
58550	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58550	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
58550	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	090
58552	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
58552	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	090
58552	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58553	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58553	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	090
58553	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58554	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	090
58554	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58554	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
58555	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	000
58555	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
58555	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
58555	CMS	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	2.07	10	0	000
58555	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
58555	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
58555	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	000
58555	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28	1	0	000
58555	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
58555	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
58555	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
58555	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
58555	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
58555	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
58555	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
58555	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1	0	000
58558	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
58558	CMS	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	2.07	10	0	000
58558	CMS	"Cutters, Closures, Cautery"	SF059	Hysteroscopic tissue removal device	item	721.03	1	0	000
58558	CMS	"Kit, Pack, Tray"	SA123	Hysteroscopic fluid management tubing kit	kit	320	1	0	000
58558	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28	1	0	000
58558	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
58558	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
58558	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
58558	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1	0	000
58558	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	000
58558	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
58558	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
58558	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
58558	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
58558	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
58558	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	000
58558	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
58558	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
58562	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
58562	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	000
58562	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	000
58562	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
58562	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28	1	0	000
58562	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
58562	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
58562	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
58562	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1	0	000
58562	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
58562	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
58562	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
58562	CMS	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	2.07	10	0	000
58562	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
58562	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
58563	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	000
58563	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1	0	000
58563	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	4	0	000
58563	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14	20	0	000
58563	CMS	"Office Supply, Grocery"	SK051	"pad, feminine maxi"	item	0.39	1	0	000
58563	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	1	0	000
58563	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	2	0	000
58563	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
58563	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
58563	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
58563	CMS	"Accessory, Procedure"	SD177	"hysteroscope, ablation device"	item	1945.13	1	0	000
58563	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
58563	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
58563	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
58563	CMS	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	2.07	10	0	000
58563	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28	1	0	000
58563	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
58563	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
58563	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	000
58563	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	4	0	000
58565	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
58565	CMS	"Kit, Pack, Tray"	SA075	"kit, hysteroscopic tubal implant for sterilization"	kit	1177.72	1	0	000
58565	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
58565	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
58565	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
58565	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	000
58565	CMS	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	000
58565	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
58565	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	3	0	000
58565	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
58565	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	113.7	1	0	000
58565	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
58565	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
58565	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	000
58565	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	3	2	000
58570	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58570	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58570	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
58570	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58571	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58571	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
58571	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58571	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58572	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58572	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58572	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
58572	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58573	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58573	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58573	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
58573	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58575	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
58575	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
58575	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		3	090
58575	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
58600	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58600	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	090
58600	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
58600	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
58600	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58605	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
58605	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	090
58605	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58605	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58605	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
58615	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	010
58615	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
58615	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	010
58615	Jan03	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	010
58660	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	090
58660	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58660	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58660	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58660	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
58661	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	010
58661	Jan03	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	010
58661	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
58661	Jan03	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	010
58662	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	090
58662	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58662	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
58662	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58662	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58670	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
58670	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	090
58670	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58670	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58670	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58671	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	090
58671	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58671	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58671	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58671	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
58672	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	090
58672	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58672	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58672	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58672	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
58673	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58673	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58673	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58673	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	090
58673	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
58674	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58674	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	090
58674	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58674	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
58700	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58700	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58700	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58700	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58700	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58720	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58720	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58720	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58720	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58720	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58740	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58740	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58740	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58740	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58740	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58750	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58750	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58750	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58750	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58750	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58752	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58752	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58752	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58752	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58752	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58760	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58760	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58760	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58760	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58760	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58770	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58770	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58770	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58770	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58770	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58800	CMS	Lab	SL033	culture swab system (Culturette)	item	0.96	1	0	090
58800	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
58800	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2.5	1.5	090
58800	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2.5	1.5	090
58800	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
58800	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	2	0	090
58800	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	3	0	090
58800	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	2.5	1.5	090
58800	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
58805	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58805	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58805	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58805	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58805	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58820	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58820	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58820	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58820	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58820	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58822	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58822	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58822	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58822	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58822	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58825	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58825	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58825	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58825	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58825	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58900	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58900	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58900	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58900	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58900	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58920	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58920	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58920	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58920	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58920	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58925	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58925	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58925	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58925	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58925	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58940	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58940	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58940	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58940	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58940	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58943	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58943	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58943	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		9	090
58943	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58943	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58950	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
58950	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		3	090
58950	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58950	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
58950	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		9	090
58951	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58951	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58951	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58951	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		9	090
58951	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58952	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		3	090
58952	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58952	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
58952	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		9	090
58952	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
58953	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58953	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58953	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58953	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
58954	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58954	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
58954	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58954	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58956	CPT05	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	090
58956	CPT05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
58956	CPT05	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46		1	090
58956	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
58957	CPT07	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		3	090
58957	CPT07	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58957	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
58957	CPT07	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
58958	CPT07	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		3	090
58958	CPT07	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58958	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
58958	CPT07	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
58960	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58960	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		9	090
58960	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
58960	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
58960	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
58970	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1.5	0	000
58970	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
58970	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
58970	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
58970	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
58970	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	000
58970	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
58976	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
58976	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1.5	0	000
58976	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
58976	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
58976	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	000
58976	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
58976	CMS	"Accessory, Procedure"	SD025	"catheter, intrauterine insemination"	item	7.1	1	0	000
59000	CMS	"Kit, Pack, Tray"	SA059	"tray, amniocentesis"	tray	11.51	1	0	000
59000	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
59000	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
59000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
59015	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
59015	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
59015	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
59020	Jan03	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		000
59020	Jan03	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	6		000
59020	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		000
59020	Jan03	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		000
59020	Jan03	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000
59020	Jan03	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		000
59020	Jan03	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1		000
59020	Jan03	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	150		000
59020	Jan03	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		000
59020	Jan03	"Accessory, Procedure"	SD124	"tourniquet, non-latex 1in x 18in"	item	0.1	1		000
59020	Jan03	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		000
59025	Jan03	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	6		000
59025	Jan03	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	150		000
59025	Jan03	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000
59025	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		000
59070	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	1	0	000
59070	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	2	0	000
59070	CMS	"Pharmacy, Rx"	SH041	Indigo Carmine soln 0.8% inj (5cc vial uou)	item	15.16	1	0	000
59070	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	3	0	000
59070	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
59070	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
59070	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
59070	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
59070	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
59070	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
59070	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
59070	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
59070	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
59070	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
59074	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
59074	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
59074	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
59074	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	1	0	000
59074	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
59074	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
59074	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	3	0	000
59074	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
59074	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
59074	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	2	0	000
59074	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
59074	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
59100	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
59100	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
59100	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
59100	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
59100	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
59120	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
59120	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
59120	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
59120	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
59120	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
59121	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
59121	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
59121	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
59121	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
59121	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
59130	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
59130	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
59130	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
59130	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
59130	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
59135	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
59135	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
59135	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
59135	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
59135	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
59136	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
59136	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
59136	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
59136	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
59136	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
59140	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1.5	090
59140	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1.5	090
59140	Apr07 T	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1.5	090
59140	Apr07 T	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46		1.5	090
59150	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
59150	Apr07 T	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		8	090
59150	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
59150	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
59150	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
59151	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
59151	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
59151	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
59151	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
59160	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32	1	0	010
59160	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
59160	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	2	1	010
59160	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
59160	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
59160	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	100	0	010
59160	CMS	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.13	1	0	010
59160	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	1.66	1	0	010
59160	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	010
59160	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1	0	010
59160	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
59200	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
59200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
59200	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
59200	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	000
59200	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	50	0	000
59200	CMS	Infection Control	SM003	autoclave tape	yd	0.05	1	0	000
59200	CMS	"Pharmacy, Rx"	SH045	Laminaria tent	item	4.23	3	0	000
59300	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
59300	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	0.5	0	000
59300	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	45	0	000
59300	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	000
59300	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78	0.4	0	000
59300	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	10	0	000
59300	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	000
59300	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	000
59300	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
59300	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
59300	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
59300	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
59300	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
59400	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	MMM
59400	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		3	MMM
59400	CMS	"Pharmacy, NonRx"	SJ054	"test strip, glucose-protein (Chemstrip GP, Uristix)"	item	0.31		13	MMM
59400	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03		650	MMM
59400	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		14	MMM
59400	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19		13	MMM
59410	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	MMM
59410	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	MMM
59425	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	250	0	MMM
59425	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	MMM
59425	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	0	MMM
59425	CMS	"Pharmacy, NonRx"	SJ054	"test strip, glucose-protein (Chemstrip GP, Uristix)"	item	0.31	5	0	MMM
59425	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	5	0	MMM
59426	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	10	0	MMM
59426	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	MMM
59426	CMS	"Pharmacy, NonRx"	SJ054	"test strip, glucose-protein (Chemstrip GP, Uristix)"	item	0.31	10	0	MMM
59426	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	500	0	MMM
59426	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	10	0	MMM
59430	CMS	"Pharmacy, NonRx"	SJ054	"test strip, glucose-protein (Chemstrip GP, Uristix)"	item	0.31	2	0	MMM
59430	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	2	0	MMM
59430	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	0	MMM
59430	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	100	0	MMM
59430	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	0	MMM
59430	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	2	0	MMM
59430	CMS	"Accessory, Procedure"	SD118	"specula, vaginal"	item	1.36	2	0	MMM
59510	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	MMM
59510	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		15	MMM
59510	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		3	MMM
59510	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19		13	MMM
59510	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03		650	MMM
59510	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	MMM
59510	CMS	"Pharmacy, NonRx"	SJ054	"test strip, glucose-protein (Chemstrip GP, Uristix)"	item	0.31		13	MMM
59510	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	MMM
59515	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	MMM
59515	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	MMM
59515	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	MMM
59610	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	MMM
59610	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03		650	MMM
59610	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		14	MMM
59610	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19		13	MMM
59610	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		3	MMM
59610	CMS	"Pharmacy, NonRx"	SJ054	"test strip, glucose-protein (Chemstrip GP, Uristix)"	item	0.31		13	MMM
59618	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	MMM
59618	CMS	"Pharmacy, NonRx"	SJ054	"test strip, glucose-protein (Chemstrip GP, Uristix)"	item	0.31		12	MMM
59618	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		3	MMM
59618	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03		600	MMM
59618	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19		12	MMM
59618	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		15	MMM
59618	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	MMM
59618	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	MMM
59622	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	MMM
59622	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	MMM
59622	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	MMM
59812	Apr06 J	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
59812	Apr06 J	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
59812	Apr06 J	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	2	1	090
59812	Apr06 J	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	090
59812	Apr06 J	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	090
59812	Apr06 J	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	090
59812	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	090
59812	Apr06 J	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.13	1	0	090
59812	Apr06 J	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	50	0	090
59812	Apr06 J	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
59812	Apr06 J	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
59812	Apr06 J	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	090
59820	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	50	0	090
59820	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
59820	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	090
59820	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	090
59820	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	090
59820	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
59820	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	3	2	090
59820	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	3	2	090
59820	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
59820	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
59820	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
59820	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	090
59820	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32	1	0	090
59821	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2.5	1.5	090
59821	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
59821	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	50	0	090
59821	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	090
59821	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	090
59821	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
59821	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
59821	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	2.5	1.5	090
59821	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	090
59821	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	090
59821	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32	1	0	090
59821	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
59821	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2.5	1.5	090
59830	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
59830	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
59830	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
59830	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
59840	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	010
59840	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
59840	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	2	1	010
59841	CMS	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.34	1	0	010
59841	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	2	1	010
59841	CMS	"Accessory, Procedure"	SD039	"curette, suction, endometrial (Pipelle)"	item	5.75	1	0	010
59841	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
59841	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
59841	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	50	0	010
59841	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	010
59841	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
59841	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1	0	010
59841	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
59841	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
59850	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	090
59850	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
59850	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
59850	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
59851	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
59851	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
59851	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		2	090
59851	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
59852	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		3	090
59852	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
59852	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
59852	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
59852	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
59855	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
59855	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	090
59855	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
59855	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
59855	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
59856	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	090
59856	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
59856	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
59856	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
59857	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		1	090
59857	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
59857	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
59857	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
59870	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
59870	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
59870	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
59870	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16		4	090
59870	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
60000	Feb05 P	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	2	010
60000	Feb05 P	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	010
60000	Feb05 P	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	010
60000	Feb05 P	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	0	010
60000	Feb05 P	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	4	4	010
60000	Feb05 P	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1	1	010
60000	Feb05 P	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	2	1	010
60000	Feb05 P	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	1	010
60000	Feb05 P	"Gown, Drape"	SB037	pillow case	item	0.47	1	1	010
60000	Feb05 P	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
60000	Feb05 P	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
60000	Feb05 P	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035	2	2	010
60000	Feb05 P	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
60000	Feb05 P	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	3	010
60000	Feb05 P	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	010
60000	Feb05 P	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	1	010
60000	Feb05 P	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
60000	Feb05 P	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	1	010
60000	Feb05 P	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1	1	010
60000	Feb05 P	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
60000	Feb05 P	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	3	0	010
60000	Feb05 P	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	3	0	010
60000	Feb05 P	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	1	010
60000	Feb05 P	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	60	60	010
60000	Feb05 P	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	2	010
60000	Feb05 P	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	2	2	010
60100	Jan02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
60100	Jan02	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
60100	Jan02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
60100	Jan02	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
60100	Jan02	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
60100	Jan02	"Hypodermic, IV"	SC025	"needle, 14-20g, biopsy"	item	11.13	1	0	000
60100	Jan02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
60100	Jan02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
60200	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60200	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60200	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60200	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
60200	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60200	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60200	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60200	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
60210	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60210	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
60210	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60210	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
60210	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60210	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60210	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60210	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60212	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60212	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
60212	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
60212	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60212	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60212	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60212	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60212	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60220	CPT12 5 Year	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60220	CPT12 5 Year	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60220	CPT12 5 Year	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60220	CPT12 5 Year	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60220	CPT12 5 Year	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60220	CPT12 5 Year	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60220	CPT12 5 Year	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
60220	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
60225	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60225	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60225	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
60225	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
60225	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60225	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60225	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60225	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60240	CPT12 5 Year	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60240	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
60240	CPT12 5 Year	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
60240	CPT12 5 Year	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60240	CPT12 5 Year	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60240	CPT12 5 Year	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60240	CPT12 5 Year	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60240	CPT12 5 Year	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60252	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60252	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
60252	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
60252	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60252	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60252	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60252	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60252	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60254	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60254	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
60254	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60254	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
60254	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60254	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60254	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60254	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60260	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60260	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
60260	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60260	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
60260	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60260	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60260	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60260	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60270	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60270	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
60270	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60270	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60270	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60270	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60270	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60270	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
60271	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60271	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60271	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
60271	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
60271	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60271	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60271	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60271	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60280	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60280	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60280	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
60280	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
60280	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60280	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60280	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60280	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60281	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
60281	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60281	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
60281	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60281	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60281	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60281	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60281	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60300	CPT08 rn	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	000
60300	CPT08 rn	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
60300	CPT08 rn	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	7.26	1	0	000
60300	CPT08 rn	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
60300	CPT08 rn	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
60300	CPT08 rn	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
60300	CPT08 rn	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	4	0	000
60300	CPT08 rn	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
60300	CPT08 rn	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
60300	CPT08 rn	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
60300	CPT08 rn	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
60300	CPT08 rn	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	000
60300	CPT08 rn	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
60300	CPT08 rn	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
60500	CPT12 5 Year	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60500	CPT12 5 Year	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60500	CPT12 5 Year	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
60500	CPT12 5 Year	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60500	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
60500	CPT12 5 Year	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60500	CPT12 5 Year	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60500	CPT12 5 Year	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60502	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
60502	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60502	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60502	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60502	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
60502	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60502	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60505	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60505	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
60505	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
60505	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60505	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60505	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60505	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60505	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60520	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60520	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
60520	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
60520	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60520	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60520	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60520	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60520	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60521	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60521	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
60521	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60521	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
60521	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60521	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60521	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60521	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60522	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60522	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
60522	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
60522	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60522	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60522	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60522	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60522	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60540	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60540	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60540	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60540	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60540	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60540	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60540	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
60540	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
60545	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60545	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60545	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
60545	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
60545	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60545	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60545	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60545	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60600	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60600	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60600	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
60600	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60600	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60600	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
60600	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60600	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60605	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
60605	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
60605	Sep02	"Accessory, Procedure"	SD070	endosheath	item	15.28		4	090
60605	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
60605	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		32	090
60605	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
60605	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		8	090
60605	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		4	090
60605	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		3	090
60605	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
60605	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
60605	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		8	090
60650	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
60650	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61105	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090
61105	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
61108	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090
61108	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61120	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61120	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090
61140	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090
61140	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61150	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61150	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090
61151	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61151	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090
61154	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61154	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090
61156	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090
61156	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61215	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61215	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090
61250	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61250	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090
61253	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090
61253	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61304	Sep02	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1	090
61304	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61305	Sep02	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1	090
61305	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61312	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61312	Sep02	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1	090
61313	Sep02	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1	090
61313	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61314	Sep02	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1	090
61314	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61315	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61315	Sep02	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1	090
61320	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61320	Sep02	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1	090
61321	Sep02	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1	090
61321	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61322	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
61323	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61330	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61330	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090
61333	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61333	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090
61340	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090
61340	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61343	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61343	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61343	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61345	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61345	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61345	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61450	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61450	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61450	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61458	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61458	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61458	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61460	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61460	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61460	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61500	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61500	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61500	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61501	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61501	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61501	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61510	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
61510	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61510	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61512	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61512	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61512	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61514	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61514	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61514	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61516	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61516	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61516	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61518	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
61518	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61518	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61519	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61519	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61519	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61520	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
61520	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61520	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61521	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61521	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61521	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61522	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61522	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61522	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61524	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61524	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61524	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61526	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61526	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61526	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61530	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61530	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61530	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61531	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61531	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61531	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61533	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61533	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61533	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61534	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61534	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61534	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61535	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61535	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61535	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61536	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61536	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61536	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61537	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61537	Sep02	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1	090
61538	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61538	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61538	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61539	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61539	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61539	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61540	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61540	Sep02	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1	090
61541	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61541	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61541	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61543	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61543	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61543	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61544	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61544	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61544	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61545	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
61545	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61545	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61546	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61546	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61546	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61548	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61548	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61548	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61550	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61550	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61550	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61552	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61552	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61552	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61556	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61556	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61556	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61557	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61557	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61557	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61558	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61558	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61558	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61559	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61559	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61559	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
61563	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61563	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61563	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61564	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61564	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61564	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61566	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61566	Sep02	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1	090
61567	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61567	Sep02	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1	090
61570	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61570	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61570	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61571	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61571	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61571	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61575	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61575	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61575	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61576	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
61576	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
61576	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
61576	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
61576	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
61576	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
61576	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
61576	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		4	090
61576	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		2	090
61576	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
61576	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
61576	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
61576	Jan04 21	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
61576	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
61576	Jan04 21	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2	090
61576	Jan04 21	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
61576	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		8	090
61576	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
61576	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
61576	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
61576	Jan04 21	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
61580	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61580	CPT15 FTD Migration	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		20	090
61580	CPT15 FTD Migration	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		10	090
61580	CPT15 FTD Migration	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44		10	090
61580	CPT15 FTD Migration	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61580	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61580	CPT15 FTD Migration	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61580	CPT15 FTD Migration	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		5	090
61580	CPT15 FTD Migration	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61580	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		25	090
61580	CPT15 FTD Migration	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61580	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61580	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ040	phenylephrine 1% nasal spray (NeoSynephrine)	ml	0.333		5	090
61580	CPT15 FTD Migration	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090
61580	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
61580	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
61580	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		25	090
61580	CPT15 FTD Migration	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2.5	090
61580	CPT15 FTD Migration	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06		5	090
61580	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		5	090
61580	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61580	CPT15 FTD Migration	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
61580	CPT15 FTD Migration	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		5	090
61580	CPT15 FTD Migration	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61580	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
61580	CPT15 FTD Migration	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61580	CPT15 FTD Migration	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61580	CPT15 FTD Migration	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		20	090
61580	CPT15 FTD Migration	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61580	CPT15 FTD Migration	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		5	090
61580	CPT15 FTD Migration	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
61580	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
61580	CPT15 FTD Migration	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		5	090
61580	CPT15 FTD Migration	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61580	CPT15 FTD Migration	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		5	090
61581	CPT15 FTD Migration	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		6	090
61581	CPT15 FTD Migration	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		24	090
61581	CPT15 FTD Migration	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		6	090
61581	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		6	090
61581	CPT15 FTD Migration	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61581	CPT15 FTD Migration	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
61581	CPT15 FTD Migration	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		6	090
61581	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		6	090
61581	CPT15 FTD Migration	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		6	090
61581	CPT15 FTD Migration	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		6	090
61581	CPT15 FTD Migration	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61581	CPT15 FTD Migration	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		24	090
61581	CPT15 FTD Migration	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61581	CPT15 FTD Migration	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61581	CPT15 FTD Migration	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61581	CPT15 FTD Migration	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61581	CPT15 FTD Migration	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61581	CPT15 FTD Migration	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61581	CPT15 FTD Migration	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		6	090
61581	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		30	090
61581	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ040	phenylephrine 1% nasal spray (NeoSynephrine)	ml	0.333		6	090
61581	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61581	CPT15 FTD Migration	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		6	090
61581	CPT15 FTD Migration	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06		6	090
61581	CPT15 FTD Migration	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		3	090
61581	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		30	090
61581	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		6	090
61581	CPT15 FTD Migration	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61581	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
61581	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61581	CPT15 FTD Migration	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		12	090
61581	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61581	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61581	CPT15 FTD Migration	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44		12	090
61581	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		6	090
61582	CPT15 FTD Migration	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61582	CPT15 FTD Migration	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61582	CPT15 FTD Migration	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61582	CPT15 FTD Migration	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
61582	CPT15 FTD Migration	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61582	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
61582	CPT15 FTD Migration	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
61582	CPT15 FTD Migration	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		5	090
61582	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
61582	CPT15 FTD Migration	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61582	CPT15 FTD Migration	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		5	090
61582	CPT15 FTD Migration	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61582	CPT15 FTD Migration	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		20	090
61582	CPT15 FTD Migration	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61582	CPT15 FTD Migration	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		20	090
61582	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		25	090
61582	CPT15 FTD Migration	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61582	CPT15 FTD Migration	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		5	090
61582	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61582	CPT15 FTD Migration	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06		5	090
61582	CPT15 FTD Migration	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		5	090
61582	CPT15 FTD Migration	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2.5	090
61582	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61582	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
61582	CPT15 FTD Migration	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090
61582	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		5	090
61582	CPT15 FTD Migration	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61582	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		25	090
61582	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
61582	CPT15 FTD Migration	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		5	090
61582	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ040	phenylephrine 1% nasal spray (NeoSynephrine)	ml	0.333		5	090
61582	CPT15 FTD Migration	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		10	090
61582	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61582	CPT15 FTD Migration	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44		10	090
61582	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61583	CPT15 FTD Migration	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61583	CPT15 FTD Migration	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		3	090
61583	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61583	CPT15 FTD Migration	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
61583	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
61583	CPT15 FTD Migration	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
61583	CPT15 FTD Migration	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61583	CPT15 FTD Migration	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61583	CPT15 FTD Migration	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61583	CPT15 FTD Migration	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		12	090
61583	CPT15 FTD Migration	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		3	090
61583	CPT15 FTD Migration	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61583	CPT15 FTD Migration	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		12	090
61583	CPT15 FTD Migration	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61583	CPT15 FTD Migration	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61583	CPT15 FTD Migration	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		3	090
61583	CPT15 FTD Migration	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
61583	CPT15 FTD Migration	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06		3	090
61583	CPT15 FTD Migration	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
61583	CPT15 FTD Migration	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		1.5	090
61583	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
61583	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
61583	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
61583	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61583	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ040	phenylephrine 1% nasal spray (NeoSynephrine)	ml	0.333		3	090
61583	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61583	CPT15 FTD Migration	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44		6	090
61583	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61583	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61583	CPT15 FTD Migration	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		6	090
61583	CPT15 FTD Migration	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61583	CPT15 FTD Migration	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61583	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
61583	CPT15 FTD Migration	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		3	090
61583	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
61584	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
61584	CPT15 FTD Migration	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		3	090
61584	CPT15 FTD Migration	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
61584	CPT15 FTD Migration	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61584	CPT15 FTD Migration	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
61584	CPT15 FTD Migration	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61584	CPT15 FTD Migration	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61584	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61584	CPT15 FTD Migration	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61584	CPT15 FTD Migration	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
61584	CPT15 FTD Migration	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61584	CPT15 FTD Migration	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61584	CPT15 FTD Migration	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		12	090
61584	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61584	CPT15 FTD Migration	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61584	CPT15 FTD Migration	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		6	090
61584	CPT15 FTD Migration	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		12	090
61584	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61584	CPT15 FTD Migration	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		3	090
61584	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
61584	CPT15 FTD Migration	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		3	090
61584	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61584	CPT15 FTD Migration	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
61584	CPT15 FTD Migration	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06		3	090
61584	CPT15 FTD Migration	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		1.5	090
61584	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
61584	CPT15 FTD Migration	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61584	CPT15 FTD Migration	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		3	090
61584	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
61584	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ040	phenylephrine 1% nasal spray (NeoSynephrine)	ml	0.333		3	090
61584	CPT15 FTD Migration	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44		6	090
61584	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
61584	CPT15 FTD Migration	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61584	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61584	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
61585	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
61585	CPT15 FTD Migration	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		3	090
61585	CPT15 FTD Migration	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61585	CPT15 FTD Migration	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61585	CPT15 FTD Migration	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
61585	CPT15 FTD Migration	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44		6	090
61585	CPT15 FTD Migration	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61585	CPT15 FTD Migration	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61585	CPT15 FTD Migration	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61585	CPT15 FTD Migration	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61585	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61585	CPT15 FTD Migration	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61585	CPT15 FTD Migration	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		3	090
61585	CPT15 FTD Migration	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		12	090
61585	CPT15 FTD Migration	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
61585	CPT15 FTD Migration	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		3	090
61585	CPT15 FTD Migration	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		12	090
61585	CPT15 FTD Migration	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61585	CPT15 FTD Migration	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		1.5	090
61585	CPT15 FTD Migration	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
61585	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
61585	CPT15 FTD Migration	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06		3	090
61585	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
61585	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61585	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61585	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
61585	CPT15 FTD Migration	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		6	090
61585	CPT15 FTD Migration	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
61585	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61585	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
61585	CPT15 FTD Migration	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61585	CPT15 FTD Migration	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		3	090
61585	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61585	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
61585	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ040	phenylephrine 1% nasal spray (NeoSynephrine)	ml	0.333		3	090
61586	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
61586	CPT15 FTD Migration	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61586	CPT15 FTD Migration	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61586	CPT15 FTD Migration	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61586	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
61586	CPT15 FTD Migration	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61586	CPT15 FTD Migration	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
61586	CPT15 FTD Migration	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		4	090
61586	CPT15 FTD Migration	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		4	090
61586	CPT15 FTD Migration	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		4	090
61586	CPT15 FTD Migration	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		4	090
61586	CPT15 FTD Migration	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61586	CPT15 FTD Migration	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		16	090
61586	CPT15 FTD Migration	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61586	CPT15 FTD Migration	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61586	CPT15 FTD Migration	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61586	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
61586	CPT15 FTD Migration	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
61586	CPT15 FTD Migration	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06		4	090
61586	CPT15 FTD Migration	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
61586	CPT15 FTD Migration	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		8	090
61586	CPT15 FTD Migration	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
61586	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
61586	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
61586	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61586	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
61586	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61586	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
61586	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61586	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61586	CPT15 FTD Migration	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61586	CPT15 FTD Migration	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		4	090
61586	CPT15 FTD Migration	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		16	090
61586	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ040	phenylephrine 1% nasal spray (NeoSynephrine)	ml	0.333		4	090
61586	CPT15 FTD Migration	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44		8	090
61590	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61590	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		20	090
61590	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
61590	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		5	090
61590	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
61590	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61590	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
61590	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		5	090
61590	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		5	090
61590	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		20	090
61590	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61590	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61590	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61590	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		5	090
61590	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61590	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
61590	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61590	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61590	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61590	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61590	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090
61590	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
61590	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
61590	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61590	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61590	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		25	090
61590	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61590	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		25	090
61591	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61591	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61591	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61591	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61591	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61591	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		5	090
61591	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
61591	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
61591	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61591	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		5	090
61591	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		20	090
61591	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61591	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
61591	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		5	090
61591	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61591	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
61591	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
61591	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		25	090
61591	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		5	090
61591	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61591	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61591	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090
61591	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		25	090
61591	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
61591	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61591	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61591	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		20	090
61591	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61592	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61592	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		4	090
61592	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		16	090
61592	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
61592	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61592	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61592	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61592	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
61592	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
61592	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		4	090
61592	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		4	090
61592	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61592	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61592	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		16	090
61592	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
61592	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61592	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		4	090
61592	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61592	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61592	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61592	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
61592	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
61592	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61592	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
61592	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61592	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61592	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
61592	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
61595	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61595	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
61595	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61595	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
61595	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		5	090
61595	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
61595	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		5	090
61595	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		5	090
61595	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		20	090
61595	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
61595	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090
61595	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61595	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61595	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61595	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61595	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		20	090
61595	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61595	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		5	090
61595	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61595	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61595	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61595	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
61595	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
61595	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61595	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		25	090
61595	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61595	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61595	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		25	090
61596	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		16	090
61596	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61596	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61596	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61596	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61596	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		4	090
61596	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
61596	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
61596	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		4	090
61596	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61596	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61596	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
61596	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
61596	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		4	090
61596	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61596	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61596	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
61596	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
61596	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61596	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61596	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
61596	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
61596	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
61596	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61596	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61596	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		16	090
61596	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61596	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		4	090
61597	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61597	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
61597	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		12	090
61597	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61597	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61597	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		3	090
61597	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
61597	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		3	090
61597	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
61597	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61597	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		12	090
61597	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
61597	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61597	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61597	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61597	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
61597	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61597	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61597	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61597	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
61597	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
61597	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61597	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
61597	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61597	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61597	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61597	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
61597	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		3	090
61598	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		16	090
61598	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61598	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61598	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61598	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		4	090
61598	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
61598	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
61598	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		4	090
61598	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61598	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61598	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
61598	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61598	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		4	090
61598	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
61598	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61598	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		16	090
61598	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
61598	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61598	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		4	090
61598	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61598	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61598	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
61598	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
61598	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
61598	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61598	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
61598	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61598	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61600	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		20	090
61600	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61600	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		20	090
61600	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
61600	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
61600	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61600	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
61600	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
61600	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		5	090
61600	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61600	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61600	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61600	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		5	090
61600	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		5	090
61600	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61600	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		5	090
61600	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61600	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61600	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		25	090
61600	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090
61600	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
61600	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
61600	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61600	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		25	090
61600	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61600	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61600	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61600	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61601	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
61601	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61601	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61601	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
61601	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
61601	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		4	090
61601	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
61601	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		4	090
61601	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		4	090
61601	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61601	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		16	090
61601	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61601	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61601	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61601	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61601	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61601	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		16	090
61601	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		4	090
61601	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61601	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61601	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
61601	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
61601	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
61601	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61601	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61601	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61601	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
61601	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
61605	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61605	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61605	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61605	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61605	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		5	090
61605	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
61605	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		5	090
61605	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
61605	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
61605	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61605	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		5	090
61605	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61605	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		20	090
61605	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		5	090
61605	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61605	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		25	090
61605	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61605	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		20	090
61605	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		5	090
61605	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61605	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61605	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		25	090
61605	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
61605	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
61605	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61605	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61605	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61605	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090
61606	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		12	090
61606	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61606	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61606	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61606	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
61606	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		3	090
61606	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
61606	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		3	090
61606	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61606	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61606	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61606	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		12	090
61606	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
61606	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
61606	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61606	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61606	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61606	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		3	090
61606	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
61606	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61606	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61606	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
61606	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
61606	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
61606	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61606	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
61606	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61606	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61607	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61607	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		12	090
61607	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61607	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
61607	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61607	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
61607	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		3	090
61607	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
61607	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61607	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		12	090
61607	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61607	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		3	090
61607	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61607	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61607	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61607	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		3	090
61607	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61607	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61607	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61607	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
61607	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
61607	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
61607	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61607	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
61607	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61607	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61607	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
61607	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
61608	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		12	090
61608	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		12	090
61608	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61608	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61608	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61608	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		3	090
61608	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
61608	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
61608	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		3	090
61608	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61608	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61608	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
61608	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61608	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
61608	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61608	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61608	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
61608	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61608	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		3	090
61608	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
61608	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
61608	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
61608	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61608	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
61608	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61608	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61608	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61608	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61613	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		3	090
61613	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61613	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
61613	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61613	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		3	090
61613	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
61613	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
61613	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61613	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		12	090
61613	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61613	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61613	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61613	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61613	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
61613	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61613	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61613	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
61613	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61613	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61613	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61613	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
61613	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
61613	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
61613	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
61613	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61613	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		12	090
61613	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61613	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		3	090
61615	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61615	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61615	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		16	090
61615	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
61615	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
61615	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61615	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
61615	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
61615	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		4	090
61615	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61615	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		16	090
61615	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		4	090
61615	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61615	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61615	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61615	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		4	090
61615	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		4	090
61615	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61615	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61615	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61615	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
61615	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
61615	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
61615	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
61615	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61615	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61615	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61615	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
61616	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61616	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		16	090
61616	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61616	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61616	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
61616	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		4	090
61616	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
61616	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		4	090
61616	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
61616	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		16	090
61616	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61616	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61616	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61616	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61616	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61616	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
61616	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61616	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61616	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		4	090
61616	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
61616	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61616	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
61616	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
61616	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
61616	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61616	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		4	090
61616	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
61616	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61618	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61618	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61618	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61619	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61619	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61619	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61630	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61635	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61680	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61680	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61680	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61682	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61682	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61682	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61684	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61684	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61684	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61686	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61686	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61686	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61690	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61690	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61690	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61692	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61692	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61692	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61697	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61697	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61697	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61698	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61698	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61698	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61700	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61700	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61700	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61702	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61702	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61702	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61703	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61703	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61703	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61705	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61705	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61705	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61708	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61708	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61708	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61710	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61710	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61710	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61711	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61711	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61711	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61720	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61720	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61720	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61735	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61735	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61735	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61750	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61750	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61750	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61751	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61751	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61751	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61760	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61760	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61760	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61770	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61770	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61770	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61790	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61790	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61790	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61791	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61791	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61791	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61796	CPT09 17	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61798	CPT09 17	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61800	CPT09 17	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	ZZZ
61850	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61850	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61850	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61860	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61860	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61860	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61863	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61863	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61867	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
61867	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61880	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61880	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61880	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61885	CPT11 32	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
61885	CPT11 32	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
61885	CPT11 32	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61886	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
61886	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61886	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
61888	Feb05 D	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
61888	Feb05 D	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	010
62000	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
62000	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
62000	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62005	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
62005	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
62005	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62010	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62010	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
62010	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
62100	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
62100	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
62100	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62115	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
62115	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
62115	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62117	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62117	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
62117	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
62120	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
62120	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		1	090
62120	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
62120	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
62120	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
62120	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
62120	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
62120	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
62120	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
62120	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
62120	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
62120	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
62120	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
62120	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
62120	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
62120	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
62120	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
62120	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
62120	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
62120	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
62120	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
62120	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
62120	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
62120	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
62120	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
62121	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
62121	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		1	090
62121	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
62121	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		2	090
62121	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
62121	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		2	090
62121	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
62121	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
62121	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
62121	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
62121	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		6	090
62121	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
62121	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
62121	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
62121	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
62121	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		8	090
62121	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		2	090
62121	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
62121	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
62121	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
62121	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		10	090
62121	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
62121	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		2	090
62121	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
62121	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
62140	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
62140	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
62140	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62141	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62141	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
62141	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
62142	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
62142	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
62142	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62143	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
62143	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62143	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
62145	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
62145	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
62145	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62146	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
62146	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
62146	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62147	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
62147	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
62147	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62161	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
62161	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090
62162	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
62162	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090
62164	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
62164	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090
62165	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
62165	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090
62180	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
62180	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
62180	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62190	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
62190	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
62190	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62192	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62192	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
62192	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
62194	Feb05 D	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	010
62194	Feb05 D	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	010
62200	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
62200	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
62200	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62201	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62201	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
62201	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
62220	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
62220	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
62220	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62223	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
62223	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62223	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
62225	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
62225	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
62225	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62230	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
62230	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62230	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
62256	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
62256	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
62256	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62258	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
62258	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
62258	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62263	Feb08 cs	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	010
62263	Feb08 cs	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	3	0	010
62263	Feb08 cs	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	3	0	010
62263	Feb08 cs	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	010
62263	Feb08 cs	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	010
62263	Feb08 cs	"Accessory, Procedure"	SD028	"catheter, Racz (Tun-L-Kath)"	item	66.87	1	0	010
62263	Feb08 cs	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
62263	Feb08 cs	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	11.3	1	0	010
62263	Feb08 cs	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	6	0	010
62263	Feb08 cs	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
62264	CPT15 FTD Migration	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	11.3	1	0	010
62264	CPT15 FTD Migration	"Accessory, Procedure"	SD028	"catheter, Racz (Tun-L-Kath)"	item	66.87	1	0	010
62264	CPT15 FTD Migration	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	1	0	010
62264	CPT15 FTD Migration	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
62264	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	010
62264	CPT15 FTD Migration	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	010
62264	CPT15 FTD Migration	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
62264	CPT15 FTD Migration	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
62264	CPT15 FTD Migration	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
62264	CPT15 FTD Migration	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	010
62267	CMS	Lab	SL262	Anerobic culture tube	item		1	0	000
62267	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
62267	CMS	Lab	SL033	culture swab system (Culturette)	item	0.96	1	0	000
62267	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
62267	CMS	"Hypodermic, IV"	SC035	"needle, Chiba"	item	10.1	1	0	000
62267	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
62270	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
62270	RUC	"Kit, Pack, Tray"	SA065	"tray, lumbar puncture"	tray	15.24	1	0	000
62270	RUC	"Hypodermic, IV"	SC048	spinal manometer	item	4.29	1	0	000
62270	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
62270	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
62270	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
62270	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62270	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
62270	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
62270	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
62272	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
62272	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
62272	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
62272	RUC	"Kit, Pack, Tray"	SA065	"tray, lumbar puncture"	tray	15.24	1	0	000
62272	RUC	"Hypodermic, IV"	SC048	spinal manometer	item	4.29	1	0	000
62272	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
62272	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
62272	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
62272	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62272	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
62273	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
62273	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
62273	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	5	0	000
62273	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
62273	CMS	"Kit, Pack, Tray"	SA065	"tray, lumbar puncture"	tray	15.24	1	0	000
62273	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
62273	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
62273	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
62273	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
62273	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
62273	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
62273	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	000
62273	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
62273	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
62273	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62280	Jan04 5	"Kit, Pack, Tray"	SA068	"tray, spinal anesthesia"	tray	23.16	1	0	010
62280	Jan04 5	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	010
62280	Jan04 5	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
62280	Jan04 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	010
62280	Jan04 5	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
62280	Jan04 5	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
62280	Jan04 5	"Pharmacy, Rx"	SH055	phenol 1000ppm	ml	0.16	10	0	010
62280	Jan04 5	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
62280	Jan04 5	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
62281	CPT11 Letter	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	010
62281	CPT11 Letter	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
62281	CPT11 Letter	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	010
62281	CPT11 Letter	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
62281	CPT11 Letter	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
62281	CPT11 Letter	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
62281	CPT11 Letter	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
62281	CPT11 Letter	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	010
62281	CPT11 Letter	"Pharmacy, Rx"	SH055	phenol 1000ppm	ml	0.16	10	0	010
62281	CPT11 Letter	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	18.62	1	0	010
62281	CPT11 Letter	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
62282	Jan04 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	010
62282	Jan04 5	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
62282	Jan04 5	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
62282	Jan04 5	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	18.62	1	0	010
62282	Jan04 5	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
62282	Jan04 5	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	010
62282	Jan04 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
62282	Jan04 5	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	010
62282	Jan04 5	"Pharmacy, Rx"	SH055	phenol 1000ppm	ml	0.16	10	0	010
62282	Jan04 5	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
62282	Jan04 5	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
62284	CMS	"Kit, Pack, Tray"	SA066	"tray, myelogram"	tray	20.63	1	0	000
62284	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62284	CMS	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	9.88	1	0	000
62284	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
62287	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
62287	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62287	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
62290	Mar03	"Hypodermic, IV"	SC035	"needle, Chiba"	item	10.1	1	0	000
62290	Mar03	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1	0	000
62290	Mar03	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
62290	Mar03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
62290	Mar03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
62291	Mar03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
62291	Mar03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
62291	Mar03	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
62291	Mar03	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1	0	000
62292	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
62294	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
62302	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62302	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
62302	CMS	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	9.88	1	0	000
62302	CMS	"Kit, Pack, Tray"	SA066	"tray, myelogram"	tray	20.63	1	0	000
62303	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62303	CMS	"Kit, Pack, Tray"	SA066	"tray, myelogram"	tray	20.63	1	0	000
62303	CMS	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	9.88	1	0	000
62303	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
62304	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62304	CMS	"Kit, Pack, Tray"	SA066	"tray, myelogram"	tray	20.63	1	0	000
62304	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
62304	CMS	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	9.88	1	0	000
62305	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
62305	CMS	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	9.88	1	0	000
62305	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62305	CMS	"Kit, Pack, Tray"	SA066	"tray, myelogram"	tray	20.63	1	0	000
62320	CMS	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	18.62	1	0	000
62320	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
62320	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62320	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
62320	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
62320	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
62320	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
62320	CMS	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	11.3	1	0	000
62320	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
62321	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
62321	CMS	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	11.3	1	0	000
62321	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
62321	CMS	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	18.62	1	0	000
62321	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
62321	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
62321	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
62321	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62321	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
62321	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1	0	000
62321	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
62321	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
62322	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
62322	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
62322	CMS	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	18.62	1	0	000
62322	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
62322	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
62322	CMS	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	11.3	1	0	000
62322	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
62322	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
62322	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62322	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
62323	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
62323	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
62323	CMS	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	18.62	1	0	000
62323	CMS	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	11.3	1	0	000
62323	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
62323	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
62323	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
62323	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
62323	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
62323	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62323	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1	0	000
62323	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
62323	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
62324	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
62324	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
62324	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
62324	CMS	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	18.62	1	0	000
62324	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
62324	CMS	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	11.3	1	0	000
62324	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
62324	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62324	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
62325	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
62325	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
62325	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1	0	000
62325	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
62325	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
62325	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
62325	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
62325	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
62325	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
62325	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62325	CMS	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	18.62	1	0	000
62325	CMS	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	11.3	1	0	000
62326	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
62326	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
62326	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
62326	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
62326	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
62326	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
62326	CMS	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	11.3	1	0	000
62326	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62326	CMS	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	18.62	1	0	000
62326	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
62327	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
62327	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
62327	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
62327	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1	0	000
62327	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62327	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
62327	CMS	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	11.3	1	0	000
62327	CMS	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	18.62	1	0	000
62327	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
62327	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
62327	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
62327	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
62327	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
62328	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
62328	RUC	"Hypodermic, IV"	SC048	spinal manometer	item	4.29	1	0	000
62328	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
62328	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
62328	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
62328	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
62328	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
62328	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
62328	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
62328	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
62328	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
62328	RUC	"Kit, Pack, Tray"	SA065	"tray, lumbar puncture"	tray	15.24	1	0	000
62328	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62329	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
62329	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
62329	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
62329	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
62329	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
62329	RUC	"Hypodermic, IV"	SC048	spinal manometer	item	4.29	1	0	000
62329	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
62329	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
62329	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62329	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
62329	RUC	"Kit, Pack, Tray"	SA065	"tray, lumbar puncture"	tray	15.24	1	0	000
62329	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
62329	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
62350	Feb08 ss	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	010
62350	Feb08 ss	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	010
62350	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
62351	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
62351	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62351	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
62355	Feb08 ss	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	010
62355	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
62355	Feb08 ss	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	010
62360	Apr08 ss	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62360	Apr08 ss	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
62360	Apr08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
62361	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
62361	Feb08 ss	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	010
62361	Feb08 ss	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	010
62362	Feb08 ss	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	010
62362	Feb08 ss	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	010
62362	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
62365	Apr08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
62365	Apr08 ss	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	010
62369	RUC	"Kit, Pack, Tray"	SA076	"kit, refill for implantable medication pump"	item	24.84	1	0	XXX
62369	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	XXX
62369	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
62369	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2	0	XXX
62369	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	XXX
62369	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	XXX
62369	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	XXX
62369	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2	0	XXX
62369	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
62369	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	XXX
62370	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	XXX
62370	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
62370	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2	0	XXX
62370	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	XXX
62370	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	XXX
62370	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
62370	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2	0	XXX
62370	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	XXX
62370	RUC	"Kit, Pack, Tray"	SA076	"kit, refill for implantable medication pump"	item	24.84	1	0	XXX
63001	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
63001	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
63003	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
63003	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
63005	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63005	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
63011	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63011	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
63012	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63012	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
63015	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63015	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
63016	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
63016	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63017	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
63017	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63020	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63020	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
63030	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63030	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
63040	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
63040	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63042	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63042	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
63045	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63045	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
63046	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63046	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
63047	CPT14 Mar 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63047	CPT14 Mar 6	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
63050	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63050	CPT05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
63051	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63051	CPT05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
63055	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63055	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
63056	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
63056	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63064	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
63064	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63075	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63075	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
63077	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63077	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
63081	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63081	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
63085	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63085	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
63087	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63087	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
63090	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63090	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
63101	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
63101	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090
63102	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
63102	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090
63170	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63170	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63172	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
63172	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63173	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63173	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63185	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63185	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63190	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63190	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63191	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63191	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63196	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63196	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63197	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63197	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63198	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63198	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63199	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63199	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63200	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63200	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63200	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63250	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63250	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63250	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63251	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63251	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63251	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63252	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63252	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63252	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63265	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63265	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63265	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63266	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63266	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63266	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63267	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63267	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63267	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63268	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63268	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63268	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63270	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63270	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63270	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63271	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63271	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63271	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63272	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63272	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63272	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63273	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63273	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63273	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63275	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63275	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63275	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63276	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63276	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63276	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63277	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63277	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63277	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63278	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63278	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63278	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63280	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63280	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63280	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63281	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63281	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63281	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63282	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63282	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63282	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63283	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63283	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63283	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63285	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63285	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63285	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63286	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63286	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63286	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63287	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63287	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63287	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63290	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63290	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63290	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63300	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63300	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63300	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63301	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63301	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63301	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63302	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63302	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63302	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63303	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63303	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63303	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63304	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63304	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63304	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63305	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63305	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63305	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63306	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63306	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63306	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63307	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63307	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63307	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63600	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
63620	CPT09 17	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
63650	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
63650	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
63650	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3	0	010
63650	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
63650	CMS	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.82	1	0	010
63650	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	010
63650	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	2	010
63650	CMS	"Accessory, Procedure"	SD281	Trial lead array	item	640.87	1	0	010
63650	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
63650	CMS	"Pharmacy, Rx"	SH098	chlorhexidine 4.0% (Hibiclens)	oz		1	0	010
63650	CMS	"Accessory, Procedure"	SD280	Trial lead kit	item	958.94	1	0	010
63650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
63650	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
63650	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	010
63655	CPT10 33	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63655	CPT10 33	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63661	CPT10 33	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	010
63661	CPT10 33	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
63661	CPT10 33	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
63661	CPT10 33	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
63661	CPT10 33	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	010
63661	CPT10 33	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
63661	CPT10 33	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
63661	CPT10 33	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
63661	CPT10 33	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
63661	CPT10 33	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
63661	CPT10 33	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
63661	CPT10 33	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
63661	CPT10 33	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
63661	CPT10 33	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
63661	CPT10 33	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
63662	CPT10 33	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63662	CPT10 33	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63663	CPT10 33	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
63663	CPT10 33	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
63663	CPT10 33	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
63663	CPT10 33	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
63663	CPT10 33	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
63663	CPT10 33	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
63663	CPT10 33	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
63663	CPT10 33	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	010
63663	CPT10 33	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
63663	CPT10 33	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
63663	CPT10 33	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	010
63663	CPT10 33	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
63663	CPT10 33	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
63663	CPT10 33	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
63663	CPT10 33	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
63664	CPT10 33	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63664	CPT10 33	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63685	Feb08 ss	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63685	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
63685	Feb08 ss	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63688	Feb08 ss	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63688	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	090
63688	Feb08 ss	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63700	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63700	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63700	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		4	090
63702	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63702	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63702	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		4	090
63704	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		4	090
63704	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63704	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
63706	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63706	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		4	090
63706	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
63707	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63707	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63707	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63709	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63709	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63709	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63710	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63710	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63710	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63740	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
63740	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63740	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63741	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
63741	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63741	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63744	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63744	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63744	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
63746	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
63746	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
63746	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64400	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
64400	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	1	0	000
64400	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
64400	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
64400	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	5	0	000
64400	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
64400	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
64400	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
64405	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
64405	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
64405	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	5	0	000
64405	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
64405	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	000
64405	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
64405	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
64408	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	000
64408	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
64408	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
64408	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
64408	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	5	0	000
64408	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
64408	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
64408	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
64415	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	1	0	000
64415	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
64415	RUC	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	11.3	1	0	000
64415	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
64415	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
64415	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
64415	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
64415	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
64415	RUC	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	30	0	000
64415	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
64417	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
64417	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	1	0	000
64417	RUC	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	11.3	1	0	000
64417	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
64417	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
64417	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
64417	RUC	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	25.09	1	0	000
64417	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
64417	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	20	0	000
64418	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
64418	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
64418	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
64418	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
64418	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
64418	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	5	0	000
64418	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
64418	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
64418	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
64418	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
64418	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
64418	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	1	0	000
64418	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
64420	RUC	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	5	0	000
64420	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
64420	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
64420	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
64420	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
64420	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
64420	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	000
64420	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
64421	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	ZZZ
64421	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	ZZZ
64421	RUC	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	2	0	ZZZ
64421	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	ZZZ
64421	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	ZZZ
64421	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	ZZZ
64425	RUC	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	10	0	000
64425	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
64425	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
64425	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
64425	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
64425	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
64425	RUC	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	11.3	1	0	000
64425	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	1	0	000
64425	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
64425	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
64430	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	000
64430	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
64430	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
64430	RUC	"Kit, Pack, Tray"	SA129	"pudendal block tray, sterile"	item	5.24	1	0	000
64430	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	2	0	000
64430	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	000
64430	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
64435	RUC	"Kit, Pack, Tray"	SA129	"pudendal block tray, sterile"	item	5.24	1	0	000
64435	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	2	0	000
64435	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
64435	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
64435	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
64435	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	000
64435	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	000
64445	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
64445	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
64445	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
64445	RUC	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	25.09	1	0	000
64445	RUC	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	15	0	000
64445	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	1	0	000
64445	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	000
64445	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
64445	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
64447	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
64447	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
64447	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
64447	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
64447	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	1	0	000
64447	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
64447	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
64447	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
64447	RUC	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	30	0	000
64450	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
64450	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
64450	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	5	0	000
64450	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	1	0	000
64450	RUC	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	5	0	000
64450	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
64450	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
64450	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
64450	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
64451	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
64451	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
64451	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	000
64451	RUC	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	21.29	1	0	000
64451	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
64451	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
64451	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
64451	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
64451	RUC	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	5	0	000
64451	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
64451	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
64451	RUC	Lab	SL259	Bleach cleaning wipe	item	0.39	2	0	000
64451	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
64451	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
64451	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
64451	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	4	0	000
64451	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	000
64451	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	2	0	000
64451	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	5	0	000
64451	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	3	0	000
64451	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	2	0	000
64451	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
64451	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1	0	000
64451	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
64451	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
64451	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	5	0	000
64451	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
64454	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
64454	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
64454	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	5	0	000
64454	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
64454	RUC	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	5	0	000
64454	RUC	"Accessory, Procedure"	SD269	Grounding pad	item	2.09	1	0	000
64454	RUC	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	21.29	1	0	000
64454	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	3	0	000
64454	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
64454	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
64454	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
64454	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
64454	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	000
64454	RUC	Lab	SL259	Bleach cleaning wipe	item	0.39	2	0	000
64454	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	3	0	000
64454	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
64454	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
64454	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
64454	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	000
64454	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
64454	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	2	0	000
64454	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
64454	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
64454	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1	0	000
64454	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
64454	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
64454	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	2	0	000
64455	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	000
64455	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
64455	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
64455	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
64455	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
64455	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
64455	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
64455	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
64455	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
64461	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	20	0	000
64461	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
64461	CMS	"Hypodermic, IV"	SC101	ultrasound needle	item	13.54	1	0	000
64461	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
64461	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	2	0	000
64461	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
64461	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
64462	RUC	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	20	0	ZZZ
64462	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	2	0	ZZZ
64462	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	ZZZ
64462	RUC	"Hypodermic, IV"	SC101	ultrasound needle	item	13.54	1	0	ZZZ
64463	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	2	0	000
64463	CMS	"Accessory, Procedure"	SD316	Catheter securement device	Item	0	1	0	000
64463	CMS	"Kit, Pack, Tray"	SA116	continuous peripheral nerve block tray	tray	123.12	1	0	000
64463	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	20	0	000
64463	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	3	0	000
64463	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
64463	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
64463	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
64479	CPT11 33	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
64479	CPT11 33	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
64479	CPT11 33	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
64479	CPT11 33	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
64479	CPT11 33	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
64479	CPT11 33	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
64480	CPT11 33	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	ZZZ
64483	CPT11 33	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
64483	CPT11 33	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
64483	CPT11 33	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
64483	CPT11 33	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
64483	CPT11 33	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
64483	CPT11 33	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
64484	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	ZZZ
64486	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	20	0	000
64486	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	2	0	000
64486	CMS	"Hypodermic, IV"	SC101	ultrasound needle	item	13.54	1	0	000
64486	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
64486	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
64486	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
64486	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
64487	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
64487	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
64487	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	000
64487	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	20	0	000
64487	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	2	0	000
64487	CMS	"Kit, Pack, Tray"	SA116	continuous peripheral nerve block tray	tray	123.12	1	0	000
64487	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
64488	CMS	"Hypodermic, IV"	SC101	ultrasound needle	item	13.54	1	0	000
64488	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
64488	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
64488	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
64488	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
64488	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
64488	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	40	0	000
64488	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	4	0	000
64489	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	0	000
64489	CMS	"Kit, Pack, Tray"	SA116	continuous peripheral nerve block tray	tray	123.12	2	0	000
64489	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
64489	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
64489	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
64489	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	4	0	000
64489	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	40	0	000
64489	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
64490	CPT10 34	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
64490	CPT10 34	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
64490	CPT10 34	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
64490	CPT10 34	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
64490	CPT10 34	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
64490	CPT10 34	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	3	0	000
64491	CPT10 34	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	ZZZ
64491	CPT10 34	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	3	0	ZZZ
64492	CPT10 34	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	ZZZ
64492	CPT10 34	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	ZZZ
64492	CPT10 34	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	3	0	ZZZ
64493	CPT10 34	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
64493	CPT10 34	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
64493	CPT10 34	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	5	0	000
64493	CPT10 34	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
64493	CPT10 34	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
64493	CPT10 34	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
64494	CPT10 34	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	ZZZ
64494	CPT10 34	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	5	0	ZZZ
64495	CPT10 34	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	ZZZ
64495	CPT10 34	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	ZZZ
64495	CPT10 34	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	5	0	ZZZ
64505	Mar03	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	5	0	000
64505	Mar03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	000
64505	Mar03	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
64505	Mar03	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
64510	CPT10 50	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
64510	CPT10 50	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	000
64510	CPT10 50	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
64510	CPT10 50	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	000
64510	CPT10 50	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
64517	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
64517	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
64517	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
64517	CMS	"Hypodermic, IV"	SC035	"needle, Chiba"	item	10.1	1	0	000
64517	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	20	0	000
64517	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
64517	CMS	"Pharmacy, Rx"	SH060	renographin-60	ml	0.78	1	0	000
64520	Mar03	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	000
64520	Mar03	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
64520	Mar03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
64520	Mar03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	000
64520	Mar03	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
64530	Mar03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	000
64530	Mar03	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	000
64530	Mar03	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
64530	Mar03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
64530	Mar03	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
64553	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
64553	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	010
64553	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
64553	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
64553	RUC	"Accessory, Procedure"	SD281	Trial lead array	item	640.87	1	0	010
64553	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
64553	RUC	"Accessory, Procedure"	SD280	Trial lead kit	item	958.94	1	0	010
64553	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
64553	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3	0	010
64555	RUC	"Accessory, Procedure"	SD280	Trial lead kit	item	958.94	1	0	010
64555	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
64555	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	010
64555	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3	0	010
64555	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
64555	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
64555	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	010
64555	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	010
64555	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	0	010
64555	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
64555	RUC	"Accessory, Procedure"	SD281	Trial lead array	item	640.87	1	0	010
64561	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	010
64561	CMS	"Kit, Pack, Tray"	SA022	"kit, percutaneous neuro test stimulation"	kit	413.24	1	0	010
64561	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
64561	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	40	0	010
64566	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
64566	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
64566	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
64566	CMS	"Accessory, Procedure"	SD246	urgent PC lead	item	65	1	0	000
64566	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
64566	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
64566	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
64566	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	10	0	000
64568	CPT11 32	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
64568	CPT11 32	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
64569	CPT11 32	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
64569	CPT11 32	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
64570	CPT11 32	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
64570	CPT11 32	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
64575	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
64575	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64575	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64580	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64580	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64580	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
64581	CPT11	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	010
64581	CPT11	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
64585	Jan03 cs	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
64585	Jan03 cs	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
64585	Jan03 cs	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	010
64585	Jan03 cs	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
64585	Jan03 cs	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	010
64585	Jan03 cs	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
64585	Jan03 cs	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	010
64585	Jan03 cs	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
64585	Jan03 cs	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
64585	Jan03 cs	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
64585	Jan03 cs	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
64585	Jan03 cs	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
64585	Jan03 cs	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
64585	Jan03 cs	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
64585	Jan03 cs	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
64585	Jan03 cs	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
64585	Jan03 cs	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
64585	Jan03 cs	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
64585	Jan03 cs	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
64585	Jan03 cs	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
64585	Jan03 cs	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
64585	Jan03 cs	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.96	1	0	010
64585	Jan03 cs	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	010
64585	Jan03 cs	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
64585	Jan03 cs	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
64585	Jan03 cs	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
64585	Jan03 cs	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	5	0	010
64590	Jan03 cs	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
64590	Jan03 cs	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
64590	Jan03 cs	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
64590	Jan03 cs	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
64590	Jan03 cs	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	010
64590	Jan03 cs	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
64590	Jan03 cs	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
64590	Jan03 cs	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
64590	Jan03 cs	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
64590	Jan03 cs	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
64590	Jan03 cs	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
64590	Jan03 cs	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
64590	Jan03 cs	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	010
64590	Jan03 cs	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
64590	Jan03 cs	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
64590	Jan03 cs	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	010
64590	Jan03 cs	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.96	1	0	010
64590	Jan03 cs	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
64590	Jan03 cs	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	5	0	010
64590	Jan03 cs	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	010
64590	Jan03 cs	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
64590	Jan03 cs	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
64590	Jan03 cs	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
64590	Jan03 cs	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
64590	Jan03 cs	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
64590	Jan03 cs	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
64590	Jan03 cs	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
64595	Jan03 cs	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
64595	Jan03 cs	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
64595	Jan03 cs	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
64595	Jan03 cs	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
64595	Jan03 cs	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8	1	1	010
64595	Jan03 cs	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
64595	Jan03 cs	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
64595	Jan03 cs	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
64595	Jan03 cs	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	7.26	1	0	010
64595	Jan03 cs	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	010
64595	Jan03 cs	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
64595	Jan03 cs	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
64595	Jan03 cs	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
64595	Jan03 cs	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
64595	Jan03 cs	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
64595	Jan03 cs	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
64595	Jan03 cs	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
64595	Jan03 cs	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
64595	Jan03 cs	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
64595	Jan03 cs	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
64595	Jan03 cs	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	5	0	010
64595	Jan03 cs	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	010
64595	Jan03 cs	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
64595	Jan03 cs	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.96	1	0	010
64595	Jan03 cs	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
64595	Jan03 cs	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
64595	Jan03 cs	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
645X1	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
645X1	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		4	090
645X2	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		4	090
645X2	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
645X3	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		4	090
645X3	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64600	Mar03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
64600	Mar03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
64600	Mar03	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	24.23	1	0	010
64600	Mar03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
64605	Mar03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
64605	Mar03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
64605	Mar03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
64605	Mar03	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	24.23	1	0	010
64610	Mar03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
64610	Mar03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
64610	Mar03	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	24.23	1	0	010
64610	Mar03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
64611	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5	0	010
64611	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	4	0	010
64611	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
64611	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
64611	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	010
64611	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4	0	010
64611	RUC	Lab	SL107	phosphate buffered saline solution	ml	0.01	2	0	010
64611	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
64611	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	4	0	010
64612	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	2	1	010
64612	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
64612	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	010
64612	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	1	010
64612	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
64612	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	3	0	010
64612	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	010
64615	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	010
64615	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	3	0	010
64615	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	010
64615	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
64615	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	6	0	010
64615	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	6	0	010
64615	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	2	0	010
64615	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	010
64615	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	010
64616	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	3	0	010
64616	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	010
64616	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	3	0	010
64616	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	4	0	010
64616	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	12	0	010
64616	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	010
64616	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	9	0	010
64616	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	010
64616	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4	0	010
64617	CMS	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	25.09	1	0	000
64617	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
64617	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
64617	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
64617	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
64617	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	2	0	000
64617	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	1	0	000
64617	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	2	0	000
64617	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6	0	000
64617	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1	0	000
64617	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	6	0	000
64617	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	5	0	000
64617	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	4	0	000
64617	CMS	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1	0	000
64620	Mar03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
64620	Mar03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
64620	Mar03	"Accessory, Procedure"	SD083	"gas, nitrous oxide"	liter	0.04	1	0	010
64624	RUC	"Accessory, Procedure"	SD269	Grounding pad	item	2.09	1	0	010
64624	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	010
64624	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
64624	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	010
64624	RUC	Lab	SL259	Bleach cleaning wipe	item	0.39	2	0	010
64624	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
64624	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	010
64624	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	010
64624	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	010
64624	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	3	0	010
64624	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
64624	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
64624	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
64624	RUC	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	21.29	1	0	010
64624	RUC	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	5	0	010
64624	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	5	0	010
64624	RUC	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	24.23	3	0	010
64624	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	010
64624	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
64624	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	2	0	010
64624	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	010
64624	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	010
64624	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
64624	RUC	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	25.09	1	0	010
64624	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
64624	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
64624	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	2	0	010
64624	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1	0	010
64625	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
64625	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	010
64625	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
64625	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	010
64625	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
64625	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	010
64625	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
64625	RUC	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	24.23	4	0	010
64625	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
64625	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	010
64625	RUC	Lab	SL259	Bleach cleaning wipe	item	0.39	2	0	010
64625	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
64625	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	5	0	010
64625	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	2	0	010
64625	RUC	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	25.09	1	0	010
64625	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	010
64625	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
64625	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	010
64625	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	010
64625	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	010
64625	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1	0	010
64625	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	3	0	010
64625	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
64625	RUC	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	5	0	010
64625	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
64625	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	5	0	010
64625	RUC	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	21.29	1	0	010
64625	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	2	0	010
64625	RUC	"Accessory, Procedure"	SD269	Grounding pad	item	2.09	1	0	010
64630	Mar03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
64630	Mar03	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	20.16	1	0	010
64630	Mar03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
64630	Mar03	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	010
64630	Mar03	"Pharmacy, Rx"	SH055	phenol 1000ppm	ml	0.16	10	0	010
64630	Mar03	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
64632	CPT09 20	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
64632	CPT09 20	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	010
64632	CPT09 20	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
64632	CPT09 20	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
64632	CPT09 20	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
64632	CPT09 20	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
64632	CPT09 20	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
64632	CPT09 20	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
64632	CPT09 20	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	010
64632	CPT09 20	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	010
64632	CPT09 20	"Pharmacy, Rx"	SH062	sclerosing solution inj	ml	2.98	1	0	010
64633	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
64633	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1	0	010
64633	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	010
64633	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	010
64633	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	010
64633	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
64633	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	010
64633	RUC	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	24.23	2	0	010
64633	RUC	Lab	SL259	Bleach cleaning wipe	item	0.39	1	0	010
64633	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
64633	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
64633	RUC	"Accessory, Procedure"	SD269	Grounding pad	item	2.09	1	0	010
64633	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	1	0	010
64633	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
64633	RUC	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	25.09	2	0	010
64633	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	1	0	010
64633	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
64633	RUC	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	21.29	2	0	010
64634	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	2	0	ZZZ
64634	RUC	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	21.29	2	0	ZZZ
64634	RUC	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	25.09	2	0	ZZZ
64634	RUC	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	24.23	2	0	ZZZ
64635	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	010
64635	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
64635	RUC	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	24.23	2	0	010
64635	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
64635	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
64635	RUC	"Accessory, Procedure"	SD269	Grounding pad	item	2.09	1	0	010
64635	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	010
64635	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	1	0	010
64635	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	010
64635	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
64635	RUC	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	25.09	2	0	010
64635	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
64635	RUC	Lab	SL259	Bleach cleaning wipe	item	0.39	1	0	010
64635	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	010
64635	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
64635	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	1	0	010
64635	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1	0	010
64635	RUC	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	21.29	2	0	010
64636	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	2	0	ZZZ
64636	RUC	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	25.09	2	0	ZZZ
64636	RUC	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	24.23	2	0	ZZZ
64636	RUC	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	21.29	2	0	ZZZ
64640	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
64640	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	010
64640	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1	0	010
64640	RUC	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	25.09	1	0	010
64640	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
64640	RUC	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	24.23	1	0	010
64640	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	010
64640	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
64640	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	010
64640	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
64640	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
64640	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
64640	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	010
64640	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	010
64640	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	010
64640	RUC	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	3	0	010
64640	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	8	0	010
64640	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	5	0	010
64640	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
64640	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	010
64640	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	010
64640	RUC	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	21.29	1	0	010
64640	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	1	0	010
64640	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	010
64640	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
64642	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	8	0	000
64642	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
64642	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	2	0	000
64642	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
64642	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	2	0	000
64642	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
64642	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	8	0	000
64642	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	4	0	000
64643	CPT14 May 15	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	ZZZ
64643	CPT14 May 15	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	2	0	ZZZ
64643	CPT14 May 15	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	4	0	ZZZ
64643	CPT14 May 15	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	8	0	ZZZ
64643	CPT14 May 15	Lab	SL107	phosphate buffered saline solution	ml	0.01	2	0	ZZZ
64643	CPT14 May 15	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	8	0	ZZZ
64643	CPT14 May 15	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	ZZZ
64644	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	12	0	000
64644	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
64644	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	6	0	000
64644	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	24	0	000
64644	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	24	0	000
64644	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	6	0	000
64644	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	6	0	000
64644	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	6	0	000
64645	CPT14 May 15	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	24	0	ZZZ
64645	CPT14 May 15	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	12	0	ZZZ
64645	CPT14 May 15	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	24	0	ZZZ
64645	CPT14 May 15	Lab	SL107	phosphate buffered saline solution	ml	0.01	6	0	ZZZ
64645	CPT14 May 15	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	6	0	ZZZ
64645	CPT14 May 15	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	6	0	ZZZ
64645	CPT14 May 15	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	6	0	ZZZ
64646	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	5	0	000
64646	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
64646	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
64646	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	4	0	000
64646	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	10	0	000
64646	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	2	0	000
64646	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	10	0	000
64646	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	6	0	000
64647	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	12	0	000
64647	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	6	0	000
64647	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	12	0	000
64647	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	4	0	000
64647	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	6	0	000
64647	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	6	0	000
64647	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
64647	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	2	0	000
64650	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
64650	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	10	0	000
64650	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
64650	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1	0	000
64650	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
64650	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
64650	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
64650	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
64650	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	4	0	000
64650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
64650	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	4	0	000
64650	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	000
64650	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
64653	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	4	0	000
64653	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
64653	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	10	0	000
64653	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	000
64653	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1	0	000
64653	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
64653	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
64653	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
64653	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	4	0	000
64653	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
64653	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
64653	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
64653	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
64680	Mar03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
64680	Mar03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
64680	Mar03	"Pharmacy, Rx"	SH055	phenol 1000ppm	ml	0.16	10	0	010
64680	Mar03	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
64681	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
64681	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
64681	CMS	"Hypodermic, IV"	SC035	"needle, Chiba"	item	10.1	1	0	010
64681	CMS	"Pharmacy, Rx"	SH060	renographin-60	ml	0.78	1	0	010
64681	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	010
64681	CMS	"Pharmacy, Rx"	SH055	phenol 1000ppm	ml	0.16	1	0	010
64681	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	010
646X0	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
64702	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
64702	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64702	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64704	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64704	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
64704	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64708	Apr08 ss	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64708	Apr08 ss	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64708	Apr08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
64712	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64712	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
64712	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64713	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64713	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
64713	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64714	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64714	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
64714	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64716	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
64716	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
64716	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
64716	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
64716	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
64716	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
64716	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
64716	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
64716	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3	090
64716	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
64716	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3	090
64716	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
64716	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
64718	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64718	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
64718	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64719	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
64719	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64719	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64721		"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	090
64721		"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	4	4	090
64721		"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
64721		"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
64722	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64722	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64722	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
64726	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
64726	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64726	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64732	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
64732	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64732	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64734	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
64734	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64734	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64736	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
64736	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64736	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64738	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
64738	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64738	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64740	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
64740	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
64740	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
64740	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
64740	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		2	090
64740	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
64740	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
64740	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
64740	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
64740	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		2	090
64740	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
64742	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
64742	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64742	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64744	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
64744	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64744	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64746	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
64746	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64746	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64755	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
64755	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64755	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64760	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64760	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
64760	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64763	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
64763	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64763	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64766	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
64766	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64766	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64771	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
64771	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64771	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64772	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64772	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64772	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
64774	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64774	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64774	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
64776	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
64776	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64776	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64782	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
64782	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64782	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64784	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64784	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64784	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
64786	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64786	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64786	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
64788	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
64788	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64788	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64790	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64790	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64790	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
64792	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64792	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
64792	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64802	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64802	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64802	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
64804	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
64804	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64804	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64809	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
64809	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64809	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64818	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
64818	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64818	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64820	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
64820	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64820	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64821	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
64821	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
64822	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
64822	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
64823	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
64823	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
64831	Feb08 ss	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64831	Feb08 ss	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64831	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
64834	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
64834	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64834	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64835	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64835	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64835	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
64836	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64836	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
64836	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64840	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
64840	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64840	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64856	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64856	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
64856	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64857	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64857	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
64857	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64858	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
64858	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64858	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64861	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
64861	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64861	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64862	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64862	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64862	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
64864	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
64864	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
64864	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
64864	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
64864	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		2	090
64864	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
64864	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
64864	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
64864	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		2	090
64865	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		5	090
64865	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2.5	090
64865	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		1	090
64865	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
64865	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		2.5	090
64865	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
64865	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		2.5	090
64865	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
64865	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2.5	090
64865	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
64865	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
64865	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2.5	090
64865	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		10	090
64865	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
64865	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		12.5	090
64865	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
64865	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
64865	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
64865	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		2.5	090
64865	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2.5	090
64865	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		25	090
64865	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		2.5	090
64865	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
64865	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		10	090
64865	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		12.5	090
64866	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
64866	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
64866	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		2.5	090
64866	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2.5	090
64866	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		2.5	090
64866	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
64866	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2.5	090
64866	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2.5	090
64866	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
64866	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		1	090
64866	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2.5	090
64866	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		5	090
64866	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		2.5	090
64866	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		10	090
64866	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
64866	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
64866	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		10	090
64866	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
64866	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		12.5	090
64866	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		2.5	090
64866	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		25	090
64866	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
64866	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
64866	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		12.5	090
64866	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
64868	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
64868	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
64868	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		1	090
64868	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		2	090
64868	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		2	090
64868	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
64868	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
64868	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
64868	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
64868	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
64868	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		10	090
64868	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
64868	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
64868	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
64868	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
64868	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
64868	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
64868	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		6	090
64868	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		8	090
64868	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		2	090
64868	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
64868	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
64868	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
64868	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
64868	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		2	090
64885	Jan04 21	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64885	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
64885	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3	090
64885	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
64885	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3	090
64885	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
64885	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
64885	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
64885	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
64886	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3	090
64886	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
64886	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
64886	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
64886	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
64886	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3	090
64886	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
64886	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
64886	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
64890	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
64890	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64890	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64891	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64891	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
64891	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64892	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
64892	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64892	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64893	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64893	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64893	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
64895	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
64895	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64895	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64896	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
64896	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64896	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64897	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
64897	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64897	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64898	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
64898	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64898	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64905	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
64905	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64905	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64907	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64907	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
64907	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64910	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52		1	090
64910	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
64910	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		1	090
64910	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
64910	RUC	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1	090
64910	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7		1	090
64910	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64910	RUC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		2	090
64910	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64910	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
64910	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
64910	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
64910	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
64910	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		36	090
64911	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
64911	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
64911	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
64911	RUC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		2	090
64911	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64911	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7		1	090
64911	RUC	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1	090
64911	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
64911	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
64911	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64911	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
64911	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		1	090
64911	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		36	090
64911	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52		1	090
64912	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
64912	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
64912	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		36	090
64912	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
64912	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
64912	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
64912	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		1	090
64912	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52		1	090
64912	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64912	RUC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		2	090
64912	RUC	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1	090
64912	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7		1	090
64912	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
64912	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
65091	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		72	090
65091	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
65091	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		6	090
65091	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		4	090
65091	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		6	090
65091	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
65091	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65091	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		180	090
65091	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		12	090
65091	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		200	090
65093	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		3.5	090
65093	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		12	090
65093	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		72	090
65093	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		6	090
65093	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65093	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		6	090
65093	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65093	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
65093	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		200	090
65093	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		180	090
65093	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
65101	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
65101	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
65101	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		4	090
65101	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65101	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		12	090
65101	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		6	090
65101	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65101	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		180	090
65101	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		200	090
65101	Sep02	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44		1	090
65101	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		72	090
65101	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		6	090
65103	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65103	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		6	090
65103	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		4	090
65103	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		72	090
65103	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		6	090
65103	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		12	090
65103	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
65103	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65103	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		200	090
65103	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		180	090
65103	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
65105	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
65105	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
65105	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		4.5	090
65105	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65105	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		12	090
65105	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		72	090
65105	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65105	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		180	090
65105	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		200	090
65105	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		6	090
65105	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		6	090
65110	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		6	090
65110	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
65110	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		5.5	090
65110	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		6	090
65110	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		12	090
65110	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		200	090
65110	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65110	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		180	090
65110	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		72	090
65110	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65110	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
65112	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
65112	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
65112	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		6.5	090
65112	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65112	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		12	090
65112	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		72	090
65112	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65112	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		180	090
65112	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		200	090
65112	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		6	090
65112	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		6	090
65114	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		6	090
65114	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		180	090
65114	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		72	090
65114	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		6.5	090
65114	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65114	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		12	090
65114	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		200	090
65114	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		6	090
65114	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65114	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
65114	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
65125	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
65125	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
65125	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	090
65125	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
65125	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
65125	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
65125	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	090
65125	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
65125	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	090
65125	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
65125	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
65125	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
65125	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
65125	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
65125	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
65125	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	4	3	090
65125	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
65125	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	4	0	090
65125	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
65125	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
65125	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
65125	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
65125	CMS	"Accessory, Procedure"	SD107	"peg, for prosthetic ocular implant"	item	58.333	1	0	090
65125	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
65130	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		4	090
65130	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
65130	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
65130	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65130	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		200	090
65130	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		226	090
65130	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		14	090
65135	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		14	090
65135	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
65135	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
65135	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65135	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		200	090
65135	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		226	090
65135	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		4	090
65140	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		200	090
65140	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		4.5	090
65140	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
65140	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65140	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		226	090
65140	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
65140	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		14	090
65150	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		3.5	090
65150	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		200	090
65150	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		226	090
65150	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65150	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
65150	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
65150	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		14	090
65155	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		4.5	090
65155	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		226	090
65155	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		200	090
65155	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65155	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
65155	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		14	090
65155	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
65175	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		3.5	090
65175	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
65175	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		14	090
65175	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		200	090
65175	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
65175	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65175	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		226	090
65210	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
65210	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	000
65220	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1	0	000
65222	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1	0	000
65235	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		1	090
65235	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.6	090
65235	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		4.5	090
65235	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
65235	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65235	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
65235	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		45	090
65235	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		1	090
65235	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
65260	CPT15 FTD Migration	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		5	090
65260	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		420	090
65260	CPT15 FTD Migration	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.6	090
65260	CPT15 FTD Migration	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.34		1	090
65260	CPT15 FTD Migration	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		2	090
65260	CPT15 FTD Migration	"Wound Care, Dressings"	SG047	eye shield (fox) and garter	item	1.88		1	090
65260	CPT15 FTD Migration	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		1	090
65260	CPT15 FTD Migration	"Wound Care, Dressings"	SG048	"eye shield, fox"	item	1.31		1	090
65260	CPT15 FTD Migration	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		1	090
65260	CPT15 FTD Migration	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
65260	CPT15 FTD Migration	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
65260	CPT15 FTD Migration	Lab	SL020	bleach	ml	0.01		10	090
65260	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		45	090
65260	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
65260	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ015	contact lens soln (12oz uou)	item	4.19		1	090
65260	CPT15 FTD Migration	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65265	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
65265	CPT15 FTD Migration	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		5.5	090
65265	CPT15 FTD Migration	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.34		1	090
65265	CPT15 FTD Migration	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		2	090
65265	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ015	contact lens soln (12oz uou)	item	4.19		1	090
65265	CPT15 FTD Migration	"Wound Care, Dressings"	SG047	eye shield (fox) and garter	item	1.88		1	090
65265	CPT15 FTD Migration	"Wound Care, Dressings"	SG048	"eye shield, fox"	item	1.31		1	090
65265	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		432	090
65265	CPT15 FTD Migration	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		1	090
65265	CPT15 FTD Migration	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		1	090
65265	CPT15 FTD Migration	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.7	090
65265	CPT15 FTD Migration	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65265	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		50	090
65265	CPT15 FTD Migration	Lab	SL020	bleach	ml	0.01		10	090
65265	CPT15 FTD Migration	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
65265	CPT15 FTD Migration	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
65270	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
65270	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	2	1	010
65270	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	17.3	1	0	010
65270	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	010
65270	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
65270	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	010
65270	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
65270	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	010
65272	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
65272	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
65272	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
65272	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
65272	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	3.5	2.5	090
65272	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
65272	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
65272	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	17.3	1	0	090
65272	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
65272	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	0.5	0	090
65272	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
65272	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
65272	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	2.5	1.5	090
65272	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
65272	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
65272	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
65273	Mar03 10	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		2.5	090
65275	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	17.3	1	0	090
65275	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
65275	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	4	3	090
65275	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
65275	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
65275	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
65275	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
65275	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
65275	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
65275	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
65280	Mar03 10	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		4.5	090
65285	Feb08 ss	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		7	090
65286	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
65286	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
65286	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
65286	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	4.5	3.5	090
65286	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
65286	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
65286	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
65286	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
65286	CMS	"Pharmacy, Rx"	SH076	"adhesive, cyanoacrylate (2ml uou).doc"	item	31.35	1	0	090
65286	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
65286	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	090
65286	CMS	"Pharmacy, Rx"	SH082	"hyaluronic acid viscoelastic inj (Amvisc, 0.5ml uou)"	item	68.15	1	0	090
65290	Mar03 10	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		3.5	090
65400	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
65400	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
65400	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	4	0	090
65400	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
65400	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	090
65400	CMS	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.98	1	0	090
65400	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
65400	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
65400	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
65400	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	5.5	4.5	090
65400	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
65400	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
65400	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
65400	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
65410	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	000
65410	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	000
65410	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	000
65410	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1	0	000
65410	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	000
65420	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	5	4	090
65420	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
65420	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
65420	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
65420	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
65420	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	17.3	1	0	090
65420	CMS	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.98	1	0	090
65420	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
65420	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
65420	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
65420	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
65420	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	090
65420	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
65420	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
65420	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
65420	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	4	0	090
65420	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
65420	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
65426	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
65426	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
65426	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
65426	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	5	4	090
65426	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
65426	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
65426	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
65426	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
65426	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	4.5	0	090
65426	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
65426	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
65426	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	17.3	2	0	090
65426	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	090
65426	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
65426	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
65426	CMS	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.98	1	0	090
65426	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
65426	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
65430	CMS	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.98	1	0	000
65430	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1	0	000
65435	CMS	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.98	1	0	000
65435	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1	0	000
65436	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	3	2	090
65436	CMS	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.98	1	0	090
65450	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	3.5	2.5	090
65450	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
65600	CMS	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37	0.4	0	090
65600	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
65600	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
65600	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	2	0	090
65600	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	4	0	090
65600	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	2.5	0	090
65600	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	090
65600	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	60	0	090
65600	CMS	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82	2	0	090
65600	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	40	0	090
65600	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	70	0	090
65710	CPT09 rv	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.2	090
65710	CPT09 rv	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		6	090
65710	CPT09 rv	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		27	090
65730	CPT09 rv	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.2	090
65730	CPT09 rv	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		5	090
65730	CPT09 rv	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		6	090
65750	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		6	090
65750	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.2	090
65750	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		27	090
65755	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.2	090
65755	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		27	090
65755	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		6	090
65756	CPT09 21	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		3	090
65756	CPT09 21	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		3	090
65770	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
65770	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
65770	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		35	090
65770	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65770	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		6.5	090
65770	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.2	090
65772	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
65772	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
65772	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
65772	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
65772	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
65772	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	4	0	090
65772	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
65772	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
65772	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	090
65772	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
65772	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
65772	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	3.5	2.5	090
65775	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		21	090
65775	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		3.5	090
65775	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.2	090
65778	CMS	"Accessory, Procedure"	SD248	human amniotic membrane allograft mounted on a non-absorbable self-retaining ring	item	1097.91	1	0	000
65778	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1	0	000
65779	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
65779	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
65779	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	000
65779	CMS	"Hypodermic, IV"	SC104	"suture, nylon, 10-0"	item	10.85	1	0	000
65779	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	000
65779	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	000
65779	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
65779	CMS	"Accessory, Procedure"	SD247	human amniotic membrane allograft	item	771.33	1	0	000
65779	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	1	0	000
65779	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
65779	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
65780	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
65780	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		5	090
65780	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		2	090
65781	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		10	090
65781	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
65782	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		9	090
65782	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
65785	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	4	4	090
65785	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
65785	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
65785	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	090
65785	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
65785	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
65785	CMS	Lab	SL187	"balance salt solution (BSS), sterile, 15cc"	ml		1	0	090
65785	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
65785	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	090
65785	CMS	"Hypodermic, IV"	SC104	"suture, nylon, 10-0"	item	10.85	1	0	090
65785	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
65785	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
65785	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
65785	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	3	0	090
65785	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
65785	CMS	"Accessory, Procedure"	SD307	"patient/laser interface (single-use, disposable)"	item	172.5	1	0	090
65785	CMS	"Kit, Pack, Tray"	SA120	intrastromal corneal ring	pair	1145	1	0	090
65800	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	000
65800	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
65800	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1	0	000
65800	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
65800	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
65800	CMS	Lab	SL032	culture media	ml	0.02	4	0	000
65800	CMS	Lab	SL238	"slide, glass, (plain blank slide)"	item	0.4	2	0	000
65810	Mar03 10	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		3	090
65815	CMS	"Accessory, Procedure"	SD145	"cannula, anterior chamber, 18-27g"	item	3.21	1	0	090
65815	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
65815	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
65815	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	4	0	090
65815	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
65815	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
65815	CMS	"Pharmacy, Rx"	SH082	"hyaluronic acid viscoelastic inj (Amvisc, 0.5ml uou)"	item	68.15	1	0	090
65815	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
65815	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
65815	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	4	3	090
65815	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
65815	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	090
65815	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
65815	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
65815	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	090
65820	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
65820	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
65820	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		5	090
65820	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.8	090
65820	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		8	090
65820	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		4	090
65820	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		80	090
65820	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		4	090
65820	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65820	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		130	090
65820	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		120	090
65850	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65850	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		24	090
65850	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		4.5	090
65850	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
65850	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
65855	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	14.61	1	0	010
65855	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	2	1	010
65855	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	1	0	010
65860	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	14.61	1	0	090
65860	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	1	0	090
65860	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1	0	090
65865	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		3.5	090
65865	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65865	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
65865	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
65865	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		15	090
65870	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		15	090
65870	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65870	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
65870	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		3.5	090
65870	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
65875	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		4	090
65875	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65875	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
65875	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
65875	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		15	090
65880	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		4	090
65880	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		15	090
65880	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
65880	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
65880	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65900	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		5	090
65900	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65900	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.2	090
65900	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		40	090
65900	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		2	090
65900	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		27	090
65920	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		5	090
65920	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
65920	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		15	090
65920	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65920	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
65930	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		3	090
65930	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65930	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
65930	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
65930	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		24	090
66020	CMS	"Accessory, Procedure"	SD145	"cannula, anterior chamber, 18-27g"	item	3.21	1	0	010
66020	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	010
66020	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
66020	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
66020	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
66020	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	010
66020	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38	1	0	010
66020	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
66020	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	2	1	010
66030	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38	1	0	010
66030	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
66030	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
66030	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
66030	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	2	1	010
66030	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
66030	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	010
66030	CMS	"Accessory, Procedure"	SD145	"cannula, anterior chamber, 18-27g"	item	3.21	1	0	010
66030	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	010
66130	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
66130	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
66130	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	4	3	090
66130	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
66130	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
66130	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	17.3	1	0	090
66130	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
66130	CMS	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.98	1	0	090
66130	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
66130	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
66130	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
66130	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	090
66130	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
66130	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	090
66130	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
66130	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
66130	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
66150	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
66150	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
66150	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		7	090
66150	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
66155	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
66155	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		7	090
66155	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
66155	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
66160	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
66160	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
66160	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
66160	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		7	090
66170	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		5	090
66170	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		4	090
66170	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64		1	090
66172	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64		2	090
66172	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		6	090
66172	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		5	090
66174	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		4	090
66174	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		1	090
66175	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		1	090
66175	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		4	090
66179	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
66179	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		5	090
66179	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		10	090
66179	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		3	090
66180	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		10	090
66180	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		5	090
66180	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		3	090
66180	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
66183	CPT14 May 16	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		8	090
66184	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
66184	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		4	090
66184	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		3	090
66184	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		10	090
66185	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		10	090
66185	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		3	090
66185	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		4	090
66185	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
66225	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		5	090
66225	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.2	090
66225	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		24	090
66250	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
66250	CMS	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.98	1	0	090
66250	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
66250	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
66250	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	4	0	090
66250	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
66250	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	090
66250	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
66250	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
66250	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
66250	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	090
66250	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	4.5	3.5	090
66250	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
66250	CMS	"Pharmacy, Rx"	SH082	"hyaluronic acid viscoelastic inj (Amvisc, 0.5ml uou)"	item	68.15	1	0	090
66250	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	17.3	1	0	090
66250	CMS	"Accessory, Procedure"	SD145	"cannula, anterior chamber, 18-27g"	item	3.21	1	0	090
66500	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.4	090
66500	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
66500	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
66500	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		2.5	090
66500	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		4	090
66500	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		2	090
66500	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		40	090
66500	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
66500	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		70	090
66500	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		2	090
66500	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		2	090
66505	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		2	090
66505	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
66505	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		3	090
66505	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		4	090
66505	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.4	090
66505	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		2	090
66505	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		2	090
66505	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		40	090
66505	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		70	090
66505	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
66505	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
66600	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
66600	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.8	090
66600	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		8	090
66600	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		4	090
66600	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
66600	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		80	090
66600	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		4.5	090
66600	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		130	090
66600	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		4	090
66600	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		120	090
66600	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
66605	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.2	090
66605	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		40	090
66605	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		4.5	090
66605	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		27	090
66605	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
66605	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		2	090
66625	Mar03 10	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		3.5	090
66630	Mar03 10	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		3.5	090
66635	Mar03 10	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		3.5	090
66680	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
66680	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
66680	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		3	090
66680	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		15	090
66680	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
66682	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
66682	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		3.5	090
66682	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		130	090
66682	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		8	090
66682	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		4	090
66682	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		80	090
66682	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		4	090
66682	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		120	090
66682	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
66682	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
66682	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.8	090
66700	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	14.61	1	0	090
66700	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	3	2	090
66700	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	090
66700	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3	3	090
66710	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3	3	090
66710	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	3	2	090
66710	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	090
66710	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	14.61	1	0	090
66711	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		4	090
66711	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		1	090
66720	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	3	2	090
66720	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	14.61	1	0	090
66720	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
66720	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3	3	090
66740	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	090
66740	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	14.61	1	0	090
66740	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3	3	090
66740	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	3	2	090
66761	CMS	"Pharmacy, Rx"	SH097	Pilocarpine 2%	ml	3.8	1	0	010
66761	CMS	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82	1	0	010
66761	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	1	0	010
66761	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	3	2	010
66761	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	14.61	1	0	010
66762	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	14.61	1	0	090
66762	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3	3	090
66762	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	3	2	090
66770	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	14.61	1	0	090
66770	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3	3	090
66770	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	090
66770	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	3	2	090
66820	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
66820	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		4	090
66820	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.8	090
66820	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		2.5	090
66820	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		4	090
66820	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		80	090
66820	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
66820	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		120	090
66820	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		130	090
66820	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
66820	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		8	090
66821		"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	3	2	090
66821		"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	14.61	1	1	090
66821		"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3	0	090
66825	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		4	090
66825	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
66825	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		4	090
66825	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
66825	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.8	090
66825	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
66825	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		120	090
66825	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		130	090
66825	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		8	090
66825	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		5	090
66825	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		80	090
66830	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		4	090
66840	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		4	090
66850	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		4.5	090
66852	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		4.5	090
66920	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		4	090
66930	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		4.5	090
66930	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		15	090
66940	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		15	090
66940	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		4.5	090
66982	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		1	090
66982	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		3	090
66984	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		1	090
66984	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		2	090
66985	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		5	090
66986	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		5	090
669X1	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		3	090
669X1	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		1	090
669X2	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		3	090
669X2	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		1	090
67005	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		4	090
67010	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		4	090
67015	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		45	090
67015	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
67015	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
67015	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		4.5	090
67015	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		2	090
67015	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		1	090
67015	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67015	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
67015	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.6	090
67015	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		1	090
67015	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
67025	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
67025	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67025	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67025	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67025	CMS	"Accessory, Procedure"	SD080	"gas, intraocular C3F8 (ISPAN) (per dose)"	item	5.42	10	0	090
67025	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	090
67025	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	1	0	090
67025	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67025	CMS	"Gown, Drape"	SB045	"drape, sterile, incise, ophthalmic"	item	6.89	1	0	090
67025	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	5	4	090
67025	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	2	0	090
67025	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	090
67025	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
67025	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67025	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
67025	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	090
67027	Mar03 10	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		5	090
67028	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
67028	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
67028	RUC	"Pharmacy, Rx"	SH056	phenylephrine 2.5% ophth (Mydfrin)	ml	5.46	0.05	0	000
67028	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
67028	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	4	0	000
67028	RUC	"Hypodermic, IV"	SC109	"needle, 32g"	item	0.59	1	0	000
67028	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
67028	RUC	"Pharmacy, NonRx"	SJ094	"povidone soln (Betadine), single-use dropper"	item	2.31	1	0	000
67028	RUC	"Pharmacy, Rx"	SH073	tropicamide 1% ophth (Mydriacyl)	ml	0.83	0.05	0	000
67028	RUC	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	2.3533	1	0	000
67030	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
67030	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.5	090
67030	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		4	090
67030	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		2	090
67030	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		1	090
67030	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
67030	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
67030	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67030	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
67030	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		1	090
67030	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		45	090
67031	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	3.5	2.5	090
67031	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	1	0	090
67031	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	14.61	1	0	090
67036	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		5	090
67039	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		5	090
67040	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		5	090
67041	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		5	090
67042	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		5	090
67043	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		5	090
67101	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
67101	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
67101	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	2	2	010
67101	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
67101	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	010
67101	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
67101	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
67101	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
67101	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
67101	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
67105	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	2	2	010
67105	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	0.1	0	010
67105	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
67105	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
67105	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	010
67107	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		5	090
67108	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		5	090
67110	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
67110	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	090
67110	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	1	0	090
67110	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	3	0	090
67110	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67110	RUC	"Accessory, Procedure"	SD080	"gas, intraocular C3F8 (ISPAN) (per dose)"	item	5.42	5	0	090
67110	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
67110	RUC	"Gown, Drape"	SB045	"drape, sterile, incise, ophthalmic"	item	6.89	1	0	090
67110	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67110	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67110	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
67110	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
67110	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	3	0	090
67110	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
67110	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	090
67110	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	6	6	090
67113	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		6	090
67115	Mar03 10	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		3.5	090
67120	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
67120	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67120	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67120	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	4.5	3.5	090
67120	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67120	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67120	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	090
67120	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
67120	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67120	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
67120	CMS	"Gown, Drape"	SB045	"drape, sterile, incise, ophthalmic"	item	6.89	1	0	090
67120	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
67120	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	090
67120	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	1	0	090
67120	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67120	CMS	"Cutters, Closures, Cautery"	SF052	"suture, vicryl, 7-0"	item	35.96	1	0	090
67120	CMS	"Hypodermic, IV"	SC081	"needle, retrobulbar (Atkinson)"	item	1.15	1	0	090
67120	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	090
67121	Mar03 10	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		5	090
67141	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
67141	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
67141	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
67141	RUC	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	9	0	010
67141	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	2	2	010
67141	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
67141	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
67141	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
67141	RUC	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	2.3533	1	0	010
67141	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	1	0	010
67141	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	1	0	010
67141	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
67141	RUC	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	10	0	010
67141	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
67141	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	010
67141	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
67141	RUC	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.34	1	0	010
67145	RUC	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	10	0	010
67145	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	2	2	010
67145	RUC	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	2.3533	1	0	010
67145	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	1	0	010
67208	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67208	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	090
67208	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	4	3	090
67208	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
67208	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	24	090
67208	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	1	090
67208	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1	0	090
67210	CPT12 MD Time	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	090
67210	CPT12 MD Time	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	4	3	090
67218	CPT15 FTD Migration	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67218	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		420	090
67218	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		45	090
67218	CPT15 FTD Migration	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		2	090
67218	CPT15 FTD Migration	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		4	090
67218	CPT15 FTD Migration	"Wound Care, Dressings"	SG047	eye shield (fox) and garter	item	1.88		1	090
67218	CPT15 FTD Migration	"Wound Care, Dressings"	SG048	"eye shield, fox"	item	1.31		1	090
67218	CPT15 FTD Migration	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		1	090
67218	CPT15 FTD Migration	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		1	090
67218	CPT15 FTD Migration	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.34		1	090
67218	CPT15 FTD Migration	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
67218	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
67218	CPT15 FTD Migration	Lab	SL020	bleach	ml	0.01		10	090
67218	CPT15 FTD Migration	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.6	090
67218	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ015	contact lens soln (12oz uou)	item	4.19		1	090
67218	CPT15 FTD Migration	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
67220	CPT12 MD Time	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	4	3	090
67220	CPT12 MD Time	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	090
67221	Feb05 I	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	1	0	000
67221	Feb05 I	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	1	0	000
67221	Feb05 I	"Kit, Pack, Tray"	SA049	"pack, ocular photodynamic therapy"	pack	16.35	1	0	000
67227	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	010
67227	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
67227	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1	0	010
67227	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
67227	CMS	"Hypodermic, IV"	SC081	"needle, retrobulbar (Atkinson)"	item	1.15	1	0	010
67227	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	010
67227	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	010
67227	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	010
67227	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	2	1	010
67228	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	2	1	010
67228	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	1	0	010
67229	CPT08 H	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		6	090
67250	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		6	090
67250	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67250	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		3	090
67250	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		200	090
67250	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		226	090
67250	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		14	090
67250	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
67255	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68		1	090
67255	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		3	090
67255	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		3	090
67255	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		10	090
67311	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		2	090
67311	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		1	090
67312	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		1	090
67312	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		2	090
67314	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		1	090
67314	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		2	090
67316	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		1	090
67316	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		2	090
67318	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		1	090
67318	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		2	090
67343	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		1	090
67343	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67343	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		3.5	090
67343	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		1	090
67343	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.4	090
67343	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		36	090
67343	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		40	090
67345	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	2	1	010
67345	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
67345	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	010
67345	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
67345	CMS	"Accessory, Procedure"	SD051	"electrode needle, monopolar EMG w-lead"	item	2.95	1	0	010
67345	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	010
67400	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		6	090
67400	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
67400	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		6	090
67400	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
67400	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		72	090
67400	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		180	090
67400	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		12	090
67400	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		200	090
67400	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67400	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
67400	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		4.5	090
67405	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67405	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		72	090
67405	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		6	090
67405	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
67405	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		6	090
67405	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
67405	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		180	090
67405	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		200	090
67405	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		12	090
67405	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
67405	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		4	090
67412	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		160	090
67412	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		8	090
67412	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		2.5	090
67412	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
67412	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		16	090
67412	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67412	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
67412	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		260	090
67412	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		8	090
67412	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		8	090
67412	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		96	090
67413	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
67413	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		6	090
67413	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		200	090
67413	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
67413	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		5	090
67413	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		6	090
67413	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
67413	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		180	090
67413	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		72	090
67413	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67413	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		12	090
67414	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		8	090
67414	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		96	090
67414	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
67414	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		3	090
67414	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		16	090
67414	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		8	090
67414	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		160	090
67414	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67414	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		260	090
67414	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
67414	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		8	090
67420	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		5	090
67420	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		8	090
67420	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		260	090
67420	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
67420	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		16	090
67420	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		96	090
67420	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		160	090
67420	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67420	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
67420	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		8	090
67420	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		8	090
67430	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		160	090
67430	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
67430	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		6	090
67430	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		16	090
67430	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		96	090
67430	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67430	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		260	090
67430	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
67430	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		8	090
67430	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		8	090
67430	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		8	090
67440	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		160	090
67440	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		8	090
67440	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		5.5	090
67440	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
67440	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		16	090
67440	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		96	090
67440	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67440	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
67440	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		260	090
67440	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		8	090
67440	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		8	090
67445	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67445	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		96	090
67445	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
67445	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		16	090
67445	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		8	090
67445	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		8	090
67445	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
67445	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		260	090
67445	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		4	090
67445	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		8	090
67445	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		160	090
67450	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		8	090
67450	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		160	090
67450	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		6	090
67450	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		16	090
67450	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		8	090
67450	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		96	090
67450	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67450	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
67450	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		260	090
67450	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		8	090
67450	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
67500	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
67500	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	4	0	000
67500	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	3	0	000
67500	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
67500	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	1	0	000
67500	RUC	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	1	0	000
67500	RUC	"Hypodermic, IV"	SC081	"needle, retrobulbar (Atkinson)"	item	1.15	1	0	000
67505	RUC	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	2	0	000
67505	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
67505	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	4	0	000
67505	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	1	0	000
67505	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	3	0	000
67505	RUC	"Hypodermic, IV"	SC081	"needle, retrobulbar (Atkinson)"	item	1.15	1	0	000
67505	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
67505	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	1	0	000
67515	RUC	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	1	0	000
67515	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	3	0	000
67515	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	4	0	000
67515	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
67515	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	000
67550	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		226	090
67550	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
67550	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		5	090
67550	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		14	090
67550	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67550	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		200	090
67550	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
67560	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		14	090
67560	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		5	090
67560	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		200	090
67560	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
67560	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
67560	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		226	090
67560	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67570	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		96	090
67570	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		8	090
67570	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		4	090
67570	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
67570	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		16	090
67570	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		260	090
67570	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		160	090
67570	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67570	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
67570	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		8	090
67570	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		8	090
67700	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
67700	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	010
67700	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
67700	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
67700	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	010
67700	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
67700	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
67700	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
67700	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
67700	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
67700	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
67700	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	1	0	010
67700	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
67700	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
67700	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	010
67700	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
67700	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	2	1	010
67700	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
67700	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
67700	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
67700	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
67700	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
67700	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
67700	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
67700	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
67700	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
67700	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	010
67700	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
67710	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
67710	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
67710	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	010
67710	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
67710	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
67710	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
67710	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
67710	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
67710	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
67710	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
67710	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
67710	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	010
67710	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	010
67710	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	2	1	010
67710	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
67710	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
67710	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
67710	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
67710	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	010
67710	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
67710	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	1	0	010
67710	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
67710	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
67710	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
67710	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
67710	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
67715	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
67715	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
67715	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
67715	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	2	1	010
67715	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
67715	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
67715	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
67715	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
67715	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	010
67715	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
67715	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
67715	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
67715	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
67715	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
67715	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
67715	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	010
67715	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
67715	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
67715	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
67715	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	010
67715	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
67715	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	1	0	010
67715	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
67715	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
67715	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
67715	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	010
67800	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1.5	0.5	010
67800	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
67800	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
67800	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
67800	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
67800	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	010
67800	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	3	0	010
67800	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	3	0	010
67801	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0	010
67801	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	5	0	010
67801	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
67801	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
67801	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1.5	0.5	010
67801	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
67801	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
67801	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	010
67805	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
67805	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
67805	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	7	0	010
67805	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
67805	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0	010
67805	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	5	0	010
67805	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	2	1	010
67805	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
67808	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		2.5	090
67810	CPT13 May 21	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
67810	CPT13 May 21	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
67810	CPT13 May 21	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
67810	CPT13 May 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
67810	CPT13 May 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
67810	CPT13 May 21	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
67810	CPT13 May 21	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
67810	CPT13 May 21	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
67810	CPT13 May 21	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	000
67810	CPT13 May 21	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	20	0	000
67810	CPT13 May 21	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	000
67810	CPT13 May 21	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	000
67810	CPT13 May 21	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	2.3533	1	0	000
67810	CPT13 May 21	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1	0	000
67810	CPT13 May 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
67810	CPT13 May 21	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
67810	CPT13 May 21	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	000
67810	CPT13 May 21	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07	1	0	000
67810	CPT13 May 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	000
67810	CPT13 May 21	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
67810	CPT13 May 21	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
67810	CPT13 May 21	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
67810	CPT13 May 21	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
67810	CPT13 May 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	1	0	000
67825	Mar03 10	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
67825	Mar03 10	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
67825	Mar03 10	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
67825	Mar03 10	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
67825	Mar03 10	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
67825	Mar03 10	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
67825	Mar03 10	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
67825	Mar03 10	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	4	0	010
67825	Mar03 10	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	010
67825	Mar03 10	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
67825	Mar03 10	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
67825	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	2	1	010
67825	Mar03 10	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
67830	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
67830	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
67830	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
67830	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
67830	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
67830	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	010
67830	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
67830	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	010
67830	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	1	0	010
67830	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
67830	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
67830	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
67830	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
67830	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
67830	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
67830	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
67830	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
67830	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
67830	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
67830	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
67830	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
67830	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
67830	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
67830	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	010
67830	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	2	1	010
67830	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
67835	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		3	090
67835	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		12	090
67840	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
67840	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
67840	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
67840	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
67840	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
67840	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
67840	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	010
67840	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
67840	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	2	1	010
67840	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
67840	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
67840	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
67840	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
67840	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
67840	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
67840	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
67840	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	010
67840	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
67840	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
67840	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
67840	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
67840	CMS	"Wound Care, Dressings"	SG048	"eye shield, fox"	item	1.31	1	0	010
67840	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
67840	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	1	0	010
67840	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
67840	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
67840	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	010
67850	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	1	0	010
67850	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
67850	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
67850	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
67850	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
67850	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	010
67850	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
67850	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
67850	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
67850	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
67850	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	2	1	010
67850	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
67850	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	010
67850	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
67850	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
67850	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
67850	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	010
67850	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
67850	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
67850	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
67850	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
67875	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	000
67875	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
67875	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1	0	000
67875	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
67875	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
67875	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
67875	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
67875	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
67875	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
67875	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	000
67875	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
67875	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
67875	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
67875	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
67875	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	000
67875	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	000
67875	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	000
67875	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	000
67875	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
67875	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	000
67875	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	000
67875	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
67875	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
67875	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
67880	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67880	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67880	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67880	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67880	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
67880	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
67880	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	3.5	2.5	090
67880	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
67880	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67880	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67880	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67880	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
67880	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	090
67880	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67880	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
67880	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67880	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
67880	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	090
67880	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
67880	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67880	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67880	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67880	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67880	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67880	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
67880	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	090
67882	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67882	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	4	3	090
67882	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
67882	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
67882	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67882	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
67882	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67882	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
67882	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67882	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
67882	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
67882	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67882	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
67882	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67882	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	090
67882	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67882	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
67882	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67882	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67882	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67882	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67882	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	090
67882	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67882	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	090
67882	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67882	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67900	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
67900	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67900	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67900	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	4	0	090
67900	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
67900	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
67900	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67900	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67900	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67900	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
67900	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	090
67900	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67900	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67900	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	090
67900	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67900	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
67900	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
67900	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
67900	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67900	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67900	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67900	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67900	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67900	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
67900	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	4	3	090
67900	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67901	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
67901	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67901	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67901	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	090
67901	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
67901	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67901	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67901	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	4	3	090
67901	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	2	0	090
67901	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	090
67901	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67901	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
67901	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
67901	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
67901	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67901	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
67901	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67901	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67901	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67901	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	090
67901	CMS	"Cutters, Closures, Cautery"	SF052	"suture, vicryl, 7-0"	item	35.96	1	0	090
67901	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	5	4	090
67901	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
67901	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
67901	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	20	0	090
67901	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	090
67901	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67901	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	5	0	090
67901	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	090
67901	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67901	CMS	"Wound Care, Dressings"	SG048	"eye shield, fox"	item	1.31	1	0	090
67901	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	090
67901	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67901	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
67901	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	090
67902	RUC05	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
67902	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
67902	RUC05	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		3	090
67903	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
67903	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67903	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	4	3	090
67903	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67903	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
67903	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67903	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67903	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67903	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67903	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	090
67903	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67903	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
67903	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67903	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
67903	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	090
67903	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67903	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
67903	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67903	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67903	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67903	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67903	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67903	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	4	0	090
67903	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
67903	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
67903	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
67903	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
67904	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
67904	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67904	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67904	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
67904	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67904	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	5	4	090
67904	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67904	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67904	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67904	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67904	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	4	0	090
67904	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	090
67904	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67904	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
67904	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67904	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
67904	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67904	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
67904	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67904	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67904	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67904	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	090
67904	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
67904	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
67904	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67904	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
67904	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
67906	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		3	090
67908	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	0	090
67908	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	60	0	090
67908	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	2	0	090
67908	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
67908	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	100	10	090
67908	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	22	0	090
67908	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38	1	1	090
67908	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	90	60	090
67908	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	4.5	3.5	090
67908	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07	3	0	090
67909	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67909	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67909	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67909	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67909	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	090
67909	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67909	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
67909	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	4.5	3.5	090
67909	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
67909	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67909	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67909	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67909	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
67909	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
67909	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	090
67909	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
67909	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
67909	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
67909	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	4	0	090
67909	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67909	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67909	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67909	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67909	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67909	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
67909	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67909	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
67911	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		3.5	090
67912	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	4	3	090
67912	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
67912	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
67912	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67912	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
67912	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
67912	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
67912	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67912	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67912	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
67912	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
67912	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
67912	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	090
67912	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
67912	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67912	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
67912	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
67912	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	090
67912	CMS	"Accessory, Procedure"	SD072	"eyelid weight implant, gold"	item	277.43	1	0	090
67912	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	10	0	090
67914	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67914	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	090
67914	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67914	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67914	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67914	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67914	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67914	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67914	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67914	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67914	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	4	3	090
67914	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67914	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
67914	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67914	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
67914	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
67914	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67914	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	1	0	090
67914	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67914	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	090
67914	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
67914	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
67914	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
67914	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67915	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
67915	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67915	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67915	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
67915	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67915	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67915	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67915	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	3	2	090
67915	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67915	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67915	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	090
67915	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	090
67915	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
67915	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67915	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
67915	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67915	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	1	0	090
67915	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67915	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67915	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67915	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
67915	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67915	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67916	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
67916	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67916	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
67916	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67916	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	1	0	090
67916	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67916	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67916	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
67916	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	090
67916	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67916	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
67916	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	4	3	090
67916	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
67916	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67916	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67916	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67916	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67916	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	090
67916	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	090
67916	CMS	"Wound Care, Dressings"	SG047	eye shield (fox) and garter	item	1.88	1	0	090
67916	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67916	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67916	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67916	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
67916	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67916	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67916	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
67917	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	090
67917	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67917	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67917	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
67917	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
67917	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
67917	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67917	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67917	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67917	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67917	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67917	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
67917	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
67917	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67917	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
67917	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67917	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67917	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	4	3	090
67917	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	1	0	090
67917	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67917	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67917	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67917	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67917	CMS	"Wound Care, Dressings"	SG047	eye shield (fox) and garter	item	1.88	1	0	090
67917	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	090
67917	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	20	0	090
67917	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	090
67921	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67921	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
67921	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67921	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67921	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67921	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67921	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	4	3	090
67921	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
67921	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67921	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
67921	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	090
67921	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67921	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
67921	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67921	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	1	0	090
67921	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67921	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67921	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
67921	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	090
67921	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67921	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67921	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67921	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	4	0	090
67921	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67922	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
67922	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	3	2	090
67922	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67922	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
67922	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67922	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67922	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	1	0	090
67922	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67922	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67922	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67922	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67922	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	090
67922	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67922	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67922	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67922	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
67922	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
67922	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67922	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67922	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	090
67922	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67922	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67923	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67923	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
67923	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	090
67923	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
67923	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67923	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	090
67923	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67923	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
67923	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67923	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67923	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	1	0	090
67923	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67923	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67923	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67923	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67923	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67923	CMS	"Wound Care, Dressings"	SG047	eye shield (fox) and garter	item	1.88	1	0	090
67923	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	4	3	090
67923	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
67923	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67923	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67923	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	090
67923	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
67923	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
67923	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67923	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67923	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
67924	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
67924	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	20	0	090
67924	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67924	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	4	3	090
67924	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67924	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
67924	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	090
67924	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
67924	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
67924	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67924	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67924	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67924	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	090
67924	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67924	CMS	"Wound Care, Dressings"	SG047	eye shield (fox) and garter	item	1.88	1	0	090
67924	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67924	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67924	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67924	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67924	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67924	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
67924	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	1	0	090
67924	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67924	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
67924	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67924	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67924	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	090
67930	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
67930	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
67930	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
67930	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
67930	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
67930	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
67930	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
67930	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
67930	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
67930	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
67930	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	2	1	010
67930	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
67930	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
67930	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
67930	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	010
67930	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
67930	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	010
67930	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	010
67930	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
67930	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	010
67930	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
67930	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
67930	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
67930	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
67930	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1	0	010
67930	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
67930	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
67930	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
67935	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67935	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67935	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	4	3	090
67935	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	090
67935	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1	0	090
67935	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	090
67935	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67935	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67935	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
67935	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67935	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67935	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
67935	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
67935	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
67935	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67935	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
67935	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67935	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
67935	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	090
67935	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67935	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67935	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67935	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
67935	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67935	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67935	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67935	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
67935	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
67938	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
67938	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
67938	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
67938	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
67938	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
67938	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	2	1	010
67938	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
67938	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
67938	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
67938	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
67938	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
67938	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	010
67938	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
67938	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
67938	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	010
67938	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
67938	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
67938	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
67938	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	4	0	010
67938	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	010
67938	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	010
67938	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
67938	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
67938	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
67938	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
67938	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
67938	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	010
67938	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
67938	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
67950	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	090
67950	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67950	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	4	0	090
67950	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1	0	090
67950	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67950	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67950	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
67950	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67950	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67950	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
67950	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	090
67950	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
67950	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
67950	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67950	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67950	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
67950	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67950	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
67950	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67950	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
67950	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
67950	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67950	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67950	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67950	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67950	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
67950	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67950	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	4.5	3.5	090
67961	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	090
67961	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67961	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67961	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67961	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1	0	090
67961	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67961	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	090
67961	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67961	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
67961	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
67961	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
67961	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
67961	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67961	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67961	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
67961	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
67961	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67961	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
67961	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67961	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
67961	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67961	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67961	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67961	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67961	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	4.5	3.5	090
67961	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
67961	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	4	0	090
67961	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67966	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67966	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67966	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67966	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67966	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67966	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67966	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
67966	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
67966	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	5	4	090
67966	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
67966	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
67966	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67966	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67966	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67966	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
67966	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
67966	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	090
67966	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67966	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	090
67966	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
67966	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	4	0	090
67966	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1	0	090
67966	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67966	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67966	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
67966	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67966	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67966	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
67971	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		4.5	090
67973	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		5.5	090
67974	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		5.5	090
67975	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		4.5	090
68020	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	2	1	010
68020	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
68040	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1	0	000
68100	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1	0	000
68100	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	000
68100	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
68100	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	000
68100	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	000
68100	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	000
68100	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
68100	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	000
68100	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	000
68110	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
68110	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
68110	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
68110	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	010
68110	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
68110	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	010
68110	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	2	1	010
68110	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
68110	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	010
68115	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
68115	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
68115	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	2	1	010
68115	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
68115	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
68115	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
68115	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
68115	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
68115	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
68115	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
68115	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	010
68115	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	17.3	1	0	010
68115	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
68115	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	010
68115	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	010
68130	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
68130	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	090
68130	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
68130	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
68130	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	4.5	3.5	090
68130	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
68130	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
68130	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
68130	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
68130	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
68130	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	090
68130	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	17.3	1	0	090
68130	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
68130	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
68130	CMS	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.98	1	0	090
68130	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
68130	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
68135	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	2	1	010
68200	CPT13 MD Time	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1	0	000
68200	CPT13 MD Time	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	3	0	000
68200	CPT13 MD Time	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	4	0	000
68200	CPT13 MD Time	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
68320	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
68320	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	5	4	090
68320	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
68320	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
68320	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
68320	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
68320	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
68320	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	17.3	2	0	090
68320	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	2	0	090
68320	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
68320	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
68320	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
68320	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	090
68320	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	090
68320	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
68320	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
68320	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
68325	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		4	090
68326	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		4	090
68328	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		4	090
68330	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
68330	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
68330	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
68330	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
68330	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	4	3	090
68330	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
68330	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
68330	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
68330	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
68330	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
68330	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	2	0	090
68330	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	17.3	1	0	090
68330	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	090
68330	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
68330	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
68330	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	090
68330	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
68335	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		4	090
68340	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
68340	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
68340	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
68340	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
68340	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	17.3	1	0	090
68340	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
68340	CMS	"Accessory, Procedure"	SD158	"conformer, sterile, acrylic"	item	63	1	0	090
68340	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	3.5	2.5	090
68340	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	090
68340	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
68340	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
68340	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
68340	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
68340	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	090
68340	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
68340	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
68360	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	3.5	2.5	090
68360	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
68360	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	090
68360	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
68360	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
68360	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
68360	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	090
68360	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	17.3	1	0	090
68360	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
68360	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
68360	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
68360	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
68360	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
68360	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
68360	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
68362	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		4	090
68371		"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	010
68371		"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		4	010
68400	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
68400	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	2	1	010
68400	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
68400	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
68400	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	010
68400	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
68400	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
68400	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	5	0	010
68400	CMS	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.34	1	0	010
68400	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
68400	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
68400	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
68400	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
68400	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
68400	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
68400	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
68400	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	010
68400	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
68400	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
68400	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
68400	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
68400	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
68400	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
68400	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
68400	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
68400	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
68400	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
68400	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07	1	0	010
68400	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
68420	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	010
68420	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
68420	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
68420	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
68420	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
68420	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	2	1	010
68420	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
68420	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
68420	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	5	0	010
68420	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
68420	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
68420	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
68420	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07	1	0	010
68420	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
68420	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
68420	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
68420	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
68420	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
68420	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	010
68420	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
68420	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
68420	CMS	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.34	1	0	010
68420	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
68420	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
68420	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
68420	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
68420	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
68420	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
68420	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
68440	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	2	1	010
68500	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		6	090
68500	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		5.5	090
68500	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		1	090
68500	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
68500	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
68500	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		200	090
68500	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		180	090
68500	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
68500	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		72	090
68505	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
68505	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		1	090
68505	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
68505	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		6	090
68505	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		72	090
68505	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
68505	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		180	090
68505	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		5.5	090
68505	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		200	090
68510	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
68510	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	010
68510	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
68510	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
68510	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	5	0	010
68510	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
68510	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
68510	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1	0	010
68510	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	010
68510	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
68510	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
68510	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
68510	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
68510	CMS	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.34	1	0	010
68510	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
68510	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
68510	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
68510	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
68510	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
68510	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07	1	0	010
68510	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
68510	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
68510	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
68510	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
68510	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
68510	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
68510	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
68510	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
68520	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		120	090
68520	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
68520	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		1	090
68520	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
68520	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
68520	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		1	090
68520	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		130	090
68520	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
68520	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
68530	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
68530	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
68530	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
68530	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
68530	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
68530	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
68530	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
68530	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
68530	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
68530	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
68530	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
68530	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	2	1	010
68530	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	010
68530	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07	1	0	010
68530	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
68530	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
68530	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	010
68530	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
68530	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
68530	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
68530	CMS	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.34	1	0	010
68530	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
68530	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
68530	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
68530	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	5	0	010
68530	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
68530	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
68530	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
68530	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
68540	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
68540	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
68540	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		5	090
68540	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
68540	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
68540	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		120	090
68540	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
68540	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		130	090
68540	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		1	090
68550	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		1	090
68550	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		180	090
68550	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
68550	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		72	090
68550	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		200	090
68550	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		6	090
68550	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
68550	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91		6	090
68550	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
68700	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		4	090
68705	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	010
68705	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	010
68705	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	2	1	010
68705	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
68705	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
68705	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
68705	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
68705	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
68705	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
68705	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
68705	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	6	0	010
68705	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
68705	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
68705	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
68705	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
68705	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
68705	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	010
68720	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
68720	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		130	090
68720	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		120	090
68720	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
68720	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
68720	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
68720	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
68720	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		1	090
68720	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		4	090
68745	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
68745	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		4	090
68745	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		130	090
68745	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
68745	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
68745	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		120	090
68745	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		1	090
68745	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
68745	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
68750	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		4.5	090
68750	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
68750	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		5	090
68750	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		1	090
68750	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		150	090
68750	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		165	090
68750	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
68750	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
68750	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
68760	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
68760	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
68760	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
68760	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
68760	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	2	1	010
68760	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
68760	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
68760	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
68760	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	010
68760	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
68760	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	010
68760	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
68760	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	010
68760	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	4	0	010
68760	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
68760	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
68761	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
68761	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
68761	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	2	1	010
68761	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	2	0	010
68761	CMS	"Wound Care, Dressings"	SG070	punctum plug	pair	46.65	0.5	0	010
68770	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		4	090
68801	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	6	0	010
68801	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1	1	010
68801	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
68810	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	010
68810	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	010
68810	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
68810	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
68810	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
68810	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
68810	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
68810	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	6	0	010
68810	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
68810	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1	1	010
68810	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
68810	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	3	0	010
68810	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
68810	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
68811	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72		1	010
68815	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
68815	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
68815	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	010
68815	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
68815	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
68815	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
68815	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	010
68815	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
68815	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
68815	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	3	2	010
68815	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
68815	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
68815	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
68815	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
68815	RUC	"Accessory, Procedure"	SD179	lacrimal duct stent-tube set	item	68.31	1	0	010
68815	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	3	0	010
68815	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
68815	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
68815	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
68815	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
68815	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
68815	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	010
68815	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	010
68816	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
68816	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	010
68816	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
68816	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	2	1	010
68816	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
68816	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	010
68816	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
68816	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
68816	CMS	"Accessory, Procedure"	SD220	"catheter, balloon, lacrimal"	item	542.39	1	0	010
68816	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	010
68816	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
68816	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	010
68816	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
68816	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	010
68816	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
68816	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
68816	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
68840	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
68840	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
68840	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	010
68840	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
68840	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	010
68840	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
68840	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
68840	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	6	0	010
68840	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	2	1	010
68850	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	000
68850	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1	0	000
68850	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	4	0	000
68850	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
68850	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
68850	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	000
68850	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
68XXX	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	2	0	000
68XXX	RUC	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	2.3533	0.2	0	000
68XXX	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
68XXX	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
69000	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	10	010
69000	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
69000	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	1	010
69000	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	2	010
69000	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	2	010
69000	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
69000	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
69000	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
69000	RUC	Lab	SL033	culture swab system (Culturette)	item	0.96	2	0	010
69000	RUC	"Wound Care, Dressings"	SG032	dental rolls	item	0.025	2	0	010
69000	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
69000	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	010
69000	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	0	010
69000	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
69000	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
69000	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
69000	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
69000	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
69000	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
69000	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
69000	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
69005	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2	1	010
69005	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
69005	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
69005	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
69005	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
69005	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
69005	Jan03	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
69005	Jan03	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	010
69005	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
69005	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	2	010
69005	Jan03	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
69005	Jan03	Lab	SL033	culture swab system (Culturette)	item	0.96	2	0	010
69005	Jan03	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	10	010
69005	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
69005	Jan03	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	1	010
69005	Jan03	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
69005	Jan03	"Wound Care, Dressings"	SG032	dental rolls	item	0.025	4	0	010
69005	Jan03	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	0	010
69005	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	2	010
69005	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
69020	Jan03	Lab	SL033	culture swab system (Culturette)	item	0.96	2	0	010
69020	Jan03	"Cutters, Closures, Cautery"	SF009	"blade, surgical chisel 81-86 (Beaver)"	item	3.6	1	0	010
69020	Jan03	"Pharmacy, Rx"	SH053	neomycin-polymyxin-hc otic soln (Cortisporin)	ml	2.2	4	2	010
69020	Jan03	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48	1	0	010
69020	Jan03	"Kit, Pack, Tray"	SA023	"kit, phenol applicator"	kit	19.99	1	0	010
69020	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
69020	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	2	010
69020	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
69020	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	010
69020	Jan03	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	2	1	010
69020	Jan03	"Wound Care, Dressings"	SG059	oto-wick	item	3.38	2	1	010
69020	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	2	010
69020	Jan03	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	4	2	010
69020	Jan03	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	10	010
69020	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
69020	Jan03	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
69020	Jan03	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
69020	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	4	2	010
69100	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
69100	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
69100	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
69100	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
69100	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
69100	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
69100	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
69100	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
69100	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
69100	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
69100	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
69100	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
69100	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
69100	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
69100	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
69100	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	000
69100	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
69100	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	000
69105	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
69105	Jan03	"Cutters, Closures, Cautery"	SF009	"blade, surgical chisel 81-86 (Beaver)"	item	3.6	1	0	000
69105	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	000
69105	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
69105	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
69105	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
69105	Jan03	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	000
69105	Jan03	"Wound Care, Dressings"	SG059	oto-wick	item	3.38	2	0	000
69105	Jan03	"Pharmacy, Rx"	SH053	neomycin-polymyxin-hc otic soln (Cortisporin)	ml	2.2	4	0	000
69105	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
69105	Jan03	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
69105	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
69105	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
69105	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
69110	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
69110	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	3	2	090
69110	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	3	2	090
69110	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
69110	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
69110	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
69110	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	0	10	090
69110	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	1	090
69110	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	50	30	090
69110	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
69110	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
69110	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
69110	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
69110	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3	2	090
69110	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
69110	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	3	2	090
69110	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
69110	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	090
69110	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	090
69110	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
69110	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	10	5	090
69110	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	0	4	090
69110	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	090
69110	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
69110	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
69110	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
69110	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
69110	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48	3	2	090
69110	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035	2	2	090
69110	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
69110	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	90	60	090
69110	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	0	6	090
69110	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
69110	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	090
69110	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	4	0	090
69110	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
69120	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
69120	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69120	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		2	090
69120	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		2	090
69120	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
69120	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
69120	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
69120	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
69120	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69120	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69120	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69120	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
69120	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		8	090
69120	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		2	090
69120	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		2	090
69120	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69120	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69120	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		2	090
69120	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		2	090
69120	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
69120	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
69120	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		10	090
69120	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69120	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69120	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		6	090
69140	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		17.5	090
69140	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		7	090
69140	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3.5	090
69140	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69140	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		3.5	090
69140	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69140	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69140	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3.5	090
69140	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090
69140	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		7	090
69140	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		3.5	090
69140	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3.5	090
69140	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69140	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3.5	090
69140	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69140	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3.5	090
69140	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69140	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
69140	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3.5	090
69140	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69140	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5	090
69140	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		17.5	090
69140	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3.5	090
69140	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		35	090
69140	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69140	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14	090
69140	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3.5	090
69145	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1.5	1.5	090
69145	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	0	10	090
69145	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
69145	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
69145	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	50	30	090
69145	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
69145	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
69145	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	1	090
69145	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48	2	1	090
69145	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	0	4	090
69145	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	1	090
69145	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	0	6	090
69145	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035	1	1	090
69145	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	2	1	090
69145	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
69145	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	090
69145	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
69145	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
69145	RUC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	090
69145	RUC	"Wound Care, Dressings"	SG059	oto-wick	item	3.38	1	0	090
69145	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
69145	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	090
69145	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
69145	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
69145	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
69145	RUC	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.98	1	0	090
69145	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
69145	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	2	1	090
69145	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
69145	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	2.5	1.5	090
69145	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	10	5	090
69145	RUC	"Pharmacy, Rx"	SH081	Floxin 0.3% otic soln	ml	2.62	10	0	090
69145	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
69145	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	8	4	090
69145	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
69145	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	60	30	090
69145	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	090
69150	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69150	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69150	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69150	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69150	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69150	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69150	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69150	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69150	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69150	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69150	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69150	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69150	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69150	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69150	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69150	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69150	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69150	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69150	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69150	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69150	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69150	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69150	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69150	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69150	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69155	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69155	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69155	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		5	090
69155	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		5	090
69155	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69155	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		5	090
69155	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		10	090
69155	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
69155	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
69155	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		10	090
69155	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69155	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
69155	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
69155	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		20	090
69155	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69155	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
69155	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		25	090
69155	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		25	090
69155	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090
69155	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		5	090
69155	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69155	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		18	090
69155	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		5	090
69155	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69155	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69200	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
69200	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	1	0	000
69200	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.01	50	0	000
69200	RUC	"Pharmacy, Rx"	SH053	neomycin-polymyxin-hc otic soln (Cortisporin)	ml	2.2	2	0	000
69200	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
69200	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
69200	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	3	0	000
69200	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
69200	RUC	"Wound Care, Dressings"	SG059	oto-wick	item	3.38	1	0	000
69205	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	010
69205	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	010
69205	Jan03	Infection Control	SM025	"specula tips, otoscope"	item	0.45		1	010
69205	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8		2	010
69209	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		000
69209	RUC	"Accessory, Procedure"	SD308	earwash bottle disposable tips	item	1.72	1		000
69209	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		000
69209	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		000
69209	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		000
69209	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	15		000
69210	RUC	"Cutters, Closures, Cautery"	SF023	curette for ear cerumen	item	0.76	2	0	000
69210	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
69210	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
69210	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1	0	000
69220	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
69220	RUC	"Pharmacy, Rx"	SH053	neomycin-polymyxin-hc otic soln (Cortisporin)	ml	2.2	2	0	000
69220	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
69220	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
69220	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	000
69220	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	1	0	000
69222	Jan03	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	4	2	010
69222	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	2	010
69222	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
69222	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	010
69222	Jan03	"Cutters, Closures, Cautery"	SF009	"blade, surgical chisel 81-86 (Beaver)"	item	3.6	1	0	010
69222	Jan03	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	2	1	010
69222	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
69222	Jan03	"Pharmacy, Rx"	SH053	neomycin-polymyxin-hc otic soln (Cortisporin)	ml	2.2	4	2	010
69222	Jan03	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
69222	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	2	010
69222	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	4	2	010
69222	Jan03	Lab	SL033	culture swab system (Culturette)	item	0.96	2	0	010
69222	Jan03	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
69222	Jan03	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
69222	Jan03	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48	1	0	010
69222	Jan03	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	10	010
69222	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
69300	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	25	0	YYY
69300	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	YYY
69300	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	YYY
69300	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	YYY
69300	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	YYY
69300	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	YYY
69300	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	12	0	YYY
69300	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	YYY
69300	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	YYY
69300	CMS	"Pharmacy, NonRx"	SJ035	mineral oil	ml	0.02	1	0	YYY
69300	CMS	"Wound Care, Dressings"	SG032	dental rolls	item	0.025	4	0	YYY
69300	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	YYY
69300	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48	1	0	YYY
69300	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	YYY
69300	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	YYY
69300	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	YYY
69300	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	YYY
69300	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	YYY
69300	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	2	0	YYY
69300	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	YYY
69300	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	YYY
69300	CMS	"Cutters, Closures, Cautery"	SF038	"suture, prolene, 3-0 to 7-0, p, ps, pc"	item	19.79	2	0	YYY
69300	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	YYY
69310	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69310	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69310	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		4	090
69310	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69310	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69310	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69310	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69310	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69310	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69310	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69310	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69310	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		4	090
69310	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69310	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69310	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69310	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69310	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69310	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69310	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69310	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69310	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69310	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69310	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69310	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69310	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69310	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69310	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69320	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69320	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		5	090
69320	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		5	090
69320	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69320	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		10	090
69320	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69320	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
69320	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		10	090
69320	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
69320	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69320	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		5	090
69320	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		5	090
69320	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
69320	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69320	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69320	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
69320	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		5	090
69320	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		5	090
69320	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
69320	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		25	090
69320	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		5	090
69320	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		20	090
69320	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69320	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		18	090
69320	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69320	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090
69320	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		25	090
69420	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	010
69420	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
69420	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	2	1	010
69420	RUC	"Kit, Pack, Tray"	SA023	"kit, phenol applicator"	kit	19.99	1	0	010
69420	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	010
69420	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
69420	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
69420	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
69420	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
69421	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	010
69421	Jan03	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		1	010
69421	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		1	010
69421	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	010
69421	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8		2	010
69424	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
69424	CMS	"Kit, Pack, Tray"	SA023	"kit, phenol applicator"	kit	19.99	1	0	000
69424	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
69424	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
69424	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
69424	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
69424	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	1	0	000
69424	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
69433	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
69433	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	010
69433	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
69433	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
69433	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	010
69433	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
69433	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	2	1	010
69433	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
69433	RUC	"Kit, Pack, Tray"	SA023	"kit, phenol applicator"	kit	19.99	1	0	010
69436	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	010
69436	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	010
69436	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8		2	010
69436	Jan03	Infection Control	SM025	"specula tips, otoscope"	item	0.45		1	010
69440	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69440	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3	090
69440	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3	090
69440	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
69440	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
69440	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
69440	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69440	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69440	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3	090
69440	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69440	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		3	090
69440	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
69440	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3	090
69440	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69440	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
69440	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
69440	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090
69440	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3	090
69440	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
69440	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
69440	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
69440	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
69440	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69440	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
69440	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69440	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69450	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
69450	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		2.5	090
69450	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		2.5	090
69450	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69450	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		2.5	090
69450	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		5	090
69450	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2.5	090
69450	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		5	090
69450	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69450	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69450	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		2.5	090
69450	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2.5	090
69450	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69450	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69450	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
69450	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69450	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		10	090
69450	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		2.5	090
69450	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		2.5	090
69450	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2.5	090
69450	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		2.5	090
69450	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		12.5	090
69450	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69450	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69450	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		12.5	090
69450	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		25	090
69501	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69501	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3	090
69501	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3	090
69501	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3	090
69501	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
69501	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
69501	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
69501	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
69501	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69501	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
69501	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69501	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
69501	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69501	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69501	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69501	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69501	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090
69501	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3	090
69501	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
69501	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
69501	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
69501	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3	090
69501	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69501	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
69501	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
69502	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69502	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69502	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69502	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69502	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69502	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69502	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69502	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69502	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69502	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69502	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69502	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69502	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69502	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69502	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69502	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69502	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69502	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69502	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69502	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69502	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69502	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69502	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69502	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69502	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69505	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69505	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69505	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69505	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		4	090
69505	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69505	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69505	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69505	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69505	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69505	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		4	090
69505	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69505	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69505	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69505	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69505	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69505	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69505	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69505	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69505	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69505	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69505	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69505	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69505	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69505	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69505	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69505	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69505	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69511	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69511	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		4	090
69511	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69511	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69511	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69511	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69511	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69511	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69511	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69511	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69511	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69511	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69511	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69511	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69511	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69511	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		4	090
69511	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69511	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69511	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69511	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69511	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69511	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69511	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69511	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69511	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69511	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69511	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69530	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69530	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		4.5	090
69530	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4.5	090
69530	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4.5	090
69530	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090
69530	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		9	090
69530	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4.5	090
69530	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4.5	090
69530	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69530	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69530	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		4.5	090
69530	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69530	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		9	090
69530	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4.5	090
69530	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		22.5	090
69530	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69530	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
69530	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090
69530	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69530	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090
69530	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		22.5	090
69530	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69530	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		45	090
69530	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4.5	090
69530	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4.5	090
69530	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4.5	090
69530	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69535	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69535	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69535	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69535	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69535	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		5	090
69535	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
69535	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
69535	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69535	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		5	090
69535	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		10	090
69535	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		10	090
69535	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69535	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		5	090
69535	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		5	090
69535	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090
69535	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69535	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		5	090
69535	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
69535	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		18	090
69535	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		20	090
69535	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		5	090
69535	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		25	090
69535	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
69535	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
69535	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		25	090
69535	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69535	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		5	090
69540	Jan03	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	4	2	010
69540	Jan03	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48	1	0	010
69540	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
69540	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	2	010
69540	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
69540	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	010
69540	Jan03	"Cutters, Closures, Cautery"	SF009	"blade, surgical chisel 81-86 (Beaver)"	item	3.6	1	0	010
69540	Jan03	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	2	1	010
69540	Jan03	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
69540	Jan03	"Wound Care, Dressings"	SG059	oto-wick	item	3.38	2	1	010
69540	Jan03	Lab	SL033	culture swab system (Culturette)	item	0.96	2	0	010
69540	Jan03	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
69540	Jan03	"Pharmacy, Rx"	SH053	neomycin-polymyxin-hc otic soln (Cortisporin)	ml	2.2	4	2	010
69540	Jan03	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
69540	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	2	010
69540	Jan03	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	10	010
69540	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
69540	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	4	2	010
69550	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3.5	090
69550	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3.5	090
69550	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3.5	090
69550	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		7	090
69550	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		7	090
69550	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3.5	090
69550	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		3.5	090
69550	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3.5	090
69550	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090
69550	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69550	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3.5	090
69550	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		3.5	090
69550	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69550	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3.5	090
69550	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
69550	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69550	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69550	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69550	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14	090
69550	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5	090
69550	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		17.5	090
69550	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3.5	090
69550	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		35	090
69550	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69550	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69550	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69550	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		17.5	090
69552	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69552	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69552	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69552	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		4	090
69552	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69552	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69552	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69552	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		4	090
69552	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69552	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69552	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69552	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69552	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69552	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69552	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69552	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69552	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69552	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69552	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69552	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69552	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69552	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69552	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69552	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69552	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69552	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69552	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69554	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69554	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69554	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		4	090
69554	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69554	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69554	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69554	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69554	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69554	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69554	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69554	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69554	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69554	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69554	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69554	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		4	090
69554	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69554	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69554	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69554	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69554	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69554	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69554	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69554	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69554	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69554	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69554	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69554	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69601	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4.5	090
69601	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4.5	090
69601	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4.5	090
69601	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4.5	090
69601	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69601	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		9	090
69601	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4.5	090
69601	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		9	090
69601	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69601	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69601	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69601	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69601	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4.5	090
69601	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
69601	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090
69601	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69601	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090
69601	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		22.5	090
69601	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090
69601	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4.5	090
69601	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		22.5	090
69601	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4.5	090
69601	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69601	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		45	090
69601	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69602	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69602	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69602	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		4	090
69602	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69602	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69602	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69602	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69602	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69602	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69602	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69602	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69602	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69602	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69602	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69602	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69602	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69602	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69602	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69602	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69602	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69602	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69602	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69602	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69602	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69602	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69602	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69603	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69603	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		4	090
69603	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69603	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69603	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69603	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69603	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69603	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69603	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69603	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69603	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69603	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69603	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69603	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69603	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69603	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		4	090
69603	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69603	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69603	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69603	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69603	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69603	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69603	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69603	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69603	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69603	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69603	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69604	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69604	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69604	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		4	090
69604	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69604	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69604	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69604	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69604	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69604	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69604	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69604	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69604	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69604	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69604	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69604	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69604	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69604	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69604	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69604	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69604	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69604	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69604	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69604	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69604	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69604	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69604	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69610	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
69610	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	010
69610	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	2	1	010
69610	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
69610	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	010
69610	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
69610	RUC	"Kit, Pack, Tray"	SA023	"kit, phenol applicator"	kit	19.99	1	0	010
69610	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	010
69610	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	1	010
69620	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
69620	CMS	"Kit, Pack, Tray"	SA023	"kit, phenol applicator"	kit	19.99	1	0	090
69620	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	1	090
69620	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
69620	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
69620	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
69620	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	090
69620	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	090
69620	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	090
69620	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	1	090
69620	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	4	0	090
69620	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	4	3	090
69620	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	090
69620	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	2	1	090
69620	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
69620	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	090
69620	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	2	0	090
69620	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	2	090
69620	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
69620	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	3	1	090
69620	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	2	1	090
69620	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
69620	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
69620	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
69620	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	1	090
69620	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
69620	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	1	090
69620	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	1	090
69620	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
69620	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	2	1	090
69620	CMS	"Pharmacy, Rx"	SH081	Floxin 0.3% otic soln	ml	2.62	10	5	090
69631	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69631	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69631	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69631	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69631	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		4	090
69631	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69631	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69631	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69631	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69631	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69631	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69631	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69631	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69631	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69631	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69631	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69631	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69631	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69631	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69631	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69631	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69631	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69631	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69631	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69631	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69631	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69632	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69632	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4.5	090
69632	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		4.5	090
69632	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4.5	090
69632	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4.5	090
69632	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090
69632	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		9	090
69632	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4.5	090
69632	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69632	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		9	090
69632	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69632	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69632	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4.5	090
69632	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69632	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69632	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4.5	090
69632	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
69632	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69632	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090
69632	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090
69632	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4.5	090
69632	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		45	090
69632	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69632	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		22.5	090
69632	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4.5	090
69632	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		22.5	090
69633	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4.5	090
69633	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69633	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69633	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69633	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4.5	090
69633	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090
69633	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69633	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4.5	090
69633	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		9	090
69633	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4.5	090
69633	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		22.5	090
69633	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		9	090
69633	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4.5	090
69633	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69633	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		4.5	090
69633	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4.5	090
69633	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4.5	090
69633	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
69633	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69633	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090
69633	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		22.5	090
69633	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4.5	090
69633	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		45	090
69633	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69633	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69633	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090
69635	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69635	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69635	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		4	090
69635	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		4	090
69635	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69635	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69635	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69635	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69635	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69635	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69635	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69635	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69635	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69635	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69635	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69635	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69635	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69635	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69635	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69635	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69635	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69635	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69635	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69635	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69635	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69635	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69635	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69636	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69636	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		4.5	090
69636	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69636	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4.5	090
69636	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69636	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4.5	090
69636	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090
69636	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4.5	090
69636	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		4.5	090
69636	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		9	090
69636	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4.5	090
69636	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		9	090
69636	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4.5	090
69636	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4.5	090
69636	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69636	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
69636	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090
69636	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69636	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090
69636	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		22.5	090
69636	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4.5	090
69636	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4.5	090
69636	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		22.5	090
69636	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69636	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69636	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		45	090
69636	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69637	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090
69637	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69637	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		4.5	090
69637	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4.5	090
69637	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69637	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4.5	090
69637	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4.5	090
69637	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4.5	090
69637	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		9	090
69637	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		4.5	090
69637	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4.5	090
69637	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		9	090
69637	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69637	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69637	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4.5	090
69637	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69637	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69637	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090
69637	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
69637	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090
69637	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		22.5	090
69637	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4.5	090
69637	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		22.5	090
69637	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4.5	090
69637	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69637	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		45	090
69637	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69641	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69641	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69641	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69641	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69641	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69641	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69641	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69641	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69641	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69641	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		4	090
69641	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69641	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69641	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69641	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69641	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69641	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69641	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69641	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69641	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69641	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69641	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69641	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69641	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69641	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69641	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69641	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69642	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69642	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		5	090
69642	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		5	090
69642	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69642	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		5	090
69642	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
69642	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
69642	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
69642	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69642	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		10	090
69642	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69642	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		5	090
69642	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		10	090
69642	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69642	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69642	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090
69642	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		18	090
69642	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69642	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		20	090
69642	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		5	090
69642	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
69642	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
69642	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		25	090
69642	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		5	090
69642	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69642	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		25	090
69643	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69643	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		4.5	090
69643	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4.5	090
69643	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69643	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4.5	090
69643	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090
69643	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4.5	090
69643	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4.5	090
69643	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		9	090
69643	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69643	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		45	090
69643	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69643	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		9	090
69643	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090
69643	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69643	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69643	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4.5	090
69643	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
69643	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		22.5	090
69643	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4.5	090
69643	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4.5	090
69643	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		22.5	090
69643	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4.5	090
69643	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69643	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69643	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090
69644	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090
69644	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69644	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69644	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4.5	090
69644	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4.5	090
69644	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		9	090
69644	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4.5	090
69644	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4.5	090
69644	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		9	090
69644	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4.5	090
69644	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69644	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		4.5	090
69644	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69644	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69644	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69644	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		4.5	090
69644	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
69644	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		22.5	090
69644	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090
69644	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4.5	090
69644	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090
69644	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		22.5	090
69644	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69644	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		45	090
69644	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4.5	090
69644	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4.5	090
69644	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69645	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69645	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		9	090
69645	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		4.5	090
69645	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		4.5	090
69645	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69645	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4.5	090
69645	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090
69645	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		9	090
69645	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4.5	090
69645	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69645	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69645	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69645	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4.5	090
69645	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090
69645	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		22.5	090
69645	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4.5	090
69645	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69645	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
69645	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4.5	090
69645	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69645	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4.5	090
69645	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090
69645	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		22.5	090
69645	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4.5	090
69645	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		45	090
69645	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69645	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4.5	090
69646	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69646	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		4.5	090
69646	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69646	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4.5	090
69646	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69646	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4.5	090
69646	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		9	090
69646	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4.5	090
69646	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090
69646	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		9	090
69646	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69646	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69646	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4.5	090
69646	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69646	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43		4.5	090
69646	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		22.5	090
69646	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
69646	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69646	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090
69646	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4.5	090
69646	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		22.5	090
69646	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4.5	090
69646	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		45	090
69646	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4.5	090
69646	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4.5	090
69646	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69646	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090
69650	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69650	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		3	090
69650	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69650	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69650	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
69650	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
69650	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
69650	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3	090
69650	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
69650	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69650	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3	090
69650	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69650	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
69650	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3	090
69650	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3	090
69650	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
69650	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
69650	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090
69650	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
69650	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
69650	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3	090
69650	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
69650	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69650	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69650	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
69650	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69660	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69660	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69660	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3	090
69660	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		3	090
69660	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
69660	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69660	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
69660	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
69660	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
69660	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
69660	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
69660	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69660	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69660	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3	090
69660	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69660	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3	090
69660	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69660	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
69660	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69660	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
69660	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
69660	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
69660	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
69660	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3	090
69660	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090
69660	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3	090
69661	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69661	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69661	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69661	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69661	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69661	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69661	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69661	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69661	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69661	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69661	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69661	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69661	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69661	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69661	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69661	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69661	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69661	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69661	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69661	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69661	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69661	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69661	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69661	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		4	090
69661	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69661	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69662	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		7	090
69662	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69662	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69662	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		3.5	090
69662	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3.5	090
69662	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3.5	090
69662	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090
69662	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		7	090
69662	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69662	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3.5	090
69662	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69662	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69662	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3.5	090
69662	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69662	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3.5	090
69662	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		17.5	090
69662	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
69662	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3.5	090
69662	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14	090
69662	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5	090
69662	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		17.5	090
69662	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3.5	090
69662	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		35	090
69662	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69662	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69662	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3.5	090
69666	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
69666	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69666	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69666	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		3	090
69666	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3	090
69666	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3	090
69666	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
69666	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
69666	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
69666	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
69666	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69666	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69666	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69666	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3	090
69666	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
69666	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3	090
69666	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3	090
69666	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
69666	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69666	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090
69666	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
69666	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
69666	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
69666	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69666	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69666	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
69667	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69667	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3	090
69667	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69667	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3	090
69667	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
69667	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
69667	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
69667	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69667	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
69667	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		3	090
69667	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69667	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3	090
69667	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69667	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3	090
69667	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3	090
69667	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69667	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
69667	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090
69667	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
69667	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
69667	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
69667	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
69667	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
69667	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69667	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
69667	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69670	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090
69670	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69670	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3.5	090
69670	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		3.5	090
69670	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69670	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69670	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		7	090
69670	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3.5	090
69670	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3.5	090
69670	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		7	090
69670	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69670	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69670	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69670	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69670	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3.5	090
69670	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3.5	090
69670	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		17.5	090
69670	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
69670	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14	090
69670	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3.5	090
69670	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5	090
69670	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		17.5	090
69670	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3.5	090
69670	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		35	090
69670	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3.5	090
69670	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69676	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3.5	090
69676	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090
69676	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3.5	090
69676	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		3.5	090
69676	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69676	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69676	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		7	090
69676	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3.5	090
69676	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3.5	090
69676	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		7	090
69676	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69676	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69676	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69676	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14	090
69676	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3.5	090
69676	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69676	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69676	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5	090
69676	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3.5	090
69676	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		17.5	090
69676	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3.5	090
69676	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		35	090
69676	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		17.5	090
69676	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69676	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3.5	090
69676	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
69700	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
69700	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69700	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3	090
69700	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3	090
69700	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69700	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3	090
69700	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
69700	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
69700	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69700	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69700	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69700	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
69700	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69700	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3	090
69700	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
69700	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69700	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090
69700	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
69700	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69700	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
69700	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
69700	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
69700	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3	090
69700	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
69700	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
69705	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	5	0	000
69705	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
69705	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
69705	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
69705	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
69705	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
69705	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
69705	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
69705	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	3	0	000
69705	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
69705	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
69705	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
69705	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
69705	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
69705	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
69705	RUC	"Accessory, Procedure"	SD338	eustachian tube balloon	item	83.01	1	0	000
69705	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
69705	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
69705	RUC	"Kit, Pack, Tray"	SA134	"kit, eustachian tube procedure"	kit	2010	1	0	000
69705	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
69705	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	0	000
69705	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	000
69705	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0	000
69705	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
69705	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	3	0	000
69705	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
69705	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
69706	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	10	0	000
69706	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
69706	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
69706	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
69706	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
69706	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
69706	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
69706	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
69706	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	6	0	000
69706	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
69706	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
69706	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
69706	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
69706	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
69706	RUC	"Accessory, Procedure"	SD338	eustachian tube balloon	item	83.01	1	0	000
69706	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
69706	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0	000
69706	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
69706	RUC	"Kit, Pack, Tray"	SA134	"kit, eustachian tube procedure"	kit	2010	1	0	000
69706	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
69706	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	000
69706	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	6	0	000
69706	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
69706	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
69706	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
69706	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	19.43	1	0	000
69706	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	0	000
69711	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69711	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69711	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69711	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69711	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69711	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69711	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69711	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69711	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69711	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69711	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69711	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69711	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69711	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69711	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69711	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69711	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69711	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69711	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69711	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69711	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69711	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69711	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69711	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69711	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69714	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
69714	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		1	090
69714	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
69714	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
69714	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
69714	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
69714	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		3	090
69714	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		1	090
69717	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
69717	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		1	090
69717	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
69717	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		1	090
69717	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		3	090
69717	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
69717	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
69717	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
69720	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69720	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4.5	090
69720	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4.5	090
69720	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69720	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		9	090
69720	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4.5	090
69720	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4.5	090
69720	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69720	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69720	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		4.5	090
69720	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090
69720	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4.5	090
69720	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		9	090
69720	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69720	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69720	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
69720	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090
69720	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4.5	090
69720	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090
69720	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		22.5	090
69720	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		45	090
69720	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69720	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4.5	090
69720	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		22.5	090
69720	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69720	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4.5	090
69725	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69725	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69725	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69725	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		4	090
69725	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69725	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69725	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69725	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69725	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69725	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69725	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69725	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69725	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69725	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69725	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69725	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69725	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69725	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69725	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69725	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69725	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69725	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69725	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69725	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69725	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69725	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69740	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
69740	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69740	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3	090
69740	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3	090
69740	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69740	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
69740	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3	090
69740	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
69740	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		3	090
69740	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69740	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69740	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
69740	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69740	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
69740	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3	090
69740	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
69740	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69740	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090
69740	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3	090
69740	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
69740	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
69740	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
69740	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69740	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69740	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
69740	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
69745	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		7	090
69745	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69745	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69745	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3.5	090
69745	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69745	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3.5	090
69745	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090
69745	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		7	090
69745	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		3.5	090
69745	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3.5	090
69745	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3.5	090
69745	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69745	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3.5	090
69745	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14	090
69745	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69745	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69745	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69745	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5	090
69745	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3.5	090
69745	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		17.5	090
69745	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3.5	090
69745	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		35	090
69745	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		17.5	090
69745	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3.5	090
69745	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69745	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
69801	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
69801	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	090
69801	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
69801	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
69801	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	090
69801	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
69801	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
69801	CMS	"Pharmacy, Rx"	SH088	"phenol, liquified, USP"	ml	0.48	1	0	090
69801	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	090
69801	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	1	0	090
69801	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
69801	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
69801	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	2	0	090
69801	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	090
69801	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
69801	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	4	0	090
69801	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
69801	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	1	0	090
69805	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
69805	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69805	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69805	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69805	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
69805	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
69805	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
69805	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
69805	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69805	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69805	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3	090
69805	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
69805	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69805	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3	090
69805	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69805	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3	090
69805	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090
69805	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
69805	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
69805	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
69805	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3	090
69805	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
69805	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69805	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3	090
69805	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
69806	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3.5	090
69806	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		7	090
69806	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3.5	090
69806	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69806	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69806	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090
69806	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3.5	090
69806	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		7	090
69806	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69806	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69806	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69806	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		17.5	090
69806	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3.5	090
69806	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5	090
69806	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69806	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
69806	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69806	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14	090
69806	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3.5	090
69806	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3.5	090
69806	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		35	090
69806	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3.5	090
69806	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3.5	090
69806	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69806	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		17.5	090
69905	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69905	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69905	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69905	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		3.5	090
69905	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090
69905	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		7	090
69905	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3.5	090
69905	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3.5	090
69905	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3.5	090
69905	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69905	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3.5	090
69905	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69905	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		7	090
69905	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
69905	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69905	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69905	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69905	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14	090
69905	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3.5	090
69905	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		17.5	090
69905	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		35	090
69905	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		17.5	090
69905	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3.5	090
69905	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3.5	090
69905	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3.5	090
69905	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5	090
69910	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69910	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3.5	090
69910	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69910	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090
69910	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3.5	090
69910	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3.5	090
69910	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3.5	090
69910	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69910	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3.5	090
69910	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69910	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69910	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		7	090
69910	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69910	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		7	090
69910	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3.5	090
69910	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
69910	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14	090
69910	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3.5	090
69910	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5	090
69910	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		35	090
69910	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		17.5	090
69910	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69910	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69910	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		17.5	090
69910	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3.5	090
69915	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69915	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69915	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69915	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69915	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69915	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69915	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69915	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69915	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69915	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69915	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69915	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69915	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69915	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69915	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69915	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69915	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69915	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69915	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69915	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69915	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69915	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69915	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69915	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69915	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69930	Feb08 ss	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69930	Feb08 ss	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3	090
69930	Feb08 ss	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3	090
69930	Feb08 ss	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69930	Feb08 ss	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3	090
69930	Feb08 ss	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		3	090
69930	Feb08 ss	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
69930	Feb08 ss	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
69930	Feb08 ss	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
69930	Feb08 ss	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
69930	Feb08 ss	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
69930	Feb08 ss	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69930	Feb08 ss	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69930	Feb08 ss	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3	090
69930	Feb08 ss	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3	090
69930	Feb08 ss	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69930	Feb08 ss	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
69930	Feb08 ss	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69930	Feb08 ss	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090
69930	Feb08 ss	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
69930	Feb08 ss	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
69930	Feb08 ss	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
69930	Feb08 ss	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69930	Feb08 ss	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69930	Feb08 ss	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
69930	Feb08 ss	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
69950	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69950	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69950	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3	090
69950	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69950	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3	090
69950	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
69950	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
69950	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
69950	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69950	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69950	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69950	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
69950	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3	090
69950	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
69950	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
69950	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69950	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69950	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3	090
69950	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3	090
69950	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
69950	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
69950	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
69950	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
69950	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090
69950	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
69955	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69955	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69955	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		4	090
69955	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69955	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69955	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69955	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69955	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69955	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69955	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		2	090
69955	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69955	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69955	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69955	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69955	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69955	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69955	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69955	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
69955	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69955	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69955	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69955	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69955	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69955	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69955	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69955	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		78	090
69960	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69960	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69960	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69960	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69960	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69960	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69960	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69960	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69960	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69960	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69960	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69960	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69960	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69960	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69960	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69960	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69960	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69960	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69960	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69960	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69960	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69960	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69960	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69960	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69960	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69970	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69970	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.47		1	090
69970	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69970	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69970	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69970	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69970	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69970	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69970	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69970	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69970	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		4	090
69970	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69970	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69970	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69970	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69970	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69970	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69970	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69970	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69970	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69970	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69970	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69970	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69970	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69970	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69970	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69X50	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
69X50	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
69X50	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		2	090
69X50	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
69X50	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
69X50	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		1	090
69X50	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		1	090
69X50	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
69X51	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
69X51	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		1	090
69X51	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
69X51	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		1	090
69X51	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		2	090
69X51	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
69X51	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
69X51	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
69X52	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		1	090
69X52	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		1	090
69X52	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
69X52	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
69X52	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
69X52	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
69X52	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
69X52	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		2	090
69X53	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		1	090
69X53	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
69X53	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61		2	090
69X53	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2	090
69X53	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
69X53	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
69X53	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
69X53	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		1	090
70134	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70140	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70150	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70160	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70190	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70200	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70240	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70300	CPT15 FTD Migration	"Office Supply, Grocery"	SK024	"film, dental"	item	1.73	1		XXX
70310	CPT15 FTD Migration	"Office Supply, Grocery"	SK024	"film, dental"	item	1.73	12		XXX
70320	Jan04 8	"Office Supply, Grocery"	SK024	"film, dental"	item	1.73	16		XXX
70336	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
70370	Jan04 7	"Pharmacy, Rx"	SH016	barium suspension (Polibar)	ml	0.04	1		XXX
70370	Jan04 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70371	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70371	CPT15 FTD Migration	"Pharmacy, Rx"	SH016	barium suspension (Polibar)	ml	0.04	1		XXX
70371	CPT15 FTD Migration	"Pharmacy, Rx"	SH071	Telepaque capsule	item	0.78	2		XXX
70380	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70390	Jan04 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70450	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70460	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
70460	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
70460	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
70460	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
70460	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
70460	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70460	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70460	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
70460	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
70460	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
70470	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70470	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
70470	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
70470	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70470	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
70470	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
70470	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
70470	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
70470	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
70470	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
70480	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70480	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70481	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
70481	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
70481	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70481	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70481	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70481	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
70481	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
70481	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
70481	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
70481	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
70481	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
70482	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
70482	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
70482	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
70482	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
70482	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
70482	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
70482	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
70482	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70482	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70482	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
70482	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70486	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70486	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70487	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70487	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70487	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70488	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70488	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70488	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70490	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70490	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70491	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
70491	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70491	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70491	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
70491	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
70491	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
70491	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
70491	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
70491	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
70491	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
70491	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70492	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
70492	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70492	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
70492	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
70492	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70492	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
70492	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
70492	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
70492	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
70492	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70492	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
70496	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70496	RUC	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1		XXX
70496	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1		XXX
70496	RUC	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	0.66	1		XXX
70496	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	3		XXX
70496	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70496	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
70496	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
70496	RUC	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		XXX
70496	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
70496	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		XXX
70498	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	3		XXX
70498	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1		XXX
70498	RUC	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	0.66	1		XXX
70498	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
70498	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70498	RUC	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1		XXX
70498	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
70498	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70498	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		XXX
70498	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
70498	RUC	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		XXX
70540	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
70540	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
70540	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70540	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70542	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
70542	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
70542	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
70542	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
70542	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
70542	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
70542	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70542	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
70542	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
70542	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
70542	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70542	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70542	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
70543	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
70543	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
70543	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
70543	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70543	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70543	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
70543	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
70543	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
70543	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
70543	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
70543	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
70543	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
70543	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70544	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70544	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70544	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
70544	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
70544	RUC	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.05	1		XXX
70545	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
70545	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
70545	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
70545	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2		XXX
70545	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
70545	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2		XXX
70545	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
70545	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70545	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70545	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
70545	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
70545	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
70545	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1		XXX
70545	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70545	RUC	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.05	1		XXX
70545	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
70546	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
70546	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
70546	RUC	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.05	1		XXX
70546	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70546	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
70546	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
70546	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2		XXX
70546	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
70546	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70546	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70546	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1		XXX
70546	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
70546	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
70546	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2		XXX
70546	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
70546	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
70547	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
70547	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70547	RUC	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.05	1		XXX
70547	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70547	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
70548	RUC	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.05	1		XXX
70548	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
70548	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
70548	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
70548	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1		XXX
70548	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
70548	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70548	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70548	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70548	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
70548	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
70548	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2		XXX
70548	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2		XXX
70548	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
70548	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
70548	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
70549	RUC	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.05	1		XXX
70549	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
70549	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
70549	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
70549	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
70549	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70549	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
70549	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
70549	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
70549	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70549	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2		XXX
70549	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
70549	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
70549	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1		XXX
70549	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2		XXX
70549	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70551	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70551	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
70551	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70552	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70552	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
70552	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
70552	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
70552	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
70552	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70552	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70552	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
70552	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
70552	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
70552	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
70552	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
70552	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
70553	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
70553	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
70553	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
70553	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
70553	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
70553	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
70553	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
70553	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
70553	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70553	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
70553	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70553	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70553	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
70554	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70554	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70554	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
71045	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71046	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71047	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71048	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71100	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71101	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71110	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71111	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71120	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71130	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71250	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
71250	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71260	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
71260	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
71260	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
71260	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
71260	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
71260	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
71260	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
71260	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
71260	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
71260	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
71260	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71270	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
71270	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
71270	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
71270	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
71270	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
71270	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
71270	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
71270	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
71270	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71270	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
71270	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
71271	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
71271	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71275	RUC	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		XXX
71275	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	3		XXX
71275	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		XXX
71275	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
71275	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71275	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
71275	RUC	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1		XXX
71275	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
71275	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1		XXX
71275	RUC	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	0.66	1		XXX
71550	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
71551	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
71551	Aug03 7	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
71551	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
71551	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
71551	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
71551	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
71551	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
71551	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
71551	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71551	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
71551	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
71551	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
71551	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
71551	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
71551	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
71551	Aug03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
71551	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
71552	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
71552	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
71552	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
71552	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
71552	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
71552	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
71552	Aug03 7	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
71552	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71552	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
71552	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
71552	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
71552	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
71552	Aug03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
71552	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
71552	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
71552	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
71552	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
71555	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
71555	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
71555	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
71555	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
71555	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71555	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
71555	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
71555	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
71555	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
71555	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
71555	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
71555	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
71555	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
71555	Aug03 7	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
71555	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
71555	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72020	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72050	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72052	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72072	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72074	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72081	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72082	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72083	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72084	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72125	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72125	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72126	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
72126	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72126	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72126	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72126	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
72126	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72126	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72126	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72126	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72126	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72127	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72127	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
72127	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72127	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72127	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
72127	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72127	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72127	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72127	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72127	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72128	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72128	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72129	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
72129	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72129	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72129	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72129	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72129	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72129	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72129	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
72129	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72129	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72130	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72130	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72130	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72130	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
72130	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72130	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
72130	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72130	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72130	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72130	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72131	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72131	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72132	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72132	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72132	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
72132	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72132	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72132	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
72132	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72132	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72132	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72132	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72133	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72133	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72133	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72133	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72133	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72133	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
72133	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72133	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
72133	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72133	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72141	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72141	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72141	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
72142	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72142	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72142	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
72142	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72142	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
72142	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72142	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72142	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72142	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
72142	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72142	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1		XXX
72142	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
72142	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72142	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
72146	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72146	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
72146	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72147	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72147	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
72147	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72147	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72147	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1		XXX
72147	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72147	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72147	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
72147	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
72147	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72147	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
72147	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72147	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72147	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
72148	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72148	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72148	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
72149	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72149	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72149	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
72149	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
72149	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72149	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72149	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72149	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1		XXX
72149	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
72149	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
72149	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
72149	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
72149	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72149	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72149	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72156	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72156	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
72156	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72156	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
72156	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72156	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
72156	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1		XXX
72156	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72156	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72156	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72156	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
72156	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
72156	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72156	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72157	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
72157	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72157	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72157	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72157	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72157	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
72157	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72157	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1		XXX
72157	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
72157	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
72157	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72157	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
72157	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72157	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
72157	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72158	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72158	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72158	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
72158	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72158	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72158	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
72158	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
72158	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1		XXX
72158	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72158	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72158	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
72158	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72158	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72158	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
72158	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
72159	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
72159	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
72159	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72159	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72159	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72159	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
72159	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72159	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
72159	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
72159	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72159	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72159	Aug03 7	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
72159	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
72159	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
72159	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72159	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72191	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1		XXX
72191	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
72191	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72191	RUC	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	5.86	6		XXX
72191	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	3		XXX
72191	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		XXX
72191	RUC	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	0.66	1		XXX
72191	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72191	RUC	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1		XXX
72191	RUC	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		XXX
72192	CPT15 FTD Migration	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72192	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72193	CPT13 May 49	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
72193	CPT13 May 49	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
72193	CPT13 May 49	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
72193	CPT13 May 49	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72193	CPT13 May 49	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	5.86	6		XXX
72193	CPT13 May 49	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
72193	CPT13 May 49	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
72193	CPT13 May 49	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
72193	CPT13 May 49	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
72193	CPT13 May 49	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72193	CPT13 May 49	"Hypodermic, IV"	SC002	angiocatheter set	item	13.96	1		XXX
72193	CPT13 May 49	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1		XXX
72193	CPT13 May 49	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72193	CPT13 May 49	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
72193	CPT13 May 49	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72193	CPT13 May 49	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72194	CPT13 May 49	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72194	CPT13 May 49	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
72194	CPT13 May 49	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1		XXX
72194	CPT13 May 49	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72194	CPT13 May 49	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	15		XXX
72194	CPT13 May 49	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
72194	CPT13 May 49	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
72194	CPT13 May 49	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
72194	CPT13 May 49	"Hypodermic, IV"	SC002	angiocatheter set	item	13.96	1		XXX
72194	CPT13 May 49	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72194	CPT13 May 49	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
72194	CPT13 May 49	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
72194	CPT13 May 49	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72194	CPT13 May 49	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	5.86	6		XXX
72194	CPT13 May 49	"Wound Care, Dressings"	SG059	oto-wick	item	3.38	1		XXX
72194	CPT13 May 49	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
72194	CPT13 May 49	"Office Supply, Grocery"	SK076	slide sleeve (photo slides)	item	0.27	1		XXX
72194	CPT13 May 49	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72195	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
72195	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72195	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72196	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72196	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72196	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72196	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72196	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
72196	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72196	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
72196	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72196	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72196	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2		XXX
72196	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
72197	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
72197	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72197	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72197	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72197	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72197	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
72197	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72197	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2		XXX
72197	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
72197	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72197	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72198	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
72198	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72198	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
72198	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72198	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72198	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
72198	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72198	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72198	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72198	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
72198	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72198	Aug03 7	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
72198	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
72198	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72198	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
72198	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
72200	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72202	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72220	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73000	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73060	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73090	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73092	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73200	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73200	CPT15 FTD Migration	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73201	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73201	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
73201	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
73201	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
73201	Aug03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
73201	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73201	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
73201	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
73201	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
73201	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
73201	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73201	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
73201	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
73201	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
73201	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
73201	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73202	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
73202	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
73202	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
73202	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73202	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73202	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
73202	Aug03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
73202	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
73202	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
73202	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
73202	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
73202	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
73202	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73202	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73202	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
73202	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
73206	CPT15 FTD Migration	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73206	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
73206	CPT15 FTD Migration	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
73206	CPT15 FTD Migration	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73206	CPT15 FTD Migration	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
73206	CPT15 FTD Migration	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	0.66	1		XXX
73206	CPT15 FTD Migration	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		XXX
73206	CPT15 FTD Migration	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
73206	CPT15 FTD Migration	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	0.34		XXX
73206	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
73206	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73218	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
73219	Aug03 7	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
73219	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73219	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73219	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
73219	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
73219	Aug03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
73219	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
73219	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
73219	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
73219	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
73219	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
73219	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
73219	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
73219	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
73219	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73219	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
73219	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73220	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
73220	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
73220	Aug03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
73220	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73220	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
73220	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
73220	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73220	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
73220	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
73220	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
73220	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73220	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
73220	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
73220	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
73220	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73220	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
73220	Aug03 7	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
73221	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73221	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
73221	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
73222	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
73222	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
73222	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
73222	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
73222	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
73222	Aug03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
73222	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73222	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
73222	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
73222	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
73222	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73222	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
73222	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73222	Aug03 7	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
73222	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
73222	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73222	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
73223	CPT15 FTD Migration	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
73223	CPT15 FTD Migration	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
73223	CPT15 FTD Migration	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
73223	CPT15 FTD Migration	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
73223	CPT15 FTD Migration	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73223	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73223	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
73223	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
73223	CPT15 FTD Migration	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73223	CPT15 FTD Migration	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
73223	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
73223	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
73223	CPT15 FTD Migration	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73223	CPT15 FTD Migration	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
73223	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
73223	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
73223	CPT15 FTD Migration	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
73225	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73225	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73225	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
73225	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73225	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
73225	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
73225	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
73225	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
73225	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
73225	Aug03 7	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
73225	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
73225	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
73225	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73225	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
73225	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
73225	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
73501	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73502	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73503	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73521	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73522	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73523	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73551	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73552	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73560	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73562	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73564	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73565	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73590	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73592	Jan04 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73600	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73610	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73620	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73630	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73700	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73700	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73701	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
73701	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
73701	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73701	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
73701	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
73701	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73701	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73701	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73701	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
73701	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
73702	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
73702	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73702	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
73702	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73702	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
73702	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
73702	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73702	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
73702	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
73702	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73706	CPT15 FTD Migration	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	0.66	1		XXX
73706	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
73706	CPT15 FTD Migration	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
73706	CPT15 FTD Migration	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
73706	CPT15 FTD Migration	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73706	CPT15 FTD Migration	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73706	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73706	CPT15 FTD Migration	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
73706	CPT15 FTD Migration	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	0.34		XXX
73706	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
73706	CPT15 FTD Migration	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		XXX
73718	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
73718	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73718	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73719	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
73719	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73719	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73719	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
73719	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73719	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73719	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
73719	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
73719	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
73719	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
73719	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
73720	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
73720	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
73720	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
73720	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2		XXX
73720	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
73720	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
73720	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73720	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73720	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73720	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73720	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
73721	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73721	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
73721	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
73722	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
73722	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
73722	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
73722	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73722	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73722	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73722	Aug03 7	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
73722	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
73722	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
73722	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
73722	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
73722	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
73722	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
73722	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
73722	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
73722	Aug03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
73722	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73723	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
73723	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
73723	Aug03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
73723	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73723	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
73723	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73723	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
73723	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
73723	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
73723	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73723	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
73723	Aug03 7	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
73723	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
73723	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
73723	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
73723	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
73723	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73725	CPT15 FTD Migration	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
73725	CPT15 FTD Migration	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
73725	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73725	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
73725	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
73725	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
73725	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
73725	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
73725	CPT15 FTD Migration	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73725	CPT15 FTD Migration	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
73725	CPT15 FTD Migration	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
73725	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
73725	CPT15 FTD Migration	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73725	CPT15 FTD Migration	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73725	CPT15 FTD Migration	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
73725	CPT15 FTD Migration	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
74018	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74019	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74021	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74022	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74150	CPT13 May 49	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
74150	CPT13 May 49	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74160	CPT15 FTD Migration	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
74160	CPT15 FTD Migration	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
74160	CPT15 FTD Migration	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1		XXX
74160	CPT15 FTD Migration	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
74160	CPT15 FTD Migration	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
74160	CPT15 FTD Migration	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
74160	CPT15 FTD Migration	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
74160	CPT15 FTD Migration	"Office Supply, Grocery"	SK076	slide sleeve (photo slides)	item	0.27	1		XXX
74160	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
74160	CPT15 FTD Migration	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
74160	CPT15 FTD Migration	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	5.86	6		XXX
74160	CPT15 FTD Migration	"Hypodermic, IV"	SC002	angiocatheter set	item	13.96	1		XXX
74160	CPT15 FTD Migration	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
74160	CPT15 FTD Migration	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
74160	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
74160	CPT15 FTD Migration	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
74160	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74160	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
74170	CPT13 May 49	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
74170	CPT13 May 49	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74170	CPT13 May 49	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
74170	CPT13 May 49	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
74170	CPT13 May 49	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1		XXX
74170	CPT13 May 49	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
74170	CPT13 May 49	"Hypodermic, IV"	SC002	angiocatheter set	item	13.96	1		XXX
74170	CPT13 May 49	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
74170	CPT13 May 49	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
74170	CPT13 May 49	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
74170	CPT13 May 49	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
74170	CPT13 May 49	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
74170	CPT13 May 49	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
74170	CPT13 May 49	"Office Supply, Grocery"	SK076	slide sleeve (photo slides)	item	0.27	1		XXX
74170	CPT13 May 49	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
74170	CPT13 May 49	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
74170	CPT13 May 49	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
74170	CPT13 May 49	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	5.86	6		XXX
74174	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74174	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1		XXX
74174	RUC	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		XXX
74174	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
74174	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		XXX
74174	RUC	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	5.86	6		XXX
74174	RUC	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1		XXX
74174	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
74174	RUC	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	0.66	1		XXX
74174	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	3		XXX
74175	RUC	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		XXX
74175	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
74175	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	3		XXX
74175	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		XXX
74175	RUC	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1		XXX
74175	RUC	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	5.86	6		XXX
74175	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
74175	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74175	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1		XXX
74175	RUC	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	0.66	1		XXX
74176	RUC	"Office Supply, Grocery"	SK076	slide sleeve (photo slides)	item	0.27	1		XXX
74176	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
74176	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74177	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
74177	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
74177	RUC	"Hypodermic, IV"	SC025	"needle, 14-20g, biopsy"	item	11.13	1		XXX
74177	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
74177	RUC	"Hypodermic, IV"	SC002	angiocatheter set	item	13.96	1		XXX
74177	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
74177	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
74177	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
74177	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
74177	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
74177	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
74177	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
74177	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	15		XXX
74177	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
74177	RUC	"Office Supply, Grocery"	SK076	slide sleeve (photo slides)	item	0.27	1		XXX
74177	RUC	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	5.86	6		XXX
74177	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74177	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1		XXX
74178	RUC	"Hypodermic, IV"	SC025	"needle, 14-20g, biopsy"	item	11.13	1		XXX
74178	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
74178	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
74178	RUC	"Hypodermic, IV"	SC002	angiocatheter set	item	13.96	1		XXX
74178	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1		XXX
74178	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74178	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
74178	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
74178	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
74178	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
74178	RUC	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	5.86	6		XXX
74178	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	15		XXX
74178	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
74178	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
74178	RUC	"Office Supply, Grocery"	SK076	slide sleeve (photo slides)	item	0.27	1		XXX
74178	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
74178	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
74178	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
74181	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
74181	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74181	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
74182	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2		XXX
74182	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
74182	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
74182	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
74182	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
74182	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
74182	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
74182	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
74182	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
74182	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74182	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
74183	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
74183	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
74183	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
74183	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
74183	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
74183	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
74183	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
74183	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
74183	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2		XXX
74183	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74183	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
74185	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
74185	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
74185	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
74185	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74185	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
74185	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
74185	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
74185	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
74185	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
74185	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
74185	Aug03 7	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
74185	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
74185	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
74185	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
74185	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
74185	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
74210	RUC	"Pharmacy, Rx"	SH016	barium suspension (Polibar)	ml	0.04	150		XXX
74210	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74220	RUC	"Pharmacy, Rx"	SH016	barium suspension (Polibar)	ml	0.04	100		XXX
74220	RUC	"Pharmacy, Rx"	SH013	barium high density susp (11-12oz uou)	item	3.81	1		XXX
74220	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74221	RUC	"Pharmacy, Rx"	SH013	barium high density susp (11-12oz uou)	item	3.81	1		XXX
74221	RUC	"Pharmacy, Rx"	SH029	"effervescent granules (Sparkles, EZ Gas) (4gm uou)"	item	1.97	1		XXX
74221	RUC	"Pharmacy, Rx"	SH016	barium suspension (Polibar)	ml	0.04	100		XXX
74221	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74230	RUC	"Pharmacy, Rx"	SH017	"barium, honey (Varibar)"	ml	0.09	60		XXX
74230	RUC	"Pharmacy, Rx"	SH018	"barium, nectar (Varibar)"	ml	0.05	60		XXX
74230	RUC	"Pharmacy, Rx"	SH019	"barium, pudding (Varibar)"	ml	0.23	60		XXX
74230	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
74230	RUC	"Pharmacy, Rx"	SH013	barium high density susp (11-12oz uou)	item	3.81	1		XXX
74230	RUC	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1		XXX
74230	RUC	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.04	2		XXX
74230	RUC	"Office Supply, Grocery"	SK017	cookie (each)	item	0.11	1		XXX
74240	RUC	"Pharmacy, Rx"	SH016	barium suspension (Polibar)	ml	0.04	100		XXX
74246	RUC	"Pharmacy, Rx"	SH029	"effervescent granules (Sparkles, EZ Gas) (4gm uou)"	item	1.97	1		XXX
74246	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74246	RUC	"Pharmacy, Rx"	SH016	barium suspension (Polibar)	ml	0.04	100		XXX
74246	RUC	"Pharmacy, Rx"	SH013	barium high density susp (11-12oz uou)	item	3.81	1		XXX
74248	RUC	"Pharmacy, Rx"	SH013	barium high density susp (11-12oz uou)	item	3.81	1		ZZZ
74250	RUC	"Pharmacy, Rx"	SH013	barium high density susp (11-12oz uou)	item	3.81	1		XXX
74250	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
74250	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74251	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74251	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
74251	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	1		XXX
74251	RUC	"Kit, Pack, Tray"	SA004	"kit, barium with insufflator"	kit	34.09	1		XXX
74251	RUC	"Accessory, Procedure"	SD023	"catheter, enteroclysis"	item	187.42	1		XXX
74261	RUC	"Accessory, Procedure"	SD228	"gas, CO2, use w-automated insufflation, CT colonography"	liter	1.79	4		XXX
74261	RUC	"Kit, Pack, Tray"	SA102	"kit, tubing, use w-automated insufflation, CT colonography"	kit	10.81	1		XXX
74261	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74261	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
74262	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
74262	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
74262	RUC	"Kit, Pack, Tray"	SA102	"kit, tubing, use w-automated insufflation, CT colonography"	kit	10.81	1		XXX
74262	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
74262	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
74262	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74262	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
74262	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
74262	RUC	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	0.66	1		XXX
74262	RUC	"Accessory, Procedure"	SD228	"gas, CO2, use w-automated insufflation, CT colonography"	liter	1.79	4		XXX
74262	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
74262	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		XXX
74262	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	1		XXX
74263	RUC	"Kit, Pack, Tray"	SA102	"kit, tubing, use w-automated insufflation, CT colonography"	kit	10.81	1		XXX
74263	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74263	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
74263	RUC	"Accessory, Procedure"	SD228	"gas, CO2, use w-automated insufflation, CT colonography"	liter	1.79	4		XXX
74270	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74270	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	1		XXX
74270	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
74270	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
74270	RUC	"Kit, Pack, Tray"	SA073	"kit, barium enema"	kit	5.36	1		XXX
74280	RUC	"Kit, Pack, Tray"	SA004	"kit, barium with insufflator"	kit	34.09	1		XXX
74280	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
74280	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
74280	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	1		XXX
74280	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74283	CPT15 FTD Migration	"Kit, Pack, Tray"	SA073	"kit, barium enema"	kit	5.36	1		XXX
74283	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	1		XXX
74283	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74290	Jan04 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74290	Jan04 7	"Pharmacy, Rx"	SH071	Telepaque capsule	item	0.78	1		XXX
74400	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74400	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
74400	CPT15 FTD Migration	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
74400	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
74400	CPT15 FTD Migration	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1		XXX
74400	CPT15 FTD Migration	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
74400	CPT15 FTD Migration	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1		XXX
74410	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74410	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
74410	CPT15 FTD Migration	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
74410	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
74410	CPT15 FTD Migration	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1		XXX
74410	CPT15 FTD Migration	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
74410	CPT15 FTD Migration	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1		XXX
74415	CPT15 FTD Migration	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
74415	CPT15 FTD Migration	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1		XXX
74415	CPT15 FTD Migration	"Kit, Pack, Tray"	SA066	"tray, myelogram"	tray	20.63	1		XXX
74415	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74415	CPT15 FTD Migration	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1		XXX
74415	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
74415	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
74415	CPT15 FTD Migration	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
74425	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
74425	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
74430	CPT11 Letter	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
74430	CPT11 Letter	"Gown, Drape"	SB026	"gown, patient"	item	0.59	2		XXX
74440	Mar04 R	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
74440	Mar04 R	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1		XXX
74440	Mar04 R	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
74440	Mar04 R	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
74440	Mar04 R	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
74440	Mar04 R	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1		XXX
74455	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	2		XXX
74455	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
74485	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
74485	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
74710	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74712	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74712	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
74712	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
74740	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	2		XXX
74740	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
75557	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
75557	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	1		XXX
75557	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		XXX
75557	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
75557	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
75557	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
75557	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
75557	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	4		XXX
75559	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
75559	CMS	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	8.75	1		XXX
75559	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
75559	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
75559	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
75559	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
75559	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
75559	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	5		XXX
75559	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	40		XXX
75559	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
75559	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	1		XXX
75559	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
75559	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
75559	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	4		XXX
75559	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
75559	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4		XXX
75559	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1		XXX
75559	CMS	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3.17	1		XXX
75559	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	4		XXX
75559	CMS	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	2		XXX
75559	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	2		XXX
75561	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
75561	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
75561	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	40		XXX
75561	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
75561	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
75561	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		XXX
75561	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	2		XXX
75561	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
75561	CMS	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
75561	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
75561	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
75561	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	1		XXX
75561	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	4		XXX
75561	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
75561	CMS	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	2		XXX
75561	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
75561	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	4		XXX
75563	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	2		XXX
75563	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
75563	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
75563	CMS	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	4		XXX
75563	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	4		XXX
75563	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	4		XXX
75563	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1		XXX
75563	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4		XXX
75563	CMS	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	8.75	1		XXX
75563	CMS	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3.17	1		XXX
75563	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
75563	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
75563	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	4		XXX
75563	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
75563	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
75563	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	1		XXX
75563	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	2		XXX
75563	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
75563	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
75563	CMS	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
75563	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	40		XXX
75563	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
75571	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1		XXX
75571	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	3		XXX
75571	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
75572	CMS	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	3		XXX
75572	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
75572	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	3		XXX
75572	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
75572	CMS	"Accessory, Procedure"	SD145	"cannula, anterior chamber, 18-27g"	item	3.21	1		XXX
75572	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
75572	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
75572	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
75572	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1		XXX
75572	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
75572	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
75572	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2		XXX
75573	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
75573	CMS	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	3		XXX
75573	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
75573	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
75573	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
75573	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
75573	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2		XXX
75573	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1		XXX
75573	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
75573	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	3		XXX
75573	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
75573	CMS	"Accessory, Procedure"	SD145	"cannula, anterior chamber, 18-27g"	item	3.21	1		XXX
75574	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
75574	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
75574	CMS	"Accessory, Procedure"	SD145	"cannula, anterior chamber, 18-27g"	item	3.21	1		XXX
75574	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
75574	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2		XXX
75574	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
75574	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	3		XXX
75574	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
75574	CMS	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	3		XXX
75574	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1		XXX
75574	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
75574	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
75600	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
75600	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
75600	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
75600	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
75600	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
75600	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
75600	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
75600	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
75600	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
75600	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
75600	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
75600	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
75600	Jan04 25	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75600	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
75600	Jan04 25	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75600	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
75605	CPT15 FTD Migration	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75605	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75625	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75625	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75630	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75630	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75635	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
75635	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1		XXX
75635	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
75635	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		XXX
75635	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
75635	RUC	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	0.66	1		XXX
75635	RUC	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		XXX
75635	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
75635	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	3		XXX
75635	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
75635	RUC	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1		XXX
75635	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
75705	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75705	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75710	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75710	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75716	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75716	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75726	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75726	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75731	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75731	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75733	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75733	CPT15 FTD Migration	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75736	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75736	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75741	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75741	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75743	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75743	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75746	CPT15 FTD Migration	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75746	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75756	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75756	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75809	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75820	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75820	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75822	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75822	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75825	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75825	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75827	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75827	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75831	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75831	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75833	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75833	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75840	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75840	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75842	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75842	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75860	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75860	CPT15 FTD Migration	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75870	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75870	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75872	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75872	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75880	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75880	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75885	CPT15 FTD Migration	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75885	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75887	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75887	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75889	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75889	CPT15 FTD Migration	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75891	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75891	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75893	CPT15 FTD Migration	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75893	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75901	CPT15 FTD Migration	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	3		XXX
75902	CPT15 FTD Migration	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	3		XXX
75984	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75984	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
75984	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75989	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75989	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76000	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
76010	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76080	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
76098	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	0.5		XXX
76098	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76100	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76120	Feb05 O	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76380	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76380	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76390	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76390	Aug03 7	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
76390	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76391	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76391	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76391	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
76506	CPT15 FTD Migration	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76506	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	30		XXX
76506	CPT15 FTD Migration	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76506	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76506	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76510	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	10		XXX
76510	RUC	"Kit, Pack, Tray"	SA124	scleral shell tubing kit	item	2.35	1		XXX
76511	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	5		XXX
76511	RUC	"Kit, Pack, Tray"	SA124	scleral shell tubing kit	item	2.35	1		XXX
76512	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	5		XXX
76513	RUC	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	30		XXX
76513	RUC	"Gown, Drape"	SB055	ClearScan ultrasound water-filled condom probe cover	item	10.5	1		XXX
76513	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	14		XXX
76516	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	5		XXX
76516	RUC	"Kit, Pack, Tray"	SA124	scleral shell tubing kit	item	2.35	1		XXX
76519	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	5		XXX
76519	RUC	"Kit, Pack, Tray"	SA124	scleral shell tubing kit	item	2.35	1		XXX
76529	Sep02	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	7		XXX
76529	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1		XXX
76529	Sep02	"Office Supply, Grocery"	SK032	"film, type 667 Polaroid (per exposure)"	item	1.61	10		XXX
76536	CPT15 FTD Migration	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76536	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76536	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76536	CPT15 FTD Migration	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76536	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76604	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76604	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	1		XXX
76604	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76604	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76604	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76604	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76604	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76604	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76604	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
76604	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76641	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76641	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76641	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76641	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	90		XXX
76641	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76641	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76641	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76641	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76641	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
76641	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76642	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76642	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76642	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76642	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
76642	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76642	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76642	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76642	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76642	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76642	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76700	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
76700	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76700	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76700	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76700	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76700	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76700	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76700	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76700	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76700	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76705	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
76705	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76705	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76705	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76705	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76705	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76705	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76705	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76705	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76705	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76706	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76706	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
76706	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1		XXX
76706	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
76706	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76706	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76706	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76706	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76706	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76706	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76770	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76770	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76770	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76770	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76770	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76770	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76770	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76770	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
76770	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76770	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76775	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76775	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76775	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76775	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76775	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
76775	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76775	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76775	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76775	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76775	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76776	CPT07	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	10		XXX
76776	CPT07	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76776	CPT07	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76776	CPT07	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76776	CPT07	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76800	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76800	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76800	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	0.33		XXX
76800	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76800	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76800	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76800	CPT15 FTD Migration	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76800	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76801	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76801	CPT15 FTD Migration	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76801	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76801	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76801	CPT15 FTD Migration	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76802	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	30		ZZZ
76805	CPT15 FTD Migration	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76805	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76805	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76805	CPT15 FTD Migration	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76805	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76810	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	30		ZZZ
76811	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76811	CPT15 FTD Migration	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76811	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76811	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76811	CPT15 FTD Migration	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76812	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	30		ZZZ
76813	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
76813	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76813	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76813	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76813	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76813	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	10		XXX
76814	CPT07	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	30		ZZZ
76815	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76815	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76815	CPT15 FTD Migration	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76815	CPT15 FTD Migration	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76815	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76816	CPT15 FTD Migration	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76816	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76816	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76816	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76816	CPT15 FTD Migration	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76817	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76817	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	1		XXX
76817	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76817	CPT15 FTD Migration	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76817	CPT15 FTD Migration	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76818	CPT15 FTD Migration	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1		XXX
76818	CPT15 FTD Migration	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	6		XXX
76818	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76818	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76818	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76818	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	30		XXX
76818	CPT15 FTD Migration	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76819	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76819	CPT15 FTD Migration	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76819	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76819	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	30		XXX
76819	CPT15 FTD Migration	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1		XXX
76819	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76821	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76821	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76821	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76821	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76821	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76821	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	0.3		XXX
76821	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76821	CPT15 FTD Migration	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76825	CPT14 CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3		XXX
76825	CPT14 CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
76825	CPT14 CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.034		XXX
76825	CPT14 CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	180		XXX
76825	CPT14 CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76825	CPT14 CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
76825	CPT14 CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
76826	CPT14 CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
76826	CPT14 CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
76826	CPT14 CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
76826	CPT14 CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76826	CPT14 CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3		XXX
76826	CPT14 CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.034		XXX
76826	CPT14 CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	180		XXX
76830	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	1		XXX
76830	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76830	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76830	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76830	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76830	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76830	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76830	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1		XXX
76831	CPT15 FTD Migration	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1		XXX
76831	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76831	CPT15 FTD Migration	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76831	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	1		XXX
76831	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	1		XXX
76831	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76831	CPT15 FTD Migration	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76856	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76856	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76856	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76856	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76856	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
76856	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76856	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76856	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76856	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76856	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76857	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76857	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76857	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76857	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76857	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76857	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76857	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76857	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
76857	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76857	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76870	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76870	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76870	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76870	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76870	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	1		XXX
76870	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76870	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76870	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76872	CPT14 Final	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76872	CPT14 Final	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
76872	CPT14 Final	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76872	CPT14 Final	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
76872	CPT14 Final	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1		XXX
76872	CPT14 Final	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76872	CPT14 Final	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
76872	CPT14 Final	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1		XXX
76872	CPT14 Final	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		XXX
76872	CPT14 Final	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	5		XXX
76872	CPT14 Final	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2		XXX
76872	CPT14 Final	"Pharmacy, NonRx"	SJ057	thermometer (single use)	item	0.18	1		XXX
76872	CPT14 Final	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
76872	CPT14 Final	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	32		XXX
76872	CPT14 Final	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1		XXX
76872	CPT14 Final	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76872	CPT14 Final	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	10		XXX
76873	CPT15 FTD Migration	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76873	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76873	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76873	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	30		XXX
76873	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	1		XXX
76873	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76873	CPT15 FTD Migration	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1		XXX
76873	CPT15 FTD Migration	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76881	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76881	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76881	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76881	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76882	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76882	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76882	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	40		XXX
76882	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76885	CPT15 FTD Migration	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76885	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76885	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76885	CPT15 FTD Migration	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76885	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76886	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	0.33		XXX
76886	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76886	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76886	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76886	CPT15 FTD Migration	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76886	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76886	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76886	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76936	Jan04 7	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76936	Jan04 7	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76936	Jan04 7	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	0.33		XXX
76936	Jan04 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76936	Jan04 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76936	Jan04 7	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76936	Jan04 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76936	Jan04 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76937	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5		ZZZ
76937	CPT15 FTD Migration	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	3		ZZZ
76937	CPT15 FTD Migration	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1		ZZZ
76937	CPT15 FTD Migration	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2		ZZZ
76937	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	6		ZZZ
76937	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	150		ZZZ
76937	CPT15 FTD Migration	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		ZZZ
76937	CPT15 FTD Migration	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1		ZZZ
76942	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1		XXX
76942	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76942	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	4		XXX
76942	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76946	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76946	Aug03 7	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76946	Aug03 7	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76946	Aug03 7	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76948	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76948	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76948	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76948	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
76948	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1		XXX
76948	RUC	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	21.29	1		XXX
76965	Mar04 V	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
76965	Mar04 V	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2		XXX
76965	Mar04 V	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
76965	Mar04 V	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1		XXX
76965	Mar04 V	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1		XXX
76965	Mar04 V	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1		XXX
76978	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
76978	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76978	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
76978	RUC	"Accessory, Procedure"	SD332	bubble contrast	5 ml vial	126.59	1		XXX
76978	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76978	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
76978	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76978	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	3		XXX
76978	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76978	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
76978	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76978	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76978	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
76978	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76978	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76979	RUC	"Accessory, Procedure"	SD332	bubble contrast	5 ml vial	126.59	1		XXX
76979	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
76979	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76981	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76981	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76981	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76981	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76981	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
76981	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76981	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76981	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76981	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76981	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76982	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76982	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76982	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76982	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76982	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76982	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76982	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76982	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76982	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76982	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
76983	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		ZZZ
77001	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		ZZZ
77001	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1		ZZZ
77001	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1		ZZZ
77001	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1		ZZZ
77001	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		ZZZ
77001	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1		ZZZ
77001	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		ZZZ
77001	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		ZZZ
77002	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		ZZZ
77002	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		ZZZ
77002	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		ZZZ
77003	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		ZZZ
77003	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		ZZZ
77003	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		ZZZ
77011	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77011	CPT15 FTD Migration	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
77012	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
77012	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
77046	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
77046	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
77046	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77046	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
77047	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
77047	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
77047	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77047	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
77048	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
77048	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
77048	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
77048	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
77048	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
77048	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
77048	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77048	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
77048	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
77048	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
77048	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
77048	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
77049	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
77049	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
77049	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
77049	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
77049	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77049	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
77049	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
77049	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
77049	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
77049	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
77049	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
77049	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
77063	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
77065	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	2		XXX
77065	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1		XXX
77065	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	0.5		XXX
77065	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
77065	RUC	"Accessory, Procedure"	SD096	"markers, radiographic, multi-modality"	item	7.27	1		XXX
77065	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77065	RUC	"Gown, Drape"	SB043	"towel, professional 13in x 18in"	item	0.04	1		XXX
77065	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
77065	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
77065	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
77066	RUC	"Accessory, Procedure"	SD096	"markers, radiographic, multi-modality"	item	7.27	2		XXX
77066	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	0.5		XXX
77066	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
77066	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
77066	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
77066	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
77066	RUC	"Gown, Drape"	SB043	"towel, professional 13in x 18in"	item	0.04	1		XXX
77066	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
77066	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77066	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4		XXX
77067	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	0.5		XXX
77067	RUC	"Gown, Drape"	SB043	"towel, professional 13in x 18in"	item	0.04	1		XXX
77067	RUC	"Accessory, Procedure"	SD096	"markers, radiographic, multi-modality"	item	7.27	1		XXX
77067	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
77067	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
77067	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
77067	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
77067	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4		XXX
77067	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
77067	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77071	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	XXX
77072	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77073	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77074	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77075	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77076	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77078	Jan04 7	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
77078	Jan04 7	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77080	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
77080	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77080	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
77081	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
77084	Jan02	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
77085	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77085	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
77085	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
77086	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
77086	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77086	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
77280	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
77280	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77280	CPT15 FTD Migration	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		XXX
77280	CPT15 FTD Migration	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
77280	CPT15 FTD Migration	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.51	2		XXX
77280	CPT15 FTD Migration	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
77280	CPT15 FTD Migration	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
77285	CPT14 May 18	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
77285	CPT14 May 18	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77285	CPT14 May 18	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
77285	CPT14 May 18	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
77285	CPT14 May 18	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		XXX
77285	CPT14 May 18	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
77285	CPT14 May 18	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.51	2		XXX
77290	CPT14 May 18	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		XXX
77290	CPT14 May 18	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77290	CPT14 May 18	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
77290	CPT14 May 18	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
77290	CPT14 May 18	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.51	2		XXX
77290	CPT14 May 18	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
77290	CPT14 May 18	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
77295	CPT14 May 18	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	3		XXX
77300	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	3		XXX
77301	CPT14 May 41	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1		XXX
77301	CPT14 May 41	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	20		XXX
77301	CPT14 May 41	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
77301	CPT14 May 41	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1		XXX
77301	CPT14 May 41	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
77301	CPT14 May 41	Lab	SL001	acetone	ml	0.06	6		XXX
77301	CPT14 May 41	"Accessory, Procedure"	SD096	"markers, radiographic, multi-modality"	item	7.27	4		XXX
77306	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	3		XXX
77307	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	3		XXX
77316	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	8		XXX
77317	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	8		XXX
77318	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	8		XXX
77321	Sep02	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
77321	Sep02	"Office Supply, Grocery"	SK002	anatomical drawings (for treatment recording)	item	3.5	1		XXX
77321	Sep02	"Office Supply, Grocery"	SK056	"paper, graph-plotter"	item	0.91	1		XXX
77331	Sep02	"Office Supply, Grocery"	SK056	"paper, graph-plotter"	item	0.91	1		XXX
77331	Sep02	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
77333	RUC	"Accessory, Procedure"	SD321	Thermoplastic tissue bolus 30X30X0.3cm	item	49.83	2		XXX
77333	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77334	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		XXX
77334	RUC	"Office Supply, Grocery"	SK068	razor	item	0.51	1		XXX
77334	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
77334	RUC	Lab	SL519	Urethane Foaming Agent	item	49.46	1		XXX
77334	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77338	CPT14 May 41	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	9		XXX
77370	CPT15 FTD Migration	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	5		XXX
77372	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
77372	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
77372	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
77372	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
77372	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	10		XXX
77372	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
77372	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		XXX
77372	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		XXX
77373	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
77373	CMS	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.01	10		XXX
77373	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
77373	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		XXX
77373	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	10		XXX
77401	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
77401	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
77401	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1		XXX
77401	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	8		XXX
77401	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	3		XXX
77401	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
77401	RUC	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.37	1		XXX
77417	CPT15 FTD Migration	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
77423	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
77423	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77423	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
77423	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
77423	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	2		XXX
77427	CPT11 65	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	0.5	0	XXX
77431	Jan04 10	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	XXX
77600	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		
77600	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		
77600	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		
77600	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		
77600	Mod sed	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	5		
77600	Mod sed	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3		
77600	Mod sed	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1		
77600	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	2		
77600	Mod sed	"Hypodermic, IV"	SC070	"catheter, hyperthermia, closed-end"	item	25	2		
77600	Mod sed	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	2		
77600	Mod sed	Lab	SL020	bleach	ml	0.01	110		
77600	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		
77600	Mod sed	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1		
77600	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		
77600	Mod sed	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2		
77600	Mod sed	"Hypodermic, IV"	SC078	"needle, flexi, hyperthermia"	item	49.04	1		
77600	Mod sed	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1		
77600	Mod sed	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	4		
77600	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3		
77600	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		
77600	Mod sed	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10		
77600	Mod sed	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	480		
77600	Mod sed	"Hypodermic, IV"	SC071	"catheter, hyperthermia, open-end"	item	23.75	2		
77605	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		
77605	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		
77605	Mod sed	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	5		
77605	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		
77605	Mod sed	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3		
77605	Mod sed	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1		
77605	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		
77605	Mod sed	"Hypodermic, IV"	SC070	"catheter, hyperthermia, closed-end"	item	25	4		
77605	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	2		
77605	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		
77605	Mod sed	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	4		
77605	Mod sed	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2		
77605	Mod sed	"Hypodermic, IV"	SC078	"needle, flexi, hyperthermia"	item	49.04	1		
77605	Mod sed	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		
77605	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3		
77605	Mod sed	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10		
77605	Mod sed	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	480		
77605	Mod sed	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1		
77605	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		
77605	Mod sed	Lab	SL020	bleach	ml	0.01	1137		
77605	Mod sed	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1		
77605	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	4		
77610	Mod sed	"Hypodermic, IV"	SC078	"needle, flexi, hyperthermia"	item	49.04	1		
77610	Mod sed	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	4		
77610	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3		
77610	Mod sed	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10		
77610	Mod sed	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	480		
77610	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		
77610	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		
77610	Mod sed	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	4		
77610	Mod sed	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1		
77610	Mod sed	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2		
77610	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		
77610	Mod sed	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1		
77610	Mod sed	"Hypodermic, IV"	SC070	"catheter, hyperthermia, closed-end"	item	25	6		
77610	Mod sed	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1		
77610	Mod sed	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3		
77610	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		
77610	Mod sed	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	5		
77610	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		
77610	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		
77610	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		
77610	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	2		
77610	Mod sed	Lab	SL020	bleach	ml	0.01	1137		
77615	Mod sed	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1		
77615	Mod sed	"Hypodermic, IV"	SC078	"needle, flexi, hyperthermia"	item	49.04	1		
77615	Mod sed	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	5		
77615	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		
77615	Mod sed	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	480		
77615	Mod sed	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10		
77615	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18		
77615	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3		
77615	Mod sed	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	4		
77615	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		
77615	Mod sed	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2		
77615	Mod sed	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3		
77615	Mod sed	"Hypodermic, IV"	SC070	"catheter, hyperthermia, closed-end"	item	25	16		
77615	Mod sed	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1		
77615	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2		
77615	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		
77615	Mod sed	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1		
77615	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	12		
77615	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		
77615	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	2		
77620	Jan04 10	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2		XXX
77620	Jan04 10	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		XXX
77620	Jan04 10	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
77620	Jan04 10	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	4		XXX
77620	Jan04 10	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
77620	Jan04 10	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
77620	Jan04 10	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	5		XXX
77620	Jan04 10	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3		XXX
77620	Jan04 10	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1		XXX
77620	Jan04 10	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
77620	Jan04 10	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	2		XXX
77620	Jan04 10	"Hypodermic, IV"	SC070	"catheter, hyperthermia, closed-end"	item	25	3		XXX
77620	Jan04 10	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10		XXX
77620	Jan04 10	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	480		XXX
77620	Jan04 10	Lab	SL020	bleach	ml	0.01	1137		XXX
77620	Jan04 10	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		XXX
77620	Jan04 10	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3		XXX
77620	Jan04 10	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	4		XXX
77620	Jan04 10	"Hypodermic, IV"	SC078	"needle, flexi, hyperthermia"	item	49.04	1		XXX
77620	Jan04 10	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1		XXX
77620	Jan04 10	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1		XXX
77750	Jan04 10	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		090
77750	Jan04 10	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1		090
77750	Jan04 10	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		090
77750	Jan04 10	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		090
77750	Jan04 10	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		090
77750	Jan04 10	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		090
77750	Jan04 10	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		090
77750	Jan04 10	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	3		090
77750	Jan04 10	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		090
77750	Jan04 10	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		090
77750	Jan04 10	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		090
77750	Jan04 10	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		090
77750	Jan04 10	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		090
77750	Jan04 10	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	60		090
77750	Jan04 10	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		090
77750	Jan04 10	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		090
77750	Jan04 10	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		090
77750	Jan04 10	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	1		090
77750	Jan04 10	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		090
77750	Jan04 10	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		090
77750	Jan04 10	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		090
77750	Jan04 10	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		090
77750	Jan04 10	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		090
77761	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2		090
77761	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	45		090
77761	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4		090
77761	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		090
77761	CMS	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	17.33	1		090
77761	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1		090
77761	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		090
77761	CMS	"Wound Care, Dressings"	SG063	"packing, gauze plain 1in (5 yd uou)"	item	3.72	2		090
77761	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		090
77761	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1		090
77761	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	8		090
77761	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	4		090
77761	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1		090
77761	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1		090
77761	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2		090
77761	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		090
77761	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1		090
77761	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1		090
77762	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2		090
77762	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		090
77762	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1		090
77762	CMS	"Wound Care, Dressings"	SG063	"packing, gauze plain 1in (5 yd uou)"	item	3.72	2		090
77762	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2		090
77762	CMS	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	17.33	1		090
77762	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1		090
77762	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4		090
77762	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1		090
77762	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		090
77762	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	45		090
77762	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	8		090
77762	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	4		090
77762	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1		090
77762	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1		090
77762	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1		090
77762	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		090
77762	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		090
77763	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4		090
77763	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		090
77763	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		090
77763	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2		090
77763	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2		090
77763	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1		090
77763	CMS	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	17.33	1		090
77763	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1		090
77763	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1		090
77763	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		090
77763	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1		090
77763	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	45		090
77763	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		090
77763	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	4		090
77763	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1		090
77763	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1		090
77763	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		090
77763	CMS	"Wound Care, Dressings"	SG063	"packing, gauze plain 1in (5 yd uou)"	item	3.72	2		090
77767	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	1		XXX
77767	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3		XXX
77767	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5		XXX
77767	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		XXX
77767	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		XXX
77767	RUC	"Pharmacy, NonRx"	SJ059	"tincture of benzoin, liquid"	ml	0.13	5		XXX
77767	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
77767	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	13		XXX
77768	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	13		XXX
77768	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12		XXX
77768	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	6		XXX
77768	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
77768	RUC	"Pharmacy, NonRx"	SJ059	"tincture of benzoin, liquid"	ml	0.13	5		XXX
77768	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	5		XXX
77768	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77768	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5		XXX
77768	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3		XXX
77768	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1		XXX
77768	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	1		XXX
77770	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3		XXX
77770	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
77770	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12		XXX
77770	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
77770	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	1		XXX
77770	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		XXX
77770	CMS	"Pharmacy, NonRx"	SJ059	"tincture of benzoin, liquid"	ml	0.13	5		XXX
77770	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5		XXX
77770	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	13		XXX
77770	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1		XXX
77770	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3		XXX
77770	CMS	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.82	1		XXX
77770	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77770	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	5		XXX
77771	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	6		XXX
77771	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3		XXX
77771	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1		XXX
77771	RUC	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.82	1		XXX
77771	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5		XXX
77771	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12		XXX
77771	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
77771	RUC	"Pharmacy, NonRx"	SJ059	"tincture of benzoin, liquid"	ml	0.13	5		XXX
77771	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	6		XXX
77771	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1		XXX
77771	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77771	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		XXX
77771	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	5		XXX
77771	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	13		XXX
77771	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	6		XXX
77772	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5		XXX
77772	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	6		XXX
77772	RUC	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.82	1		XXX
77772	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	13		XXX
77772	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	6		XXX
77772	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12		XXX
77772	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6		XXX
77772	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		XXX
77772	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1		XXX
77772	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1		XXX
77772	RUC	"Pharmacy, NonRx"	SJ059	"tincture of benzoin, liquid"	ml	0.13	5		XXX
77772	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
77772	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	8		XXX
77772	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77772	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4		XXX
77778	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		000
77778	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	2		000
77778	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		000
77778	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3		000
77778	RUC	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	17.33	1		000
77778	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	2		000
77778	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3		000
77778	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		000
77778	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	6		000
77778	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	2		000
77778	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		000
77778	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1		000
77778	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1		000
77789	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4		000
77789	CMS	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	2.3533	3		000
77789	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		000
77789	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		000
77789	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1		000
77789	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1		000
77789	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		000
77789	CMS	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.34	2		000
77789	CMS	"Pharmacy, Rx"	SH053	neomycin-polymyxin-hc otic soln (Cortisporin)	ml	2.2	10		000
77789	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
77789	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		000
77789	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	3		000
77789	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000
77790	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
77X01	RUC	NO DETAILS	SX007	NO SUPPLIES			1		XXX
77X03	RUC	NO DETAILS	SX007	NO SUPPLIES			1		XXX
78012	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
78012	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3		XXX
78013	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
78013	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78013	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78013	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78013	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78013	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78013	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78013	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78013	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78013	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78013	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78013	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78013	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78013	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78014	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78014	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78014	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
78014	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78014	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78014	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78014	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3		XXX
78014	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78014	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78014	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78014	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78014	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78014	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78014	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78015	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78015	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78015	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78015	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78015	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78015	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78015	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78015	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78015	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78015	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78015	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78015	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78015	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78015	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78016	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78016	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78016	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78016	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78016	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
78016	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78016	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78016	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78016	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78016	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78016	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78016	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78016	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78016	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78016	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78018	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2		XXX
78018	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78018	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78018	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78018	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78018	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78018	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78018	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78018	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78018	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78018	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78018	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78018	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78018	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78018	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78070	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78070	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	2		XXX
78070	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78070	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78070	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78070	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
78070	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
78070	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
78070	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78070	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78070	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78070	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
78070	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1		XXX
78070	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78070	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78070	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	2		XXX
78070	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78070	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78070	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78070	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1		XXX
78071	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	2		XXX
78071	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
78071	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78071	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
78071	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78071	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78071	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78071	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
78071	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
78071	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78071	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78071	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78071	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78071	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	2		XXX
78071	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78071	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78071	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1		XXX
78071	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1		XXX
78071	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78071	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78072	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	2		XXX
78072	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78072	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78072	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
78072	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78072	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
78072	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78072	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78072	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78072	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
78072	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78072	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	2		XXX
78072	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78072	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78072	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1		XXX
78072	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78072	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78072	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1		XXX
78072	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
78072	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78075	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78075	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78075	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78075	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78075	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78075	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78075	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2		XXX
78075	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78075	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78075	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78075	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78075	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78075	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78075	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78102	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78102	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78102	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78102	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78102	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78102	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78102	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78102	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78102	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78102	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78102	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78102	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78102	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78102	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78103	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78103	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78103	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78103	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78103	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78103	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78103	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78103	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78103	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78103	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78103	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78103	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78103	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78103	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78104	CPT15 FTD Migration	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78104	CPT15 FTD Migration	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78104	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78104	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78104	CPT15 FTD Migration	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78104	CPT15 FTD Migration	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78104	CPT15 FTD Migration	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78104	CPT15 FTD Migration	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78104	CPT15 FTD Migration	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78104	CPT15 FTD Migration	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78104	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78104	CPT15 FTD Migration	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78104	CPT15 FTD Migration	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78104	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78110	Mar04 X	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
78110	Mar04 X	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.59	1		XXX
78110	Mar04 X	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3		XXX
78110	Mar04 X	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	1		XXX
78110	Mar04 X	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.18	1		XXX
78110	Mar04 X	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78110	Mar04 X	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78111	Mar04 X	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.59	2		XXX
78111	Mar04 X	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	2		XXX
78111	Mar04 X	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.18	2		XXX
78111	Mar04 X	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
78111	Mar04 X	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		XXX
78111	Mar04 X	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	2		XXX
78111	Mar04 X	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		XXX
78120	Mar04 X	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.18	1		XXX
78120	Mar04 X	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	1		XXX
78120	Mar04 X	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.59	1		XXX
78120	Mar04 X	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78120	Mar04 X	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78120	Mar04 X	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
78120	Mar04 X	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3		XXX
78121	Mar04 X	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
78121	Mar04 X	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.18	2		XXX
78121	Mar04 X	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.59	2		XXX
78121	Mar04 X	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	2		XXX
78121	Mar04 X	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		XXX
78121	Mar04 X	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	2		XXX
78121	Mar04 X	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		XXX
78122	Mar04 X	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		XXX
78122	Mar04 X	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.18	2		XXX
78122	Mar04 X	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	2		XXX
78122	Mar04 X	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.59	2		XXX
78122	Mar04 X	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	2		XXX
78122	Mar04 X	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		XXX
78122	Mar04 X	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
78130	Mar04 X	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
78130	Mar04 X	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.18	4		XXX
78130	Mar04 X	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	4		XXX
78130	Mar04 X	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.59	4		XXX
78130	Mar04 X	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	6		XXX
78130	Mar04 X	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5		XXX
78130	Mar04 X	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	4		XXX
78140	CPT15 FTD Migration	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78140	CPT15 FTD Migration	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78140	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78140	CPT15 FTD Migration	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78140	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78140	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78140	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78140	CPT15 FTD Migration	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78140	CPT15 FTD Migration	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78140	CPT15 FTD Migration	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78140	CPT15 FTD Migration	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78140	CPT15 FTD Migration	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78140	CPT15 FTD Migration	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78140	CPT15 FTD Migration	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78185	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78185	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78185	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78185	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78185	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78185	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78185	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78185	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78185	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78185	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78185	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78185	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78185	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78185	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78191	Mar04 X	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	6		XXX
78191	Mar04 X	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	4		XXX
78191	Mar04 X	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.18	4		XXX
78191	Mar04 X	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.59	4		XXX
78191	Mar04 X	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5		XXX
78191	Mar04 X	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
78191	Mar04 X	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	4		XXX
78195	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78195	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78195	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78195	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78195	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78195	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78195	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78195	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78195	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78195	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78195	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78195	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78195	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2		XXX
78195	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78195	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78201	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78201	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78201	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78201	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78201	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78201	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78201	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78201	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78201	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78201	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78201	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78201	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78201	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78201	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78202	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78202	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78202	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78202	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78202	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78202	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78202	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78202	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78202	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78202	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78202	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78202	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78202	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78202	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78215	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78215	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78215	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78215	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78215	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78215	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78215	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78215	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78215	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78215	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78215	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78215	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78215	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78215	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78216	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78216	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78216	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78216	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78216	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78216	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78216	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78216	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78216	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78216	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78216	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78216	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78216	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78216	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78226	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
78226	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78226	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78226	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78226	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78226	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78226	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78226	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78226	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78226	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78226	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78226	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78226	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78227	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78227	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78227	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78227	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78227	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78227	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78227	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78227	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78227	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78227	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78227	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78227	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78227	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78227	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78227	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78230	CPT15 FTD Migration	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78230	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78230	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78230	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78230	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78230	CPT15 FTD Migration	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78230	CPT15 FTD Migration	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78230	CPT15 FTD Migration	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78230	CPT15 FTD Migration	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78230	CPT15 FTD Migration	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78230	CPT15 FTD Migration	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78230	CPT15 FTD Migration	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78230	CPT15 FTD Migration	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78230	CPT15 FTD Migration	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78231	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78231	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78231	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78231	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78231	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78231	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78231	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78231	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78231	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78231	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78231	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78231	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78231	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78231	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78232	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78232	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78232	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78232	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78232	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78232	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78232	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78232	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78232	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78232	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78232	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78232	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78232	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78232	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78258	CPT11	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78258	CPT11	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78258	CPT11	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78258	CPT11	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78261	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78261	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78261	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78261	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78261	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78261	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78261	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78261	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78261	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78261	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78261	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78261	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78261	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78261	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78262	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78262	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78262	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78262	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78264	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX
78264	RUC	"Office Supply, Grocery"	SK124	Paper plate	item	0.26	1		XXX
78264	RUC	"Office Supply, Grocery"	SK121	Bread	per slice	0.19	2		XXX
78264	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78264	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78264	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78264	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		XXX
78264	RUC	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1		XXX
78264	RUC	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.09	1		XXX
78264	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2		XXX
78264	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78264	RUC	"Office Supply, Grocery"	SK123	Jelly	Packet (0.5 oz)	0.13	1		XXX
78264	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	3		XXX
78264	RUC	"Office Supply, Grocery"	SK122	Egg Whites	oz	0.35	4		XXX
78265	RUC	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1		XXX
78265	RUC	"Office Supply, Grocery"	SK121	Bread	per slice	0.19	2		XXX
78265	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78265	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78265	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78265	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		XXX
78265	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX
78265	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2		XXX
78265	RUC	"Office Supply, Grocery"	SK123	Jelly	Packet (0.5 oz)	0.13	1		XXX
78265	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	3		XXX
78265	RUC	"Office Supply, Grocery"	SK122	Egg Whites	oz	0.35	4		XXX
78265	RUC	"Office Supply, Grocery"	SK124	Paper plate	item	0.26	1		XXX
78265	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78265	RUC	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.09	4		XXX
78266	RUC	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.09	4		XXX
78266	RUC	"Office Supply, Grocery"	SK123	Jelly	Packet (0.5 oz)	0.13	1		XXX
78266	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78266	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78266	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78266	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		XXX
78266	RUC	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1		XXX
78266	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2		XXX
78266	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	3		XXX
78266	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78266	RUC	"Office Supply, Grocery"	SK122	Egg Whites	oz	0.35	4		XXX
78266	RUC	"Office Supply, Grocery"	SK124	Paper plate	item	0.26	1		XXX
78266	RUC	"Office Supply, Grocery"	SK121	Bread	per slice	0.19	2		XXX
78266	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX
78278	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78278	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78278	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78278	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2		XXX
78278	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78278	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78278	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78278	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78278	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78278	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78278	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78278	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78278	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78278	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78278	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78290	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78290	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78290	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78290	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78290	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78290	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78290	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78290	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78290	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2		XXX
78290	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78290	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78290	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78290	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78290	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78290	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	3		XXX
78291	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78291	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78291	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78291	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78291	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78291	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78291	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78291	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78291	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78291	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78291	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78291	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78291	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78291	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78300	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78300	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78300	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78300	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78300	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78300	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78300	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78300	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78300	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78300	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78300	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78300	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78305	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78305	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78305	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78305	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78305	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78305	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78305	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78305	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78305	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78305	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78305	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78305	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78306	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78306	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78306	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78306	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78306	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78306	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78306	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78306	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78306	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78306	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78306	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78306	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78315	CPT11	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78315	CPT11	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78315	CPT11	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78315	CPT11	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78315	CPT11	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78315	CPT11	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78315	CPT11	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2		XXX
78315	CPT11	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	3		XXX
78315	CPT11	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78315	CPT11	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78315	CPT11	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78315	CPT11	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78315	CPT11	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78315	CPT11	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78315	CPT11	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78350	Feb06 20	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
78350	Feb06 20	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	3		XXX
78350	Feb06 20	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
78428	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78428	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78428	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78428	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78428	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78428	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78428	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78428	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78428	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78428	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78428	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78428	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78428	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78428	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78445	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78445	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78445	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78445	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78445	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78445	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78445	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78445	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78445	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78445	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78445	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78445	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78445	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78445	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78451	CPT10 35	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78451	CPT10 35	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78451	CPT10 35	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78451	CPT10 35	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78451	CPT10 35	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78451	CPT10 35	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78451	CPT10 35	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78451	CPT10 35	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78451	CPT10 35	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78451	CPT10 35	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78451	CPT10 35	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78451	CPT10 35	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78451	CPT10 35	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78451	CPT10 35	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78452	CPT10 35	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78452	CPT10 35	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	4		XXX
78452	CPT10 35	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78452	CPT10 35	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78452	CPT10 35	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2		XXX
78452	CPT10 35	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78452	CPT10 35	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78452	CPT10 35	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78452	CPT10 35	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78452	CPT10 35	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78452	CPT10 35	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78452	CPT10 35	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78452	CPT10 35	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78452	CPT10 35	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78453	CPT10 35	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78453	CPT10 35	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78453	CPT10 35	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78453	CPT10 35	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78453	CPT10 35	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78453	CPT10 35	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78453	CPT10 35	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78453	CPT10 35	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78453	CPT10 35	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78453	CPT10 35	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78453	CPT10 35	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78453	CPT10 35	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78453	CPT10 35	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78453	CPT10 35	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78454	CPT10 35	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78454	CPT10 35	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78454	CPT10 35	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78454	CPT10 35	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78454	CPT10 35	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78454	CPT10 35	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78454	CPT10 35	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78454	CPT10 35	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78454	CPT10 35	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78454	CPT10 35	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78454	CPT10 35	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78454	CPT10 35	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2		XXX
78454	CPT10 35	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78454	CPT10 35	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78456	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78456	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78456	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78456	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78456	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78456	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78456	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2		XXX
78456	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78456	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78456	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78456	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78456	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78456	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78456	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78456	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	3		XXX
78457	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78457	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78457	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78457	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78457	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78457	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78457	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78457	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78457	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78457	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78457	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78457	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78457	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78457	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78458	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78458	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78458	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78458	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78458	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78458	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78458	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78458	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78458	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78458	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78458	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78458	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78458	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78458	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78466	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78466	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78466	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78466	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78466	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78466	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78466	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78466	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78466	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78466	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78466	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78466	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78466	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78466	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78468	CPT11	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78468	CPT11	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78468	CPT11	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78468	CPT11	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78468	CPT11	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78468	CPT11	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78468	CPT11	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78468	CPT11	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78468	CPT11	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78468	CPT11	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78468	CPT11	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78468	CPT11	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78468	CPT11	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78468	CPT11	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78469	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78469	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78469	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78469	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78469	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78469	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78469	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78469	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78469	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78469	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78469	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78469	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78469	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78469	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78472	CPT15 FTD Migration	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1		XXX
78472	CPT15 FTD Migration	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78472	CPT15 FTD Migration	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78472	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78472	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78472	CPT15 FTD Migration	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78472	CPT15 FTD Migration	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78472	CPT15 FTD Migration	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78472	CPT15 FTD Migration	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78472	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78472	CPT15 FTD Migration	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
78472	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78472	CPT15 FTD Migration	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78473	CPT15 FTD Migration	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78473	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78473	CPT15 FTD Migration	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78473	CPT15 FTD Migration	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
78473	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78473	CPT15 FTD Migration	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78473	CPT15 FTD Migration	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78473	CPT15 FTD Migration	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78473	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78473	CPT15 FTD Migration	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78473	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78473	CPT15 FTD Migration	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78473	CPT15 FTD Migration	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78473	CPT15 FTD Migration	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78481	Feb06 20	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78481	Feb06 20	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78481	Feb06 20	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78481	Feb06 20	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78481	Feb06 20	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78481	Feb06 20	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78481	Feb06 20	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
78481	Feb06 20	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78481	Feb06 20	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78481	Feb06 20	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1		XXX
78481	Feb06 20	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78481	Feb06 20	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78481	Feb06 20	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78483	Feb05 20	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78483	Feb05 20	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78483	Feb05 20	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78483	Feb05 20	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78483	Feb05 20	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78483	Feb05 20	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78483	Feb05 20	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78483	Feb05 20	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78483	Feb05 20	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78483	Feb05 20	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78483	Feb05 20	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1		XXX
78483	Feb05 20	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78483	Feb05 20	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78483	Feb05 20	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78494	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78494	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78494	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78494	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78494	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78494	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78494	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78494	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78494	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78494	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78494	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78494	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78494	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78494	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78579	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78579	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78579	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78579	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78579	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78579	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78579	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78579	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78579	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
78580	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
78580	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78580	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78580	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78580	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78580	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78580	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78580	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78580	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78580	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78580	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78580	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78580	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78580	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78580	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78582	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78582	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2		XXX
78582	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78582	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78582	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78582	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78582	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78582	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78582	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78582	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78582	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78582	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78582	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78582	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78582	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78597	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78597	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78597	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78597	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78597	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78597	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78597	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78597	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78597	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78597	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78597	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78597	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78597	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78597	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78597	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78598	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78598	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78598	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78598	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78598	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78598	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78598	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78598	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78598	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78598	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78598	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78598	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78598	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78598	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2		XXX
78598	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78600	Jan04 25	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
78600	Jan04 25	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
78600	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	2		XXX
78600	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
78600	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78600	Jan04 25	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
78600	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78600	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78600	Jan04 25	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	10		XXX
78600	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78600	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78600	Jan04 25	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
78600	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78600	Jan04 25	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1		XXX
78601	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78601	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78601	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78601	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78601	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78601	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78601	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78601	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78601	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78601	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78601	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78601	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78601	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78601	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78605	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78605	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78605	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78605	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78605	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78605	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78605	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78605	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78605	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78605	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78605	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78605	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78606	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2		XXX
78606	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78606	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78606	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78606	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78606	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78606	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78606	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78606	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78606	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78606	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78606	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78606	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78606	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78606	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78610	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78610	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78610	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78610	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78610	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78610	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78610	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78610	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78610	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78610	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78610	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78610	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78610	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78610	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78630	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78630	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78630	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78630	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78630	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78630	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78630	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78630	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2		XXX
78630	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78630	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78630	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78630	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78630	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78630	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78630	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78635	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78635	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78635	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78635	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78635	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	3		XXX
78635	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2		XXX
78635	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78635	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78635	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78635	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78635	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78635	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78635	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78635	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78635	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78645	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78645	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2		XXX
78645	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78645	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78645	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78645	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78645	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78645	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78645	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78645	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78645	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78645	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78645	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78645	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78645	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78650	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78650	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78650	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78650	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78650	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78650	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78650	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78650	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78650	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78650	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78650	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78650	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78650	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78650	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2		XXX
78650	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78660	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78660	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78660	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78660	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78660	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78660	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78660	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78660	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78660	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78660	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78660	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78660	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78660	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78660	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78700	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78700	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78700	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78700	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78700	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78700	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78700	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78700	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78700	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78700	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78700	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78700	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78700	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78700	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78701	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78701	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78701	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78701	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78701	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78701	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78701	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78701	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78701	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78701	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78701	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78701	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78701	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78701	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78707	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78707	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78707	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78707	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78707	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78707	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78707	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78707	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78707	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78707	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78707	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78707	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78708	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78708	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78708	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78708	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78708	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78708	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78708	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78708	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78708	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78708	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78708	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78708	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78708	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78708	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78709	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78709	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78709	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78709	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78709	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78709	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78709	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78709	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78709	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78709	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78709	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78709	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78709	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78709	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2		XXX
78709	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78725	Mar04 X	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
78725	Mar04 X	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	6		XXX
78725	Mar04 X	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	3		XXX
78725	Mar04 X	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	6		XXX
78725	Mar04 X	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.18	3		XXX
78725	Mar04 X	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.59	3		XXX
78725	Mar04 X	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	3		XXX
78730	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		ZZZ
78740	Jan04 25	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1		XXX
78740	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78740	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78740	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78740	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78740	Jan04 25	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
78740	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		XXX
78761	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78761	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78761	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78761	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78761	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78761	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78761	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78761	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78761	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78761	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78761	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78761	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78761	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78761	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78800	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78800	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78800	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78800	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78800	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78800	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78800	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78800	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78800	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78800	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78800	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78800	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78801	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78801	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78801	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78801	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78801	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78801	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78801	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78801	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78801	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78801	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78801	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78801	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78802	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78802	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78802	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78802	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78802	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78802	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78802	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78802	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78802	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78802	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78802	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78802	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78803	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78803	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78803	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78803	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78803	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78803	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78803	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78803	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78803	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78803	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78803	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78803	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78804	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78804	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78804	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78804	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78804	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78804	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78804	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78804	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78804	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78804	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78804	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78804	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78808	CPT09 23	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78808	CPT09 23	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78808	CPT09 23	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78808	CPT09 23	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78808	CPT09 23	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78808	CPT09 23	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78808	CPT09 23	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78808	CPT09 23	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78808	CPT09 23	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78808	CPT09 23	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	4		XXX
78830	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78830	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78830	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78830	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78830	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78830	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78830	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78830	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78830	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78830	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78830	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78830	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78831	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78831	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78831	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78831	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78831	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78831	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78831	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78831	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78831	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78831	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78831	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78831	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78832	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78832	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78832	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78832	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78832	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78832	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78832	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78832	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78832	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78832	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78832	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
78832	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
79005	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
79005	CPT05	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	6		XXX
79005	CPT05	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
79101	CPT05	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
79101	CPT05	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
79101	CPT05	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
79101	CPT05	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
79101	CPT05	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
79101	CPT05	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
79101	CPT05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
79101	CPT05	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	6		XXX
79101	CPT05	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
79101	CPT05	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
79101	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
79101	CPT05	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
79101	CPT05	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
79200	Feb05 T	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	6		XXX
79200	Feb05 T	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
79200	Feb05 T	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
79200	Feb05 T	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	4		XXX
79200	Feb05 T	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
79200	Feb05 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
79200	Feb05 T	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
79200	Feb05 T	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
79200	Feb05 T	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
79200	Feb05 T	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
79200	Feb05 T	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
79200	Feb05 T	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
79403		"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
79403		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
79403		"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
79403		"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
79403		"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
79403		"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
79403		"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
79403		Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
79403		"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
79403		"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
79403		"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
79403		"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
79403		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
79440	CPT15 FTD Migration	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
79440	CPT15 FTD Migration	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
79440	CPT15 FTD Migration	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
79440	CPT15 FTD Migration	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
79440	CPT15 FTD Migration	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
79440	CPT15 FTD Migration	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	6		XXX
79440	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
79440	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
79440	CPT15 FTD Migration	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
79440	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
85097	RUC	Lab	SL080	immersion oil	ml	0.079	1	0	XXX
85097	RUC	Lab	SL030	"cover slip, glass"	item	0.079	4	0	XXX
85097	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1	0	XXX
85097	RUC	Lab	SL095	mounting media (Histomount)	ml	0.5	1	0	XXX
85097	RUC	Lab	SL085	label for microscope slides	item	0.14	4	0	XXX
85097	RUC	Lab	SL140	"stain, Wright's Pack (per slide)"	ml	0.161	9	0	XXX
85097	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
85097	RUC	Lab	SL090	"methanol, absolute, 99.8% min."	ml	0.02	25	0	XXX
85097	RUC	Lab	SL020	bleach	ml	0.01	10	0	XXX
85097	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4	0	XXX
85097	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4	0	XXX
85097	RUC	Lab	SL087	lens paper	item	0.31	2	0	XXX
86486	CPT08	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
86486	CPT08	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		XXX
86486	CPT08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
86486	CPT08	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
86486	CPT08	"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.48	0.1		XXX
86486	CPT08	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
86490		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
86490		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
86490		"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
86490		"Pharmacy, Rx"	SH107	Spherusol	ml	617.65	0.1		XXX
86490		"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		XXX
86490		"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
86510		"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
86510		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
86510		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
86510		"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.48	0.1		XXX
86510		"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
86510		"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		XXX
86580	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
86580	Sep02	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
86580	Sep02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
86580	Sep02	"Pharmacy, Rx"	SH059	purified protein derivative (0.1ml per test) (PPD-Tubersol)	ml	26.11	0.1		XXX
86580	Sep02	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		XXX
86580	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
88104	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
88104	RUC	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.05	10		XXX
88104	RUC	Lab	SL030	"cover slip, glass"	item	0.079	4		XXX
88104	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1		XXX
88104	RUC	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.14	0.3		XXX
88104	RUC	Lab	SL095	mounting media (Histomount)	ml	0.5	0.4		XXX
88104	RUC	Lab	SL085	label for microscope slides	item	0.14	4		XXX
88104	RUC	Lab	SL151	xylenes solvent	ml	0.012	20		XXX
88104	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	13		XXX
88104	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	13		XXX
88104	RUC	Lab	SL020	bleach	ml	0.01	50		XXX
88104	RUC	Lab	SL137	"stain, PAP EA-50"	ml	0.035	8		XXX
88104	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	4		XXX
88104	RUC	Lab	SL491	"stain, PAP OG-6"	ml	0.01	8		XXX
88104	RUC	Lab	SL122	"slide, microscope"	item	0.36	4		XXX
88104	RUC	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.14	1		XXX
88104	RUC	Infection Control	SM016	"eye shield, splash protection"	item	3.18	1		XXX
88104	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
88104	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	32		XXX
88104	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	8		XXX
88106	RUC	Lab	SL137	"stain, PAP EA-50"	ml	0.035	4		XXX
88106	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
88106	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	13		XXX
88106	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	13		XXX
88106	RUC	Infection Control	SM016	"eye shield, splash protection"	item	3.18	1		XXX
88106	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	2		XXX
88106	RUC	Lab	SL491	"stain, PAP OG-6"	ml	0.01	4		XXX
88106	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	32		XXX
88106	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	4		XXX
88106	RUC	Lab	SL502	Millipore filter	item	1.74	1		XXX
88106	RUC	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.14	1		XXX
88106	RUC	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.05	5		XXX
88106	RUC	Lab	SL122	"slide, microscope"	item	0.36	2		XXX
88106	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2		XXX
88106	RUC	Lab	SL109	"pipette, transfer 23ml"	item	0.16	1		XXX
88106	RUC	Lab	SL085	label for microscope slides	item	0.14	2		XXX
88106	RUC	Lab	SL043	"cytology, vacuum grease"	oz	6.13	0.2		XXX
88106	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1		XXX
88106	RUC	Lab	SL151	xylenes solvent	ml	0.012	20		XXX
88106	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
88106	RUC	Lab	SL095	mounting media (Histomount)	ml	0.5	0.2		XXX
88106	RUC	Lab	SL020	bleach	ml	0.01	50		XXX
88106	RUC	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.14	0.3		XXX
88108	RUC	Lab	SL137	"stain, PAP EA-50"	ml	0.035	8		XXX
88108	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2		XXX
88108	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	8		XXX
88108	RUC	Infection Control	SM016	"eye shield, splash protection"	item	3.18	0.2		XXX
88108	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	2		XXX
88108	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	32		XXX
88108	RUC	Lab	SL024	centrifuge tube	item	0.08	1		XXX
88108	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	13		XXX
88108	RUC	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.14	1		XXX
88108	RUC	Lab	SL109	"pipette, transfer 23ml"	item	0.16	1		XXX
88108	RUC	Lab	SL085	label for microscope slides	item	0.14	2		XXX
88108	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1		XXX
88108	RUC	"Accessory, Procedure"	SD298	"Shannon cyto funnel, cytospin"	item	4.52	2		XXX
88108	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	13		XXX
88108	RUC	Lab	SL095	mounting media (Histomount)	ml	0.5	0.2		XXX
88108	RUC	Lab	SL151	xylenes solvent	ml	0.012	20		XXX
88108	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	0.2		XXX
88108	RUC	Lab	SL491	"stain, PAP OG-6"	ml	0.01	8		XXX
88108	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.2		XXX
88108	RUC	Lab	SL503	fixative spray for cytospin	ml	1.24	0.2		XXX
88108	RUC	Lab	SL020	bleach	ml	0.01	50		XXX
88108	RUC	Lab	SL040	"cytology, preservative and vial (Preserv-cyt)"	item	1.18	1		XXX
88108	RUC	Lab	SL504	"slide, microscope coated cytospin (single circle)"	item	0.36	2		XXX
88108	RUC	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.14	0.3		XXX
88112	RUC	Lab	SL256	ThinPrep  UroCyte filter	item	8.88	1		XXX
88112	RUC	Lab	SL024	centrifuge tube	item	0.08	1		XXX
88112	RUC	Lab	SL151	xylenes solvent	ml	0.012	10		XXX
88112	RUC	Lab	SL039	"cytology, lysing soln (CytoLyt)"	ml	0.06	30		XXX
88112	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	6.5		XXX
88112	RUC	Lab	SL020	bleach	ml	0.01	50		XXX
88112	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	4		XXX
88112	RUC	"Kit, Pack, Tray"	SA104	ThinPrep UroCyte Urine Collection Kit	kit	7.14	1		XXX
88112	RUC	Lab	SL109	"pipette, transfer 23ml"	item	0.16	1		XXX
88112	RUC	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.14	1		XXX
88112	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	16		XXX
88112	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	6.5		XXX
88112	RUC	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.14	0.15		XXX
88112	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	0.2		XXX
88112	RUC	Lab	SL085	label for microscope slides	item	0.14	1		XXX
88112	RUC	Lab	SL095	mounting media (Histomount)	ml	0.5	0.1		XXX
88112	RUC	Infection Control	SM016	"eye shield, splash protection"	item	3.18	0.2		XXX
88112	RUC	Lab	SL137	"stain, PAP EA-50"	ml	0.035	4		XXX
88112	RUC	Lab	SL490	"microscopic slide, cytology liquid based preparation"	item	0.24	1		XXX
88112	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	4		XXX
88112	RUC	Lab	SL491	"stain, PAP OG-6"	ml	0.01	4		XXX
88112	RUC	Lab	SL030	"cover slip, glass"	item	0.079	1		XXX
88112	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.2		XXX
88120	CPT11 15	Lab	SL080	immersion oil	ml	0.079	0.3		XXX
88120	CPT11 15	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	0.3		XXX
88120	CPT11 15	Lab	SL030	"cover slip, glass"	item	0.079	1		XXX
88120	CPT11 15	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
88120	CPT11 15	"Kit, Pack, Tray"	SA105	UroVysion test kit	item	187.49	1.7		XXX
88120	CPT11 15	Lab	SL189	"ethanol, 100%"	ml	0.0033	33.3		XXX
88120	CPT11 15	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	3		XXX
88120	CPT11 15	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	1		XXX
88120	CPT11 15	Lab	SL024	centrifuge tube	item	0.08	3		XXX
88120	CPT11 15	Lab	SL039	"cytology, lysing soln (CytoLyt)"	ml	0.06	30		XXX
88120	CPT11 15	Lab	SL040	"cytology, preservative and vial (Preserv-cyt)"	item	1.18	1		XXX
88120	CPT11 15	Lab	SL072	formalin	ml	0.009	0.3		XXX
88120	CPT11 15	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		XXX
88120	CPT11 15	Lab	SL181	"pipette tips, sterile"	item	0.19	2		XXX
88120	CPT11 15	"Kit, Pack, Tray"	SA104	ThinPrep UroCyte Urine Collection Kit	kit	7.14	1		XXX
88120	CPT11 15	Lab	SL259	Bleach cleaning wipe	item	0.39	0.3		XXX
88120	CPT11 15	Lab	SL260	"Fresh Fixative (3:1, methanol: acetic acid)"	item	0.13	47.5		XXX
88120	CPT11 15	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	4.2		XXX
88120	CPT11 15	Lab	SL191	"ethanol, 85%"	ml	0.0215	33.3		XXX
88120	CPT11 15	Lab	SL179	1.0N NaOH	ml	0.65	3.3		XXX
88120	CPT11 15	Infection Control	SM016	"eye shield, splash protection"	item	3.18	1		XXX
88120	CPT11 15	Lab	SL254	0.45 ?m pore filtration unit	item	6.18	0.7		XXX
88120	CPT11 15	Lab	SL253	Non-Gyn Filter unit	item	4.65	0.3		XXX
88120	CPT11 15	Lab	SL256	ThinPrep  UroCyte filter	item	8.88	1		XXX
88120	CPT11 15	Lab	SL255	12-well slides	item	0.86	1		XXX
88120	CPT11 15	Infection Control	SM008	biohazard specimen transport bag	item	0.08	1		XXX
88120	CPT11 15	Lab	SL244	"water, de-ionized"	ml	0.017	3		XXX
88120	CPT11 15	Lab	SL257	Humidity cards	item	0.26	0.7		XXX
88120	CPT11 15	Lab	SL258	Control slides	kit	203.73	0.3		XXX
88120	CPT11 15	Lab	SL261	FISH pre-treatment kit	kit	579.21	0.3		XXX
88120	CPT11 15	Lab	SL190	"ethanol, 70%"	ml	0.0033	66.7		XXX
88120	CPT11 15	Lab	SL248	"ethanol, 95%"	ml	0.0033	1		XXX
88121	CPT11 15	"Kit, Pack, Tray"	SA104	ThinPrep UroCyte Urine Collection Kit	kit	7.14	1		XXX
88121	CPT11 15	"Kit, Pack, Tray"	SA105	UroVysion test kit	item	187.49	1.3		XXX
88121	CPT11 15	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1.5		XXX
88121	CPT11 15	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.5		XXX
88121	CPT11 15	Lab	SL181	"pipette tips, sterile"	item	0.19	1.84		XXX
88121	CPT11 15	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	0.2		XXX
88121	CPT11 15	Lab	SL024	centrifuge tube	item	0.08	3		XXX
88121	CPT11 15	Lab	SL030	"cover slip, glass"	item	0.079	1		XXX
88121	CPT11 15	Lab	SL039	"cytology, lysing soln (CytoLyt)"	ml	0.06	30		XXX
88121	CPT11 15	Lab	SL040	"cytology, preservative and vial (Preserv-cyt)"	item	1.18	1		XXX
88121	CPT11 15	Lab	SL244	"water, de-ionized"	ml	0.017	1.5		XXX
88121	CPT11 15	Lab	SL256	ThinPrep  UroCyte filter	item	8.88	1		XXX
88121	CPT11 15	Lab	SL259	Bleach cleaning wipe	item	0.39	0.2		XXX
88121	CPT11 15	Lab	SL072	formalin	ml	0.009	0.2		XXX
88121	CPT11 15	Lab	SL080	immersion oil	ml	0.079	0.2		XXX
88121	CPT11 15	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	2.1		XXX
88121	CPT11 15	Lab	SL257	Humidity cards	item	0.26	0.3		XXX
88121	CPT11 15	Lab	SL179	1.0N NaOH	ml	0.65	1.7		XXX
88121	CPT11 15	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	0.5		XXX
88121	CPT11 15	Lab	SL253	Non-Gyn Filter unit	item	4.65	0.2		XXX
88121	CPT11 15	Lab	SL248	"ethanol, 95%"	ml	0.0033	1		XXX
88121	CPT11 15	Lab	SL191	"ethanol, 85%"	ml	0.0215	16.7		XXX
88121	CPT11 15	Lab	SL261	FISH pre-treatment kit	kit	579.21	0.2		XXX
88121	CPT11 15	Lab	SL255	12-well slides	item	0.86	1		XXX
88121	CPT11 15	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	1		XXX
88121	CPT11 15	Lab	SL258	Control slides	kit	203.73	0.2		XXX
88121	CPT11 15	Lab	SL260	"Fresh Fixative (3:1, methanol: acetic acid)"	item	0.13	47.5		XXX
88121	CPT11 15	Infection Control	SM016	"eye shield, splash protection"	item	3.18	0.5		XXX
88121	CPT11 15	Lab	SL189	"ethanol, 100%"	ml	0.0033	16.7		XXX
88121	CPT11 15	Lab	SL190	"ethanol, 70%"	ml	0.0033	33.3		XXX
88121	CPT11 15	Infection Control	SM008	biohazard specimen transport bag	item	0.08	1		XXX
88121	CPT11 15	Lab	SL254	0.45 ?m pore filtration unit	item	6.18	0.3		XXX
88125		Lab	SL138	"stain, PAP toluidine blue O"	ml	0.07	1		XXX
88125		Lab	SL122	"slide, microscope"	item	0.36	2		XXX
88125		Lab	SL109	"pipette, transfer 23ml"	item	0.16	1		XXX
88125		Lab	SL085	label for microscope slides	item	0.14	2		XXX
88125		Lab	SL030	"cover slip, glass"	item	0.079	2		XXX
88125		Lab	SL026	clearing agent (Histo-clear)	ml	0.02	4		XXX
88125		"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4		XXX
88125		Lab	SL020	bleach	ml	0.01	50		XXX
88125		Lab	SL095	mounting media (Histomount)	ml	0.5	1		XXX
88160	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	4		XXX
88160	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	13		XXX
88160	RUC	Lab	SL071	fixative spray	ml	0.047	0.4		XXX
88160	RUC	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.14	0.3		XXX
88160	RUC	Infection Control	SM016	"eye shield, splash protection"	item	3.18	1		XXX
88160	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	8		XXX
88160	RUC	Lab	SL491	"stain, PAP OG-6"	ml	0.01	8		XXX
88160	RUC	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.14	1		XXX
88160	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
88160	RUC	Lab	SL020	bleach	ml	0.01	50		XXX
88160	RUC	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.05	10		XXX
88160	RUC	Lab	SL151	xylenes solvent	ml	0.012	20		XXX
88160	RUC	Lab	SL122	"slide, microscope"	item	0.36	4		XXX
88160	RUC	Lab	SL030	"cover slip, glass"	item	0.079	4		XXX
88160	RUC	Lab	SL095	mounting media (Histomount)	ml	0.5	0.4		XXX
88160	RUC	Lab	SL085	label for microscope slides	item	0.14	4		XXX
88160	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	32		XXX
88160	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	13		XXX
88160	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
88160	RUC	Lab	SL137	"stain, PAP EA-50"	ml	0.035	8		XXX
88161	RUC	Lab	SL085	label for microscope slides	item	0.14	4		XXX
88161	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1		XXX
88161	RUC	Lab	SL122	"slide, microscope"	item	0.36	4		XXX
88161	RUC	Lab	SL030	"cover slip, glass"	item	0.079	4		XXX
88161	RUC	Lab	SL020	bleach	ml	0.01	50		XXX
88161	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	4		XXX
88161	RUC	Lab	SL137	"stain, PAP EA-50"	ml	0.035	8		XXX
88161	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	32		XXX
88161	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
88161	RUC	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.14	1		XXX
88161	RUC	Infection Control	SM016	"eye shield, splash protection"	item	3.18	1		XXX
88161	RUC	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.05	10		XXX
88161	RUC	Lab	SL151	xylenes solvent	ml	0.012	20		XXX
88161	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	13		XXX
88161	RUC	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.14	0.3		XXX
88161	RUC	Lab	SL491	"stain, PAP OG-6"	ml	0.01	8		XXX
88161	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	8		XXX
88161	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	13		XXX
88161	RUC	Lab	SL095	mounting media (Histomount)	ml	0.5	0.4		XXX
88161	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
88162	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
88162	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	19.5		XXX
88162	RUC	Lab	SL151	xylenes solvent	ml	0.012	30		XXX
88162	RUC	Infection Control	SM016	"eye shield, splash protection"	item	3.18	1		XXX
88162	RUC	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.14	0.45		XXX
88162	RUC	Lab	SL030	"cover slip, glass"	item	0.079	7		XXX
88162	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	7		XXX
88162	RUC	Lab	SL491	"stain, PAP OG-6"	ml	0.01	16		XXX
88162	RUC	Lab	SL020	bleach	ml	0.01	50		XXX
88162	RUC	Lab	SL122	"slide, microscope"	item	0.36	7		XXX
88162	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
88162	RUC	Lab	SL085	label for microscope slides	item	0.14	7		XXX
88162	RUC	Lab	SL095	mounting media (Histomount)	ml	0.5	0.7		XXX
88162	RUC	Lab	SL071	fixative spray	ml	0.047	0.8		XXX
88162	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	36		XXX
88162	RUC	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.05	15		XXX
88162	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	19.5		XXX
88162	RUC	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.14	2		XXX
88162	RUC	Lab	SL137	"stain, PAP EA-50"	ml	0.035	16		XXX
88162	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		XXX
88172	CPT11 16	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	8		XXX
88172	CPT11 16	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
88172	CPT11 16	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		XXX
88172	CPT11 16	Lab	SL020	bleach	ml	0.01	50		XXX
88172	CPT11 16	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	2		XXX
88173	Feb01	Lab	SL041	"cytology, specimen filter (Transcyt)"	item	4.15	1		XXX
88173	Feb01	Lab	SL024	centrifuge tube	item	0.08	1		XXX
88173	Feb01	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
88173	Feb01	Lab	SL040	"cytology, preservative and vial (Preserv-cyt)"	item	1.18	1		XXX
88173	Feb01	Lab	SL039	"cytology, lysing soln (CytoLyt)"	ml	0.06	3		XXX
88173	Feb01	Lab	SL026	clearing agent (Histo-clear)	ml	0.02	36		XXX
88173	Feb01	Lab	SL020	bleach	ml	0.01	50		XXX
88173	Feb01	Lab	SL085	label for microscope slides	item	0.14	9		XXX
88173	Feb01	"Gown, Drape"	SB030	"lab coat, staff"	item	9.27	1		XXX
88173	Feb01	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
88173	Feb01	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.05	2		XXX
88173	Feb01	Lab	SL071	fixative spray	ml	0.047	1.8		XXX
88173	Feb01	Lab	SL095	mounting media (Histomount)	ml	0.5	1.8		XXX
88173	Feb01	Lab	SL109	"pipette, transfer 23ml"	item	0.16	2		XXX
88173	Feb01	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.14	2		XXX
88173	Feb01	Lab	SL030	"cover slip, glass"	item	0.079	9		XXX
88173	Feb01	Lab	SL042	"cytology, transport prefilled container"	item	1.34	1		XXX
88173	Feb01	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.14	2		XXX
88173	Feb01	Lab	SL122	"slide, microscope"	item	0.36	9		XXX
88173	Feb01	Lab	SL138	"stain, PAP toluidine blue O"	ml	0.07	25		XXX
88177	CPT11 16	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
88177	CPT11 16	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	8		XXX
88182	RUC	Lab	SL110	pipette tip (blue-yellow)	item	0.13	10		XXX
88182	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	1		XXX
88182	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	20		XXX
88182	RUC	Lab	SL115	propidium iodide	ml	6.7	1		XXX
88182	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	20		XXX
88182	RUC	Lab	SL191	"ethanol, 85%"	ml	0.0215	20		XXX
88182	RUC	Lab	SL506	Protease	mg	1.11	1.12		XXX
88182	RUC	Lab	SL066	"filter, nylon mesh (55mm)"	item	0.47	1		XXX
88182	RUC	Lab	SL026	clearing agent (Histo-clear)	ml	0.02	20		XXX
88182	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	5		XXX
88182	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3		XXX
88182	RUC	Lab	SL084	Isoton II diluent	ml	0.002	5		XXX
88182	RUC	Lab	SL024	centrifuge tube	item	0.08	2		XXX
88182	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	20		XXX
88182	RUC	Lab	SL141	"stain, Wright's soln"	ml	0.19	0.3		XXX
88184	RUC	Lab	SL021	calibration beads (each test)	item	11.46	1		XXX
88184	RUC	Lab	SL099	paraformaldehyde	gm	0.05	0.5		XXX
88184	RUC	Lab	SL186	"antibody, flow cytometry (each test)"	item	9.13	1.6		XXX
88184	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3		XXX
88184	RUC	Lab	SL122	"slide, microscope"	item	0.36	1		XXX
88184	RUC	Lab	SL141	"stain, Wright's soln"	ml	0.19	0.3		XXX
88184	RUC	Lab	SL030	"cover slip, glass"	item	0.079	1		XXX
88184	RUC	Lab	SL095	mounting media (Histomount)	ml	0.5	0.2		XXX
88184	RUC	Lab	SL024	centrifuge tube	item	0.08	4		XXX
88184	RUC	Lab	SL089	lysing reagent (FACS)	ml	3.645	5		XXX
88184	RUC	Lab	SL110	pipette tip (blue-yellow)	item	0.13	5		XXX
88184	RUC	Lab	SL084	Isoton II diluent	ml	0.002	25		XXX
88184	RUC	Lab	SL107	phosphate buffered saline solution	ml	0.01	20		XXX
88185	RUC	Lab	SL099	paraformaldehyde	gm	0.05	0.5		XXX
88185	RUC	Lab	SL089	lysing reagent (FACS)	ml	3.645	2		XXX
88185	RUC	Lab	SL186	"antibody, flow cytometry (each test)"	item	9.13	1.6		XXX
88185	RUC	Lab	SL110	pipette tip (blue-yellow)	item	0.13	2		XXX
88185	RUC	Lab	SL084	Isoton II diluent	ml	0.002	25		XXX
88185	RUC	Lab	SL024	centrifuge tube	item	0.08	2		XXX
88185	RUC	Lab	SL107	phosphate buffered saline solution	ml	0.01	20		XXX
88300	CPT13 Mar 11	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	2		XXX
88300	CPT13 Mar 11	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	0.1		XXX
88300	CPT13 Mar 11	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	0.1		XXX
88300	CPT13 Mar 11	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1		XXX
88300	CPT13 Mar 11	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1		XXX
88300	CPT13 Mar 11	Lab	SL034	"cup, biopsy-specimen 86oz"	item	1.47	1		XXX
88300	CPT13 Mar 11	Lab	SL020	bleach	ml	0.01	10		XXX
88302	CPT13 Mar 11	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1		XXX
88302	CPT13 Mar 11	Infection Control	SM017	formaldehyde spill control	ml	0.02	5		XXX
88302	CPT13 Mar 11	Lab	SL030	"cover slip, glass"	item	0.079	1		XXX
88302	CPT13 Mar 11	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	2		XXX
88302	CPT13 Mar 11	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	0.1		XXX
88302	CPT13 Mar 11	Lab	SL468	Paraffin repel	ml	0.21	1		XXX
88302	CPT13 Mar 11	Lab	SL020	bleach	ml	0.01	10		XXX
88302	CPT13 Mar 11	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.1		XXX
88302	CPT13 Mar 11	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2		XXX
88302	CPT13 Mar 11	Lab	SL248	"ethanol, 95%"	ml	0.0033	18		XXX
88302	CPT13 Mar 11	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	0.1		XXX
88302	CPT13 Mar 11	Lab	SL060	embedding mold	item	0.1231	1		XXX
88302	CPT13 Mar 11	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1		XXX
88302	CPT13 Mar 11	Lab	SL469	Clarifier	ml	0.005	2		XXX
88302	CPT13 Mar 11	Lab	SL190	"ethanol, 70%"	ml	0.0033	4		XXX
88302	CPT13 Mar 11	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	2		XXX
88302	CPT13 Mar 11	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		XXX
88302	CPT13 Mar 11	Lab	SL058	embedding cassette	item	0.1805	1		XXX
88302	CPT13 Mar 11	Lab	SL201	"stain, eosin"	ml	0.06	4		XXX
88302	CPT13 Mar 11	Lab	SL068	fixative (for tissue specimen)	ml	0.013	50		XXX
88302	CPT13 Mar 11	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	14		XXX
88302	CPT13 Mar 11	Lab	SL061	embedding paraffin	kg	5.3	0.008		XXX
88302	CPT13 Mar 11	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	0.1		XXX
88302	CPT13 Mar 11	Lab	SL085	label for microscope slides	item	0.14	1		XXX
88302	CPT13 Mar 11	Lab	SL093	"mold release agent, liquid"	ml	0.1	0.1		XXX
88302	CPT13 Mar 11	Lab	SL095	mounting media (Histomount)	ml	0.5	1		XXX
88302	CPT13 Mar 11	Lab	SL122	"slide, microscope"	item	0.36	1		XXX
88302	CPT13 Mar 11	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		XXX
88302	CPT13 Mar 11	Lab	SL151	xylenes solvent	ml	0.012	30		XXX
88302	CPT13 Mar 11	Lab	SL189	"ethanol, 100%"	ml	0.0033	30		XXX
88302	CPT13 Mar 11	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	1		XXX
88304	CPT13 Mar 11	Lab	SL095	mounting media (Histomount)	ml	0.5	1		XXX
88304	CPT13 Mar 11	Lab	SL190	"ethanol, 70%"	ml	0.0033	8		XXX
88304	CPT13 Mar 11	Lab	SL061	embedding paraffin	kg	5.3	0.016		XXX
88304	CPT13 Mar 11	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	28		XXX
88304	CPT13 Mar 11	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	0.1		XXX
88304	CPT13 Mar 11	Lab	SL085	label for microscope slides	item	0.14	2		XXX
88304	CPT13 Mar 11	Lab	SL093	"mold release agent, liquid"	ml	0.1	0.2		XXX
88304	CPT13 Mar 11	Lab	SL122	"slide, microscope"	item	0.36	2		XXX
88304	CPT13 Mar 11	Lab	SL135	"stain, hematoxylin"	ml	0.044	32		XXX
88304	CPT13 Mar 11	Lab	SL151	xylenes solvent	ml	0.012	60		XXX
88304	CPT13 Mar 11	Lab	SL189	"ethanol, 100%"	ml	0.0033	60		XXX
88304	CPT13 Mar 11	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	2		XXX
88304	CPT13 Mar 11	Lab	SL060	embedding mold	item	0.1231	2		XXX
88304	CPT13 Mar 11	Lab	SL058	embedding cassette	item	0.1805	2		XXX
88304	CPT13 Mar 11	Lab	SL201	"stain, eosin"	ml	0.06	8		XXX
88304	CPT13 Mar 11	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		XXX
88304	CPT13 Mar 11	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1		XXX
88304	CPT13 Mar 11	Lab	SL068	fixative (for tissue specimen)	ml	0.013	100		XXX
88304	CPT13 Mar 11	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	0.1		XXX
88304	CPT13 Mar 11	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	2		XXX
88304	CPT13 Mar 11	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	0.1		XXX
88304	CPT13 Mar 11	Lab	SL248	"ethanol, 95%"	ml	0.0033	36		XXX
88304	CPT13 Mar 11	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2		XXX
88304	CPT13 Mar 11	Lab	SL468	Paraffin repel	ml	0.21	1		XXX
88304	CPT13 Mar 11	Lab	SL020	bleach	ml	0.01	10		XXX
88304	CPT13 Mar 11	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4		XXX
88304	CPT13 Mar 11	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.2		XXX
88304	CPT13 Mar 11	Lab	SL030	"cover slip, glass"	item	0.079	2		XXX
88304	CPT13 Mar 11	Lab	SL469	Clarifier	ml	0.005	4		XXX
88304	CPT13 Mar 11	Infection Control	SM017	formaldehyde spill control	ml	0.02	10		XXX
88304	CPT13 Mar 11	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	1		XXX
88304	CPT13 Mar 11	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1		XXX
88305	CPT13 Mar 11	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	0.2		XXX
88305	CPT13 Mar 11	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	2		XXX
88305	CPT13 Mar 11	Lab	SL135	"stain, hematoxylin"	ml	0.044	32		XXX
88305	CPT13 Mar 11	Lab	SL060	embedding mold	item	0.1231	2		XXX
88305	CPT13 Mar 11	Lab	SL095	mounting media (Histomount)	ml	0.5	2		XXX
88305	CPT13 Mar 11	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1		XXX
88305	CPT13 Mar 11	Lab	SL085	label for microscope slides	item	0.14	6		XXX
88305	CPT13 Mar 11	Lab	SL151	xylenes solvent	ml	0.012	60		XXX
88305	CPT13 Mar 11	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	28		XXX
88305	CPT13 Mar 11	Lab	SL068	fixative (for tissue specimen)	ml	0.013	50		XXX
88305	CPT13 Mar 11	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	0.1		XXX
88305	CPT13 Mar 11	Lab	SL248	"ethanol, 95%"	ml	0.0033	36		XXX
88305	CPT13 Mar 11	Lab	SL122	"slide, microscope"	item	0.36	6		XXX
88305	CPT13 Mar 11	Lab	SL470	Marking Dyes	ml	0.47	3		XXX
88305	CPT13 Mar 11	Lab	SL471	Q-tip	each	0.06	3		XXX
88305	CPT13 Mar 11	Lab	SL201	"stain, eosin"	ml	0.06	8		XXX
88305	CPT13 Mar 11	"Accessory, Procedure"	SD005	biopsy sponge (Histo-Prep)	item	0.2665	2		XXX
88305	CPT13 Mar 11	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		XXX
88305	CPT13 Mar 11	Lab	SL189	"ethanol, 100%"	ml	0.0033	60		XXX
88305	CPT13 Mar 11	Lab	SL190	"ethanol, 70%"	ml	0.0033	8		XXX
88305	CPT13 Mar 11	Infection Control	SM017	formaldehyde spill control	ml	0.02	5		XXX
88305	CPT13 Mar 11	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2		XXX
88305	CPT13 Mar 11	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.2		XXX
88305	CPT13 Mar 11	Lab	SL468	Paraffin repel	ml	0.21	1		XXX
88305	CPT13 Mar 11	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	0.1		XXX
88305	CPT13 Mar 11	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4		XXX
88305	CPT13 Mar 11	Lab	SL061	embedding paraffin	kg	5.3	0.005		XXX
88305	CPT13 Mar 11	Lab	SL469	Clarifier	ml	0.005	4		XXX
88305	CPT13 Mar 11	Lab	SL093	"mold release agent, liquid"	ml	0.1	0.2		XXX
88305	CPT13 Mar 11	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	1		XXX
88305	CPT13 Mar 11	Lab	SL058	embedding cassette	item	0.1805	2		XXX
88305	CPT13 Mar 11	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1		XXX
88305	CPT13 Mar 11	Lab	SL030	"cover slip, glass"	item	0.079	6		XXX
88305	CPT13 Mar 11	Lab	SL020	bleach	ml	0.01	10		XXX
88305	CPT13 Mar 11	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	2		XXX
88307	CPT13 Mar 11	Lab	SL470	Marking Dyes	ml	0.47	5		XXX
88307	CPT13 Mar 11	Lab	SL095	mounting media (Histomount)	ml	0.5	4		XXX
88307	CPT13 Mar 11	Lab	SL093	"mold release agent, liquid"	ml	0.1	1.2		XXX
88307	CPT13 Mar 11	Lab	SL085	label for microscope slides	item	0.14	12		XXX
88307	CPT13 Mar 11	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	0.2		XXX
88307	CPT13 Mar 11	Lab	SL469	Clarifier	ml	0.005	24		XXX
88307	CPT13 Mar 11	Lab	SL122	"slide, microscope"	item	0.36	12		XXX
88307	CPT13 Mar 11	Lab	SL020	bleach	ml	0.01	10		XXX
88307	CPT13 Mar 11	Lab	SL034	"cup, biopsy-specimen 86oz"	item	1.47	1		XXX
88307	CPT13 Mar 11	Lab	SL201	"stain, eosin"	ml	0.06	48		XXX
88307	CPT13 Mar 11	Lab	SL068	fixative (for tissue specimen)	ml	0.013	500		XXX
88307	CPT13 Mar 11	Lab	SL058	embedding cassette	item	0.1805	12		XXX
88307	CPT13 Mar 11	Lab	SL060	embedding mold	item	0.1231	12		XXX
88307	CPT13 Mar 11	Lab	SL061	embedding paraffin	kg	5.3	0.096		XXX
88307	CPT13 Mar 11	Lab	SL135	"stain, hematoxylin"	ml	0.044	192		XXX
88307	CPT13 Mar 11	Lab	SL190	"ethanol, 70%"	ml	0.0033	48		XXX
88307	CPT13 Mar 11	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	8		XXX
88307	CPT13 Mar 11	Lab	SL151	xylenes solvent	ml	0.012	360		XXX
88307	CPT13 Mar 11	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	5		XXX
88307	CPT13 Mar 11	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	0.1		XXX
88307	CPT13 Mar 11	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1		XXX
88307	CPT13 Mar 11	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2		XXX
88307	CPT13 Mar 11	Lab	SL468	Paraffin repel	ml	0.21	2		XXX
88307	CPT13 Mar 11	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	0.1		XXX
88307	CPT13 Mar 11	Lab	SL248	"ethanol, 95%"	ml	0.0033	216		XXX
88307	CPT13 Mar 11	Lab	SL030	"cover slip, glass"	item	0.079	12		XXX
88307	CPT13 Mar 11	Lab	SL189	"ethanol, 100%"	ml	0.0033	360		XXX
88307	CPT13 Mar 11	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	1.2		XXX
88307	CPT13 Mar 11	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2		XXX
88307	CPT13 Mar 11	Infection Control	SM017	formaldehyde spill control	ml	0.02	15		XXX
88307	CPT13 Mar 11	Lab	SL471	Q-tip	each	0.06	3		XXX
88307	CPT13 Mar 11	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	8		XXX
88307	CPT13 Mar 11	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	170		XXX
88307	CPT13 Mar 11	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	15		XXX
88309	CPT13 Mar 11	Lab	SL471	Q-tip	each	0.06	1		XXX
88309	CPT13 Mar 11	Lab	SL468	Paraffin repel	ml	0.21	2		XXX
88309	CPT13 Mar 11	Lab	SL469	Clarifier	ml	0.005	36		XXX
88309	CPT13 Mar 11	Lab	SL122	"slide, microscope"	item	0.36	18		XXX
88309	CPT13 Mar 11	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	1.8		XXX
88309	CPT13 Mar 11	Lab	SL189	"ethanol, 100%"	ml	0.0033	540		XXX
88309	CPT13 Mar 11	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2		XXX
88309	CPT13 Mar 11	Lab	SL151	xylenes solvent	ml	0.012	540		XXX
88309	CPT13 Mar 11	Infection Control	SM017	formaldehyde spill control	ml	0.02	15		XXX
88309	CPT13 Mar 11	Lab	SL190	"ethanol, 70%"	ml	0.0033	72		XXX
88309	CPT13 Mar 11	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	20		XXX
88309	CPT13 Mar 11	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	0.1		XXX
88309	CPT13 Mar 11	Lab	SL470	Marking Dyes	ml	0.47	3		XXX
88309	CPT13 Mar 11	Lab	SL060	embedding mold	item	0.1231	18		XXX
88309	CPT13 Mar 11	Lab	SL135	"stain, hematoxylin"	ml	0.044	288		XXX
88309	CPT13 Mar 11	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1		XXX
88309	CPT13 Mar 11	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	3		XXX
88309	CPT13 Mar 11	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	0.1		XXX
88309	CPT13 Mar 11	Lab	SL248	"ethanol, 95%"	ml	0.0033	324		XXX
88309	CPT13 Mar 11	Lab	SL472	Specimen containter	item	1.12	1		XXX
88309	CPT13 Mar 11	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	10		XXX
88309	CPT13 Mar 11	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	252		XXX
88309	CPT13 Mar 11	Lab	SL020	bleach	ml	0.01	10		XXX
88309	CPT13 Mar 11	Lab	SL030	"cover slip, glass"	item	0.079	18		XXX
88309	CPT13 Mar 11	Lab	SL058	embedding cassette	item	0.1805	18		XXX
88309	CPT13 Mar 11	Lab	SL095	mounting media (Histomount)	ml	0.5	6		XXX
88309	CPT13 Mar 11	Lab	SL068	fixative (for tissue specimen)	ml	0.013	750		XXX
88309	CPT13 Mar 11	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	3		XXX
88309	CPT13 Mar 11	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	0.2		XXX
88309	CPT13 Mar 11	Lab	SL085	label for microscope slides	item	0.14	18		XXX
88309	CPT13 Mar 11	Lab	SL201	"stain, eosin"	ml	0.06	72		XXX
88309	CPT13 Mar 11	Lab	SL093	"mold release agent, liquid"	ml	0.1	1.8		XXX
88309	CPT13 Mar 11	Lab	SL061	embedding paraffin	kg	5.3	0.144		XXX
88309	CPT13 Mar 11	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	10		XXX
88311	Mar01	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1		XXX
88311	Mar01	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1		XXX
88311	Mar01	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		XXX
88311	Mar01	Lab	SL085	label for microscope slides	item	0.14	1		XXX
88311	Mar01	Lab	SL045	decalcifier solution	ml	0.01	40		XXX
88312	CPT12 May 25	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	2		XXX
88312	CPT12 May 25	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	1		XXX
88312	CPT12 May 25	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	3		XXX
88312	CPT12 May 25	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
88312	CPT12 May 25	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	5		XXX
88312	CPT12 May 25	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5.24		XXX
88312	CPT12 May 25	Lab	SL112	positive control slide	item	30.97	1		XXX
88312	CPT12 May 25	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
88312	CPT12 May 25	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.14	1		XXX
88312	CPT12 May 25	Lab	SL273	weighing boat	item	0.21	1		XXX
88312	CPT12 May 25	Lab	SL267	silver nitrate	gm	2.47	0.52		XXX
88312	CPT12 May 25	Lab	SL266	gum mastic	gm	1.98	1.25		XXX
88312	CPT12 May 25	Lab	SL265	hydroquinone	gm	8.1	0.5		XXX
88312	CPT12 May 25	Lab	SL264	uranyl nitrate	oz	11.17	1.69		XXX
88312	CPT12 May 25	Lab	SL189	"ethanol, 100%"	ml	0.0033	255		XXX
88312	CPT12 May 25	Lab	SL151	xylenes solvent	ml	0.012	50		XXX
88312	CPT12 May 25	Lab	SL130	spatula (pathology)	item	0.99	4		XXX
88312	CPT12 May 25	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		XXX
88312	CPT12 May 25	Lab	SL085	label for microscope slides	item	0.14	2		XXX
88312	CPT12 May 25	Lab	SL020	bleach	ml	0.01	30		XXX
88312	CPT12 May 25	Lab	SL030	"cover slip, glass"	item	0.079	2		XXX
88312	CPT12 May 25	Lab	SL122	"slide, microscope"	item	0.36	2		XXX
88313	CPT12 May 25	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	2.367		XXX
88313	CPT12 May 25	Lab	SL020	bleach	ml	0.01	30		XXX
88313	CPT12 May 25	Lab	SL122	"slide, microscope"	item	0.36	1		XXX
88313	CPT12 May 25	Lab	SL077	hematoxylin reagent	ml	0.02	25		XXX
88313	CPT12 May 25	Lab	SL085	label for microscope slides	item	0.14	2		XXX
88313	CPT12 May 25	Lab	SL109	"pipette, transfer 23ml"	item	0.16	1		XXX
88313	CPT12 May 25	Lab	SL112	positive control slide	item	30.97	1		XXX
88313	CPT12 May 25	Lab	SL128	sodium hydroxide	gm	0.04	1		XXX
88313	CPT12 May 25	Lab	SL151	xylenes solvent	ml	0.012	50		XXX
88313	CPT12 May 25	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	1		XXX
88313	CPT12 May 25	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		XXX
88313	CPT12 May 25	Lab	SL030	"cover slip, glass"	item	0.079	2		XXX
88313	CPT12 May 25	Lab	SL189	"ethanol, 100%"	ml	0.0033	235		XXX
88313	CPT12 May 25	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
88313	CPT12 May 25	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
88313	CPT12 May 25	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	3		XXX
88313	CPT12 May 25	"Kit, Pack, Tray"	SA110	Congo Red kits	test	6.16	1		XXX
88313	CPT12 May 25	Lab	SL268	ammonium hydroxide	ml	0.082	0.5		XXX
88313	CPT12 May 25	Lab	SL229	"HCl, 1% hydrochloric acid"	cc	0.14	0.25		XXX
88313	CPT12 May 25	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4		XXX
88313	CPT12 May 25	Lab	SL273	weighing boat	item	0.21	1		XXX
88313	CPT12 May 25	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	1		XXX
88313	CPT12 May 25	Lab	SL130	spatula (pathology)	item	0.99	1		XXX
88313	CPT12 May 25	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.14	1		XXX
88314	CPT12 May 25	Lab	SL091	methylbutane (Isopentane)	ml	0.04	5		XXX
88314	CPT12 May 25	Lab	SL030	"cover slip, glass"	item	0.079	2		XXX
88314	CPT12 May 25	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.14	1		XXX
88314	CPT12 May 25	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	1		XXX
88314	CPT12 May 25	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	500		XXX
88314	CPT12 May 25	"Hypodermic, IV"	SC095	syringe filter	item	1.87	1		XXX
88314	CPT12 May 25	Lab	SL077	hematoxylin reagent	ml	0.02	25		XXX
88314	CPT12 May 25	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
88314	CPT12 May 25	Lab	SL183	"slide, organosilane coated"	item	0.52	2		XXX
88314	CPT12 May 25	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	3		XXX
88314	CPT12 May 25	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
88314	CPT12 May 25	Lab	SL085	label for microscope slides	item	0.14	2		XXX
88314	CPT12 May 25	Lab	SL020	bleach	ml	0.01	30		XXX
88314	CPT12 May 25	Lab	SL095	mounting media (Histomount)	ml	0.5	0.5		XXX
88314	CPT12 May 25	Lab	SL112	positive control slide	item	30.97	1		XXX
88314	CPT12 May 25	Lab	SL189	"ethanol, 100%"	ml	0.0033	125		XXX
88314	CPT12 May 25	Lab	SL268	ammonium hydroxide	ml	0.082	0.5		XXX
88314	CPT12 May 25	Lab	SL271	10% Gum Tragacanth/OCT	oz	0.75	0.067		XXX
88314	CPT12 May 25	Lab	SL272	cork disc (5 mm thick 15 mm diameter)	item	0.71	1		XXX
88314	CPT12 May 25	Lab	SL273	weighing boat	item	0.21	1		XXX
88314	CPT12 May 25	Lab	SL274	Oil Red O	ml	0.45	0.25		XXX
88314	CPT12 May 25	Lab	SL109	"pipette, transfer 23ml"	item	0.16	1		XXX
88314	CPT12 May 25	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		XXX
88314	CPT12 May 25	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	2		XXX
88319	CPT12 May 25	Lab	SL105	"phosphate buffer, monobasic"	gm	0.13	15		XXX
88319	CPT12 May 25	Lab	SL270	Nitro blue tetrazolium	mg	0.81	8		XXX
88319	CPT12 May 25	Lab	SL104	"phosphate buffer, dibasic"	gm	0.13	85		XXX
88319	CPT12 May 25	Lab	SL109	"pipette, transfer 23ml"	item	0.16	3		XXX
88319	CPT12 May 25	Lab	SL151	xylenes solvent	ml	0.012	30		XXX
88319	CPT12 May 25	Lab	SL183	"slide, organosilane coated"	item	0.52	1		XXX
88319	CPT12 May 25	Lab	SL273	weighing boat	item	0.21	1		XXX
88319	CPT12 May 25	Lab	SL269	NADH	mg	0.31	3		XXX
88319	CPT12 May 25	Lab	SL271	10% Gum Tragacanth/OCT	oz	0.75	0.067		XXX
88319	CPT12 May 25	Lab	SL095	mounting media (Histomount)	ml	0.5	0.5		XXX
88319	CPT12 May 25	Lab	SL091	methylbutane (Isopentane)	ml	0.04	5		XXX
88319	CPT12 May 25	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		XXX
88319	CPT12 May 25	Lab	SL085	label for microscope slides	item	0.14	1		XXX
88319	CPT12 May 25	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
88319	CPT12 May 25	Lab	SL030	"cover slip, glass"	item	0.079	1		XXX
88319	CPT12 May 25	Lab	SL189	"ethanol, 100%"	ml	0.0033	160		XXX
88319	CPT12 May 25	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	3		XXX
88319	CPT12 May 25	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	400		XXX
88319	CPT12 May 25	Lab	SL020	bleach	ml	0.01	30		XXX
88319	CPT12 May 25	Lab	SL001	acetone	ml	0.06	112		XXX
88319	CPT12 May 25	"Pharmacy, Rx"	SH099	.9% sodium chloride	ml	0.02	1.1		XXX
88319	CPT12 May 25	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1		XXX
88319	CPT12 May 25	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
88319	CPT12 May 25	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	1		XXX
88321	RUC	Lab	SL120	slide container (for 20 microscope slides)	item	3.78	1	0	XXX
88321	RUC	Lab	SL085	label for microscope slides	item	0.14	10	0	XXX
88323	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	2		XXX
88323	RUC	Lab	SL120	slide container (for 20 microscope slides)	item	3.78	1		XXX
88323	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2		XXX
88323	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	0.2		XXX
88323	RUC	Lab	SL085	label for microscope slides	item	0.14	20		XXX
88323	RUC	Lab	SL020	bleach	ml	0.01	10		XXX
88323	RUC	Lab	SL095	mounting media (Histomount)	ml	0.5	2		XXX
88323	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	8		XXX
88323	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2		XXX
88323	RUC	Lab	SL122	"slide, microscope"	item	0.36	2		XXX
88323	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.2		XXX
88323	RUC	Lab	SL201	"stain, eosin"	ml	0.06	8		XXX
88323	RUC	Lab	SL151	xylenes solvent	ml	0.012	60		XXX
88323	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	60		XXX
88323	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		XXX
88323	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	36		XXX
88323	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1		XXX
88325	RUC	Lab	SL095	mounting media (Histomount)	ml	0.5	2	0	XXX
88325	RUC	Lab	SL020	bleach	ml	0.01	10	0	XXX
88325	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2	0	XXX
88325	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	0.2	0	XXX
88325	RUC	Lab	SL085	label for microscope slides	item	0.14	20	0	XXX
88325	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1	0	XXX
88325	RUC	Lab	SL151	xylenes solvent	ml	0.012	60	0	XXX
88325	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	36	0	XXX
88325	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16	0	XXX
88325	RUC	Lab	SL201	"stain, eosin"	ml	0.06	8	0	XXX
88325	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.2	0	XXX
88325	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	8	0	XXX
88325	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	60	0	XXX
88325	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	2	0	XXX
88325	RUC	Lab	SL122	"slide, microscope"	item	0.36	2	0	XXX
88325	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2	0	XXX
88325	RUC	Lab	SL120	slide container (for 20 microscope slides)	item	3.78	1	0	XXX
88329	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	XXX
88329	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2	0	XXX
88329	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	XXX
88329	RUC	Lab	SL020	bleach	ml	0.01	50	0	XXX
88329	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	XXX
88331	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		XXX
88331	RUC	Lab	SL058	embedding cassette	item	0.1805	1		XXX
88331	RUC	Lab	SL060	embedding mold	item	0.1231	1		XXX
88331	RUC	Lab	SL085	label for microscope slides	item	0.14	2		XXX
88331	RUC	Lab	SL095	mounting media (Histomount)	ml	0.5	0.2		XXX
88331	RUC	Lab	SL097	OCT Tissue-Tek	ml	0.14	2		XXX
88331	RUC	Lab	SL122	"slide, microscope"	item	0.36	2		XXX
88331	RUC	Lab	SL470	Marking Dyes	ml	0.47	4		XXX
88331	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		XXX
88331	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2		XXX
88331	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	0.1		XXX
88331	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2		XXX
88331	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	1		XXX
88331	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	1		XXX
88331	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1		XXX
88331	RUC	Lab	SL020	bleach	ml	0.01	50		XXX
88331	RUC	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.68	1		XXX
88332	RUC	Lab	SL058	embedding cassette	item	0.1805	1		XXX
88332	RUC	Lab	SL470	Marking Dyes	ml	0.47	4		XXX
88332	RUC	Lab	SL085	label for microscope slides	item	0.14	2		XXX
88332	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	0.1		XXX
88332	RUC	Lab	SL060	embedding mold	item	0.1231	1		XXX
88332	RUC	Lab	SL122	"slide, microscope"	item	0.36	2		XXX
88332	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2		XXX
88332	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	1		XXX
88332	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1		XXX
88332	RUC	Lab	SL095	mounting media (Histomount)	ml	0.5	0.2		XXX
88332	RUC	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.68	1		XXX
88332	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2		XXX
88332	RUC	Lab	SL097	OCT Tissue-Tek	ml	0.14	2		XXX
88333	RUC	Lab	SL020	bleach	ml	0.01	50		XXX
88333	RUC	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.05	20		XXX
88333	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1		XXX
88333	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		XXX
88333	RUC	Lab	SL095	mounting media (Histomount)	ml	0.5	0.4		XXX
88333	RUC	Lab	SL030	"cover slip, glass"	item	0.079	4		XXX
88333	RUC	Lab	SL085	label for microscope slides	item	0.14	4		XXX
88333	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2		XXX
88333	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	50		XXX
88333	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	4		XXX
88333	RUC	Lab	SL122	"slide, microscope"	item	0.36	4		XXX
88333	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		XXX
88334	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2		XXX
88334	RUC	Lab	SL030	"cover slip, glass"	item	0.079	4		XXX
88334	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	50		XXX
88334	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	1		XXX
88334	RUC	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.05	20		XXX
88334	RUC	Lab	SL122	"slide, microscope"	item	0.36	4		XXX
88334	RUC	Lab	SL095	mounting media (Histomount)	ml	0.5	0.4		XXX
88334	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1		XXX
88334	RUC	Lab	SL085	label for microscope slides	item	0.14	4		XXX
88341	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	50		XXX
88341	CMS	Lab	SL480	SSC (10X) (Ventana 950-110)	ml	0.051	4.8		XXX
88341	CMS	Lab	SL478	Reaction buffer 10X (Ventana 950-300)	ml	0.037	6		XXX
88341	CMS	Lab	SL475	E-bar labels (Ventana 1358501)	item	0.72	3		XXX
88341	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1		XXX
88341	CMS	Lab	SL485	Cover slip glue/Mounting media	ml	0.39	0.5		XXX
88341	CMS	Lab	SL484	Bluing reagent (Ventana 760-2037)	ml	4.2467	0.2		XXX
88341	CMS	Lab	SL495	Anti CD45 Monoclonal Antibody	Test	4.48	2		XXX
88341	CMS	Lab	SL482	Cell Conditioning 1 (Ventana 950-124)	ml	0.56	3		XXX
88341	CMS	Lab	SL476	E-Bar Printer Ribbon (Ventana 1632900) (prints 8100 labels)	item	141.67	0.00024691		XXX
88341	CMS	Lab	SL477	Permanent marking pen	item	2.81	0.00065		XXX
88341	CMS	Infection Control	SM024	"soap, liquid, antibacterial"	oz	0.17	0.1		XXX
88341	CMS	Lab	SL481	EZ Prep (10X) (Ventana 950-102)	ml	0.034	3		XXX
88341	CMS	Lab	SL488	UltraView Universal DAB Detection Kit	test	9.7	2		XXX
88341	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	50		XXX
88341	CMS	Lab	SL479	Liquid coverslip (Ventana 650-010)	ml	0.051	12		XXX
88341	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	2		XXX
88341	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.3		XXX
88341	CMS	Lab	SL151	xylenes solvent	ml	0.012	50		XXX
88341	CMS	Lab	SL122	"slide, microscope"	item	0.36	3		XXX
88341	CMS	Lab	SL060	embedding mold	item	0.1231	1		XXX
88341	CMS	Lab	SL058	embedding cassette	item	0.1805	1		XXX
88341	CMS	Lab	SL030	"cover slip, glass"	item	0.079	3		XXX
88341	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4		XXX
88341	CMS	Lab	SL483	Hematoxylin II (Ventana 790-2208)	ml	0.78	0.2		XXX
88342	CMS	Lab	SL479	Liquid coverslip (Ventana 650-010)	ml	0.051	12		XXX
88342	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	50		XXX
88342	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	50		XXX
88342	CMS	Infection Control	SM024	"soap, liquid, antibacterial"	oz	0.17	0.1		XXX
88342	CMS	Lab	SL484	Bluing reagent (Ventana 760-2037)	ml	4.2467	0.2		XXX
88342	CMS	Lab	SL481	EZ Prep (10X) (Ventana 950-102)	ml	0.034	3		XXX
88342	CMS	Lab	SL483	Hematoxylin II (Ventana 790-2208)	ml	0.78	0.2		XXX
88342	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	2		XXX
88342	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.2		XXX
88342	CMS	Lab	SL488	UltraView Universal DAB Detection Kit	test	9.7	2		XXX
88342	CMS	Lab	SL151	xylenes solvent	ml	0.012	50		XXX
88342	CMS	Lab	SL478	Reaction buffer 10X (Ventana 950-300)	ml	0.037	6		XXX
88342	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.3		XXX
88342	CMS	Lab	SL480	SSC (10X) (Ventana 950-110)	ml	0.051	4.8		XXX
88342	CMS	Lab	SL060	embedding mold	item	0.1231	1		XXX
88342	CMS	Lab	SL482	Cell Conditioning 1 (Ventana 950-124)	ml	0.56	3		XXX
88342	CMS	Lab	SL474	Confirm anti-CD15 Mouse Monoclonal Antibody (Ventana 760-2504)	test	3.82	2		XXX
88342	CMS	Lab	SL477	Permanent marking pen	item	2.81	0.00065		XXX
88342	CMS	Lab	SL476	E-Bar Printer Ribbon (Ventana 1632900) (prints 8100 labels)	item	141.67	0.00024691		XXX
88342	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	0.1		XXX
88342	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1		XXX
88342	CMS	Lab	SL485	Cover slip glue/Mounting media	ml	0.39	0.5		XXX
88342	CMS	Lab	SL030	"cover slip, glass"	item	0.079	3		XXX
88342	CMS	Lab	SL058	embedding cassette	item	0.1805	1		XXX
88342	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4		XXX
88342	CMS	Lab	SL122	"slide, microscope"	item	0.36	3		XXX
88342	CMS	Lab	SL475	E-bar labels (Ventana 1358501)	item	0.72	3		XXX
88342	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2		XXX
88342	CMS	Lab	SL020	bleach	ml	0.01	10		XXX
88344	CMS	Lab	SL486	250 Test Prep Kit # 78 (Ventana 786-3034)	per test	0.29	1		XXX
88344	CMS	Lab	SL485	Cover slip glue/Mounting media	ml	0.39	0.5		XXX
88344	CMS	Lab	SL496	34 Beta E12	Test	5.38	2		XXX
88344	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.2		XXX
88344	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2		XXX
88344	CMS	Lab	SL484	Bluing reagent (Ventana 760-2037)	ml	4.2467	0.2		XXX
88344	CMS	Lab	SL483	Hematoxylin II (Ventana 790-2208)	ml	0.78	0.2		XXX
88344	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.3		XXX
88344	CMS	Lab	SL487	"monoclonal rabbit anti-AMACR, clone 13 H4 (Cell Marque)"	ml	40.45	0.1		XXX
88344	CMS	Lab	SL030	"cover slip, glass"	item	0.079	3		XXX
88344	CMS	Lab	SL480	SSC (10X) (Ventana 950-110)	ml	0.051	4.8		XXX
88344	CMS	Lab	SL151	xylenes solvent	ml	0.012	50		XXX
88344	CMS	Lab	SL478	Reaction buffer 10X (Ventana 950-300)	ml	0.037	9		XXX
88344	CMS	Lab	SL476	E-Bar Printer Ribbon (Ventana 1632900) (prints 8100 labels)	item	141.67	0.00024691		XXX
88344	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	50		XXX
88344	CMS	Lab	SL477	Permanent marking pen	item	2.81	0.0065		XXX
88344	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1		XXX
88344	CMS	Lab	SL122	"slide, microscope"	item	0.36	3		XXX
88344	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4		XXX
88344	CMS	Lab	SL475	E-bar labels (Ventana 1358501)	item	0.72	3		XXX
88344	CMS	Infection Control	SM024	"soap, liquid, antibacterial"	oz	0.17	0.1		XXX
88344	CMS	Lab	SL479	Liquid coverslip (Ventana 650-010)	ml	0.051	18		XXX
88344	CMS	Lab	SL060	embedding mold	item	0.1231	1		XXX
88344	CMS	Lab	SL058	embedding cassette	item	0.1805	1		XXX
88344	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	0.1		XXX
88344	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	50		XXX
88344	CMS	Lab	SL488	UltraView Universal DAB Detection Kit	test	9.7	2		XXX
88344	CMS	Lab	SL482	Cell Conditioning 1 (Ventana 950-124)	ml	0.56	3		XXX
88344	CMS	Lab	SL489	UtraView Universal Alkaline Phosphatase Red Detection Kit	per test	27.72	2		XXX
88344	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	2		XXX
88344	CMS	Lab	SL020	bleach	ml	0.01	10		XXX
88344	CMS	Lab	SL481	EZ Prep (10X) (Ventana 950-102)	ml	0.034	3		XXX
88346	RUC	Lab	SL122	"slide, microscope"	item	0.36	4.5		XXX
88346	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	0.1		XXX
88346	RUC	Lab	SL001	acetone	ml	0.06	13		XXX
88346	RUC	Lab	SL020	bleach	ml	0.01	50		XXX
88346	RUC	"Office Supply, Grocery"	SK120	Hydrophobic PAP Pen	item (100 uses)	2.48	0.01		XXX
88346	RUC	Lab	SL013	antibody IgG FITC	ml	299.22	0.04		XXX
88346	RUC	"Accessory, Procedure"	SD309	Immunofluorescent mounting media	ml	74.73	0.6		XXX
88346	RUC	Lab	SL110	pipette tip (blue-yellow)	item	0.13	1		XXX
88346	RUC	Lab	SL097	OCT Tissue-Tek	ml	0.14	2		XXX
88346	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
88346	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	4		XXX
88346	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
88346	RUC	Lab	SL095	mounting media (Histomount)	ml	0.5	0.4		XXX
88346	RUC	Lab	SL085	label for microscope slides	item	0.14	4.5		XXX
88346	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	1		XXX
88346	RUC	Lab	SL231	"kit, stain, H&E"	kit	277.58	0.1		XXX
88346	RUC	Lab	SL030	"cover slip, glass"	item	0.079	4.5		XXX
88346	RUC	Lab	SL518	Zeus medium	ml	0.9	10		XXX
88346	RUC	Lab	SL107	phosphate buffered saline solution	ml	0.01	50		XXX
88346	RUC	Lab	SL473	"Slide, charged"	item	0.39	4.5		XXX
88348	RUC	Lab	SL177	wax sheet	item	0.2	1		XXX
88348	RUC	Lab	SL025	chloroform	ml	0.027	0.1		XXX
88348	RUC	Lab	SL044	DDSA	gm	0.15	3		XXX
88348	RUC	Lab	SL169	"pipette, 9inch"	item	0.17	2		XXX
88348	RUC	Lab	SL158	diamond knife cleaning rod	item	1.47	0.5		XXX
88348	RUC	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.14	2		XXX
88348	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	10		XXX
88348	RUC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	250		XXX
88348	RUC	Lab	SL050	DMP 30	gm	0.21	0.4		XXX
88348	RUC	Lab	SL122	"slide, microscope"	item	0.36	8		XXX
88348	RUC	Lab	SL162	lead citrate	gm	1.2	0.01		XXX
88348	RUC	Lab	SL176	"vial, specimen-sample, 4ml"	item	0.27	1		XXX
88348	RUC	Lab	SL166	"osmometer std, 850 mOsm-kg, 2ml amp"	ml	13.23	0.05		XXX
88348	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	18		XXX
88348	RUC	Lab	SL167	"paper, weighing (glassine)"	item	0.03	1		XXX
88348	RUC	Lab	SL103	petri dish	item	0.39	1		XXX
88348	RUC	Lab	SL171	sodium barbital	gm	1.36	0.1		XXX
88348	RUC	Lab	SL108	pipette	item	0.06	2		XXX
88348	RUC	Lab	SL168	pipette bulb	item	0.25	2		XXX
88348	RUC	Lab	SL172	specimen block storage box	item	1.98	1		XXX
88348	RUC	Lab	SL159	"gas, nitrogen"	cu ft	2.02	0.1		XXX
88348	RUC	Lab	SL164	osmometer sample tip and cleaner	item	0.81	1		XXX
88348	RUC	Lab	SL095	mounting media (Histomount)	ml	0.5	1		XXX
88348	RUC	Lab	SL174	Toluidine Blue O (for microscopy)	gm	0.58	0.1		XXX
88348	RUC	Lab	SL125	sodium cacodylate	gm	0.62	0.5		XXX
88348	RUC	Lab	SL087	lens paper	item	0.31	1		XXX
88348	RUC	Lab	SL088	lint-free cloth	item	0.26	1		XXX
88348	RUC	"Hypodermic, IV"	SC095	syringe filter	item	1.87	1		XXX
88348	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
88348	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	2		XXX
88348	RUC	Lab	SL128	sodium hydroxide	gm	0.04	1		XXX
88348	RUC	Lab	SL173	"sucrose, reagent"	gm	0.037	0.6		XXX
88348	RUC	Lab	SL165	"osmometer std, 50 mOsm-kg, 2ml amp"	ml	13.23	0.05		XXX
88348	RUC	Lab	SL030	"cover slip, glass"	item	0.079	8		XXX
88348	RUC	Lab	SL160	glass knife boat	item	0.22	1		XXX
88348	RUC	Lab	SL098	osmium tetroxide	gm	37.44	0.06		XXX
88348	RUC	Lab	SL127	sodium citrate	gm	0.32	0.1		XXX
88348	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	6		XXX
88348	RUC	Lab	SL116	propylene oxide	ml	0.17	30		XXX
88348	RUC	Lab	SL075	glutaraldehyde 25%	ml	0.13	1		XXX
88348	RUC	"Accessory, Procedure"	SD086	grids	item	0.22	4		XXX
88348	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
88348	RUC	Lab	SL085	label for microscope slides	item	0.14	11		XXX
88348	RUC	Lab	SL161	grid storage box (holds 50 grids)	item	7.88	0.08		XXX
88348	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		XXX
88348	RUC	Lab	SL074	glass strip (each)	item	3.68	0.25		XXX
88348	RUC	Lab	SL059	embedding epoxy (NMA)	ml	0.02	7		XXX
88348	RUC	"Office Supply, Grocery"	SK097	canned air (Dust-Off)	oz	1.66	0.05		XXX
88348	RUC	Lab	SL111	Poly Bed 812	gm	0.29	10		XXX
88348	RUC	"Cutters, Closures, Cautery"	SF005	"blade, single edge"	item	0.63	2		XXX
88348	RUC	Lab	SL018	"beaker, 250 ml"	item	0.44	1		XXX
88348	RUC	Lab	SL155	"applicator, wood, 6.5in"	item	0.0079	3		XXX
88348	RUC	Lab	SL154	alcohol ethyl 100%	ml	0.028	20		XXX
88348	RUC	Infection Control	SM017	formaldehyde spill control	ml	0.02	5		XXX
88348	RUC	Lab	SL175	underpad 2ft x 2ft (lab bench)	item	0.51	1		XXX
88348	RUC	Lab	SL147	uranyl acetate	gm	3.1	0.2		XXX
88348	RUC	Lab	SL057	embedding capsules	item	0.07	8		XXX
88348	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	2		XXX
88348	RUC	Lab	SL079	"hydrochloric acid 0.1%, std soln"	ml	0.017	0.03		XXX
88350	RUC	Lab	SL012	antibody IgA FITC	ml	87.5	0.5		XXX
88350	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	0.1		XXX
88350	RUC	Lab	SL110	pipette tip (blue-yellow)	item	0.13	1		XXX
88350	RUC	Lab	SL518	Zeus medium	ml	0.9	10		XXX
88350	RUC	Lab	SL122	"slide, microscope"	item	0.36	1.5		XXX
88350	RUC	Lab	SL001	acetone	ml	0.06	13		XXX
88350	RUC	Lab	SL030	"cover slip, glass"	item	0.079	1.5		XXX
88350	RUC	Lab	SL085	label for microscope slides	item	0.14	1.5		XXX
88350	RUC	"Accessory, Procedure"	SD309	Immunofluorescent mounting media	ml	74.73	0.4		XXX
88350	RUC	Lab	SL473	"Slide, charged"	item	0.39	1.5		XXX
88350	RUC	Lab	SL107	phosphate buffered saline solution	ml	0.01	50		XXX
88350	RUC	"Office Supply, Grocery"	SK120	Hydrophobic PAP Pen	item (100 uses)	2.48	0.01		XXX
88355	RUC	Lab	SL005	"alcohol, acid"	ml	0.03	5.4		XXX
88355	RUC	"Accessory, Procedure"	SD005	biopsy sponge (Histo-Prep)	item	0.2665	2		XXX
88355	RUC	Lab	SL093	"mold release agent, liquid"	ml	0.1	0.5		XXX
88355	RUC	Lab	SL204	"vial, kimble sample, non sterile, glass, 20 ml"	item	0.8	1		XXX
88355	RUC	Infection Control	SM017	formaldehyde spill control	ml	0.02	5		XXX
88355	RUC	Lab	SL097	OCT Tissue-Tek	ml	0.14	2		XXX
88355	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		XXX
88355	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	5.4		XXX
88355	RUC	Lab	SL188	"EM fixative, karnovsky's"	ml	0.32	15		XXX
88355	RUC	Lab	SL004	alcohol reagent solvent	ml	0.011	250		XXX
88355	RUC	Lab	SL060	embedding mold	item	0.1231	1		XXX
88355	RUC	Lab	SL108	pipette	item	0.06	1		XXX
88355	RUC	"Office Supply, Grocery"	SK103	"cork sheet, 1cm x 1 cm"	item	0.05	4		XXX
88355	RUC	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.51	0.01		XXX
88355	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	1		XXX
88355	RUC	Lab	SL058	embedding cassette	item	0.1805	1		XXX
88355	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	3		XXX
88355	RUC	Lab	SL085	label for microscope slides	item	0.14	2		XXX
88355	RUC	Lab	SL107	phosphate buffered saline solution	ml	0.01	11		XXX
88355	RUC	Lab	SL030	"cover slip, glass"	item	0.079	3		XXX
88355	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	2		XXX
88355	RUC	Lab	SL020	bleach	ml	0.01	50		XXX
88355	RUC	Lab	SL199	"lithium carbonate, saturated"	ml	0.02	5.4		XXX
88355	RUC	Lab	SL031	"cover slip, liquid (M-1)"	ml	0.08	0.1		XXX
88355	RUC	Lab	SL203	"vial, 10 ml, plastic (-70 degree storage)"	item	1.3	1		XXX
88355	RUC	Lab	SL095	mounting media (Histomount)	ml	0.5	3		XXX
88355	RUC	"Office Supply, Grocery"	SK104	"foil, aluminum, 10 cm x 10 cm"	item	0.02	1		XXX
88355	RUC	Lab	SL149	waterbath reagent	ml	0.002	3		XXX
88355	RUC	Lab	SL201	"stain, eosin"	ml	0.06	5.4		XXX
88355	RUC	Lab	SL091	methylbutane (Isopentane)	ml	0.04	300		XXX
88355	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2		XXX
88355	RUC	Lab	SL122	"slide, microscope"	item	0.36	2		XXX
88355	RUC	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.68	6		XXX
88355	RUC	Lab	SL061	embedding paraffin	kg	5.3	0.012		XXX
88355	RUC	Lab	SL068	fixative (for tissue specimen)	ml	0.013	50		XXX
88355	RUC	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	16		XXX
88355	RUC	Lab	SL090	"methanol, absolute, 99.8% min."	ml	0.02	1.5		XXX
88355	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1		XXX
88355	RUC	Lab	SL026	clearing agent (Histo-clear)	ml	0.02	12		XXX
88355	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	6		XXX
88355	RUC	Lab	SL151	xylenes solvent	ml	0.012	60		XXX
88355	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	0.2		XXX
88355	RUC	Lab	SL198	"label, vial"	item	0.02	2		XXX
88355	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	2		XXX
88355	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	2		XXX
88355	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	2		XXX
88356	RUC	Lab	SL199	"lithium carbonate, saturated"	ml	0.02	5.4		XXX
88356	RUC	Infection Control	SM017	formaldehyde spill control	ml	0.02	100		XXX
88356	RUC	Lab	SL057	embedding capsules	item	0.07	8		XXX
88356	RUC	Lab	SL160	glass knife boat	item	0.22	2		XXX
88356	RUC	Lab	SL204	"vial, kimble sample, non sterile, glass, 20 ml"	item	0.8	1		XXX
88356	RUC	Lab	SL149	waterbath reagent	ml	0.002	3		XXX
88356	RUC	Lab	SL122	"slide, microscope"	item	0.36	8		XXX
88356	RUC	Lab	SL088	lint-free cloth	item	0.26	1		XXX
88356	RUC	Lab	SL074	glass strip (each)	item	3.68	0.25		XXX
88356	RUC	Lab	SL075	glutaraldehyde 25%	ml	0.13	15		XXX
88356	RUC	Lab	SL087	lens paper	item	0.31	1		XXX
88356	RUC	Lab	SL085	label for microscope slides	item	0.14	8		XXX
88356	RUC	Lab	SL175	underpad 2ft x 2ft (lab bench)	item	0.51	1		XXX
88356	RUC	Lab	SL176	"vial, specimen-sample, 4ml"	item	0.27	1		XXX
88356	RUC	Lab	SL167	"paper, weighing (glassine)"	item	0.03	1		XXX
88356	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		XXX
88356	RUC	Lab	SL050	DMP 30	gm	0.21	0.4		XXX
88356	RUC	Lab	SL044	DDSA	gm	0.15	3		XXX
88356	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1		XXX
88356	RUC	Lab	SL031	"cover slip, liquid (M-1)"	ml	0.08	0.1		XXX
88356	RUC	Lab	SL020	bleach	ml	0.01	40		XXX
88356	RUC	Lab	SL177	wax sheet	item	0.2	1		XXX
88356	RUC	Lab	SL172	specimen block storage box	item	1.98	1		XXX
88356	RUC	Lab	SL095	mounting media (Histomount)	ml	0.5	3		XXX
88356	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2		XXX
88356	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	6		XXX
88356	RUC	Lab	SL116	propylene oxide	ml	0.17	30		XXX
88356	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	6		XXX
88356	RUC	Lab	SL169	"pipette, 9inch"	item	0.17	4		XXX
88356	RUC	Lab	SL174	Toluidine Blue O (for microscopy)	gm	0.58	0.1		XXX
88356	RUC	"Cutters, Closures, Cautery"	SF005	"blade, single edge"	item	0.63	2		XXX
88356	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	2		XXX
88356	RUC	Lab	SL103	petri dish	item	0.39	1		XXX
88356	RUC	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.14	2		XXX
88356	RUC	Lab	SL098	osmium tetroxide	gm	37.44	0.06		XXX
88356	RUC	Lab	SL108	pipette	item	0.06	1		XXX
88356	RUC	Lab	SL168	pipette bulb	item	0.25	4		XXX
88356	RUC	"Hypodermic, IV"	SC095	syringe filter	item	1.87	4		XXX
88356	RUC	"Accessory, Procedure"	SD086	grids	item	0.22	4		XXX
88356	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	3		XXX
88356	RUC	Lab	SL111	Poly Bed 812	gm	0.29	10		XXX
88356	RUC	Lab	SL079	"hydrochloric acid 0.1%, std soln"	ml	0.017	0.03		XXX
88356	RUC	Lab	SL018	"beaker, 250 ml"	item	0.44	3		XXX
88356	RUC	Lab	SL030	"cover slip, glass"	item	0.079	5		XXX
88356	RUC	Lab	SL005	"alcohol, acid"	ml	0.03	5.4		XXX
88356	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	5		XXX
88356	RUC	Lab	SL059	embedding epoxy (NMA)	ml	0.02	7		XXX
88356	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	2		XXX
88358		"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	1		XXX
88358		Lab	SL112	positive control slide	item	30.97	1		XXX
88358		"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1		XXX
88358		Lab	SL005	"alcohol, acid"	ml	0.03	0.2		XXX
88358		Lab	SL030	"cover slip, glass"	item	0.079	3		XXX
88358		Lab	SL051	DNA 0.05N HCl rinse reagent	ml	0.004	0.2		XXX
88358		Lab	SL053	DNA 5N HCl	ml	0.004	0.2		XXX
88358		Lab	SL085	label for microscope slides	item	0.14	3		XXX
88358		Lab	SL052	DNA 0.1N HCl staining soln	ml	0.004	0.2		XXX
88358		Lab	SL055	DNA stain kit (per test)	item	144.83	0.1		XXX
88358		Infection Control	SM016	"eye shield, splash protection"	item	3.18	1		XXX
88358		Lab	SL135	"stain, hematoxylin"	ml	0.044	5		XXX
88358		Lab	SL122	"slide, microscope"	item	0.36	2		XXX
88358		Lab	SL054	DNA calibration slides	item	2.38	1		XXX
88360	RUC	Infection Control	SM024	"soap, liquid, antibacterial"	oz	0.17	0.1		XXX
88360	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	2		XXX
88360	RUC	Lab	SL475	E-bar labels (Ventana 1358501)	item	0.72	3		XXX
88360	RUC	Lab	SL477	Permanent marking pen	item	2.81	0.0065		XXX
88360	RUC	Lab	SL478	Reaction buffer 10X (Ventana 950-300)	ml	0.037	6		XXX
88360	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	50		XXX
88360	RUC	Lab	SL481	EZ Prep (10X) (Ventana 950-102)	ml	0.034	3		XXX
88360	RUC	Lab	SL482	Cell Conditioning 1 (Ventana 950-124)	ml	0.56	3		XXX
88360	RUC	Lab	SL483	Hematoxylin II (Ventana 790-2208)	ml	0.78	0.2		XXX
88360	RUC	Lab	SL484	Bluing reagent (Ventana 760-2037)	ml	4.2467	0.2		XXX
88360	RUC	Lab	SL485	Cover slip glue/Mounting media	ml	0.39	0.5		XXX
88360	RUC	Lab	SL122	"slide, microscope"	item	0.36	3		XXX
88360	RUC	Lab	SL488	UltraView Universal DAB Detection Kit	test	9.7	2		XXX
88360	RUC	Lab	SL479	Liquid coverslip (Ventana 650-010)	ml	0.051	12		XXX
88360	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4		XXX
88360	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.07		XXX
88360	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1		XXX
88360	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	50		XXX
88360	RUC	Lab	SL486	250 Test Prep Kit # 78 (Ventana 786-3034)	per test	0.29	2		XXX
88360	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	0.03		XXX
88360	RUC	Lab	SL480	SSC (10X) (Ventana 950-110)	ml	0.051	4.8		XXX
88360	RUC	Lab	SL020	bleach	ml	0.01	3		XXX
88360	RUC	Lab	SL030	"cover slip, glass"	item	0.079	3		XXX
88360	RUC	Lab	SL058	embedding cassette	item	0.1805	0.02		XXX
88360	RUC	Lab	SL060	embedding mold	item	0.1231	0.02		XXX
88360	RUC	Lab	SL493	Antibody Estrogen Receptor monoclonal	Test	18.006	2		XXX
88360	RUC	Lab	SL151	xylenes solvent	ml	0.012	50		XXX
88360	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.3		XXX
88361	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.07		XXX
88361	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	2		XXX
88361	RUC	Lab	SL493	Antibody Estrogen Receptor monoclonal	Test	18.006	2		XXX
88361	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	0.03		XXX
88361	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.3		XXX
88361	RUC	Lab	SL480	SSC (10X) (Ventana 950-110)	ml	0.051	4.8		XXX
88361	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	50		XXX
88361	RUC	Lab	SL488	UltraView Universal DAB Detection Kit	test	9.7	2		XXX
88361	RUC	Lab	SL478	Reaction buffer 10X (Ventana 950-300)	ml	0.037	6		XXX
88361	RUC	Lab	SL485	Cover slip glue/Mounting media	ml	0.39	0.5		XXX
88361	RUC	Lab	SL484	Bluing reagent (Ventana 760-2037)	ml	4.2467	0.2		XXX
88361	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1		XXX
88361	RUC	Lab	SL482	Cell Conditioning 1 (Ventana 950-124)	ml	0.56	3		XXX
88361	RUC	Lab	SL481	EZ Prep (10X) (Ventana 950-102)	ml	0.034	3		XXX
88361	RUC	Lab	SL479	Liquid coverslip (Ventana 650-010)	ml	0.051	12		XXX
88361	RUC	Lab	SL477	Permanent marking pen	item	2.81	0.0065		XXX
88361	RUC	Lab	SL475	E-bar labels (Ventana 1358501)	item	0.72	3		XXX
88361	RUC	Lab	SL030	"cover slip, glass"	item	0.079	3		XXX
88361	RUC	Lab	SL486	250 Test Prep Kit # 78 (Ventana 786-3034)	per test	0.29	2		XXX
88361	RUC	Infection Control	SM024	"soap, liquid, antibacterial"	oz	0.17	0.1		XXX
88361	RUC	Lab	SL020	bleach	ml	0.01	3		XXX
88361	RUC	Lab	SL058	embedding cassette	item	0.1805	0.02		XXX
88361	RUC	Lab	SL060	embedding mold	item	0.1231	0.02		XXX
88361	RUC	Lab	SL122	"slide, microscope"	item	0.36	3		XXX
88361	RUC	Lab	SL151	xylenes solvent	ml	0.012	50		XXX
88361	RUC	Lab	SL483	Hematoxylin II (Ventana 790-2208)	ml	0.78	0.2		XXX
88361	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	50		XXX
88361	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4		XXX
88362	RUC	Lab	SL061	embedding paraffin	kg	5.3	0.01		XXX
88362	RUC	Lab	SL127	sodium citrate	gm	0.32	0.25		XXX
88362	RUC	Lab	SL075	glutaraldehyde 25%	ml	0.13	0.5		XXX
88362	RUC	Lab	SL130	spatula (pathology)	item	0.99	2		XXX
88362	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
88362	RUC	Lab	SL147	uranyl acetate	gm	3.1	1		XXX
88362	RUC	Lab	SL116	propylene oxide	ml	0.17	3		XXX
88362	RUC	Lab	SL105	"phosphate buffer, monobasic"	gm	0.13	0.3		XXX
88362	RUC	Lab	SL099	paraformaldehyde	gm	0.05	0.005		XXX
88362	RUC	Lab	SL104	"phosphate buffer, dibasic"	gm	0.13	0.3		XXX
88362	RUC	Lab	SL018	"beaker, 250 ml"	item	0.44	6		XXX
88362	RUC	Lab	SL027	color coded cap and vial (for antigen)	item	0.63	2		XXX
88362	RUC	Lab	SL006	"alcohol, ethyl, denatured"	ml	0	120		XXX
88362	RUC	Lab	SL085	label for microscope slides	item	0.14	2		XXX
88362	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	2		XXX
88362	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
88362	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	8		XXX
88362	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	2		XXX
88362	RUC	Lab	SL125	sodium cacodylate	gm	0.62	0.016		XXX
88362	RUC	Lab	SL122	"slide, microscope"	item	0.36	2		XXX
88362	RUC	Lab	SL050	DMP 30	gm	0.21	1		XXX
88362	RUC	Lab	SL001	acetone	ml	0.06	5		XXX
88362	RUC	Lab	SL108	pipette	item	0.06	6		XXX
88362	RUC	"Cutters, Closures, Cautery"	SF005	"blade, single edge"	item	0.63	4		XXX
88362	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2		XXX
88362	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1		XXX
88362	RUC	Lab	SL111	Poly Bed 812	gm	0.29	30		XXX
88362	RUC	Lab	SL088	lint-free cloth	item	0.26	1		XXX
88362	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3		XXX
88362	RUC	Lab	SL098	osmium tetroxide	gm	37.44	0.01		XXX
88362	RUC	Lab	SL103	petri dish	item	0.39	2		XXX
88362	RUC	Lab	SL128	sodium hydroxide	gm	0.04	5		XXX
88362	RUC	Lab	SL044	DDSA	gm	0.15	12		XXX
88364	RUC	Lab	SL513	positive control slide (proxy for CMV Negative Control Slide)	item	31.8	0.5		XXX
88364	RUC	Lab	SL122	"slide, microscope"	item	0.36	2		XXX
88364	RUC	Lab	SL201	"stain, eosin"	ml	0.06	4		XXX
88364	RUC	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	22	2		XXX
88364	RUC	Lab	SL194	Hemo-De	ml	0.0083	37.5		XXX
88364	RUC	Lab	SL182	mounting media (DAPI II counterstain)	ml	95.28	0.015		XXX
88364	RUC	Lab	SL181	"pipette tips, sterile"	item	0.19	1		XXX
88364	RUC	Lab	SL179	1.0N NaOH	ml	0.65	0.25		XXX
88364	RUC	Lab	SL178	0.2N HCL	ml	0.09	12.5		XXX
88364	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	175		XXX
88364	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.01	12.5		XXX
88364	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	62.5		XXX
88364	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	62.5		XXX
88364	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	1.55	0.5		XXX
88364	RUC	"Kit, Pack, Tray"	SA117	Universal Detection Kit	kit	4	2		XXX
88364	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	0.25		XXX
88364	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	0.25		XXX
88364	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		XXX
88364	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.25		XXX
88364	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.5		XXX
88364	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2		XXX
88364	RUC	Lab	SL080	immersion oil	ml	0.079	0.1		XXX
88364	RUC	Lab	SL085	label for microscope slides	item	0.14	2		XXX
88364	RUC	Lab	SL512	positive control slide (proxy for CMV Positive Control Slide)	item	31.8	0.5		XXX
88364	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	0.5		XXX
88364	RUC	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.4		XXX
88364	RUC	Lab	SL500	CMV DNA Probe Cocktail	ul	0.11	40		XXX
88365	RUC	Lab	SL020	bleach	ml	0.01	10		XXX
88365	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	0.25		XXX
88365	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.25		XXX
88365	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	0.25		XXX
88365	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	1.55	0.5		XXX
88365	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		XXX
88365	RUC	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.4		XXX
88365	RUC	Lab	SL497	(EBER) DNA Probe Cocktail	Test	10.8097	1.6		XXX
88365	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	175		XXX
88365	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.5		XXX
88365	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2		XXX
88365	RUC	Lab	SL080	immersion oil	ml	0.079	0.1		XXX
88365	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.25		XXX
88365	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	62.5		XXX
88365	RUC	Lab	SL182	mounting media (DAPI II counterstain)	ml	95.28	0.015		XXX
88365	RUC	Lab	SL191	"ethanol, 85%"	ml	0.0215	12.5		XXX
88365	RUC	Lab	SL201	"stain, eosin"	ml	0.06	4		XXX
88365	RUC	Lab	SL181	"pipette tips, sterile"	item	0.19	1		XXX
88365	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.01	12.5		XXX
88365	RUC	Lab	SL179	1.0N NaOH	ml	0.65	0.25		XXX
88365	RUC	Lab	SL178	0.2N HCL	ml	0.09	12.5		XXX
88365	RUC	Lab	SL516	positive control slide (proxy for EBER Negative Control Slide)	item	31.8	0.5		XXX
88365	RUC	Lab	SL194	Hemo-De	ml	0.0083	37.5		XXX
88365	RUC	"Kit, Pack, Tray"	SA117	Universal Detection Kit	kit	4	2		XXX
88365	RUC	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	22	2		XXX
88365	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	62.5		XXX
88365	RUC	Infection Control	SM016	"eye shield, splash protection"	item	3.18	0.25		XXX
88365	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	0.5		XXX
88365	RUC	Lab	SL507	EBER positive control slide	item	29.41	0.5		XXX
88365	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	12.5		XXX
88365	RUC	Lab	SL122	"slide, microscope"	item	0.36	2		XXX
88365	RUC	Lab	SL085	label for microscope slides	item	0.14	2		XXX
88366	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	62.5		XXX
88366	RUC	Lab	SL179	1.0N NaOH	ml	0.65	0.25		XXX
88366	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		XXX
88366	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	175		XXX
88366	RUC	Lab	SL178	0.2N HCL	ml	0.09	12.5		XXX
88366	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	0.25		XXX
88366	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.25		XXX
88366	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	0.25		XXX
88366	RUC	"Accessory, Procedure"	SD178	"kit, bcr/abl DNA Probe"	kit	46.34	2		XXX
88366	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	1.55	0.5		XXX
88366	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.25		XXX
88366	RUC	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.4		XXX
88366	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.5		XXX
88366	RUC	Lab	SL020	bleach	ml	0.01	10		XXX
88366	RUC	Lab	SL080	immersion oil	ml	0.079	0.1		XXX
88366	RUC	Lab	SL181	"pipette tips, sterile"	item	0.19	1		XXX
88366	RUC	Lab	SL030	"cover slip, glass"	item	0.079	4		XXX
88366	RUC	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	22	2		XXX
88366	RUC	Lab	SL182	mounting media (DAPI II counterstain)	ml	95.28	0.015		XXX
88366	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	12.5		XXX
88366	RUC	Lab	SL515	positive control slide (proxy for IGH@BCL2 Negative Control Slide )	item	31.8	0.5		XXX
88366	RUC	Lab	SL085	label for microscope slides	item	0.14	2		XXX
88366	RUC	Lab	SL122	"slide, microscope"	item	0.36	2		XXX
88366	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.01	12.5		XXX
88366	RUC	Lab	SL201	"stain, eosin"	ml	0.06	4		XXX
88366	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	62.5		XXX
88366	RUC	Infection Control	SM016	"eye shield, splash protection"	item	3.18	0.25		XXX
88366	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	0.5		XXX
88366	RUC	Lab	SL514	positive control slide (proxy for IGH@BCL2 Positive Control Slide)	item	31.8	0.5		XXX
88366	RUC	Lab	SL191	"ethanol, 85%"	ml	0.0215	12.5		XXX
88366	RUC	Lab	SL194	Hemo-De	ml	0.0083	37.5		XXX
88367	RUC	Lab	SL179	1.0N NaOH	ml	0.65	0.125		XXX
88367	RUC	Infection Control	SM016	"eye shield, splash protection"	item	3.18	0.125		XXX
88367	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	0.2		XXX
88367	RUC	Lab	SL122	"slide, microscope"	item	0.36	1.4		XXX
88367	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.125		XXX
88367	RUC	Lab	SL085	label for microscope slides	item	0.14	1.4		XXX
88367	RUC	Lab	SL201	"stain, eosin"	ml	0.06	4		XXX
88367	RUC	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	22	0.75		XXX
88367	RUC	Lab	SL194	Hemo-De	ml	0.0083	18.8		XXX
88367	RUC	Lab	SL509	positive control slide (proxy for Kappa Negative Control Slide)	item	31.8	0.2		XXX
88367	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	6.25		XXX
88367	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	1.55	0.2		XXX
88367	RUC	Lab	SL182	mounting media (DAPI II counterstain)	ml	95.28	0.0075		XXX
88367	RUC	Lab	SL181	"pipette tips, sterile"	item	0.19	0.75		XXX
88367	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.01	6.25		XXX
88367	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	18.75		XXX
88367	RUC	Lab	SL178	0.2N HCL	ml	0.09	6.25		XXX
88367	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	18.75		XXX
88367	RUC	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.3		XXX
88367	RUC	Lab	SL508	positive control slide (proxy for Kappa Positive Control Slide)	item	31.8	0.2		XXX
88367	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		XXX
88367	RUC	Lab	SL498	Kappa Probe Cocktail	ul	0.91	28		XXX
88367	RUC	"Kit, Pack, Tray"	SA117	Universal Detection Kit	kit	4	1.4		XXX
88367	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	0.125		XXX
88367	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.125		XXX
88367	RUC	Lab	SL191	"ethanol, 85%"	ml	0.0215	6.25		XXX
88367	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.2		XXX
88367	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	175		XXX
88367	RUC	Lab	SL020	bleach	ml	0.01	4.5		XXX
88367	RUC	Lab	SL030	"cover slip, glass"	item	0.079	1.4		XXX
88367	RUC	Lab	SL080	immersion oil	ml	0.079	0.05		XXX
88367	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	0.125		XXX
88368	RUC	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	22	0.75		XXX
88368	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	1.55	0.2		XXX
88368	RUC	Lab	SL178	0.2N HCL	ml	0.09	6.25		XXX
88368	RUC	"Kit, Pack, Tray"	SA117	Universal Detection Kit	kit	4	1.4		XXX
88368	RUC	Lab	SL182	mounting media (DAPI II counterstain)	ml	95.28	0.0075		XXX
88368	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.125		XXX
88368	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	175		XXX
88368	RUC	Lab	SL194	Hemo-De	ml	0.0083	18.8		XXX
88368	RUC	Lab	SL179	1.0N NaOH	ml	0.65	0.125		XXX
88368	RUC	Infection Control	SM016	"eye shield, splash protection"	item	3.18	1.25		XXX
88368	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		XXX
88368	RUC	Lab	SL122	"slide, microscope"	item	0.36	1.4		XXX
88368	RUC	Lab	SL085	label for microscope slides	item	0.14	1.4		XXX
88368	RUC	Lab	SL080	immersion oil	ml	0.079	0.05		XXX
88368	RUC	Lab	SL030	"cover slip, glass"	item	0.079	1.4		XXX
88368	RUC	Lab	SL020	bleach	ml	0.01	4.5		XXX
88368	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.01	6.25		XXX
88368	RUC	Lab	SL181	"pipette tips, sterile"	item	0.19	0.75		XXX
88368	RUC	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.3		XXX
88368	RUC	Lab	SL191	"ethanol, 85%"	ml	0.0215	6.25		XXX
88368	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	0.2		XXX
88368	RUC	Lab	SL508	positive control slide (proxy for Kappa Positive Control Slide)	item	31.8	0.2		XXX
88368	RUC	Lab	SL509	positive control slide (proxy for Kappa Negative Control Slide)	item	31.8	0.2		XXX
88368	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	6.25		XXX
88368	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.2		XXX
88368	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	18.75		XXX
88368	RUC	Lab	SL498	Kappa Probe Cocktail	ul	0.91	28		XXX
88368	RUC	Lab	SL201	"stain, eosin"	ml	0.06	4		XXX
88368	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.125		XXX
88368	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1.25		XXX
88368	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	0.125		XXX
88368	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	18.75		XXX
88369	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	37.5		XXX
88369	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	0.25		XXX
88369	RUC	Lab	SL178	0.2N HCL	ml	0.09	12.5		XXX
88369	RUC	Lab	SL085	label for microscope slides	item	0.14	2		XXX
88369	RUC	Lab	SL181	"pipette tips, sterile"	item	0.19	1		XXX
88369	RUC	Lab	SL511	positive control slide (proxy for Lambda Negative Control Slide)	item	31.8	0.5		XXX
88369	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	0.5		XXX
88369	RUC	Lab	SL201	"stain, eosin"	ml	0.06	4		XXX
88369	RUC	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	22	2		XXX
88369	RUC	Lab	SL194	Hemo-De	ml	0.0083	37.5		XXX
88369	RUC	Lab	SL182	mounting media (DAPI II counterstain)	ml	95.28	0.015		XXX
88369	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	175		XXX
88369	RUC	Lab	SL499	Lambda Probe Cocktail	ul	0.04	40		XXX
88369	RUC	Lab	SL179	1.0N NaOH	ml	0.65	0.25		XXX
88369	RUC	"Kit, Pack, Tray"	SA117	Universal Detection Kit	kit	4	2		XXX
88369	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		XXX
88369	RUC	Lab	SL122	"slide, microscope"	item	0.36	2		XXX
88369	RUC	Lab	SL080	immersion oil	ml	0.079	0.1		XXX
88369	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2		XXX
88369	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	37.5		XXX
88369	RUC	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.4		XXX
88369	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.5		XXX
88369	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.25		XXX
88369	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	1.55	0.5		XXX
88369	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	0.25		XXX
88369	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.01	12.5		XXX
88369	RUC	Lab	SL510	positive control slide (proxy for Lambda Positive Control Slide)	item	31.8	0.5		XXX
88373	RUC	Lab	SL499	Lambda Probe Cocktail	ul	0.04	28		XXX
88373	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	0.125		XXX
88373	RUC	Lab	SL030	"cover slip, glass"	item	0.079	1.4		XXX
88373	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	175		XXX
88373	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.2		XXX
88373	RUC	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.3		XXX
88373	RUC	Lab	SL122	"slide, microscope"	item	0.36	1.4		XXX
88373	RUC	Lab	SL511	positive control slide (proxy for Lambda Negative Control Slide)	item	31.8	0.2		XXX
88373	RUC	Lab	SL510	positive control slide (proxy for Lambda Positive Control Slide)	item	31.8	0.2		XXX
88373	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	0.2		XXX
88373	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	31.25		XXX
88373	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.125		XXX
88373	RUC	Lab	SL085	label for microscope slides	item	0.14	1.4		XXX
88373	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		XXX
88373	RUC	Lab	SL201	"stain, eosin"	ml	0.06	4		XXX
88373	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	1.55	0.2		XXX
88373	RUC	Lab	SL178	0.2N HCL	ml	0.09	6.25		XXX
88373	RUC	"Kit, Pack, Tray"	SA117	Universal Detection Kit	kit	4	1.4		XXX
88373	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	0.125		XXX
88373	RUC	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	22	1.4		XXX
88373	RUC	Lab	SL181	"pipette tips, sterile"	item	0.19	0.75		XXX
88373	RUC	Lab	SL179	1.0N NaOH	ml	0.65	0.125		XXX
88373	RUC	Lab	SL080	immersion oil	ml	0.079	0.05		XXX
88373	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.01	6.25		XXX
88373	RUC	Lab	SL194	Hemo-De	ml	0.0083	18.8		XXX
88373	RUC	Lab	SL182	mounting media (DAPI II counterstain)	ml	95.28	0.0075		XXX
88373	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	31.25		XXX
88374	RUC	Lab	SL192	formamide	ml	0.2	6.25		XXX
88374	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	0.125		XXX
88374	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.125		XXX
88374	RUC	Lab	SL185	"slide, positive control, Her-2"	item	26.2	0.2		XXX
88374	RUC	Lab	SL181	"pipette tips, sterile"	item	0.19	0.75		XXX
88374	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	31.25		XXX
88374	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	6.25		XXX
88374	RUC	Lab	SL191	"ethanol, 85%"	ml	0.0215	6.25		XXX
88374	RUC	Lab	SL184	"slide, negative control, Her-2"	item	27.5	0.2		XXX
88374	RUC	Lab	SL194	Hemo-De	ml	0.0083	18.8		XXX
88374	RUC	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	22	1.4		XXX
88374	RUC	Lab	SL196	"kit, HER-2/neu DNA Probe"	kit assay	119.74	2.4		XXX
88374	RUC	Lab	SL201	"stain, eosin"	ml	0.06	4		XXX
88374	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	31.25		XXX
88374	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	0.125		XXX
88374	RUC	Lab	SL080	immersion oil	ml	0.079	0.05		XXX
88374	RUC	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	0.25		XXX
88374	RUC	Infection Control	SM016	"eye shield, splash protection"	item	3.18	0.125		XXX
88374	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.01	6.25		XXX
88374	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		XXX
88374	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.125		XXX
88374	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2.8		XXX
88374	RUC	Lab	SL178	0.2N HCL	ml	0.09	6.25		XXX
88374	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	1.55	0.2		XXX
88374	RUC	Lab	SL122	"slide, microscope"	item	0.36	1.4		XXX
88374	RUC	Lab	SL085	label for microscope slides	item	0.14	1.4		XXX
88374	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	0.2		XXX
88374	RUC	Lab	SL182	mounting media (DAPI II counterstain)	ml	95.28	0.0075		XXX
88374	RUC	Lab	SL020	bleach	ml	0.01	4.5		XXX
88374	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	175		XXX
88374	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.2		XXX
88374	RUC	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.3		XXX
88374	RUC	Lab	SL179	1.0N NaOH	ml	0.65	0.125		XXX
88377	RUC	Lab	SL194	Hemo-De	ml	0.0083	37.5		XXX
88377	RUC	Infection Control	SM016	"eye shield, splash protection"	item	3.18	0.25		XXX
88377	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	37.5		XXX
88377	RUC	Lab	SL201	"stain, eosin"	ml	0.06	4		XXX
88377	RUC	Lab	SL196	"kit, HER-2/neu DNA Probe"	kit assay	119.74	3		XXX
88377	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	37.5		XXX
88377	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.01	12.5		XXX
88377	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	12.5		XXX
88377	RUC	Lab	SL185	"slide, positive control, Her-2"	item	26.2	0.5		XXX
88377	RUC	Lab	SL182	mounting media (DAPI II counterstain)	ml	95.28	0.015		XXX
88377	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	0.5		XXX
88377	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	175		XXX
88377	RUC	Lab	SL184	"slide, negative control, Her-2"	item	27.5	0.5		XXX
88377	RUC	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	22	2		XXX
88377	RUC	Lab	SL122	"slide, microscope"	item	0.36	2		XXX
88377	RUC	Lab	SL181	"pipette tips, sterile"	item	0.19	1		XXX
88377	RUC	Lab	SL030	"cover slip, glass"	item	0.079	4		XXX
88377	RUC	Lab	SL178	0.2N HCL	ml	0.09	12.5		XXX
88377	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		XXX
88377	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.25		XXX
88377	RUC	Lab	SL085	label for microscope slides	item	0.14	2		XXX
88377	RUC	Lab	SL080	immersion oil	ml	0.079	0.1		XXX
88377	RUC	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	0.5		XXX
88377	RUC	Lab	SL020	bleach	ml	0.01	10		XXX
88377	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	0.25		XXX
88377	RUC	Lab	SL192	formamide	ml	0.2	12.5		XXX
88377	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	1.55	0.5		XXX
88377	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.5		XXX
88377	RUC	Lab	SL191	"ethanol, 85%"	ml	0.0215	12.5		XXX
88377	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	0.25		XXX
88377	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.25		XXX
88377	RUC	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.4		XXX
88377	RUC	Lab	SL179	1.0N NaOH	ml	0.65	0.25		XXX
88380	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4		XXX
88380	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	1		XXX
88380	RUC	Lab	SL201	"stain, eosin"	ml	0.06	1		XXX
88380	RUC	Lab	SL246	"buffer, lysis"	ml	0.58	0.05		XXX
88380	RUC	Lab	SL247	"caps, Capsure Macro LCM"	ml	5.27	2		XXX
88380	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	100		XXX
88380	RUC	Lab	SL240	"tube, centrifuge, micro, 1.5 ml, DNase free snap lock"	item	0.09	2		XXX
88380	RUC	Lab	SL151	xylenes solvent	ml	0.012	100		XXX
88380	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	1		XXX
88380	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	100		XXX
88380	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4		XXX
88380	RUC	Lab	SL085	label for microscope slides	item	0.14	11		XXX
88380	RUC	Lab	SL122	"slide, microscope"	item	0.36	11		XXX
88380	RUC	Lab	SL494	Surface Decontaminant (DNA Away)	ml	0.06	2		XXX
88380	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	1		XXX
88380	RUC	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	1.2	2		XXX
88380	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
88380	RUC	Lab	SL030	"cover slip, glass"	item	0.079	1		XXX
88380	RUC	Lab	SL250	methylene blue stain	ml	0.24	11		XXX
88380	RUC	Lab	SL095	mounting media (Histomount)	ml	0.5	2		XXX
88380	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	100		XXX
88381	RUC	Lab	SL122	"slide, microscope"	item	0.36	9		XXX
88381	RUC	Lab	SL246	"buffer, lysis"	ml	0.58	0.05		XXX
88381	RUC	Lab	SL494	Surface Decontaminant (DNA Away)	ml	0.06	2		XXX
88381	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	100		XXX
88381	RUC	Lab	SL250	methylene blue stain	ml	0.24	8		XXX
88381	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	1		XXX
88381	RUC	Lab	SL095	mounting media (Histomount)	ml	0.5	2		XXX
88381	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
88381	RUC	Lab	SL085	label for microscope slides	item	0.14	9		XXX
88381	RUC	Lab	SL030	"cover slip, glass"	item	0.079	1		XXX
88381	RUC	Lab	SL240	"tube, centrifuge, micro, 1.5 ml, DNase free snap lock"	item	0.09	2		XXX
88381	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4		XXX
88381	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	100		XXX
88381	RUC	Lab	SL151	xylenes solvent	ml	0.012	100		XXX
88381	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	1		XXX
88381	RUC	Lab	SL201	"stain, eosin"	ml	0.06	1		XXX
88381	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	100		XXX
88381	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	1		XXX
88381	RUC	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	1.2	2		XXX
88381	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4		XXX
88381	RUC	Lab	SL251	Rnase-free water	ml	3.71	50		XXX
88387	CPT10 19	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1		XXX
88387	CPT10 19	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2		XXX
88387	CPT10 19	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	1.55	1		XXX
88387	CPT10 19	Lab	SL103	petri dish	item	0.39	1		XXX
88387	CPT10 19	Lab	SL167	"paper, weighing (glassine)"	item	0.03	1		XXX
88387	CPT10 19	Lab	SL263	"Plastic storage container, 11oz"	item		1		XXX
88387	CPT10 19	Lab	SL245	"weighing dishes, pour boats"	item	0.19	1		XXX
88387	CPT10 19	Lab	SL020	bleach	ml	0.01	50		XXX
88387	CPT10 19	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
88388	CPT10 19	Lab	SL263	"Plastic storage container, 11oz"	item		1		XXX
88388	CPT10 19	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	1.55	1		XXX
88388	CPT10 19	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1		XXX
88388	CPT10 19	Lab	SL020	bleach	ml	0.01	50		XXX
88388	CPT10 19	Lab	SL103	petri dish	item	0.39	1		XXX
88388	CPT10 19	Lab	SL245	"weighing dishes, pour boats"	item	0.19	1		XXX
88388	CPT10 19	Lab	SL167	"paper, weighing (glassine)"	item	0.03	1		XXX
88388	CPT10 19	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2		XXX
89049	RUC05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
89049	RUC05	"Gown, Drape"	SB030	"lab coat, staff"	item	9.27	1	0	XXX
89049	RUC05	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	8	0	XXX
89049	RUC05	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	XXX
89049	RUC05	Lab	SL211	caffeine	gm	0.214	2	0	XXX
89049	RUC05	"Office Supply, Grocery"	SK060	"paper, recording, roll (per foot)"	foot	0.14	30	0	XXX
89049	RUC05	Lab	SL110	pipette tip (blue-yellow)	item	0.13	24	0	XXX
89049	RUC05	Lab	SL104	"phosphate buffer, dibasic"	gm	0.13	0.6	0	XXX
89049	RUC05	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	XXX
89049	RUC05	Lab	SL229	"HCl, 1% hydrochloric acid"	cc	0.14	1	0	XXX
89049	RUC05	Lab	SL222	"gas, halothane"	ml	0.66	24	0	XXX
89049	RUC05	"Cutters, Closures, Cautery"	SF050	"suture, plain, gut, 2-0 to 6-0"	item	6.05	4	0	XXX
89049	RUC05	Lab	SL223	"gas, mixture, tank G, 5% CO2 and 95% O2"	item	19.48	0.333	0	XXX
89049	RUC05	Lab	SL224	"gas, mixture, tank H"	item	24.59	0.333	0	XXX
89049	RUC05	Lab	SL232	KOH	gm	0.084	2	0	XXX
89049	RUC05	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	8	0	XXX
89049	RUC05	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	50	0	XXX
89049	RUC05	Lab	SL212	"CHCT buffer (NaCl, NaHCO3, KCl, KH2PO4, MgSO4,CaCl12-2H20)"	liter	1.61	1	0	XXX
89049	RUC05	Lab	SL143	test tube	item	0.2	8	0	XXX
89049	RUC05	Lab	SL245	"weighing dishes, pour boats"	item	0.19	4	0	XXX
89220		"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	4		XXX
89220		Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1		XXX
90460	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		XXX
90460	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
90460	RUC	"Office Supply, Grocery"	SK012	CDC information sheet	item	0.03	1		XXX
90460	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	0.5		XXX
90460	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
90791	CPT13 May 28/60	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
90791	CPT13 May 28/60	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	1	0	XXX
90791	CPT13 May 28/60	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
90792	CPT13 May 28/60	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	1	0	XXX
90792	CPT13 May 28/60	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
90792	CPT13 May 28/60	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
90832	CPT13 May 28/60	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
90832	CPT13 May 28/60	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		0.5	0	XXX
90832	CPT13 May 28/60	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	0.25	0	XXX
90833	CPT13 May 28/60	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		0.5	0	ZZZ
90833	CPT13 May 28/60	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	ZZZ
90833	CPT13 May 28/60	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	0.25	0	ZZZ
90834	CPT13 May 28/60	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
90834	CPT13 May 28/60	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		0.5	0	XXX
90834	CPT13 May 28/60	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	0.25	0	XXX
90836	CPT13 May 28/60	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		0.5	0	ZZZ
90836	CPT13 May 28/60	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	0.25	0	ZZZ
90836	CPT13 May 28/60	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	ZZZ
90837	CPT13 May 28/60	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	0.25	0	XXX
90837	CPT13 May 28/60	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		0.5	0	XXX
90837	CPT13 May 28/60	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
90838	CPT13 May 28/60	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	0.25	0	ZZZ
90838	CPT13 May 28/60	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		0.5	0	ZZZ
90838	CPT13 May 28/60	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	ZZZ
90839	CPT14 May 48	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	0.25	0	XXX
90839	CPT14 May 48	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.1	0	XXX
90839	CPT14 May 48	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		0.5	0	XXX
90840	CPT14 May 48	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	ZZZ
90845	CPT13 May 28/60	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
90846	CPT13 May 28/60	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
90847	CPT13 May 28/60	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
90853	CPT13 May 28/60	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
90865	Mar03 8	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1	0	XXX
90865	Mar03 8	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.01	198	0	XXX
90865	Mar03 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	XXX
90870	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
90870	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	8	0	000
90870	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
90870	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	2	0	000
90870	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1	0	000
90870	CMS	"Accessory, Procedure"	SD055	"electrode, electrical stimulation"	item	0.41	2	0	000
90870	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
90875		"Kit, Pack, Tray"	SA001	"kit, activity-crafts"	kit	13.49	0.04	0	
90875		"Kit, Pack, Tray"	SA033	"kit, therapeutic toys-games"	kit	0.2	0.2	0	
90876	CMS	"Accessory, Procedure"	SD055	"electrode, electrical stimulation"	item	0.41	1	0	XXX
90876	CMS	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	1	0	XXX
90876	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	XXX
90876	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1	0	XXX
90901	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	XXX
90901	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	XXX
90901	CMS	"Accessory, Procedure"	SD063	"electrode, TENS-EMS, 2in x 2in (4 pack uou)"	item	2.92	0.5	0	XXX
90901	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	XXX
90901	CMS	"Pharmacy, NonRx"	SJ024	electrolyte coupling gel	ml	0.04	1	0	XXX
90901	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
90901	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	2	0	XXX
90901	CMS	"Office Supply, Grocery"	SK068	razor	item	0.51	1	0	XXX
90901	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	XXX
90901	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	XXX
90901	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
90912	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
90912	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
90912	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
90912	RUC	"Office Supply, Grocery"	SK068	razor	item	0.51	0.2	0	000
90912	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	2	0	000
90912	RUC	"Pharmacy, NonRx"	SJ024	electrolyte coupling gel	ml	0.04	1	0	000
90912	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
90912	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
90912	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
90912	RUC	"Accessory, Procedure"	SD113	"sensor, EMG, vaginal-rectal"	item	53.35	0.2	0	000
90912	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
90912	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
90912	RUC	"Accessory, Procedure"	SD057	"electrode, external pelvic muscle"	item	2.6	3	0	000
90913	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	ZZZ
91010	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1		000
91010	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		000
91010	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1		000
91010	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		000
91010	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1		000
91010	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	20		000
91010	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
91010	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	5		000
91010	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1		000
91010	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1		000
91010	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	2		000
91010	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		000
91010	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		000
91010	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000
91010	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		000
91010	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4		000
91010	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		000
91010	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	3		000
91010	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6		000
91010	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1		000
91010	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	5		000
91013	CPT11 19	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1		ZZZ
91013	CPT11 19	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		ZZZ
91013	CPT11 19	"Accessory, Procedure"	SD029	"catheter, red rubber"	item	0.87	1		ZZZ
91013	CPT11 19	Lab	SL229	"HCl, 1% hydrochloric acid"	cc	0.14	10		ZZZ
91020	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20		000
91020	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1		000
91020	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1		000
91020	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1		000
91020	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		000
91020	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1		000
91020	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1		000
91020	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4		000
91020	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
91020	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		000
91020	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		000
91020	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	5		000
91020	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000
91020	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		000
91020	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1		000
91020	CMS	"Accessory, Procedure"	SD125	transducer dome (pressure)	item	3.58	1		000
91020	CMS	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.13	1		000
91020	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1		000
91020	CMS	"Accessory, Procedure"	SD203	"sensor, manometry"	item	57.44	1		000
91020	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		000
91020	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		000
91022	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1		000
91022	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		000
91022	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1		000
91022	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4		000
91022	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1		000
91022	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		000
91022	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		000
91022	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1		000
91022	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000
91022	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		000
91022	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	5		000
91022	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1		000
91022	CMS	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.13	1		000
91022	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		000
91022	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1		000
91022	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		000
91022	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5		000
91022	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		000
91022	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
91030	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20		000
91030	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		000
91030	CMS	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.13	1		000
91030	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1		000
91030	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1		000
91030	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		000
91030	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		000
91030	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1		000
91030	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		000
91030	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	8		000
91030	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4		000
91030	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		000
91030	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000
91030	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	5		000
91030	CMS	Lab	SL079	"hydrochloric acid 0.1%, std soln"	ml	0.017	1		000
91030	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		000
91030	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
91030	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		000
91030	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1		000
91030	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		000
91030	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1		000
91034	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		000
91034	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1		000
91034	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		000
91034	CMS	"Wound Care, Dressings"	SG089	"tape, phix strips (for nasal catheter)"	item	1.5	5		000
91034	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1		000
91034	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		000
91034	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4		000
91034	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	5		000
91034	CMS	"Pharmacy, NonRx"	SJ039	pH buffer solution	ml	0.044	60		000
91034	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20		000
91034	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1		000
91034	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1		000
91034	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000
91034	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1		000
91034	CMS	"Accessory, Procedure"	SD060	"electrode, internal for pH"	item	48.79	1		000
91034	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1		000
91034	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		000
91034	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
91035	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1		000
91035	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		000
91035	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000
91035	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		000
91035	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		000
91035	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		000
91035	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		000
91035	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20		000
91035	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1		000
91035	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		000
91035	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1		000
91035	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4		000
91035	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1		000
91035	CMS	"Wound Care, Dressings"	SG089	"tape, phix strips (for nasal catheter)"	item	1.5	5		000
91035	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	5		000
91035	CMS	"Accessory, Procedure"	SD204	"sensor, pH capsule (Bravo)"	item	251.42	1		000
91037	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1		000
91037	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		000
91037	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1		000
91037	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4		000
91037	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1		000
91037	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20		000
91037	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		000
91037	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		000
91037	CMS	"Wound Care, Dressings"	SG089	"tape, phix strips (for nasal catheter)"	item	1.5	5		000
91037	CMS	"Pharmacy, NonRx"	SJ068	"saline, viscous (swallow challenge medium)"	ml	0.36	80		000
91037	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
91037	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	4		000
91037	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000
91037	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1		000
91037	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1		000
91037	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		000
91037	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1		000
91037	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	5		000
91038	CMS	"Accessory, Procedure"	SD230	"impedance catheter, infusion"	item	107.41	1		000
91038	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1		000
91038	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		000
91038	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	2		000
91038	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		000
91038	CMS	"Pharmacy, NonRx"	SJ039	pH buffer solution	ml	0.044	60		000
91038	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	5		000
91038	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
91038	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1		000
91038	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1		000
91038	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		000
91038	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1		000
91038	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000
91038	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20		000
91038	CMS	"Wound Care, Dressings"	SG089	"tape, phix strips (for nasal catheter)"	item	1.5	5		000
91038	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4		000
91038	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		000
91038	CMS	"Pharmacy, NonRx"	SJ068	"saline, viscous (swallow challenge medium)"	ml	0.36	1		000
91038	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		000
91038	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1		000
91038	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1		000
91038	CMS	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.83	2		000
91038	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1		000
91040	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4		000
91040	CMS	"Accessory, Procedure"	SD216	"catheter, balloon, esophageal or rectal (graded distention test)"	item	355.47	1		000
91040	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	5		000
91040	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		000
91040	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20		000
91040	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1		000
91040	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1		000
91040	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1		000
91040	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		000
91040	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1		000
91040	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1		000
91040	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		000
91040	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000
91040	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1		000
91040	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		000
91040	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		000
91065	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		000
91065	CMS	"Accessory, Procedure"	SD244	Water Barriers/Dust Traps (5/Pk)	item	7.79	1		000
91065	CMS	"Hypodermic, IV"	SC094	"Syringe, 35 ml, Monoject, Plastic"	item	2.94	1		000
91065	CMS	"Accessory, Procedure"	SD237	Sivrite-4	g	0.11	7.5		000
91065	CMS	"Accessory, Procedure"	SD242	"Tee-Connector, Plastic"	item	1.9	1		000
91065	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1		000
91065	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4		000
91065	CMS	Lab	SL048	desiccant-absorber	item	0.15	1		000
91065	CMS	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	0.66	1		000
91065	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1		000
91065	CMS	"Accessory, Procedure"	SD225	Flutter Valve for Tee-Connector	item	1.46	1		000
91065	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1		000
91065	CMS	"Accessory, Procedure"	SD236	"Single Patient Discard Bag, 400 ml"	item	1.04	1		000
91065	CMS	Infection Control	SM008	biohazard specimen transport bag	item	0.08	1		000
91065	CMS	"Accessory, Procedure"	SD234	"QuinGas-3, 150 H2, 75 CH4, 6% CO2, BreathTracker SC Calibration Gas"	cc	1.218	1		000
91065	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		000
91065	CMS	"Accessory, Procedure"	SD224	"Filter, Foam Plug (10/Pk)"	item	0.38	1		000
91065	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000
91065	CMS	"Accessory, Procedure"	SD241	"Substrate, D-Xylose, 25 gm Packet"	item	15.39	1		000
91065	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1		000
91110	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX
91110	RUC	"Kit, Pack, Tray"	SA005	"kit, capsule endoscopy w-application supplies (M2A)"	kit	496.58	1		XXX
91110	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
91110	RUC	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1		XXX
91111	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX
91111	RUC	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1		XXX
91111	RUC	"Kit, Pack, Tray"	SA094	"kit, capsule, ESO,  endoscopy w-application supplies (ESO)"	kit	704.65	1		XXX
91111	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
91112	CPT13 May 29	"Accessory, Procedure"	SD272	SmartPill capsule	item	1258.39	1		XXX
9111X	RUC	"Accessory, Procedure"	SD346	PillCam COLON capsule	kit	625	1		XXX
9111X	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
9111X	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX
9111X	RUC	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1		XXX
91120	CMS	"Accessory, Procedure"	SD216	"catheter, balloon, esophageal or rectal (graded distention test)"	item	355.47	1		000
91120	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1		000
91120	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4		000
91120	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1		000
91120	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		000
91120	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1		000
91120	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1		000
91120	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1		000
91120	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000
91120	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		000
91120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		000
91120	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	5		000
91122	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		000
91122	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	5		000
91122	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000
91122	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		000
91122	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		000
91122	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	2		000
91122	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1		000
91122	CMS	"Accessory, Procedure"	SD125	transducer dome (pressure)	item	3.58	1		000
91122	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4		000
91122	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1		000
91122	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1		000
91122	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		000
91122	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1		000
91122	CMS	"Accessory, Procedure"	SD203	"sensor, manometry"	item	57.44	1		000
91122	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
91122	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		000
91132	CMS	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	11		XXX
91132	CMS	"Accessory, Procedure"	SD111	respiratory monitoring belt	item	286.67	1		XXX
91132	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		XXX
91132	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		XXX
91132	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		XXX
91132	CMS	"Accessory, Procedure"	SD166	"electrode, EGG (single)"	item	2.07	1		XXX
91132	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
91132	CMS	"Office Supply, Grocery"	SK068	razor	item	0.51	1		XXX
91132	CMS	"Accessory, Procedure"	SD106	"pad, cardioversion R2 (2 pack)"	item	30.56	1		XXX
91133	CMS	"Accessory, Procedure"	SD166	"electrode, EGG (single)"	item	2.07	1		XXX
91133	CMS	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.09	4		XXX
91133	CMS	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	11		XXX
91133	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1		XXX
91133	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
91133	CMS	"Accessory, Procedure"	SD106	"pad, cardioversion R2 (2 pack)"	item	30.56	1		XXX
91133	CMS	"Accessory, Procedure"	SD111	respiratory monitoring belt	item	286.67	1		XXX
91133	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1		XXX
91133	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		XXX
91133	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		XXX
91133	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		XXX
91133	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX
91133	CMS	"Office Supply, Grocery"	SK068	razor	item	0.51	1		XXX
91133	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1		XXX
91200	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	1		XXX
91200	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
91200	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
91200	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	1		XXX
92002	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
92002	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3	0	XXX
92002	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	1	0	XXX
92004	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3	0	XXX
92004	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
92004	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	1	0	XXX
92012	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
92012	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3	0	XXX
92012	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	1	0	XXX
92014	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3	0	XXX
92014	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	1	0	XXX
92014	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
92020	Sep02	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	2	0	XXX
92020	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1	0	XXX
92065	Jan02	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.34	1		XXX
92065	Jan02	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1		XXX
92072	CPT12 May 27	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1	0	XXX
92081	CPT13 May 52	"Accessory, Procedure"	SD103	"occluder, clip-on"	item	1.66	1		XXX
92082	CPT13 May 52	"Accessory, Procedure"	SD103	"occluder, clip-on"	item	1.66	1		XXX
92083	CPT13 May 52	"Accessory, Procedure"	SD103	"occluder, clip-on"	item	1.66	1		XXX
92100	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	4	0	XXX
92201	RUC	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	2.3533	0.1	0	XXX
92230	Sep04	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	XXX
92230	Sep04	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1	0	XXX
92230	Sep04	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	1	0	XXX
92230	Sep04	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	XXX
92230	Sep04	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	XXX
92230	Sep04	"Pharmacy, Rx"	SH033	fluorescein inj (5ml uou)	item	38.02	1	0	XXX
92230	Sep04	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	XXX
92235	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		XXX
92235	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1		XXX
92235	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
92235	RUC	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	1		XXX
92235	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
92235	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
92235	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
92235	RUC	"Pharmacy, Rx"	SH033	fluorescein inj (5ml uou)	item	38.02	1		XXX
92235	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1		XXX
92240	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
92240	RUC	Lab	SL083	indocyanine green (25ml uou)	item	76.94	1		XXX
92240	RUC	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	1		XXX
92240	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1		XXX
92240	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1		XXX
92240	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
92240	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		XXX
92240	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
92240	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
92242	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
92242	RUC	"Pharmacy, Rx"	SH033	fluorescein inj (5ml uou)	item	38.02	1		XXX
92242	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
92242	RUC	Lab	SL083	indocyanine green (25ml uou)	item	76.94	1		XXX
92242	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
92242	RUC	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	2		XXX
92242	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2		XXX
92242	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1		XXX
92242	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
92242	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		XXX
92260	Sep04 G	"Pharmacy, Rx"	SH030	Emla cream	gm	2.19	1	0	XXX
92260	Sep04 G	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1	0	XXX
92265	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1		XXX
92265	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2		XXX
92265	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		XXX
92265	CMS	Lab	SL187	"balance salt solution (BSS), sterile, 15cc"	ml		15		XXX
92265	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		XXX
92265	CMS	"Accessory, Procedure"	SD051	"electrode needle, monopolar EMG w-lead"	item	2.95	1		XXX
92270	Apr00	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	4		XXX
92270	Apr00	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	0.1		XXX
92270	Apr00	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3		XXX
92270	Apr00	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1		XXX
92270	Apr00	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
92273	RUC	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	0.1014		XXX
92273	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		XXX
92273	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
92273	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	5		XXX
92273	RUC	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	2.3533	0.2		XXX
92273	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	1		XXX
92273	RUC	"Office Supply, Grocery"	SK133	Sleep mask	item	9.95	1		XXX
92273	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	2		XXX
92273	RUC	Lab	SL020	bleach	ml	0.01	2		XXX
92273	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05		XXX
92274	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	5		XXX
92274	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		XXX
92274	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
92274	RUC	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	2.3533	0.2		XXX
92274	RUC	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	0.1014		XXX
92274	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	1		XXX
92274	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		XXX
92274	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	2		XXX
92274	RUC	Lab	SL020	bleach	ml	0.01	2		XXX
92274	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05		XXX
92283	Jan02	"Accessory, Procedure"	SD103	"occluder, clip-on"	item	1.66	1		XXX
92283	Jan02	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	2		XXX
92283	Jan02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92285	CPT11 72	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	4		XXX
92287	Sep04 G	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	2		XXX
92287	Sep04 G	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1		XXX
92287	Sep04 G	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1		XXX
92287	Sep04 G	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
92287	Sep04 G	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
92287	Sep04 G	"Office Supply, Grocery"	SK065	photographic stop bath	oz	0.05	16		XXX
92287	Sep04 G	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
92287	Sep04 G	"Office Supply, Grocery"	SK030	"film, Tri-x 35mm BW (per exposure)"	item	0.32	24		XXX
92287	Sep04 G	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2		XXX
92287	Sep04 G	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
92287	Sep04 G	"Pharmacy, Rx"	SH033	fluorescein inj (5ml uou)	item	38.02	1		XXX
92310	CMS	"Pharmacy, NonRx"	SJ073	DMV remover	item	2.99	1	0	XXX
92310	CMS	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1	0	XXX
92310	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1	0	XXX
92311	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1	0	XXX
92311	CMS	"Pharmacy, NonRx"	SJ073	DMV remover	item	2.99	1	0	XXX
92311	CMS	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1	0	XXX
92312	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1	0	XXX
92312	CMS	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1	0	XXX
92312	CMS	"Pharmacy, NonRx"	SJ073	DMV remover	item	2.99	1	0	XXX
92313	CMS	"Pharmacy, NonRx"	SJ073	DMV remover	item	2.99	1	0	XXX
92313	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1	0	XXX
92313	CMS	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1	0	XXX
92313	CMS	"Pharmacy, NonRx"	SJ080	"lens cleaner, daily (Allergan)"	ounce	0.62	1	0	XXX
92314	CMS	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1	0	XXX
92314	CMS	"Pharmacy, NonRx"	SJ073	DMV remover	item	2.99	1	0	XXX
92314	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1	0	XXX
92315	CMS	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1	0	XXX
92315	CMS	"Pharmacy, NonRx"	SJ073	DMV remover	item	2.99	1	0	XXX
92315	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1	0	XXX
92316	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1	0	XXX
92316	CMS	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1	0	XXX
92316	CMS	"Pharmacy, NonRx"	SJ073	DMV remover	item	2.99	1	0	XXX
92317	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1	0	XXX
92317	CMS	"Pharmacy, NonRx"	SJ073	DMV remover	item	2.99	1	0	XXX
92317	CMS	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1	0	XXX
92325	CMS	"Pharmacy, NonRx"	SJ065	contact lens (hard) care kit	item	9.26	1		XXX
92325	CMS	"Pharmacy, NonRx"	SJ066	contact lens (hard) extra strength cleaning solution	ml	0.34	1		XXX
92325	CMS	"Pharmacy, NonRx"	SJ067	contact lens (RGP) polishing soln (Silo2 Care)	ml	0.16	15		XXX
92325	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1		XXX
92326	CMS	"Pharmacy, NonRx"	SJ066	contact lens (hard) extra strength cleaning solution	ml	0.34	1		XXX
92326	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.72	1		XXX
92326	CMS	"Pharmacy, NonRx"	SJ065	contact lens (hard) care kit	item	9.26	1		XXX
92340	Sep04 G	"Pharmacy, NonRx"	SJ074	lens cleaner	ounce	0.69	1	0	XXX
92341	Sep04 G	"Pharmacy, NonRx"	SJ074	lens cleaner	ounce	0.69	1	0	XXX
92342	Sep04 G	"Pharmacy, NonRx"	SJ074	lens cleaner	ounce	0.69	1	0	XXX
92352		"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	2.3533	0.1	0	XXX
92352		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
92352		"Gown, Drape"	SB035	"paper, chinrest"	item	0.008	1	0	XXX
92352		"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	XXX
92352		"Pharmacy, Rx"	SH034	fluorescein strips	item	0.282	1	0	XXX
92352		"Pharmacy, Rx"	SH056	phenylephrine 2.5% ophth (Mydfrin)	ml	5.46	0.1	0	XXX
92352		"Pharmacy, Rx"	SH073	tropicamide 1% ophth (Mydriacyl)	ml	0.83	0.1	0	XXX
92352		"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3	0	XXX
92352		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
92352		Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	1	0	XXX
92352		"Pharmacy, NonRx"	SJ015	contact lens soln (12oz uou)	item	4.19	1	0	XXX
92352		"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	2	0	XXX
92353		"Pharmacy, Rx"	SH056	phenylephrine 2.5% ophth (Mydfrin)	ml	5.46	0.1	0	XXX
92353		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
92353		"Pharmacy, NonRx"	SJ015	contact lens soln (12oz uou)	item	4.19	1	0	XXX
92353		"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	XXX
92353		"Pharmacy, Rx"	SH034	fluorescein strips	item	0.282	1	0	XXX
92353		"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	2.3533	0.1	0	XXX
92353		"Pharmacy, Rx"	SH073	tropicamide 1% ophth (Mydriacyl)	ml	0.83	0.1	0	XXX
92353		"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3	0	XXX
92353		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
92353		"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	2	0	XXX
92353		Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	1	0	XXX
92353		"Gown, Drape"	SB035	"paper, chinrest"	item	0.008	1	0	XXX
92370	Sep04 G	"Pharmacy, NonRx"	SJ078	temple tips	pair	1	1	0	XXX
92370	Sep04 G	"Pharmacy, NonRx"	SJ076	nose pads	item	0.79	1	0	XXX
92370	Sep04 G	"Pharmacy, NonRx"	SJ077	"screws, spectacles"	item	0.14	1	0	XXX
92504	CPT11	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	XXX
92504	CPT11	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	XXX
92504	CPT11	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	XXX
92504	CPT11	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	XXX
92504	CPT11	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	XXX
92504	CPT11	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	XXX
92504	CPT11	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
92504	CPT11	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4	0	XXX
92504	CPT11	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	2	0	XXX
92504	CPT11	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
92507	CPT11 80	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92507	CPT11 80	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2		XXX
92507	CPT11 80	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	2		XXX
92507	CPT11 80	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	2		XXX
92507	CPT11 80	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
92507	CPT11 80	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.04	2		XXX
92507	CPT11 80	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1		XXX
92508	CPT11 80	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.04	2		XXX
92508	CPT11 80	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
92508	CPT11 80	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	2		XXX
92508	CPT11 80	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1		XXX
92508	CPT11 80	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92508	CPT11 80	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	2		XXX
92508	CPT11 80	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2		XXX
92511	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
92511	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
92511	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
92511	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
92511	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
92511	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
92511	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
92511	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
92511	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
92511	RUC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	000
92511	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
92511	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
92511	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
92511	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
92511	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
92511	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	3	0	000
92511	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
92511	RUC	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
92511	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
92511	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
92512	Mar04 K	"Accessory, Procedure"	SD130	"tubing, latex"	foot	0.55	2	0	XXX
92512	Mar04 K	"Accessory, Procedure"	SD183	"nasal tip, olive"	item	1.81	1	0	XXX
92512	Mar04 K	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	4	0	XXX
92516	Mar04 K	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	0.5	0	XXX
92516	Mar04 K	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	1	0	XXX
92516	Mar04 K	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	2	0	XXX
92516	Mar04 K	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2	0	XXX
92516	Mar04 K	"Accessory, Procedure"	SD051	"electrode needle, monopolar EMG w-lead"	item	2.95	2	0	XXX
92516	Mar04 K	"Accessory, Procedure"	SD055	"electrode, electrical stimulation"	item	0.41	1	0	XXX
92516	Mar04 K	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	4	0	XXX
92516	Mar04 K	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	2	0	XXX
92517	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	XXX
92517	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2	0	XXX
92517	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
92517	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1	0	XXX
92517	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	XXX
92517	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	3	0	XXX
92517	RUC	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	3	0	XXX
92517	RUC	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.62	2	0	XXX
92517	RUC	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	6	0	XXX
92517	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	6	0	XXX
92518	RUC	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.62	2	0	XXX
92518	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2	0	XXX
92518	RUC	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	5	0	XXX
92518	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	5	0	XXX
92518	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1	0	XXX
92518	RUC	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	2.5	0	XXX
92518	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	2.5	0	XXX
92518	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
92518	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	10	0	XXX
92518	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
92519	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
92519	RUC	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.62	2	0	XXX
92519	RUC	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	10	0	XXX
92519	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	10	0	XXX
92519	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	20	0	XXX
92519	RUC	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	5	0	XXX
92519	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	5	0	XXX
92519	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5	0	XXX
92519	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	3	0	XXX
92519	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1	0	XXX
92520	RUC05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
92520	RUC05	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	XXX
92520	RUC05	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	30	0	XXX
92520	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
92520	RUC05	"Accessory, Procedure"	SD130	"tubing, latex"	foot	0.55	1	0	XXX
92520	RUC05	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1	0	XXX
92520	RUC05	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	8	0	XXX
92521	CPT15 FTD Migration	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		
92521	CPT15 FTD Migration	"Office Supply, Grocery"	SK116	"fluency assessment form, average"	item	0.85	2		
92521	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		
92521	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		
92521	CPT15 FTD Migration	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		
92521	CPT15 FTD Migration	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		
92522		"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		
92522		"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1		
92522		"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		
92522		"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		
92522		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		
92522		"Office Supply, Grocery"	SK117	"speech assessment form, average"	item	1.13	2		
92522		"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		
92523	CPT15 FTD Migration	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1		
92523	CPT15 FTD Migration	"Office Supply, Grocery"	SK118	"language assessment form, average"	item	1.49	2		
92523	CPT15 FTD Migration	"Office Supply, Grocery"	SK117	"speech assessment form, average"	item	1.13	2		
92523	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		
92523	CPT15 FTD Migration	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		
92523	CPT15 FTD Migration	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		
92523	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		
92523	CPT15 FTD Migration	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		
92524	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		
92524	CPT15 FTD Migration	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		
92524	CPT15 FTD Migration	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		
92524	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		
92526	CPT11	"Office Supply, Grocery"	SK040	graham crackers (one packet)	item	1.11	3		XXX
92526	CPT11	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2		XXX
92526	CPT11	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.09	1		XXX
92526	CPT11	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	2		XXX
92526	CPT11	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	2		XXX
92526	CPT11	"Pharmacy, NonRx"	SJ058	thick-it pack	item	0.65	3		XXX
92526	CPT11	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
92526	CPT11	"Pharmacy, NonRx"	SJ051	"swab, lemon-glycerine (3 pak uou)"	item	0.2	3		XXX
92526	CPT11	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	3		XXX
92526	CPT11	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92526	CPT11	"Office Supply, Grocery"	SK004	apple sauce	oz	0.08	1		XXX
92526	CPT11	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.04	2		XXX
92537	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
92537	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92537	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92537	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1		XXX
92537	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	1		XXX
92537	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	1		XXX
92537	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		XXX
92538	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
92538	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		XXX
92538	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92538	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92538	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	1		XXX
92538	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	1		XXX
92538	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1		XXX
92540	CPT10 36	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		XXX
92540	CPT10 36	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	2		XXX
92540	CPT10 36	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
92540	CPT10 36	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
92540	CPT10 36	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1		XXX
92540	CPT10 36	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92540	CPT10 36	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	12		XXX
92540	CPT10 36	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
92540	CPT10 36	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	1		XXX
92540	CPT10 36	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		XXX
92540	CPT10 36	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
92540	CPT10 36	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92541	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92541	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		XXX
92541	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
92541	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	3		XXX
92541	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92542	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92542	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92542	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		XXX
92542	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	3		XXX
92542	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
92544	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	3		XXX
92544	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		XXX
92544	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
92544	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92544	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92545	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92545	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
92545	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92545	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		XXX
92545	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	3		XXX
92546	CMS	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	1		XXX
92546	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92546	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	4		XXX
92546	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	3		XXX
92546	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		XXX
92546	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
92546	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92546	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		XXX
92546	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
92546	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1		XXX
92547	Mar04 K	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	2		ZZZ
92547	Mar04 K	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	2		ZZZ
92547	Mar04 K	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	2		ZZZ
92547	Mar04 K	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	1		ZZZ
92547	Mar04 K	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	2		ZZZ
92547	Mar04 K	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	4		ZZZ
92547	Mar04 K	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		ZZZ
92548	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
92548	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	6		XXX
92549	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	8		XXX
92549	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
92550	CPT10	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	2		XXX
92550	CPT10	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
92550	CPT10	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92550	CPT10	"Accessory, Procedure"	SD046	"ear tip, tympanometry probe"	item	1.41	1		XXX
92551	Feb05 C	"Accessory, Procedure"	SD047	eartip insert with sound tube	item	0.33	2		XXX
92551	Feb05 C	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
92552	Jan02	"Accessory, Procedure"	SD047	eartip insert with sound tube	item	0.33	2		XXX
92552	Jan02	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92552	Jan02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
92553	Jan02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
92553	Jan02	"Accessory, Procedure"	SD047	eartip insert with sound tube	item	0.33	2		XXX
92553	Jan02	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92555	Jan02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
92555	Jan02	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92555	Jan02	"Accessory, Procedure"	SD047	eartip insert with sound tube	item	0.33	2		XXX
92556	Jan02	"Accessory, Procedure"	SD047	eartip insert with sound tube	item	0.33	2		XXX
92556	Jan02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
92556	Jan02	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92557	5yr08	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1	0	XXX
92557	5yr08	"Accessory, Procedure"	SD047	eartip insert with sound tube	item	0.33	2	0	XXX
92557	5yr08	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
92558	CMS	"Accessory, Procedure"	SD045	"ear tip, immittance"	item	0.24	1	0	XXX
92558	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
92558	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	2	0	XXX
92562	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
92562	Sep02	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92563	Sep02	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92563	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
92565	Mar04 K	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	1		XXX
92567	5yr08	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1	0	XXX
92567	5yr08	"Accessory, Procedure"	SD046	"ear tip, tympanometry probe"	item	1.41	2	0	XXX
92567	5yr08	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1	0	XXX
92567	5yr08	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
92568	5yr08	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1	0	XXX
92570	CPT10	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1	0	XXX
92570	CPT10	"Accessory, Procedure"	SD046	"ear tip, tympanometry probe"	item	1.41	1	0	XXX
92570	CPT10	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
92570	CPT10	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	3	0	XXX
92571	Mar04 K	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	1		XXX
92572	Mar04 K	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	1		XXX
92575	Mar04 K	"Office Supply, Grocery"	SK085	"Velcro, strong (Poly-Lock)"	foot	3.85	2		XXX
92575	Mar04 K	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	1		XXX
92576	Mar04 K	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	1		XXX
92577	Mar04 K	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	1		XXX
92579	5yr08	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.62	2	0	XXX
92579	5yr08	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	1	0	XXX
92579	5yr08	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1	0	XXX
92582	Mar04 K	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92582	Mar04 K	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.62	2		XXX
92582	Mar04 K	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	1		XXX
92583	Mar04 K	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.62	2		XXX
92583	Mar04 K	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	1		XXX
92583	Mar04 K	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92584	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1		XXX
92584	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92584	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
92584	RUC	"Accessory, Procedure"	SD335	ECochG electrode	item	24.21	1		XXX
92584	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
92584	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
92584	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	1.5		XXX
92584	RUC	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	1.5		XXX
92584	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
92584	RUC	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.62	2		XXX
92584	RUC	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	3		XXX
92584	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	3		XXX
92587	CPT12 May 43	"Accessory, Procedure"	SD045	"ear tip, immittance"	item	0.24	1		XXX
92587	CPT12 May 43	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
92587	CPT12 May 43	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92587	CPT12 May 43	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	2		XXX
92588	CPT12 May 43	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92588	CPT12 May 43	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	2		XXX
92588	CPT12 May 43	"Accessory, Procedure"	SD045	"ear tip, immittance"	item	0.24	1		XXX
92588	CPT12 May 43	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
92596	Mar04 K	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	1		XXX
92597	CPT11	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX
92597	CPT11	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	1		XXX
92597	CPT11	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	8		XXX
92597	CPT11	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
92597	CPT11	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1		XXX
92597	CPT11	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2		XXX
92597	CPT11	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
92601	5yr08	"Accessory, Procedure"	SD045	"ear tip, immittance"	item	0.24	1	0	XXX
92601	5yr08	"Office Supply, Grocery"	SK068	razor	item	0.51	1	0	XXX
92601	5yr08	"Office Supply, Grocery"	SK079	"tape, toupee"	inch	0.06	105	0	XXX
92601	5yr08	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
92601	5yr08	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	5	0	XXX
92601	5yr08	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	10	0	XXX
92601	5yr08	"Kit, Pack, Tray"	SA032	"kit, tangible reinforcement-reward for children"	kit	1.5	1	0	XXX
92602	5yr08	"Office Supply, Grocery"	SK079	"tape, toupee"	inch	0.06	105	0	XXX
92602	5yr08	"Office Supply, Grocery"	SK068	razor	item	0.51	1	0	XXX
92602	5yr08	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
92602	5yr08	"Accessory, Procedure"	SD045	"ear tip, immittance"	item	0.24	1	0	XXX
92602	5yr08	"Kit, Pack, Tray"	SA032	"kit, tangible reinforcement-reward for children"	kit	1.5	1	0	XXX
92602	5yr08	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	10	0	XXX
92602	5yr08	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	5	0	XXX
92603	5yr08	"Office Supply, Grocery"	SK079	"tape, toupee"	inch	0.06	105	0	XXX
92603	5yr08	"Office Supply, Grocery"	SK068	razor	item	0.51	1	0	XXX
92603	5yr08	"Accessory, Procedure"	SD045	"ear tip, immittance"	item	0.24	1	0	XXX
92603	5yr08	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	5	0	XXX
92603	5yr08	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	10	0	XXX
92603	5yr08	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
92604	5yr08	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
92604	5yr08	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	5	0	XXX
92604	5yr08	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	10	0	XXX
92604	5yr08	"Accessory, Procedure"	SD045	"ear tip, immittance"	item	0.24	1	0	XXX
92604	5yr08	"Office Supply, Grocery"	SK079	"tape, toupee"	inch	0.06	105	0	XXX
92604	5yr08	"Office Supply, Grocery"	SK068	razor	item	0.51	1	0	XXX
92605	CPT12 May 44	"Office Supply, Grocery"	SK084	"Velcro, standard"	foot	0.97	3	0	XXX
92605	CPT12 May 44	"Office Supply, Grocery"	SK055	"paper, card stock (8.5 x 11)"	item	0.08	10	0	XXX
92605	CPT12 May 44	"Office Supply, Grocery"	SK044	lamination sheet (letter size)	item	0.58	1	0	XXX
92605	CPT12 May 44	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1	0	XXX
92605	CPT12 May 44	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
92605	CPT12 May 44	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	10	0	XXX
92606	CPT11 80	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	10	0	XXX
92606	CPT11 80	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
92606	CPT11 80	"Office Supply, Grocery"	SK084	"Velcro, standard"	foot	0.97	3	0	XXX
92606	CPT11 80	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1	0	XXX
92606	CPT11 80	"Office Supply, Grocery"	SK044	lamination sheet (letter size)	item	0.58	1	0	XXX
92606	CPT11 80	"Office Supply, Grocery"	SK055	"paper, card stock (8.5 x 11)"	item	0.08	10	0	XXX
92606	CPT11 80	"Office Supply, Grocery"	SK070	"Rep-band, light (6yd uou)"	item	5.24	1	0	XXX
92606	CPT11 80	"Office Supply, Grocery"	SK068	razor	item	0.51	1	0	XXX
92607	CPT11 80	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92607	CPT11 80	"Office Supply, Grocery"	SK044	lamination sheet (letter size)	item	0.58	1		XXX
92607	CPT11 80	"Office Supply, Grocery"	SK084	"Velcro, standard"	foot	0.97	3		XXX
92607	CPT11 80	"Office Supply, Grocery"	SK068	razor	item	0.51	1		XXX
92607	CPT11 80	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	10		XXX
92607	CPT11 80	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
92607	CPT11 80	"Office Supply, Grocery"	SK055	"paper, card stock (8.5 x 11)"	item	0.08	10		XXX
92607	CPT11 80	"Office Supply, Grocery"	SK070	"Rep-band, light (6yd uou)"	item	5.24	1		XXX
92608	CPT11 80	"Office Supply, Grocery"	SK044	lamination sheet (letter size)	item	0.58	0.33		XXX
92608	CPT11 80	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	0.33		XXX
92608	CPT11 80	"Office Supply, Grocery"	SK084	"Velcro, standard"	foot	0.97	1		XXX
92608	CPT11 80	"Office Supply, Grocery"	SK070	"Rep-band, light (6yd uou)"	item	5.24	0.33		XXX
92608	CPT11 80	"Office Supply, Grocery"	SK055	"paper, card stock (8.5 x 11)"	item	0.08	3.3		XXX
92608	CPT11 80	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3.3		XXX
92608	CPT11 80	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	0.33		XXX
92608	CPT11 80	"Office Supply, Grocery"	SK068	razor	item	0.51	0.33		XXX
92609	CPT11 80	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	10		XXX
92609	CPT11 80	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
92609	CPT11 80	"Office Supply, Grocery"	SK055	"paper, card stock (8.5 x 11)"	item	0.08	10		XXX
92609	CPT11 80	"Office Supply, Grocery"	SK070	"Rep-band, light (6yd uou)"	item	5.24	1		XXX
92609	CPT11 80	"Office Supply, Grocery"	SK084	"Velcro, standard"	foot	0.97	3		XXX
92609	CPT11 80	"Office Supply, Grocery"	SK044	lamination sheet (letter size)	item	0.58	1		XXX
92609	CPT11 80	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92609	CPT11 80	"Office Supply, Grocery"	SK068	razor	item	0.51	1		XXX
92610	CPT10 55	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
92610	CPT10 55	"Office Supply, Grocery"	SK017	cookie (each)	item	0.11	1	0	XXX
92610	CPT10 55	"Pharmacy, NonRx"	SJ058	thick-it pack	item	0.65	3	0	XXX
92610	CPT10 55	"Pharmacy, Rx"	SH017	"barium, honey (Varibar)"	ml	0.09	8	0	XXX
92610	CPT10 55	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	XXX
92610	CPT10 55	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	8	0	XXX
92610	CPT10 55	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	2	0	XXX
92610	CPT10 55	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	XXX
92610	CPT10 55	"Pharmacy, NonRx"	SJ044	pre-thickened juice (4oz uou)	item	1.71	2	0	XXX
92610	CPT10 55	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	XXX
92610	CPT10 55	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	6	0	XXX
92611	CPT10 55	"Office Supply, Grocery"	SK017	cookie (each)	item	0.11	1		XXX
92611	CPT10 55	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
92611	CPT10 55	"Pharmacy, Rx"	SH018	"barium, nectar (Varibar)"	ml	0.05	240		XXX
92611	CPT10 55	"Pharmacy, Rx"	SH017	"barium, honey (Varibar)"	ml	0.09	8		XXX
92611	CPT10 55	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92611	CPT10 55	"Pharmacy, Rx"	SH019	"barium, pudding (Varibar)"	ml	0.23	8		XXX
92611	CPT10 55	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.04	2		XXX
92611	CPT10 55	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1		XXX
92612	CMS	"Office Supply, Grocery"	SK040	graham crackers (one packet)	item	1.11	1	0	XXX
92612	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	XXX
92612	CMS	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.04	2	0	XXX
92612	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	XXX
92612	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	XXX
92612	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	XXX
92612	CMS	"Pharmacy, NonRx"	SJ058	thick-it pack	item	0.65	3	0	XXX
92612	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1	0	XXX
92612	CMS	"Office Supply, Grocery"	SK004	apple sauce	oz	0.08	3	0	XXX
92612	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	6	0	XXX
92612	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	3	0	XXX
92612	CMS	"Office Supply, Grocery"	SK032	"film, type 667 Polaroid (per exposure)"	item	1.61	3	0	XXX
92612	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	XXX
92612	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	XXX
92612	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
92612	CMS	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.09	21	0	XXX
92612	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	XXX
92612	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28	1	0	XXX
92612	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	XXX
92612	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
92612	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	XXX
92612	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	3	0	XXX
92612	CMS	"Accessory, Procedure"	SD133	"tubing, suction, non-latex (6ft) with Poole tip (1)"	item	1.98	1	0	XXX
92614	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
92614	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	XXX
92614	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	XXX
92614	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
92614	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1	0	XXX
92614	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	XXX
92614	CMS	"Office Supply, Grocery"	SK032	"film, type 667 Polaroid (per exposure)"	item	1.61	3	0	XXX
92614	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	XXX
92614	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	XXX
92614	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	3	0	XXX
92614	CMS	"Accessory, Procedure"	SD133	"tubing, suction, non-latex (6ft) with Poole tip (1)"	item	1.98	1	0	XXX
92614	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	XXX
92616	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	6	0	XXX
92616	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	XXX
92616	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	XXX
92616	CMS	"Office Supply, Grocery"	SK004	apple sauce	oz	0.08	3	0	XXX
92616	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	XXX
92616	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	3	0	XXX
92616	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	XXX
92616	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	3	0	XXX
92616	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	XXX
92616	CMS	"Accessory, Procedure"	SD133	"tubing, suction, non-latex (6ft) with Poole tip (1)"	item	1.98	1	0	XXX
92616	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	XXX
92616	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
92616	CMS	"Pharmacy, NonRx"	SJ058	thick-it pack	item	0.65	3	0	XXX
92616	CMS	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.09	21	0	XXX
92616	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1	0	XXX
92616	CMS	"Office Supply, Grocery"	SK032	"film, type 667 Polaroid (per exposure)"	item	1.61	3	0	XXX
92616	CMS	"Office Supply, Grocery"	SK040	graham crackers (one packet)	item	1.11	1	0	XXX
92616	CMS	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.04	2	0	XXX
92616	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
92620	CPT09 5y	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	4	0	XXX
92621	CPT09 5y	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	2	0	ZZZ
92625	CPT09 5y	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	3	0	XXX
92626	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1	0	XXX
92626	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
92626	RUC	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	4	0	XXX
92627	RUC	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	1	0	ZZZ
92640	CPT09 5y	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	1	0	XXX
92640	CPT09 5y	"Office Supply, Grocery"	SK068	razor	item	0.51	0.25	0	XXX
92640	CPT09 5y	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.1	0	XXX
92650	RUC	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	4		XXX
92650	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	8		XXX
92650	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	1		XXX
92650	RUC	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.62	2		XXX
92650	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	4		XXX
92650	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	2		XXX
92650	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
92650	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
92650	RUC	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	2		XXX
92651	RUC	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	4		XXX
92651	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	8		XXX
92651	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
92651	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	4		XXX
92651	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
92651	RUC	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.62	2		XXX
92651	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
92651	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92651	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	2		XXX
92651	RUC	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	2		XXX
92652	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
92652	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
92652	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	4		XXX
92652	RUC	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	4		XXX
92652	RUC	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	2		XXX
92652	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92652	RUC	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.62	2		XXX
92652	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	2		XXX
92652	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
92652	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	8		XXX
92653	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	4		XXX
92653	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
92653	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	2		XXX
92653	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	8		XXX
92653	RUC	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.62	2		XXX
92653	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
92653	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
92653	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92653	RUC	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	2		XXX
92653	RUC	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	4		XXX
92950	CPT12 5 Year	"Accessory, Procedure"	SD106	"pad, cardioversion R2 (2 pack)"	item	30.56	1	0	000
92950	CPT12 5 Year	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.01	375	0	000
92950	CPT12 5 Year	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
92950	CPT12 5 Year	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.33	0	000
92950	CPT12 5 Year	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	10	0	000
92950	CPT12 5 Year	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	10	0	000
92950	CPT12 5 Year	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	000
92950	CPT12 5 Year	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	000
92950	CPT12 5 Year	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	000
92950	CPT12 5 Year	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
92950	CPT12 5 Year	"Accessory, Procedure"	SD182	"mask, CPR (RespAide)"	item	46.32	1	0	000
92950	CPT12 5 Year	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
92950	CPT12 5 Year	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	8	0	000
92960	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
92960	CMS	"Accessory, Procedure"	SD106	"pad, cardioversion R2 (2 pack)"	item	30.56	1	0	000
92960	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	4	0	000
92977		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
92977		"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
92977		"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
92977		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
92977		"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
92977		"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
92977		"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
92977		"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
92977		"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
92977		"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
92977		"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
92977		"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		XXX
92977		"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	8.75	1		XXX
92986	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
92987	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
92990	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
93000	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93000	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	4		XXX
93000	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	10		XXX
93005	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93005	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	10		XXX
93005	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	4		XXX
93015	CMS	"Office Supply, Grocery"	SK072	sandpaper (per sheet)	item	0.81	1		XXX
93015	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	10		XXX
93015	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	15		XXX
93015	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93015	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
93017	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	15		XXX
93017	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
93017	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
93017	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	10		XXX
93017	CMS	"Office Supply, Grocery"	SK072	sandpaper (per sheet)	item	0.81	1		XXX
93024		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
93024		"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
93024		"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93024		"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
93024		"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
93024		"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
93024		"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
93024		"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
93024		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
93024		"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		XXX
93024		"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
93024		"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
93025	Oct08 18	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	7		XXX
93025	Oct08 18	"Accessory, Procedure"	SD115	"sensor, microvolt (Micro-V)"	item	4.8	7		XXX
93025	Oct08 18	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1		XXX
93025	Oct08 18	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
93025	Oct08 18	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
93025	Oct08 18	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		XXX
93025	Oct08 18	"Pharmacy, NonRx"	SJ023	electrode skin prep tape (One-Step)	inch	0.16	1		XXX
93025	Oct08 18	"Office Supply, Grocery"	SK068	razor	item	0.51	1		XXX
93025	Oct08 18	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	10		XXX
93025	Oct08 18	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
93040	Jan02	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93040	Jan02	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	4		XXX
93040	Jan02	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
93041	Jan02	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
93041	Jan02	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93041	Jan02	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	4		XXX
93050	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	2		XXX
93050	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	4		XXX
93224	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93224	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	20		XXX
93224	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
93224	RUC	"Kit, Pack, Tray"	SA002	"kit, ambulatory Holter"	kit	4.7	1		XXX
93225	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93225	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
93226	RUC	"Kit, Pack, Tray"	SA002	"kit, ambulatory Holter"	kit	4.7	1		XXX
93226	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	10		XXX
93227	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	10	0	XXX
93229	RUC	Infection Control	SM029	skin prep barrier wipes	item	0.2	2		XXX
93229	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93229	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035	2		XXX
93229	RUC	"Accessory, Procedure"	SD345	MCT Electrode Patch Kit	item	4.85	5		XXX
93242	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
93244	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	16	0	XXX
93246	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
93248	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	16	0	XXX
93260	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	4		XXX
93260	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	4		XXX
93260	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93260	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	15		XXX
93260	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93261	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	4		XXX
93261	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93261	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	4		XXX
93261	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93261	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	15		XXX
93268	CPT11	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.83	12		XXX
93268	CPT11	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	60		XXX
93268	CPT11	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
93268	CPT11	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	6		XXX
93268	CPT11	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
93271	PFS07	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.83	12		XXX
93271	PFS07	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	60		XXX
93271	PFS07	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
93271	PFS07	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	6		XXX
93271	PFS07	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
93278	Mar04 L	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	10		XXX
93278	Mar04 L	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93278	Mar04 L	"Office Supply, Grocery"	SK072	sandpaper (per sheet)	item	0.81	1		XXX
93279	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5		XXX
93279	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93279	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93279	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93279	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	10		XXX
93280	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93280	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	15		XXX
93280	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5		XXX
93280	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93280	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93281	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5		XXX
93281	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93281	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93281	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93281	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	15		XXX
93282	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	15		XXX
93282	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93282	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5		XXX
93282	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93282	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93283	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5		XXX
93283	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	20		XXX
93283	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93283	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93283	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93284	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93284	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5		XXX
93284	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93284	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	20		XXX
93284	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93285	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93285	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93285	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	20		XXX
93285	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5		XXX
93285	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93286	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	10		XXX
93286	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
93286	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93286	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5		XXX
93286	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93286	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93287	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5		XXX
93287	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93287	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93287	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93287	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	10		XXX
93287	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
93288	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5		XXX
93288	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	10		XXX
93288	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93288	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93288	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93289	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	15		XXX
93289	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93289	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93289	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5		XXX
93289	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93290	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93290	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	10		XXX
93290	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93290	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5		XXX
93290	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93291	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93291	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	15		XXX
93291	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93291	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93291	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5		XXX
93292	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93292	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5		XXX
93292	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93292	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	10		XXX
93293	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	10		XXX
93296	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	10		XXX
93303	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.034		XXX
93303	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	180		XXX
93303	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
93303	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93303	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3		XXX
93303	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93304	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
93304	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.034		XXX
93304	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93304	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	180		XXX
93304	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3		XXX
93304	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93304	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93306	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93306	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93306	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
93306	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	25		XXX
93306	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3		XXX
93307	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
93307	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	25		XXX
93307	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3		XXX
93307	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93307	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93308	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
93308	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93308	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93308	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3		XXX
93308	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	25		XXX
93312	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
93312	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
93312	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10		XXX
93312	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
93312	CMS	"Pharmacy, Rx"	SH030	Emla cream	gm	2.19	1		XXX
93312	CMS	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.13	1		XXX
93312	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.2		XXX
93312	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93312	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	20		XXX
93312	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93312	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
93312	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
93312	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1		XXX
93312	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
93312	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3		XXX
93312	CMS	"Hypodermic, IV"	SC015	Interlink vial access	item	2.47	1		XXX
93312	CMS	"Hypodermic, IV"	SC003	arm board	item	0.96	1		XXX
93312	CMS	"Hypodermic, IV"	SC014	Interlink adaptor	item	1.03	1		XXX
93312	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3		XXX
93312	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1		XXX
93312	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
93314	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
93314	CMS	"Hypodermic, IV"	SC003	arm board	item	0.96	1		XXX
93314	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
93314	CMS	"Pharmacy, Rx"	SH030	Emla cream	gm	2.19	1		XXX
93314	CMS	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.13	1		XXX
93314	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1		XXX
93314	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
93314	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93314	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.2		XXX
93314	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1		XXX
93314	CMS	"Hypodermic, IV"	SC015	Interlink vial access	item	2.47	1		XXX
93314	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
93314	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93314	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
93314	CMS	"Hypodermic, IV"	SC014	Interlink adaptor	item	1.03	1		XXX
93314	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	20		XXX
93314	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3		XXX
93314	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10		XXX
93314	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
93314	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
93314	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3		XXX
93350	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3		XXX
93350	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
93350	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93350	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93350	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93350	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	20		XXX
93350	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	1		XXX
93351	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
93351	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93351	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	1		XXX
93351	RUC	"Office Supply, Grocery"	SK072	sandpaper (per sheet)	item	0.81	1		XXX
93351	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	15		XXX
93351	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	13		XXX
93351	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93351	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93351	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	20		XXX
93351	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
93351	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
93352	CPT09 27	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	1		ZZZ
93352	CPT09 27	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		ZZZ
93352	CPT09 27	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		ZZZ
93352	CPT09 27	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	1		ZZZ
93352	CPT09 27	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		ZZZ
93352	CPT09 27	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1		ZZZ
93352	CPT09 27	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	1		ZZZ
93352	CPT09 27	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		ZZZ
93352	CPT09 27	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		ZZZ
93352	CPT09 27	"Accessory, Procedure"	SD124	"tourniquet, non-latex 1in x 18in"	item	0.1	1		ZZZ
93352	CPT09 27	"Hypodermic, IV"	SC015	Interlink vial access	item	2.47	1		ZZZ
93352	CPT09 27	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		ZZZ
93352	CPT09 27	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		ZZZ
93451	Mod sed	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2		
93451	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1		
93451	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3		
93451	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		
93451	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		
93451	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4		
93451	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3		
93451	Mod sed	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	2		
93451	Mod sed	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	18.09	1		
93451	Mod sed	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1		
93451	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1		
93451	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2		
93451	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1		
93451	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		
93451	Mod sed	"Accessory, Procedure"	SD156	"catheter, Swan Ganz"	item	101.45	1		
93451	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1		
93451	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1		
93451	Mod sed	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		
93451	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		
93451	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4		
93451	Mod sed	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	8.79	1		
93451	Mod sed	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	1.51	1		
93451	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		
93451	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1		
93451	Mod sed	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.76	2		
93451	Mod sed	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	1		
93451	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1		
93451	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		
93451	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	2		
93451	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		
93451	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2		
93451	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	2		
93451	Mod sed	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.62	1		
93451	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1		
93451	Mod sed	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		
93451	Mod sed	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.75	1		
93451	Mod sed	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	4.52	1		
93451	Mod sed	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		
93451	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		
93451	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		
93451	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		
93451	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1		
93451	Mod sed	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.27	60		
93451	Mod sed	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1		
93451	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1		
93451	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		
93451	Mod sed	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		
93451	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60		
93451	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	2		
93451	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2		
93451	Mod sed	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30		
93451	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5		
93452	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1		
93452	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1		
93452	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		
93452	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		
93452	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1		
93452	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2		
93452	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3		
93452	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		
93452	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4		
93452	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1		
93452	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	2		
93452	Mod sed	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2		
93452	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1		
93452	Mod sed	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	2		
93452	Mod sed	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	1		
93452	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1		
93452	Mod sed	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	8.79	1		
93452	Mod sed	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	18.09	1		
93452	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		
93452	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		
93452	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4		
93452	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		
93452	Mod sed	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1		
93452	Mod sed	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	1.51	1		
93452	Mod sed	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		
93452	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1		
93452	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3		
93452	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1		
93452	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		
93452	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2		
93452	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	2		
93452	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		
93452	Mod sed	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		
93452	Mod sed	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		
93452	Mod sed	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1		
93452	Mod sed	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.76	2		
93452	Mod sed	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.62	1		
93452	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		
93452	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1		
93452	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		
93452	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1		
93452	Mod sed	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.27	60		
93452	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1		
93452	Mod sed	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	4.52	1		
93452	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		
93452	Mod sed	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.75	1		
93452	Mod sed	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		
93452	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60		
93452	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2		
93452	Mod sed	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30		
93452	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5		
93452	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	2		
93453	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1		
93453	Mod sed	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	2		
93453	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3		
93453	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		
93453	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		
93453	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2		
93453	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3		
93453	Mod sed	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2		
93453	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4		
93453	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1		
93453	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1		
93453	Mod sed	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		
93453	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1		
93453	Mod sed	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	1.51	1		
93453	Mod sed	"Accessory, Procedure"	SD156	"catheter, Swan Ganz"	item	101.45	1		
93453	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	2		
93453	Mod sed	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	1		
93453	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1		
93453	Mod sed	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	18.09	1		
93453	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		
93453	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		
93453	Mod sed	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	8.79	1		
93453	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1		
93453	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4		
93453	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1		
93453	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		
93453	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		
93453	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		
93453	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1		
93453	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		
93453	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2		
93453	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	2		
93453	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		
93453	Mod sed	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	4.52	1		
93453	Mod sed	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		
93453	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1		
93453	Mod sed	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1		
93453	Mod sed	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1		
93453	Mod sed	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.62	1		
93453	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		
93453	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		
93453	Mod sed	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		
93453	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	2		
93453	Mod sed	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.76	2		
93453	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1		
93453	Mod sed	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.75	1		
93453	Mod sed	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		
93453	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60		
93453	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2		
93453	Mod sed	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30		
93453	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5		
93453	Mod sed	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.27	60		
93453	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	2		
93454	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1		
93454	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1		
93454	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1		
93454	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	2.3		
93454	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3		
93454	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		
93454	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		
93454	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2		
93454	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3		
93454	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1		
93454	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4		
93454	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		
93454	Mod sed	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2		
93454	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		
93454	Mod sed	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	2		
93454	Mod sed	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	1		
93454	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1		
93454	Mod sed	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	8.79	1		
93454	Mod sed	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		
93454	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4		
93454	Mod sed	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	18.09	1		
93454	Mod sed	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1		
93454	Mod sed	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	1.51	1		
93454	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		
93454	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1		
93454	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		
93454	Mod sed	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.75	1		
93454	Mod sed	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	4.52	1		
93454	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		
93454	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2		
93454	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	2		
93454	Mod sed	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		
93454	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		
93454	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1		
93454	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1		
93454	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		
93454	Mod sed	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.27	60		
93454	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5		
93454	Mod sed	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30		
93454	Mod sed	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		
93454	Mod sed	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.62	1		
93454	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		
93454	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2		
93454	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	2		
93454	Mod sed	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1		
93454	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1		
93454	Mod sed	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.76	2		
93454	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1		
93454	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		
93454	Mod sed	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		
93454	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60		
93454	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	2		
93455	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3		
93455	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1		
93455	Mod sed	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	2		
93455	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1		
93455	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	4.3		
93455	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3		
93455	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		
93455	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		
93455	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2		
93455	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		
93455	Mod sed	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2		
93455	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		
93455	Mod sed	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	1.51	1		
93455	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1		
93455	Mod sed	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	1		
93455	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1		
93455	Mod sed	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	18.09	1		
93455	Mod sed	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		
93455	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		
93455	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4		
93455	Mod sed	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	8.79	1		
93455	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1		
93455	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	2		
93455	Mod sed	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1		
93455	Mod sed	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	4.52	1		
93455	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		
93455	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		
93455	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1		
93455	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1		
93455	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		
93455	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2		
93455	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	2		
93455	Mod sed	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		
93455	Mod sed	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		
93455	Mod sed	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.75	1		
93455	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1		
93455	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		
93455	Mod sed	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.27	60		
93455	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5		
93455	Mod sed	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.76	2		
93455	Mod sed	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.62	1		
93455	Mod sed	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30		
93455	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		
93455	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1		
93455	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4		
93455	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1		
93455	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		
93455	Mod sed	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		
93455	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60		
93455	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	2		
93455	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2		
93455	Mod sed	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1		
93456	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1		
93456	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		
93456	Mod sed	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	2		
93456	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	2.3		
93456	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3		
93456	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		
93456	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2		
93456	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3		
93456	Mod sed	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2		
93456	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4		
93456	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1		
93456	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1		
93456	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1		
93456	Mod sed	"Accessory, Procedure"	SD156	"catheter, Swan Ganz"	item	101.45	1		
93456	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		
93456	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	2		
93456	Mod sed	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	4.52	1		
93456	Mod sed	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	1		
93456	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1		
93456	Mod sed	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	8.79	1		
93456	Mod sed	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1		
93456	Mod sed	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		
93456	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		
93456	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4		
93456	Mod sed	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	18.09	1		
93456	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		
93456	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		
93456	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		
93456	Mod sed	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.76	2		
93456	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1		
93456	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1		
93456	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		
93456	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2		
93456	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	2		
93456	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		
93456	Mod sed	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		
93456	Mod sed	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		
93456	Mod sed	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		
93456	Mod sed	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.62	1		
93456	Mod sed	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.27	60		
93456	Mod sed	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	1.51	1		
93456	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1		
93456	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5		
93456	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60		
93456	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		
93456	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1		
93456	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		
93456	Mod sed	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.75	1		
93456	Mod sed	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1		
93456	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	2		
93456	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2		
93456	Mod sed	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30		
93456	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	2		
93457	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	2		
93457	Mod sed	"Accessory, Procedure"	SD156	"catheter, Swan Ganz"	item	101.45	1		
93457	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		
93457	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1		
93457	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	4.3		
93457	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3		
93457	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		
93457	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		
93457	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2		
93457	Mod sed	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1		
93457	Mod sed	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2		
93457	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		
93457	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3		
93457	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		
93457	Mod sed	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	2		
93457	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	2		
93457	Mod sed	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	1		
93457	Mod sed	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	8.79	1		
93457	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		
93457	Mod sed	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		
93457	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1		
93457	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1		
93457	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4		
93457	Mod sed	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.76	2		
93457	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		
93457	Mod sed	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	18.09	1		
93457	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		
93457	Mod sed	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		
93457	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1		
93457	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1		
93457	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1		
93457	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2		
93457	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	2		
93457	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1		
93457	Mod sed	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.62	1		
93457	Mod sed	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		
93457	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		
93457	Mod sed	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.75	1		
93457	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		
93457	Mod sed	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.27	60		
93457	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5		
93457	Mod sed	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	4.52	1		
93457	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4		
93457	Mod sed	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30		
93457	Mod sed	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	1.51	1		
93457	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1		
93457	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1		
93457	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		
93457	Mod sed	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		
93457	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60		
93457	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	2		
93457	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2		
93457	Mod sed	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1		
93458	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1		
93458	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	3.3		
93458	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3		
93458	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		
93458	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		
93458	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2		
93458	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3		
93458	Mod sed	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2		
93458	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4		
93458	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		
93458	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	2		
93458	Mod sed	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	8.79	1		
93458	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1		
93458	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1		
93458	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		
93458	Mod sed	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	2		
93458	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1		
93458	Mod sed	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	18.09	1		
93458	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1		
93458	Mod sed	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1		
93458	Mod sed	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		
93458	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		
93458	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4		
93458	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		
93458	Mod sed	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	4.52	1		
93458	Mod sed	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	1		
93458	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1		
93458	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		
93458	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1		
93458	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1		
93458	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		
93458	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2		
93458	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	2		
93458	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		
93458	Mod sed	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		
93458	Mod sed	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		
93458	Mod sed	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		
93458	Mod sed	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.62	1		
93458	Mod sed	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.27	60		
93458	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1		
93458	Mod sed	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.76	2		
93458	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1		
93458	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5		
93458	Mod sed	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	1.51	1		
93458	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		
93458	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		
93458	Mod sed	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.75	1		
93458	Mod sed	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1		
93458	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	2		
93458	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2		
93458	Mod sed	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30		
93458	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60		
93459	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		
93459	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2		
93459	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3		
93459	Mod sed	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2		
93459	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4		
93459	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1		
93459	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1		
93459	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		
93459	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1		
93459	Mod sed	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	1.51	1		
93459	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		
93459	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		
93459	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3		
93459	Mod sed	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	1		
93459	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		
93459	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	5.3		
93459	Mod sed	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	2		
93459	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1		
93459	Mod sed	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	8.79	1		
93459	Mod sed	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	18.09	1		
93459	Mod sed	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	4.52	1		
93459	Mod sed	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1		
93459	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	2		
93459	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		
93459	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		
93459	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		
93459	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2		
93459	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	2		
93459	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		
93459	Mod sed	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.62	1		
93459	Mod sed	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.76	2		
93459	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1		
93459	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1		
93459	Mod sed	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		
93459	Mod sed	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		
93459	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1		
93459	Mod sed	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.27	60		
93459	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5		
93459	Mod sed	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30		
93459	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2		
93459	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60		
93459	Mod sed	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		
93459	Mod sed	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.75	1		
93459	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		
93459	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1		
93459	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	2		
93459	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1		
93459	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4		
93459	Mod sed	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1		
93459	Mod sed	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		
93459	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		
93459	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1		
93460	Mod sed	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2		
93460	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		
93460	Mod sed	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	2		
93460	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	3.3		
93460	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3		
93460	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		
93460	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		
93460	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2		
93460	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1		
93460	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4		
93460	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1		
93460	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3		
93460	Mod sed	"Accessory, Procedure"	SD156	"catheter, Swan Ganz"	item	101.45	1		
93460	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	2		
93460	Mod sed	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	1		
93460	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1		
93460	Mod sed	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	8.79	1		
93460	Mod sed	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1		
93460	Mod sed	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		
93460	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		
93460	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4		
93460	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		
93460	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		
93460	Mod sed	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	1.51	1		
93460	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	2		
93460	Mod sed	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	18.09	1		
93460	Mod sed	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.62	1		
93460	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		
93460	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1		
93460	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		
93460	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1		
93460	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	2		
93460	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		
93460	Mod sed	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	4.52	1		
93460	Mod sed	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		
93460	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1		
93460	Mod sed	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1		
93460	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2		
93460	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		
93460	Mod sed	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.27	60		
93460	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		
93460	Mod sed	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.76	2		
93460	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1		
93460	Mod sed	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		
93460	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5		
93460	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1		
93460	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	2		
93460	Mod sed	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.75	1		
93460	Mod sed	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		
93460	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60		
93460	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2		
93460	Mod sed	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30		
93460	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1		
93461	Mod sed	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1		
93461	Mod sed	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	2		
93461	Mod sed	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		
93461	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3		
93461	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4		
93461	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1		
93461	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		
93461	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1		
93461	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		
93461	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1		
93461	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	2		
93461	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		
93461	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3		
93461	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		
93461	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	5.3		
93461	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	2		
93461	Mod sed	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	1		
93461	Mod sed	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2		
93461	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4		
93461	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1		
93461	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1		
93461	Mod sed	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	8.79	1		
93461	Mod sed	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	18.09	1		
93461	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		
93461	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		
93461	Mod sed	"Accessory, Procedure"	SD156	"catheter, Swan Ganz"	item	101.45	1		
93461	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1		
93461	Mod sed	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	1.51	1		
93461	Mod sed	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		
93461	Mod sed	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30		
93461	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5		
93461	Mod sed	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.27	60		
93461	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		
93461	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		
93461	Mod sed	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		
93461	Mod sed	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1		
93461	Mod sed	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	4.52	1		
93461	Mod sed	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.76	2		
93461	Mod sed	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.62	1		
93461	Mod sed	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.75	1		
93461	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2		
93461	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	2		
93461	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1		
93461	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		
93461	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		
93461	Mod sed	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		
93461	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60		
93461	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2		
93461	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		
93461	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1		
93461	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2		
93461	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	2		
93461	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1		
93505	Mod sed	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2		
93505	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		
93505	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		
93505	Mod sed	"Pharmacy, NonRx"	SJ079	"basin, sterile 500cc"	item	3.51	1		
93505	Mod sed	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1		
93505	Mod sed	"Office Supply, Grocery"	SK068	razor	item	0.51	1		
93505	Mod sed	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		
93505	Mod sed	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		
93505	Mod sed	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	18.09	1		
93505	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		
93505	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		
93505	Mod sed	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.76	4		
93505	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1		
93505	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		
93505	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1		
93505	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2		
93505	Mod sed	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1		
93505	Mod sed	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1		
93505	Mod sed	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30		
93505	Mod sed	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	1.51	1		
93505	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		
93505	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3		
93505	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4		
93505	Mod sed	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	4		
93505	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1		
93505	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		
93505	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3		
93505	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		
93566	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
93566	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
93567	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
93567	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
93568	Mod sed	"Hypodermic, IV"	SC098	"catheter, angiographic, Berman"	item		1	0	
93568	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
93642	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	4		000
93642	CMS	"Accessory, Procedure"	SD106	"pad, cardioversion R2 (2 pack)"	item	30.56	1		000
93642	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		000
93644	CMS	"Accessory, Procedure"	SD106	"pad, cardioversion R2 (2 pack)"	item	30.56	1		000
93644	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		000
93644	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	4		000
93660	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	12		000
93660	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		000
93660	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1		000
93660	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		000
93660	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		000
93660	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		000
93668	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
93668	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3		XXX
93701		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93701		"Accessory, Procedure"	SD116	"sensors, bioimpendance (4 pack uou)"	item	15.65	1		XXX
93702	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
93702	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
93702	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		XXX
93702	RUC	"Accessory, Procedure"	SD290	"electrode, BIS (bioimpedance spectroscopy)"	item	33.62	3		XXX
93702	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	2		XXX
93702	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
93702	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	1		XXX
93702	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
93724	CMS	"Office Supply, Grocery"	SK060	"paper, recording, roll (per foot)"	foot	0.14	4		000
93724	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		000
93724	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		000
93724	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		000
93724	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5		000
93750	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2	0	XXX
93792	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	6		XXX
93792	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93792	RUC	"Pharmacy, NonRx"	SJ055	"test strip, INR"	item	4.71	6		XXX
93792	RUC	"Hypodermic, IV"	SC021	lancet	item	0.21	6		XXX
93798	Jan04 20	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2	0	000
93798	Jan04 20	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	10	0	000
93798	Jan04 20	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4	0	000
93880	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93880	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93880	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	40		XXX
93880	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93880	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93880	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93882	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	25		XXX
93882	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93882	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93882	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93882	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93882	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93886	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93886	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93886	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93886	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
93886	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93886	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1		XXX
93886	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93888	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93888	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93888	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93888	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93888	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	40		XXX
93888	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93888	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1		XXX
93890	CMS	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1		XXX
93890	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
93890	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
93890	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93890	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	8		XXX
93890	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
93890	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	1		XXX
93890	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93890	CMS	"Accessory, Procedure"	SD170	"gas, 5% CO2 - balance air"	liter	0.02	55		XXX
93890	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93892	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	40		XXX
93892	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93892	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	1		XXX
93892	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93892	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
93892	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93893	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
93893	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1		XXX
93893	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	1		XXX
93893	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93893	CMS	"Accessory, Procedure"	SD124	"tourniquet, non-latex 1in x 18in"	item	0.1	1		XXX
93893	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93893	CMS	"Pharmacy, Rx"	SH004	albumin saline	ml	0.15	30		XXX
93893	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	6		XXX
93893	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
93893	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
93893	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	6		XXX
93893	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
93893	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	40		XXX
93893	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93893	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		XXX
93922	CPT11 41	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93922	CPT11 41	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	20		XXX
93922	CPT11 41	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93922	CPT11 41	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93922	CPT11 41	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	3		XXX
93923	CPT11 41	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93923	CPT11 41	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93923	CPT11 41	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	30		XXX
93923	CPT11 41	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93923	CPT11 41	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	4		XXX
93924	CPT11 41	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93924	CPT11 41	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93924	CPT11 41	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	4		XXX
93924	CPT11 41	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	40		XXX
93924	CPT11 41	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93925	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93925	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93925	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93925	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93925	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
93925	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93926	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93926	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93926	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93926	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	40		XXX
93926	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93926	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93930	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93930	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93930	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93930	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	50		XXX
93930	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93930	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93931	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93931	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	30		XXX
93931	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93931	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93931	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93931	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93970	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93970	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93970	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
93970	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1		XXX
93970	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93970	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93970	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93971	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93971	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93971	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1		XXX
93971	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93971	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	40		XXX
93971	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93971	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93975	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93975	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
93975	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93975	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93975	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93975	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93976	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93976	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93976	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	40		XXX
93976	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93976	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93976	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93978	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
93978	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93978	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93978	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93978	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93978	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93979	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93979	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93979	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	40		XXX
93979	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93979	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93979	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93980	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
93980	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
93980	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
93980	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
93980	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		XXX
93980	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1		XXX
93980	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
93980	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
93980	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
93981	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1		XXX
93981	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		XXX
93981	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
93981	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
93981	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
93981	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
93981	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
93981	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
93981	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
93985	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93985	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93985	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93985	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93985	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
93985	RUC	"Office Supply, Grocery"	SK074	"skin marking pen, fluorescent (Spotlighter)"	item	1.08	1		XXX
93985	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	4		XXX
93985	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93986	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93986	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93986	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93986	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	30		XXX
93986	RUC	"Office Supply, Grocery"	SK074	"skin marking pen, fluorescent (Spotlighter)"	item	1.08	1		XXX
93986	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
93986	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93986	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93990	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93990	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
93990	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93990	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93990	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	30		XXX
93990	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
94010	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
94010	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1		XXX
94010	RUC	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.81	1		XXX
94010	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
94010	RUC	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94014	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94014	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
94014	CMS	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.81	1		XXX
94014	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
94014	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
94015	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
94015	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94015	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
94015	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
94015	CMS	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.81	1		XXX
94060	RUC	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.81	1		XXX
94060	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
94060	RUC	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94060	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1		XXX
94060	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
94060	RUC	"Accessory, Procedure"	SD101	nebulizer mouthpiece with tubing	item	1.18	1		XXX
94070	CMS	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1		XXX
94070	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94150	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
94150	CMS	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1		XXX
94150	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94150	CMS	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.81	1		XXX
94200	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
94375	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
94375	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
94375	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94375	CMS	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.81	1		XXX
94375	CMS	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1		XXX
94375	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
94450	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94450	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	3		XXX
94450	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
94450	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
94450	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
94450	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1		XXX
94450	CMS	"Accessory, Procedure"	SD085	"gas, test mixture"	liter	0.04	1		XXX
94452	CPT05	"Accessory, Procedure"	SD105	oxygen mask (1) and tubing (7ft)	item	0.9	1		XXX
94452	CPT05	"Accessory, Procedure"	SD085	"gas, test mixture"	liter	0.04	225		XXX
94452	CPT05	"Accessory, Procedure"	SD100	nasal cannula	item	1.66	1		XXX
94453	CPT05	"Accessory, Procedure"	SD100	nasal cannula	item	1.66	1		XXX
94453	CPT05	"Accessory, Procedure"	SD105	oxygen mask (1) and tubing (7ft)	item	0.9	1		XXX
94453	CPT05	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.01	150		XXX
94453	CPT05	"Accessory, Procedure"	SD085	"gas, test mixture"	liter	0.04	375		XXX
94617	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
94617	RUC	"Office Supply, Grocery"	SK068	razor	item	0.51	1		XXX
94617	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
94617	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5		XXX
94617	RUC	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94617	RUC	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.81	1		XXX
94617	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	10		XXX
94618	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
94619	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
94619	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	3		XXX
94619	RUC	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.81	1		XXX
94619	RUC	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94621	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1		XXX
94621	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	40		XXX
94621	RUC	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.81	1		XXX
94621	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	10		XXX
94621	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
94621	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1		XXX
94621	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5		XXX
94621	RUC	"Office Supply, Grocery"	SK068	razor	item	0.51	1		XXX
94621	RUC	Lab	SL048	desiccant-absorber	item	0.15	1		XXX
94621	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
94621	RUC	"Accessory, Procedure"	SD085	"gas, test mixture"	liter	0.04	150		XXX
94621	RUC	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94640	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
94640	RUC	"Accessory, Procedure"	SD101	nebulizer mouthpiece with tubing	item	1.18	1		XXX
94640	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
94644	CPT07	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
94644	CPT07	"Kit, Pack, Tray"	SA098	"kit, nebulizer, w-tubing and aerosole mask (Hope)"	kit	37.77	1		XXX
94644	CPT07	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
94644	CPT07	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
94644	CPT07	Lab	SL107	phosphate buffered saline solution	ml	0.01	2		XXX
94644	CPT07	"Accessory, Procedure"	SD077	"gas, air"	cu ft	0.025	19		XXX
94645	CPT07	"Accessory, Procedure"	SD077	"gas, air"	cu ft	0.025	19		XXX
94645	CPT07	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
94645	CPT07	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
94645	CPT07	Lab	SL107	phosphate buffered saline solution	ml	0.01	2		XXX
94660	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	XXX
94660	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
94664	Sep02	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1		XXX
94664	Sep02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
94664	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
94664	Sep02	"Accessory, Procedure"	SD101	nebulizer mouthpiece with tubing	item	1.18	1		XXX
94668	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
94680	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
94680	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
94680	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
94680	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94680	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		XXX
94680	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
94680	CMS	"Accessory, Procedure"	SD085	"gas, test mixture"	liter	0.04	150		XXX
94681	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
94681	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
94681	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		XXX
94681	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
94681	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94681	CMS	"Accessory, Procedure"	SD085	"gas, test mixture"	liter	0.04	150		XXX
94681	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
94690	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2		XXX
94690	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
94690	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
94690	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5		XXX
94690	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	5		XXX
94690	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94690	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
94690	CMS	"Accessory, Procedure"	SD085	"gas, test mixture"	liter	0.04	150		XXX
946X1	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2	0	XXX
946X1	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5	0	XXX
946X2	RUC	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.01	195	0	XXX
946X2	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	1.66	1	0	XXX
946X2	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4	0	XXX
946X2	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	6	0	XXX
94726	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
94726	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
94726	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
94726	CMS	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1		XXX
94726	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94726	CMS	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.01	50		XXX
94726	CMS	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.81	1		XXX
94727	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
94727	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
94727	CMS	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.81	1		XXX
94727	CMS	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1		XXX
94727	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
94727	CMS	"Pharmacy, Rx"	SH042	inhalant	gm	0.97	0.25		XXX
94727	CMS	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.01	50		XXX
94727	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94728	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
94728	CMS	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1		XXX
94728	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94728	CMS	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.81	1		XXX
94728	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
94728	CMS	"Accessory, Procedure"	SD101	nebulizer mouthpiece with tubing	item	1.18	1		XXX
94728	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
94729	CPT12 May 29	"Pharmacy, Rx"	SH042	inhalant	gm	0.97	25		ZZZ
94729	CPT12 May 29	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		ZZZ
94729	CPT12 May 29	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.81	1		ZZZ
94729	CPT12 May 29	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1		ZZZ
94729	CPT12 May 29	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		ZZZ
94729	CPT12 May 29	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		ZZZ
94729	CPT12 May 29	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		ZZZ
94760	CPT10 58	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
94760	CPT10 58	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035	1		XXX
94761	CPT10 58	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035	1		XXX
94761	CPT10 58	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
94762	CPT13 CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035	1		XXX
94762	CPT13 CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
94762	CPT13 CMS	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.83	6		XXX
94762	CPT13 CMS	"Accessory, Procedure"	SD278	Disposable oximeter cable	item	10.84	1		XXX
94762	CPT13 CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
94780	CPT12 May 30	"Accessory, Procedure"	SD104	oximetry sensor wrap	item	0.4	1	0	XXX
94780	CPT12 May 30	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	XXX
95004	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	0.02		XXX
95004	RUC	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.06	0.1		XXX
95004	RUC	"Pharmacy, Rx"	SH102	"positive control, allergy test"	ml	22.64	0.005		XXX
95004	RUC	"Pharmacy, Rx"	SH101	"negative control, allergy test"	ml	7.62	0.005		XXX
95004	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	0.02		XXX
95004	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	0.48		XXX
95004	RUC	"Pharmacy, NonRx"	SJ092	"allergen, diagnostic, multi (eg, pollen, mold, environmental)"	ml	8.44	0.25		XXX
95004	RUC	"Pharmacy, NonRx"	SJ093	allergy single-test device	ml	0.19	1		XXX
95004	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	0.04		XXX
95012	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	1		XXX
95012	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
95012	RUC	"Accessory, Procedure"	SD336	"sensor, filter, mouthpiece, nitric oxide"	kit	10.33	1		XXX
95017	CPT13 May 33	"Pharmacy, Rx"	SH104	"kit, antigen, venom (5 insects)"	ml	47.53	0.037	0	XXX
95017	CPT13 May 33	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	0.222	0	XXX
95017	CPT13 May 33	"Gown, Drape"	SB026	"gown, patient"	item	0.59	0.037	0	XXX
95017	CPT13 May 33	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	0.259	0	XXX
95017	CPT13 May 33	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	0.926	0	XXX
95017	CPT13 May 33	"Hypodermic, IV"	SC100	bifurcated needle or stylet	item	0.81	0.259	0	XXX
95017	CPT13 May 33	"Pharmacy, Rx"	SH004	albumin saline	ml	0.15	1.296	0	XXX
95017	CPT13 May 33	"Pharmacy, Rx"	SH101	"negative control, allergy test"	ml	7.62	0.002	0	XXX
95017	CPT13 May 33	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	0.296	0	XXX
95017	CPT13 May 33	"Pharmacy, Rx"	SH102	"positive control, allergy test"	ml	22.64	0.002	0	XXX
95017	CPT13 May 33	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1.37	0	XXX
95017	CPT13 May 33	Lab	SL027	color coded cap and vial (for antigen)	item	0.63	0.741	0	XXX
95017	CPT13 May 33	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.06	0.074	0	XXX
95017	CPT13 May 33	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1.222	0	XXX
95017	CPT13 May 33	Lab	SL198	"label, vial"	item	0.02	0.741	0	XXX
95018	CPT13 May 33	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.06	0.111	0	XXX
95018	CPT13 May 33	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	XXX
95018	CPT13 May 33	"Pharmacy, Rx"	SH105	"negative control, allergy intradermal test"	ml	39.46	0.022	0	XXX
95018	CPT13 May 33	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	0.111	0	XXX
95018	CPT13 May 33	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	0.333	0	XXX
95018	CPT13 May 33	"Gown, Drape"	SB026	"gown, patient"	item	0.59	0.111	0	XXX
95018	CPT13 May 33	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	0.778	0	XXX
95018	CPT13 May 33	Lab	SL198	"label, vial"	item	0.02	0.333	0	XXX
95018	CPT13 May 33	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	0.556	0	XXX
95018	CPT13 May 33	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	0.111	0	XXX
95018	CPT13 May 33	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	0.556	0	XXX
95018	CPT13 May 33	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	0.111	0	XXX
95018	CPT13 May 33	"Hypodermic, IV"	SC100	bifurcated needle or stylet	item	0.81	0.444	0	XXX
95018	CPT13 May 33	"Pharmacy, Rx"	SH101	"negative control, allergy test"	ml	7.62	0.006	0	XXX
95018	CPT13 May 33	"Pharmacy, Rx"	SH102	"positive control, allergy test"	ml	22.64	0.006	0	XXX
95018	CPT13 May 33	Lab	SL027	color coded cap and vial (for antigen)	item	0.63	0.333	0	XXX
95018	CPT13 May 33	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	0.111	0	XXX
95018	CPT13 May 33	"Pharmacy, Rx"	SH103	"benzylpenicilloyl polylysine (eg, PrePen) 0.25ml uou"	each	89.33	0.111	0	XXX
95024	CPT12 May 40	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	0.125	0	XXX
95024	CPT12 May 40	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	0.125	0	XXX
95024	CPT12 May 40	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	3	0	XXX
95024	CPT12 May 40	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	0.063	0	XXX
95024	CPT12 May 40	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	XXX
95024	CPT12 May 40	"Pharmacy, Rx"	SH004	albumin saline	ml	0.15	1	0	XXX
95024	CPT12 May 40	"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.48	1	0	XXX
95024	CPT12 May 40	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.06	0.063	0	XXX
95024	CPT12 May 40	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	XXX
95024	CPT12 May 40	Lab	SL027	color coded cap and vial (for antigen)	item	0.63	1	0	XXX
95024	CPT12 May 40	Lab	SL085	label for microscope slides	item	0.14	1	0	XXX
95027	CPT08 rv	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.06	0.125		XXX
95027	CPT08 rv	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	0.17		XXX
95027	CPT08 rv	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	0.022		XXX
95027	CPT08 rv	"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.48	0.33		XXX
95027	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	0.022		XXX
95027	CPT08 rv	"Pharmacy, Rx"	SH004	albumin saline	ml	0.15	0.5		XXX
95027	CPT08 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	0.17		XXX
95027	CPT08 rv	Lab	SL085	label for microscope slides	item	0.14	1		XXX
95027	CPT08 rv	Lab	SL027	color coded cap and vial (for antigen)	item	0.63	1		XXX
95028	Sep02	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		XXX
95028	Sep02	"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.48	1		XXX
95044	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	0.278		XXX
95044	RUC	Lab	SL109	"pipette, transfer 23ml"	item	0.16	0.278		XXX
95044	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	0.83		XXX
95044	RUC	"Office Supply, Grocery"	SK074	"skin marking pen, fluorescent (Spotlighter)"	item	1.08	0.028		XXX
95044	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	0.028		XXX
95044	RUC	Lab	SL001	acetone	ml	0.06	0.028		XXX
95044	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.028		XXX
95044	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	0.83		XXX
95044	RUC	"Pharmacy, NonRx"	SJ004	"allergen patch test cell, Finn Chambers (5 cell card)"	item	9.55	0.028		XXX
95044	RUC	"Pharmacy, NonRx"	SJ003	"allergen patch test cell, Finn Chambers (10 cell card)"	item	13.51	0.028		XXX
95044	RUC	"Pharmacy, Rx"	SH008	"antigen, single"	ml	7.02	0.056		XXX
95044	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	0.028		XXX
95044	RUC	"Pharmacy, NonRx"	SJ002	"allergen patch test card, T.R.U.E. (24 test card)"	item	59.41	0.028		XXX
95044	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	0.278		XXX
95044	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4	0.028		XXX
95044	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	0.028		XXX
95044	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	0.028		XXX
95044	RUC	"Office Supply, Grocery"	SK019	"diluent, olive oil"	ml	0.05	0.033		XXX
95044	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	0.000833333		XXX
95052	Jan04 23	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	0.028		XXX
95052	Jan04 23	Lab	SL109	"pipette, transfer 23ml"	item	0.16	0.278		XXX
95052	Jan04 23	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	0.278		XXX
95052	Jan04 23	"Office Supply, Grocery"	SK019	"diluent, olive oil"	ml	0.05	0.033		XXX
95052	Jan04 23	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	0.278		XXX
95052	Jan04 23	"Pharmacy, NonRx"	SJ004	"allergen patch test cell, Finn Chambers (5 cell card)"	item	9.55	0.028		XXX
95052	Jan04 23	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.028		XXX
95052	Jan04 23	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	0.028		XXX
95052	Jan04 23	"Office Supply, Grocery"	SK074	"skin marking pen, fluorescent (Spotlighter)"	item	1.08	0.028		XXX
95052	Jan04 23	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	0.028		XXX
95052	Jan04 23	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4	0.028		XXX
95052	Jan04 23	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	0.028		XXX
95052	Jan04 23	"Pharmacy, Rx"	SH008	"antigen, single"	ml	7.02	0.056		XXX
95052	Jan04 23	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	0.056		XXX
95052	Jan04 23	Lab	SL001	acetone	ml	0.06	0.028		XXX
95052	Jan04 23	"Pharmacy, NonRx"	SJ002	"allergen patch test card, T.R.U.E. (24 test card)"	item	59.41	0.028		XXX
95052	Jan04 23	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	0.83		XXX
95052	Jan04 23	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	0.000833333		XXX
95052	Jan04 23	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	0.83		XXX
95052	Jan04 23	"Pharmacy, NonRx"	SJ003	"allergen patch test cell, Finn Chambers (10 cell card)"	item	13.51	0.028		XXX
95056	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
95056	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
95056	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
95056	CMS	"Office Supply, Grocery"	SK074	"skin marking pen, fluorescent (Spotlighter)"	item	1.08	1		XXX
95060	Feb05 ??	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95060	Feb05 ??	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
95060	Feb05 ??	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95060	Feb05 ??	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95060	Feb05 ??	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
95060	Feb05 ??	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		XXX
95060	Feb05 ??	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		XXX
95060	Feb05 ??	"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.48	1		XXX
95060	Feb05 ??	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95060	Feb05 ??	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
95060	Feb05 ??	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95065	Feb05 ??	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
95065	Feb05 ??	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
95065	Feb05 ??	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95065	Feb05 ??	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95065	Feb05 ??	"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.48	1		XXX
95065	Feb05 ??	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
95065	Feb05 ??	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		XXX
95065	Feb05 ??	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95065	Feb05 ??	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95065	Feb05 ??	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95065	Feb05 ??	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		XXX
95070	Mar04 G	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	2		XXX
95070	Mar04 G	"Accessory, Procedure"	SD184	nebulizer medication cup	item	0.81	1		XXX
95070	Mar04 G	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
95070	Mar04 G	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
95070	Mar04 G	"Accessory, Procedure"	SD101	nebulizer mouthpiece with tubing	item	1.18	1		XXX
95070	Mar04 G	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
95070	Mar04 G	"Pharmacy, Rx"	SH077	albuterol inhal soln (3ml vial)	item	0.6	1		XXX
95070	Mar04 G	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
95070	Mar04 G	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	8		XXX
95070	Mar04 G	"Accessory, Procedure"	SD077	"gas, air"	cu ft	0.025	32		XXX
95070	Mar04 G	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	8		XXX
95070	Mar04 G	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
95076	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	XXX
95076	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	XXX
95076	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	XXX
95076	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
95076	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	0	XXX
95076	CMS	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.04	7	0	XXX
95115	CPT13 May 55	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
95115	CPT13 May 55	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95115	CPT13 May 55	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		XXX
95115	CPT13 May 55	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95115	CPT13 May 55	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
95117	CPT13 May 55	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		XXX
95117	CPT13 May 55	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
95117	CPT13 May 55	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
95117	CPT13 May 55	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95117	CPT13 May 55	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	2		XXX
95144	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.01	0	XXX
95144	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	XXX
95144	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	0.1	0	XXX
95144	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	6	0	XXX
95144	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	XXX
95144	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.4	0	XXX
95144	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	0.01	0	XXX
95144	RUC	Infection Control	SM023	scrub brush (impregnated)	item	6.29	0.1	0	XXX
95144	RUC	"Office Supply, Grocery"	SK127	antigen vial transport envelopt	item	1.63	0.1	0	XXX
95144	RUC	Lab	SL198	"label, vial"	item	0.02	1	0	XXX
95144	RUC	Lab	SL027	color coded cap and vial (for antigen)	item	0.63	1	0	XXX
95144	RUC	"Pharmacy, Rx"	SH007	"antigen, multi (pollen, mite, mold, cat)"	ml	8.96	1	0	XXX
95144	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	0.1	0	XXX
95145	Sep02	"Pharmacy, Rx"	SH009	"antigen, venom"	ml	30.93	1	0	XXX
95145	Sep02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
95145	Sep02	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	XXX
95145	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
95146	Sep02	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	2	0	XXX
95146	Sep02	"Pharmacy, Rx"	SH009	"antigen, venom"	ml	30.93	2	0	XXX
95146	Sep02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
95146	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	XXX
95147	Sep02	"Pharmacy, Rx"	SH010	"antigen, venom, tri-vespid"	ml	60.24	1	0	XXX
95147	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
95147	Sep02	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	XXX
95147	Sep02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
95148	Sep02	"Pharmacy, Rx"	SH009	"antigen, venom"	ml	30.93	1	0	XXX
95148	Sep02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
95148	Sep02	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	2	0	XXX
95148	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
95148	Sep02	"Pharmacy, Rx"	SH010	"antigen, venom, tri-vespid"	ml	60.24	1	0	XXX
95149	Sep02	"Pharmacy, Rx"	SH010	"antigen, venom, tri-vespid"	ml	60.24	1	0	XXX
95149	Sep02	"Pharmacy, Rx"	SH009	"antigen, venom"	ml	30.93	2	0	XXX
95149	Sep02	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	3	0	XXX
95149	Sep02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
95149	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
95165	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.2	0	XXX
95165	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.01	0	XXX
95165	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	XXX
95165	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	3	0	XXX
95165	RUC	"Office Supply, Grocery"	SK127	antigen vial transport envelopt	item	1.63	0.1	0	XXX
95165	RUC	Lab	SL027	color coded cap and vial (for antigen)	item	0.63	0.1	0	XXX
95165	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	0.01	0	XXX
95165	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	XXX
95165	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	0.1	0	XXX
95165	RUC	"Pharmacy, Rx"	SH007	"antigen, multi (pollen, mite, mold, cat)"	ml	8.96	1	0	XXX
95165	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	0.1	0	XXX
95165	RUC	Infection Control	SM023	scrub brush (impregnated)	item	6.29	0.1	0	XXX
95165	RUC	Lab	SL198	"label, vial"	item	0.02	0.1	0	XXX
95170	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
95170	Sep02	"Pharmacy, Rx"	SH008	"antigen, single"	ml	7.02	1	0	XXX
95170	Sep02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
95170	Sep02	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	XXX
95180	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	000
95180	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	20	0	000
95180	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2	0	000
95180	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
95180	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	4	0	000
95180	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	10	0	000
95180	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
95180	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	15	0	000
95249	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
95249	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
95249	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	9		XXX
95249	CMS	"Wound Care, Dressings"	SG036	"dressing, 4in x 4.75in (Polyskin)"	item	1.45	1		XXX
95250	RUC	"Wound Care, Dressings"	SG036	"dressing, 4in x 4.75in (Polyskin)"	item	1.45	1		XXX
95250	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
95250	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
95250	RUC	"Accessory, Procedure"	SD114	"sensor, glucose monitoring (interstitial)"	item	59.31	1		XXX
95250	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	9		XXX
95782	CPT13 May 35	"Accessory, Procedure"	SD274	Self-adherent velcro wraps	item	5.29	1		XXX
95782	CPT13 May 35	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	20		XXX
95782	CPT13 May 35	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
95782	CPT13 May 35	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		XXX
95782	CPT13 May 35	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95782	CPT13 May 35	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
95782	CPT13 May 35	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	2		XXX
95782	CPT13 May 35	"Accessory, Procedure"	SD104	oximetry sensor wrap	item	0.4	1		XXX
95782	CPT13 May 35	"Accessory, Procedure"	SD273	Pediatric cannula	item	136.11	1		XXX
95782	CPT13 May 35	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	4		XXX
95782	CPT13 May 35	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
95782	CPT13 May 35	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95782	CPT13 May 35	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
95782	CPT13 May 35	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
95782	CPT13 May 35	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
95782	CPT13 May 35	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	11		XXX
95782	CPT13 May 35	"Pharmacy, NonRx"	SJ023	electrode skin prep tape (One-Step)	inch	0.16	40		XXX
95783	CPT13 May 35	"Accessory, Procedure"	SD273	Pediatric cannula	item	136.11	1		XXX
95783	CPT13 May 35	"Accessory, Procedure"	SD274	Self-adherent velcro wraps	item	5.29	1		XXX
95783	CPT13 May 35	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
95783	CPT13 May 35	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		XXX
95783	CPT13 May 35	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95783	CPT13 May 35	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
95783	CPT13 May 35	"Accessory, Procedure"	SD104	oximetry sensor wrap	item	0.4	1		XXX
95783	CPT13 May 35	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95783	CPT13 May 35	"Pharmacy, NonRx"	SJ023	electrode skin prep tape (One-Step)	inch	0.16	40		XXX
95783	CPT13 May 35	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	4		XXX
95783	CPT13 May 35	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	2		XXX
95783	CPT13 May 35	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
95783	CPT13 May 35	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	20		XXX
95783	CPT13 May 35	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
95783	CPT13 May 35	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
95783	CPT13 May 35	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	11		XXX
95783	CPT13 May 35	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
95800	RUC	"Accessory, Procedure"	SD263	WatchPAT pneumo-opt slp probes	item	73.32	1		XXX
95800	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4	1		XXX
95800	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
95800	RUC	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	8		XXX
95800	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
95800	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5		XXX
95800	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
95801	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
95801	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
95801	RUC	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3.17	1		XXX
95801	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5		XXX
95801	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
95801	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4	1		XXX
95801	RUC	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	8		XXX
95803	CPT11 42	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	3		XXX
95803	CPT11 42	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
95805	CPT15 FTD Migration	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
95805	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		XXX
95805	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
95805	CPT15 FTD Migration	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
95805	CPT15 FTD Migration	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
95805	CPT15 FTD Migration	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
95805	CPT15 FTD Migration	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95805	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	4		XXX
95805	CPT15 FTD Migration	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	2		XXX
95805	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	12		XXX
95805	CPT15 FTD Migration	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
95805	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ023	electrode skin prep tape (One-Step)	inch	0.16	24		XXX
95805	CPT15 FTD Migration	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	6		XXX
95805	CPT15 FTD Migration	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95806	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
95806	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5		XXX
95806	RUC	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	8		XXX
95806	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
95806	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
95806	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4	1		XXX
95806	RUC	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3.17	1		XXX
95807	CPT15 FTD Migration	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
95807	CPT15 FTD Migration	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3.17	1		XXX
95807	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95807	CPT15 FTD Migration	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
95808	CPT11 42	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3.17	1		XXX
95808	CPT11 42	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	2		XXX
95808	CPT11 42	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	4		XXX
95808	CPT11 42	"Accessory, Procedure"	SD104	oximetry sensor wrap	item	0.4	1		XXX
95808	CPT11 42	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
95808	CPT11 42	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	6		XXX
95808	CPT11 42	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		XXX
95808	CPT11 42	"Pharmacy, NonRx"	SJ023	electrode skin prep tape (One-Step)	inch	0.16	24		XXX
95808	CPT11 42	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95808	CPT11 42	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	3		XXX
95808	CPT11 42	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
95808	CPT11 42	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
95808	CPT11 42	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
95808	CPT11 42	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95808	CPT11 42	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
95808	CPT11 42	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	12		XXX
95810	CPT11 42	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	9		XXX
95810	CPT11 42	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
95810	CPT11 42	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3.17	1		XXX
95810	CPT11 42	"Accessory, Procedure"	SD104	oximetry sensor wrap	item	0.4	1		XXX
95810	CPT11 42	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
95810	CPT11 42	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
95810	CPT11 42	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
95810	CPT11 42	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		XXX
95810	CPT11 42	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	4		XXX
95810	CPT11 42	"Pharmacy, NonRx"	SJ023	electrode skin prep tape (One-Step)	inch	0.16	36		XXX
95810	CPT11 42	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
95810	CPT11 42	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
95810	CPT11 42	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95810	CPT11 42	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	18		XXX
95810	CPT11 42	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	2		XXX
95810	CPT11 42	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95811	CPT11 42	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	9		XXX
95811	CPT11 42	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		XXX
95811	CPT11 42	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
95811	CPT11 42	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
95811	CPT11 42	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
95811	CPT11 42	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95811	CPT11 42	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
95811	CPT11 42	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	2		XXX
95811	CPT11 42	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3.17	1		XXX
95811	CPT11 42	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
95811	CPT11 42	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
95811	CPT11 42	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95811	CPT11 42	"Accessory, Procedure"	SD104	oximetry sensor wrap	item	0.4	1		XXX
95811	CPT11 42	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	4		XXX
95811	CPT11 42	"Pharmacy, NonRx"	SJ023	electrode skin prep tape (One-Step)	inch	0.16	36		XXX
95811	CPT11 42	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	18		XXX
95812	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95812	RUC	"Accessory, Procedure"	SD054	"electrode, EEG, tin cup (12 pack uou)"	item	15.75	2		XXX
95812	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95812	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
95812	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3		XXX
95812	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2		XXX
95812	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95812	RUC	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.66	1		XXX
95812	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		XXX
95812	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1		XXX
95812	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95812	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	100		XXX
95812	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		XXX
95812	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	42		XXX
95812	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		XXX
95812	RUC	Lab	SL001	acetone	ml	0.06	15		XXX
95812	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	0.1		XXX
95812	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95813	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
95813	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95813	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3		XXX
95813	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		XXX
95813	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2		XXX
95813	RUC	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.66	1		XXX
95813	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	42		XXX
95813	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	0.1		XXX
95813	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95813	RUC	Lab	SL001	acetone	ml	0.06	15		XXX
95813	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95813	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		XXX
95813	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	100		XXX
95813	RUC	"Accessory, Procedure"	SD054	"electrode, EEG, tin cup (12 pack uou)"	item	15.75	2		XXX
95813	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		XXX
95813	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95813	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95813	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1		XXX
95816	CMS	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.66	1		XXX
95816	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	100		XXX
95816	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95816	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95816	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1		XXX
95816	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95816	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3		XXX
95816	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
95816	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		XXX
95816	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95816	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95816	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	0.1		XXX
95816	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	42		XXX
95816	CMS	Lab	SL001	acetone	ml	0.06	15		XXX
95816	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2		XXX
95816	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		XXX
95816	CMS	"Accessory, Procedure"	SD054	"electrode, EEG, tin cup (12 pack uou)"	item	15.75	2		XXX
95816	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95816	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		XXX
95819	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95819	CMS	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.66	1		XXX
95819	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		XXX
95819	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	100		XXX
95819	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		XXX
95819	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95819	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2		XXX
95819	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	42		XXX
95819	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
95819	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95819	CMS	Lab	SL001	acetone	ml	0.06	15		XXX
95819	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		XXX
95819	CMS	"Accessory, Procedure"	SD054	"electrode, EEG, tin cup (12 pack uou)"	item	15.75	2		XXX
95819	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3		XXX
95819	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95819	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95819	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	0.1		XXX
95819	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1		XXX
95819	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95822	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		XXX
95822	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95822	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95822	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95822	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3		XXX
95822	CMS	"Accessory, Procedure"	SD054	"electrode, EEG, tin cup (12 pack uou)"	item	15.75	2		XXX
95822	CMS	Lab	SL001	acetone	ml	0.06	15		XXX
95822	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	100		XXX
95822	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		XXX
95822	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95822	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95822	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95822	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1		XXX
95822	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2		XXX
95822	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	42		XXX
95822	CMS	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.66	1		XXX
95822	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
95822	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		XXX
95822	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	0.1		XXX
95829	CPT15 FTD Migration	"Accessory, Procedure"	SD058	"electrode, grid"	item	475	1		XXX
95829	CPT15 FTD Migration	"Accessory, Procedure"	SD048	"electrode alligator clip, pair"	pair	10.195	1		XXX
95829	CPT15 FTD Migration	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		XXX
95829	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.66	1		XXX
95829	CPT15 FTD Migration	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	500		XXX
95830	Feb00	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	XXX
95830	Feb00	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	XXX
95830	Feb00	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	2	0	XXX
95830	Feb00	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.66	1	0	XXX
95830	Feb00	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	XXX
95830	Feb00	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
95830	Feb00	"Accessory, Procedure"	SD061	"electrode, sphenoidal"	item	122.04	2	0	XXX
95830	Feb00	"Pharmacy, Rx"	SH030	Emla cream	gm	2.19	5	0	XXX
95830	Feb00	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	4	0	XXX
95830	Feb00	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	1	0	XXX
95830	Feb00	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	XXX
95830	Feb00	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	XXX
95851	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	XXX
95851	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
95851	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	XXX
95851	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	XXX
95851	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
95852	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
95852	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	XXX
95852	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	XXX
95852	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
95857		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
95857		"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
95857		"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	XXX
95857		"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	XXX
95857		"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	XXX
95857		"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5	0	XXX
95857		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
95857		"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	XXX
95857		"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1	0	XXX
95857		Infection Control	SM025	"specula tips, otoscope"	item	0.45	1	0	XXX
95857		"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1	0	XXX
95857		"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	XXX
95857		"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1	0	XXX
95860	CPT13 May 36	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		XXX
95860	CPT13 May 36	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	11.42	1		XXX
95860	CPT13 May 36	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95860	CPT13 May 36	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95860	CPT13 May 36	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
95860	CPT13 May 36	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95860	CPT13 May 36	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	6		XXX
95860	CPT13 May 36	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	3		XXX
95860	CPT13 May 36	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	3		XXX
95860	CPT13 May 36	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	1		XXX
95860	CPT13 May 36	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95861	CPT13 May 36	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95861	CPT13 May 36	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
95861	CPT13 May 36	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	6		XXX
95861	CPT13 May 36	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95861	CPT13 May 36	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95861	CPT13 May 36	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	11.42	1		XXX
95861	CPT13 May 36	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4		XXX
95861	CPT13 May 36	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	5		XXX
95861	CPT13 May 36	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	12		XXX
95861	CPT13 May 36	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95861	CPT13 May 36	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	2		XXX
95863	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
95863	CMS	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	11.42	1		XXX
95863	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	9		XXX
95863	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
95863	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6		XXX
95863	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	7		XXX
95863	CMS	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	3		XXX
95863	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95863	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	18		XXX
95864	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	24		XXX
95864	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	9		XXX
95864	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95864	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	8		XXX
95864	CMS	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	11.42	1		XXX
95864	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
95864	CMS	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	4		XXX
95864	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	12		XXX
95864	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
95865	CPT13 May 36	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		XXX
95865	CPT13 May 36	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	6		XXX
95865	CPT13 May 36	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
95865	CPT13 May 36	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95865	CPT13 May 36	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4		XXX
95865	CPT13 May 36	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
95865	CPT13 May 36	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	5		XXX
95865	CPT13 May 36	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	11.42	1		XXX
95865	CPT13 May 36	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	1		XXX
95866	CPT13 May 36	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		XXX
95866	CPT13 May 36	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	6		XXX
95866	CPT13 May 36	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95866	CPT13 May 36	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
95866	CPT13 May 36	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	5		XXX
95866	CPT13 May 36	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
95866	CPT13 May 36	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4		XXX
95866	CPT13 May 36	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	11.42	1		XXX
95866	CPT13 May 36	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	1		XXX
95867	CPT13 May 36	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4		XXX
95867	CPT13 May 36	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
95867	CPT13 May 36	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95867	CPT13 May 36	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	6		XXX
95867	CPT13 May 36	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		XXX
95867	CPT13 May 36	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
95867	CPT13 May 36	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	3		XXX
95867	CPT13 May 36	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	1		XXX
95867	CPT13 May 36	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	11.42	1		XXX
95868	CPT13 May 36	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	1		XXX
95868	CPT13 May 36	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95868	CPT13 May 36	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	5		XXX
95868	CPT13 May 36	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
95868	CPT13 May 36	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	8		XXX
95868	CPT13 May 36	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	8		XXX
95868	CPT13 May 36	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	6		XXX
95868	CPT13 May 36	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		XXX
95868	CPT13 May 36	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	11.42	1		XXX
95869	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
95869	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
95869	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	5		XXX
95869	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95869	CMS	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	1		XXX
95869	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	6		XXX
95869	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4		XXX
95869	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		XXX
95869	CMS	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	11.42	1		XXX
95869	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
95870	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	4		XXX
95870	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	4		XXX
95870	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6		XXX
95870	RUC	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	1		XXX
95870	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95870	RUC	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	11.42	1		XXX
95870	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5		XXX
95870	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	5		XXX
95872	Jan04 18	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	6		XXX
95872	Jan04 18	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4		XXX
95872	Jan04 18	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	3		XXX
95872	Jan04 18	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95872	Jan04 18	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
95872	Jan04 18	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
95872	Jan04 18	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		XXX
95872	Jan04 18	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	10		XXX
95872	Jan04 18	"Accessory, Procedure"	SD051	"electrode needle, monopolar EMG w-lead"	item	2.95	1		XXX
95873	RUC05	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1		ZZZ
95873	RUC05	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	25.09	1		ZZZ
95873	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		ZZZ
95873	RUC05	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		ZZZ
95873	RUC05	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	5		ZZZ
95873	RUC05	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		ZZZ
95874	RUC05	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	5		ZZZ
95874	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		ZZZ
95874	RUC05	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1		ZZZ
95874	RUC05	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		ZZZ
95874	RUC05	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	25.09	1		ZZZ
95874	RUC05	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		ZZZ
95875		"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
95875		"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
95875		"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95875		"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
95875		"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
95875		"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1		XXX
95875		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
95875		Lab	SL143	test tube	item	0.2	14		XXX
95875		"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24		XXX
95875		"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	7		XXX
95875		"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	7		XXX
95875		Lab	SL085	label for microscope slides	item	0.14	14		XXX
95885	CPT12 May 31	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		ZZZ
95885	CPT12 May 31	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4		ZZZ
95885	CPT12 May 31	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	11.42	1		ZZZ
95885	CPT12 May 31	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		ZZZ
95885	CPT12 May 31	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	4		ZZZ
95885	CPT12 May 31	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		ZZZ
95885	CPT12 May 31	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	3		ZZZ
95885	CPT12 May 31	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		ZZZ
95885	CPT12 May 31	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	2.54	1		ZZZ
95886	CPT12 May 31	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	6		ZZZ
95886	CPT12 May 31	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		ZZZ
95886	CPT12 May 31	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		ZZZ
95886	CPT12 May 31	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	2.54	1		ZZZ
95886	CPT12 May 31	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	11.42	1		ZZZ
95886	CPT12 May 31	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	3		ZZZ
95886	CPT12 May 31	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6		ZZZ
95886	CPT12 May 31	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	6		ZZZ
95886	CPT12 May 31	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		ZZZ
95887	CPT12 May 31	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		ZZZ
95887	CPT12 May 31	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	2.54	1		ZZZ
95887	CPT12 May 31	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		ZZZ
95887	CPT12 May 31	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		ZZZ
95887	CPT12 May 31	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4		ZZZ
95887	CPT12 May 31	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	11.42	1		ZZZ
95887	CPT12 May 31	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	3		ZZZ
95887	CPT12 May 31	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		ZZZ
95887	CPT12 May 31	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	6		ZZZ
95905	CPT10 22	"Accessory, Procedure"	SD223	"electrode, array, nerve, preconfigured,"	item	21.94	1		XXX
95905	CPT10 22	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95907	CPT13 May 36	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95907	CPT13 May 36	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1		XXX
95907	CPT13 May 36	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95907	CPT13 May 36	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
95907	CPT13 May 36	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4		XXX
95907	CPT13 May 36	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95907	CPT13 May 36	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95907	CPT13 May 36	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95907	CPT13 May 36	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		XXX
95907	CPT13 May 36	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	1.32	1		XXX
95907	CPT13 May 36	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	1		XXX
95908	CPT13 May 36	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95908	CPT13 May 36	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	8		XXX
95908	CPT13 May 36	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24		XXX
95908	CPT13 May 36	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95908	CPT13 May 36	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95908	CPT13 May 36	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95908	CPT13 May 36	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95908	CPT13 May 36	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	8		XXX
95908	CPT13 May 36	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1		XXX
95908	CPT13 May 36	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	1		XXX
95908	CPT13 May 36	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	1.32	1		XXX
95909	CPT13 May 36	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95909	CPT13 May 36	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95909	CPT13 May 36	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95909	CPT13 May 36	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95909	CPT13 May 36	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36		XXX
95909	CPT13 May 36	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	12		XXX
95909	CPT13 May 36	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	12		XXX
95909	CPT13 May 36	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95909	CPT13 May 36	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1		XXX
95909	CPT13 May 36	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	1.32	1		XXX
95909	CPT13 May 36	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	1		XXX
95910	CPT13 May 36	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	48		XXX
95910	CPT13 May 36	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	2		XXX
95910	CPT13 May 36	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95910	CPT13 May 36	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95910	CPT13 May 36	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95910	CPT13 May 36	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	1.32	1		XXX
95910	CPT13 May 36	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	16		XXX
95910	CPT13 May 36	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	16		XXX
95910	CPT13 May 36	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95910	CPT13 May 36	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1		XXX
95910	CPT13 May 36	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95911	CPT13 May 36	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95911	CPT13 May 36	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	60		XXX
95911	CPT13 May 36	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95911	CPT13 May 36	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95911	CPT13 May 36	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95911	CPT13 May 36	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	20		XXX
95911	CPT13 May 36	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	1.32	1		XXX
95911	CPT13 May 36	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	20		XXX
95911	CPT13 May 36	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95911	CPT13 May 36	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	2		XXX
95911	CPT13 May 36	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	2		XXX
95912	CPT13 May 36	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	1.32	1		XXX
95912	CPT13 May 36	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	24		XXX
95912	CPT13 May 36	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	2		XXX
95912	CPT13 May 36	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95912	CPT13 May 36	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95912	CPT13 May 36	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	2		XXX
95912	CPT13 May 36	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	72		XXX
95912	CPT13 May 36	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95912	CPT13 May 36	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	24		XXX
95912	CPT13 May 36	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95912	CPT13 May 36	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95913	CPT13 May 36	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95913	CPT13 May 36	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	2		XXX
95913	CPT13 May 36	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	26		XXX
95913	CPT13 May 36	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95913	CPT13 May 36	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95913	CPT13 May 36	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	2		XXX
95913	CPT13 May 36	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	78		XXX
95913	CPT13 May 36	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	1.32	1		XXX
95913	CPT13 May 36	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95913	CPT13 May 36	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	26		XXX
95913	CPT13 May 36	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95921	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1		XXX
95921	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95921	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		XXX
95921	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
95921	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		XXX
95921	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95921	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	6		XXX
95922	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		XXX
95922	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95922	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
95922	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1		XXX
95922	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	6		XXX
95922	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		XXX
95922	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95923	RUC	"Accessory, Procedure"	SD276	Indicator powder	item		10		XXX
95923	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
95923	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	2		XXX
95923	RUC	"Pharmacy, Rx"	SH002	acetylcholine (for patient use)	gm	0.53	50		XXX
95923	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95923	RUC	"Kit, Pack, Tray"	SA014	"kit, electrode, iontophoresis"	kit	3.93	4		XXX
95923	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1		XXX
95923	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95923	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		XXX
95924	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	6		XXX
95924	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		XXX
95924	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
95924	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		XXX
95924	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95924	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95924	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1		XXX
95925	CPT13 May 56	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	2.54	8		XXX
95925	CPT13 May 56	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	24		XXX
95925	CPT13 May 56	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		XXX
95925	CPT13 May 56	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.66	1		XXX
95925	CPT13 May 56	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
95925	CPT13 May 56	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		XXX
95925	CPT13 May 56	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		XXX
95925	CPT13 May 56	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1		XXX
95925	CPT13 May 56	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95925	CPT13 May 56	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95925	CPT13 May 56	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	6		XXX
95925	CPT13 May 56	Lab	SL001	acetone	ml	0.06	7		XXX
95925	CPT13 May 56	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95925	CPT13 May 56	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.17		XXX
95925	CPT13 May 56	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	10		XXX
95925	CPT13 May 56	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95926	CPT13 May 56	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		XXX
95926	CPT13 May 56	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
95926	CPT13 May 56	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		XXX
95926	CPT13 May 56	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95926	CPT13 May 56	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95926	CPT13 May 56	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	2.54	8		XXX
95926	CPT13 May 56	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		XXX
95926	CPT13 May 56	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.66	1		XXX
95926	CPT13 May 56	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.17		XXX
95926	CPT13 May 56	Lab	SL001	acetone	ml	0.06	7		XXX
95926	CPT13 May 56	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	6		XXX
95926	CPT13 May 56	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95926	CPT13 May 56	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95926	CPT13 May 56	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	10		XXX
95926	CPT13 May 56	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1		XXX
95926	CPT13 May 56	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	24		XXX
95927	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1		XXX
95927	CMS	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.66	1		XXX
95927	CMS	Lab	SL001	acetone	ml	0.06	15		XXX
95927	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	10		XXX
95927	CMS	"Accessory, Procedure"	SD166	"electrode, EGG (single)"	item	2.07	4		XXX
95927	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
95927	CMS	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		XXX
95927	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95927	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
95927	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		XXX
95927	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95927	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		XXX
95927	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	6		XXX
95927	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95927	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95927	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	24		XXX
95928	RUC	Lab	SL001	acetone	ml	0.06	7		XXX
95928	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95928	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1		XXX
95928	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95928	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	6		XXX
95928	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	2		XXX
95928	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.17		XXX
95928	RUC	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	2.54	12		XXX
95928	RUC	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		XXX
95928	RUC	"Office Supply, Grocery"	SK021	emery board	item	0.13	1		XXX
95928	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	24		XXX
95928	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
95928	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		XXX
95929	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95929	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.17		XXX
95929	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		XXX
95929	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	24		XXX
95929	RUC	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	2.54	12		XXX
95929	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95929	RUC	Lab	SL001	acetone	ml	0.06	7		XXX
95929	RUC	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		XXX
95929	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	2		XXX
95929	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	6		XXX
95929	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1		XXX
95929	RUC	"Office Supply, Grocery"	SK021	emery board	item	0.13	1		XXX
95929	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
95929	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
95930	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1		XXX
95930	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95930	RUC	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		XXX
95930	RUC	"Accessory, Procedure"	SD166	"electrode, EGG (single)"	item	2.07	2		XXX
95930	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
95930	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
95930	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
95930	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	1		XXX
95930	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	8		XXX
95930	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	10		XXX
95930	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
95933	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24		XXX
95933	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1		XXX
95933	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
95933	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95933	RUC	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	1.32	1		XXX
95933	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	1		XXX
95933	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	10		XXX
95933	RUC	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		XXX
95933	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		XXX
95933	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		XXX
95933	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95933	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95937	Feb01	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95937	Feb01	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
95937	Feb01	"Accessory, Procedure"	SD052	"electrode, bar-style (single)"	item	0.37	1		XXX
95937	Feb01	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		XXX
95937	Feb01	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	1.32	1		XXX
95937	Feb01	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		XXX
95937	Feb01	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	1		XXX
95937	Feb01	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95937	Feb01	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95937	Feb01	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1		XXX
95937	Feb01	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	100		XXX
95937	Feb01	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		XXX
95937	Feb01	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36		XXX
95938	CPT13 May 56	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	48		XXX
95938	CPT13 May 56	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		XXX
95938	CPT13 May 56	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.66	1		XXX
95938	CPT13 May 56	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95938	CPT13 May 56	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
95938	CPT13 May 56	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		XXX
95938	CPT13 May 56	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		XXX
95938	CPT13 May 56	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
95938	CPT13 May 56	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	2.54	16		XXX
95938	CPT13 May 56	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95938	CPT13 May 56	Lab	SL001	acetone	ml	0.06	15		XXX
95938	CPT13 May 56	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	12		XXX
95938	CPT13 May 56	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95938	CPT13 May 56	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
95938	CPT13 May 56	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	20		XXX
95938	CPT13 May 56	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	2		XXX
95939	CPT13 May 56	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
95939	CPT13 May 56	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		XXX
95939	CPT13 May 56	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95939	CPT13 May 56	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	2		XXX
95939	CPT13 May 56	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95939	CPT13 May 56	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		XXX
95939	CPT13 May 56	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	2.54	24		XXX
95939	CPT13 May 56	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
95939	CPT13 May 56	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	4		XXX
95939	CPT13 May 56	"Office Supply, Grocery"	SK021	emery board	item	0.13	1		XXX
95939	CPT13 May 56	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	12		XXX
95939	CPT13 May 56	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
95939	CPT13 May 56	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	48		XXX
95939	CPT13 May 56	Lab	SL001	acetone	ml	0.06	15		XXX
95954	CPT15 FTD Migration	"Accessory, Procedure"	SD054	"electrode, EEG, tin cup (12 pack uou)"	item	15.75	2		XXX
95954	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95954	CPT15 FTD Migration	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		XXX
95954	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95954	CPT15 FTD Migration	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
95954	CPT15 FTD Migration	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
95954	CPT15 FTD Migration	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	2		XXX
95954	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
95954	CPT15 FTD Migration	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		XXX
95954	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.66	1		XXX
95954	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95954	CPT15 FTD Migration	"Pharmacy, Rx"	SH004	albumin saline	ml	0.15	1		XXX
95954	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		XXX
95954	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	100		XXX
95954	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	15		XXX
95954	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95954	CPT15 FTD Migration	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
95954	CPT15 FTD Migration	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
95954	CPT15 FTD Migration	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95954	CPT15 FTD Migration	Lab	SL001	acetone	ml	0.06	15		XXX
95955	CPT15 FTD Migration	Lab	SL001	acetone	ml	0.06	15		XXX
95955	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95955	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95955	CPT15 FTD Migration	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		XXX
95955	CPT15 FTD Migration	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
95955	CPT15 FTD Migration	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		XXX
95955	CPT15 FTD Migration	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
95955	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95955	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
95955	CPT15 FTD Migration	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	800		XXX
95955	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		XXX
95955	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	15		XXX
95955	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95955	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.66	1		XXX
95955	CPT15 FTD Migration	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95958	Mar04 H	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2		XXX
95958	Mar04 H	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95958	Mar04 H	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95958	Mar04 H	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95958	Mar04 H	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	2		XXX
95958	Mar04 H	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		XXX
95958	Mar04 H	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		XXX
95958	Mar04 H	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1		XXX
95958	Mar04 H	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		XXX
95958	Mar04 H	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	200		XXX
95958	Mar04 H	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	10		XXX
95958	Mar04 H	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		XXX
95958	Mar04 H	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95958	Mar04 H	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95958	Mar04 H	Lab	SL001	acetone	ml	0.06	15		XXX
95958	Mar04 H	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.66	1		XXX
95958	Mar04 H	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95958	Mar04 H	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95961	Jan04 18	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.66	1		XXX
95961	Jan04 18	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	2		XXX
95961	Jan04 18	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		XXX
95961	Jan04 18	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95961	Jan04 18	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95961	Jan04 18	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	2.54	2		XXX
95961	Jan04 18	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		XXX
95961	Jan04 18	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		XXX
95961	Jan04 18	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95961	Jan04 18	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2		XXX
95961	Jan04 18	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95961	Jan04 18	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95961	Jan04 18	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	10		XXX
95961	Jan04 18	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95961	Jan04 18	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95961	Jan04 18	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	200		XXX
95961	Jan04 18	Lab	SL001	acetone	ml	0.06	0.5		XXX
95961	Jan04 18	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		XXX
95961	Jan04 18	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1		XXX
95981	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	XXX
95982	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	XXX
95990		"Kit, Pack, Tray"	SA076	"kit, refill for implantable medication pump"	item	24.84	1		XXX
95990		"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
95990		"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
95990		"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		XXX
95990		"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		XXX
95990		"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
95990		"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
95990		"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2		XXX
95990		"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
95991		"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	XXX
95991		"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	XXX
95991		"Kit, Pack, Tray"	SA076	"kit, refill for implantable medication pump"	item	24.84	1	0	XXX
95991		"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
95991		"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	XXX
95991		"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	XXX
95991		"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	XXX
95991		"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
95991		"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	XXX
95992	CPT09 30	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	XXX
95992	CPT09 30	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
95992	CPT09 30	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	2	0	XXX
95992	CPT09 30	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	1	0	XXX
95992	CPT09 30	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
95992	CPT09 30	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	XXX
96040	CPT07	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.33		XXX
96105	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
96105	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
96105	RUC	"Office Supply, Grocery"	SK003	"aphasia assessment forms, average"	item	1.99	1		XXX
96105	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1		XXX
96110	RUC	"Office Supply, Grocery"	SK001	ages & stages questionnaire	item	0.2	1		XXX
96112	RUC	"Office Supply, Grocery"	SK088	Woodcock Johnson test record	item	1.08	1	0	XXX
96116	RUC	"Office Supply, Grocery"	SK050	"neurobehavioral status forms, average"	item	4	1	0	XXX
96125	RUC	"Office Supply, Grocery"	SK050	"neurobehavioral status forms, average"	item	4	2		XXX
96127	RUC	"Office Supply, Grocery"	SK119	"Beck Youth Inventory, Second Edition (BYI-II); Combination Inventory Booklet"	booklet	1.55	1		XXX
96132	RUC	"Office Supply, Grocery"	SK130	WAIS-IV Record Form	item	5.25	1	0	XXX
96132	RUC	"Office Supply, Grocery"	SK131	WAIS-IV Response Booklet #1	item	3.3	1	0	XXX
96132	RUC	"Office Supply, Grocery"	SK132	WMS-IV Response Booklet #2	item	2	1	0	XXX
96133	RUC	"Office Supply, Grocery"	SK132	WMS-IV Response Booklet #2	item	2	1	0	ZZZ
96133	RUC	"Office Supply, Grocery"	SK131	WAIS-IV Response Booklet #1	item	3.3	1	0	ZZZ
96133	RUC	"Office Supply, Grocery"	SK130	WAIS-IV Record Form	item	5.25	1	0	ZZZ
96136	RUC	"Office Supply, Grocery"	SK132	WMS-IV Response Booklet #2	item	2	1	0	XXX
96136	RUC	"Office Supply, Grocery"	SK130	WAIS-IV Record Form	item	5.25	1	0	XXX
96136	RUC	"Office Supply, Grocery"	SK131	WAIS-IV Response Booklet #1	item	3.3	1	0	XXX
96137	RUC	"Office Supply, Grocery"	SK130	WAIS-IV Record Form	item	5.25	1	0	ZZZ
96137	RUC	"Office Supply, Grocery"	SK131	WAIS-IV Response Booklet #1	item	3.3	1	0	ZZZ
96137	RUC	"Office Supply, Grocery"	SK132	WMS-IV Response Booklet #2	item	2	1	0	ZZZ
96138	RUC	"Office Supply, Grocery"	SK132	WMS-IV Response Booklet #2	item	2	1		XXX
96138	RUC	"Office Supply, Grocery"	SK131	WAIS-IV Response Booklet #1	item	3.3	1		XXX
96138	RUC	"Office Supply, Grocery"	SK130	WAIS-IV Record Form	item	5.25	1		XXX
96139	RUC	"Office Supply, Grocery"	SK131	WAIS-IV Response Booklet #1	item	3.3	1		ZZZ
96139	RUC	"Office Supply, Grocery"	SK132	WMS-IV Response Booklet #2	item	2	1		ZZZ
96139	RUC	"Office Supply, Grocery"	SK130	WAIS-IV Record Form	item	5.25	1		ZZZ
96156	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
96156	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
96158	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
96158	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
96159	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	ZZZ
96159	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.025	0	ZZZ
96160	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
96161	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
96164	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
96165	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.025	0	ZZZ
96167	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
96167	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
96168	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	ZZZ
96168	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.025	0	ZZZ
96170	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
96171	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.025	0	ZZZ
96360	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
96360	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
96360	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	7		XXX
96360	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
96360	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		XXX
96360	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
96360	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
96360	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
96360	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
96360	RUC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1		XXX
96365	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
96365	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
96365	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		XXX
96365	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
96365	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
96365	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	1		XXX
96365	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
96365	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1		XXX
96365	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
96367	CPT14 Mar 10	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		ZZZ
96367	CPT14 Mar 10	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		ZZZ
96367	CPT14 Mar 10	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		ZZZ
96367	CPT14 Mar 10	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		ZZZ
96368	CPT14	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		ZZZ
96368	CPT14	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		ZZZ
96369	CPT09 rn	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX
96369	CPT09 rn	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	3		XXX
96369	CPT09 rn	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
96369	CPT09 rn	"Hypodermic, IV"	SC093	"IV infusion set, Sof-set (Minimed)"	item	7.48	4		XXX
96369	CPT09 rn	"Hypodermic, IV"	SC087	"tubing set, Y-type blood recipient"	item	4.52	1		XXX
96369	CPT09 rn	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
96369	CPT09 rn	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		XXX
96369	CPT09 rn	"Office Supply, Grocery"	SK040	graham crackers (one packet)	item	1.11	1		XXX
96369	CPT09 rn	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	8.75	2		XXX
96369	CPT09 rn	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1		XXX
96369	CPT09 rn	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
96369	CPT09 rn	"Pharmacy, Rx"	SH030	Emla cream	gm	2.19	1		XXX
96369	CPT09 rn	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1		XXX
96369	CPT09 rn	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
96369	CPT09 rn	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	5.86	4		XXX
96369	CPT09 rn	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	10		XXX
96369	CPT09 rn	Lab	SL126	"sodium chloride, 99.0% min."	gm	0.03	1		XXX
96369	CPT09 rn	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.83	2		XXX
96369	CPT09 rn	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.09	6		XXX
96369	CPT09 rn	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	2		XXX
96371	CPT09 rn	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1		XXX
96371	CPT09 rn	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
96371	CPT09 rn	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.83	1		XXX
96371	CPT09 rn	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1		XXX
96371	CPT09 rn	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	8.75	1		XXX
96371	CPT09 rn	"Hypodermic, IV"	SC093	"IV infusion set, Sof-set (Minimed)"	item	7.48	2		XXX
96371	CPT09 rn	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
96371	CPT09 rn	"Pharmacy, Rx"	SH030	Emla cream	gm	2.19	1		XXX
96371	CPT09 rn	Lab	SL126	"sodium chloride, 99.0% min."	gm	0.03	1		XXX
96371	CPT09 rn	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	10		XXX
96371	CPT09 rn	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	5.86	2		XXX
96371	CPT09 rn	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1		XXX
96371	CPT09 rn	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		XXX
96371	CPT09 rn	"Hypodermic, IV"	SC087	"tubing set, Y-type blood recipient"	item	4.52	1		XXX
96372	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
96372	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		XXX
96372	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
96373	CPT09 rn	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
96373	CPT09 rn	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
96373	CPT09 rn	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
96373	CPT09 rn	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		XXX
96373	CPT09 rn	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
96373	CPT09 rn	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
96374	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
96374	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
96374	RUC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1		XXX
96374	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
96374	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
96374	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
96374	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
96375	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		ZZZ
96375	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	7		ZZZ
96375	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		ZZZ
96375	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		ZZZ
96377	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
96377	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
96401	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
96401	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		XXX
96401	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
96401	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
96401	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1		XXX
96401	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
96401	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
96401	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
96401	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		XXX
96401	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
96401	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
96401	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
96402	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
96402	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
96402	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
96402	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
96402	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
96402	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
96402	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
96402	RUC	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	1		XXX
96405	APR08	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	50	0	000
96405	APR08	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	5	0	000
96405	APR08	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	3	0	000
96405	APR08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
96405	APR08	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
96405	APR08	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	6	0	000
96405	APR08	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	25	0	000
96405	APR08	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	6	0	000
96405	APR08	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
96405	APR08	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	6	0	000
96405	APR08	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
96405	APR08	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
96406	APR08	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	10.45	1	0	000
96406	APR08	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	000
96406	APR08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
96406	APR08	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	12	0	000
96406	APR08	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	12	0	000
96406	APR08	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	000
96406	APR08	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	50	0	000
96406	APR08	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	100	0	000
96406	APR08	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	10	0	000
96406	APR08	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	12	0	000
96406	APR08	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
96406	APR08	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	6	0	000
96409	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	7		XXX
96409	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
96409	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	1		XXX
96409	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
96409	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
96409	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
96409	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
96409	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		XXX
96409	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
96409	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
96409	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
96409	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
96409	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
96409	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1		XXX
96409	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		XXX
96409	RUC	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	2		XXX
96411	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		ZZZ
96411	RUC	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	2		ZZZ
96411	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		ZZZ
96411	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	1		ZZZ
96411	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		ZZZ
96411	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		ZZZ
96411	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		ZZZ
96411	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	7		ZZZ
96411	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		ZZZ
96411	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		ZZZ
96411	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1		ZZZ
96413	CMS	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.97	1		XXX
96413	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
96413	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	2		XXX
96413	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1		XXX
96413	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	1		XXX
96413	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1		XXX
96413	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
96413	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
96413	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
96413	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
96413	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	3		XXX
96413	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1		XXX
96413	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
96413	CMS	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	2.18	1		XXX
96413	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
96413	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	3		XXX
96413	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		XXX
96413	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
96416	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
96416	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
96416	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1		XXX
96416	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
96416	CMS	Lab	SL126	"sodium chloride, 99.0% min."	gm	0.03	1		XXX
96416	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1		XXX
96416	CMS	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	8.75	1		XXX
96416	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
96416	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
96416	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
96416	CMS	"Office Supply, Grocery"	SK010	"battery, 9 volt"	item	1.93	2		XXX
96416	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	3		XXX
96416	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
96416	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
96416	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	1		XXX
96416	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
96416	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		XXX
96416	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
96417	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		ZZZ
96417	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		ZZZ
96417	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		ZZZ
96417	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2		ZZZ
96417	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		ZZZ
96417	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	3		ZZZ
96417	CMS	Lab	SL126	"sodium chloride, 99.0% min."	gm	0.03	1		ZZZ
96417	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		ZZZ
96417	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		ZZZ
96420	Mar02	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
96420	Mar02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
96420	Mar02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
96420	Mar02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
96420	Mar02	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	4		XXX
96420	Mar02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
96420	Mar02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
96420	Mar02	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	60		XXX
96420	Mar02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
96420	Mar02	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1		XXX
96422	Mar02	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	8.75	1		XXX
96422	Mar02	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	4		XXX
96422	Mar02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
96422	Mar02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
96422	Mar02	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
96422	Mar02	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	60		XXX
96422	Mar02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
96422	Mar02	Lab	SL126	"sodium chloride, 99.0% min."	gm	0.03	1		XXX
96422	Mar02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
96422	Mar02	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1		XXX
96422	Mar02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
96422	Mar02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
96425	Mar02	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
96425	Mar02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
96425	Mar02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
96425	Mar02	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2		XXX
96425	Mar02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
96425	Mar02	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	3		XXX
96425	Mar02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1		XXX
96425	Mar02	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
96425	Mar02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
96425	Mar02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		XXX
96425	Mar02	Lab	SL126	"sodium chloride, 99.0% min."	gm	0.03	1		XXX
96425	Mar02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
96425	Mar02	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
96425	Mar02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1		XXX
96440	Mod sed	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	
96440	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	
96440	Mod sed	"Accessory, Procedure"	SD144	"canister, vacuum, pleural (w-drainage line)"	item	15.16	2	0	
96440	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	
96440	Mod sed	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	8.75	1	0	
96440	Mod sed	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1	0	
96440	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	
96440	Mod sed	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1	0	
96440	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	
96440	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	
96440	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	
96440	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
96440	Mod sed	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	
96440	Mod sed	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1	0	
96440	Mod sed	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	
96440	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	
96440	Mod sed	"Kit, Pack, Tray"	SA077	"kit, pleural catheter insertion"	kit	550.76	1	0	
96440	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	
96440	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	
96440	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	
96440	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	32	0	
96440	Mod sed	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1	0	
96440	Mod sed	"Accessory, Procedure"	SD093	HEPA filter	item	5	1	0	
96440	Mod sed	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	
96440	Mod sed	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	
96440	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	
96440	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62	1	0	
96440	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	
96440	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	
96440	Mod sed	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	
96440	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	
96446	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1	0	000
96446	CMS	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	8.75	1	0	000
96446	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
96446	CMS	"Office Supply, Grocery"	SK040	graham crackers (one packet)	item	1.11	1	0	000
96446	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
96446	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
96446	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	000
96446	CMS	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.09	6	0	000
96446	CMS	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	2	0	000
96446	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	000
96446	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	1	0	000
96446	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	0	000
96446	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2	0	000
96446	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1	0	000
96446	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	1	0	000
96446	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
96446	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	0	000
96446	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
96446	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
96446	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
96446	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	3	0	000
96446	CMS	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.97	1	0	000
96450	CMS	"Office Supply, Grocery"	SK040	graham crackers (one packet)	item	1.11	1	0	000
96450	CMS	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.09	6	0	000
96450	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
96450	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1	0	000
96450	CMS	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	1	0	000
96450	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
96450	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
96450	CMS	"Kit, Pack, Tray"	SA065	"tray, lumbar puncture"	tray	15.24	1	0	000
96450	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
96450	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
96450	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	0	000
96450	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	3	0	000
96450	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
96521	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		XXX
96521	CMS	"Office Supply, Grocery"	SK010	"battery, 9 volt"	item	1.93	2		XXX
96521	CMS	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	8.75	1		XXX
96521	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2		XXX
96521	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
96521	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
96521	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
96521	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
96521	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
96521	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
96521	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
96522	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1		XXX
96522	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
96522	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
96522	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
96522	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
96522	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
96522	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
96522	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
96522	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
96522	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
96522	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
96522	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	3		XXX
96522	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
96523	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		XXX
96523	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
96523	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	1		XXX
96523	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1		XXX
96523	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
96523	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
96523	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
96523	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
96523	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
96523	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
96523	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
96523	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
96542	CMS	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.97	1	0	XXX
96542	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1	0	XXX
96542	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	3	0	XXX
96542	CMS	"Office Supply, Grocery"	SK040	graham crackers (one packet)	item	1.11	1	0	XXX
96542	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	XXX
96542	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	3	0	XXX
96542	CMS	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.09	6	0	XXX
96542	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	0	XXX
96542	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	XXX
96542	CMS	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	2	0	XXX
96542	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
96542	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	XXX
96542	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	3	0	XXX
96542	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	XXX
96542	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1	0	XXX
96542	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	XXX
96567	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		XXX
96567	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	4		XXX
96567	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1		XXX
96567	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
96567	RUC	"Office Supply, Grocery"	SK041	ice (per cup)	item	0.03	1		XXX
96567	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
96567	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1		XXX
96567	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
96567	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	0.5		XXX
96567	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		XXX
96567	RUC	"Pharmacy, Rx"	SH092	LMX 4% anesthetic cream	gm	3.01	30		XXX
96567	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
96567	RUC	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	3.12	3		XXX
96573	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3		XXX
96573	RUC	"Office Supply, Grocery"	SK009	bath soap (one bar uou)	item	0.45	1		XXX
96573	RUC	Lab	SL157	"cup, sterile, 8 oz"	item	0.58	1		XXX
96573	RUC	"Office Supply, Grocery"	SK066	plastic wrap	foot	0.02	1		XXX
96573	RUC	Lab	SL001	acetone	ml	0.06	5		XXX
96573	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
96573	RUC	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.34	2		XXX
96573	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
96573	RUC	"Accessory, Procedure"	SD326	patient/clinician goggles	item	6	3		XXX
96573	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1		XXX
96573	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	5		XXX
96573	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
96573	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	1		XXX
96573	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
96573	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
96573	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2		XXX
96573	RUC	"Pharmacy, NonRx"	SJ064	zinc oxide ointment	oz	1	2		XXX
96573	RUC	"Office Supply, Grocery"	SK045	lip screen	item	1.08	1		XXX
96573	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
96573	RUC	"Pharmacy, Rx"	SH092	LMX 4% anesthetic cream	gm	3.01	30		XXX
96573	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4		XXX
96573	RUC	Lab	SL471	Q-tip	each	0.06	4		XXX
96573	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4		XXX
96573	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	0.5		XXX
96573	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	3		XXX
96573	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	4		XXX
96573	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1		XXX
96574	RUC	"Office Supply, Grocery"	SK045	lip screen	item	1.08	1		XXX
96574	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	5		XXX
96574	RUC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1		XXX
96574	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4		XXX
96574	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1		XXX
96574	RUC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	2		XXX
96574	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2		XXX
96574	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3		XXX
96574	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1		XXX
96574	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1		XXX
96574	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	2		XXX
96574	RUC	Lab	SL157	"cup, sterile, 8 oz"	item	0.58	1		XXX
96574	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	1		XXX
96574	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		XXX
96574	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	5		XXX
96574	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1		XXX
96574	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
96574	RUC	"Office Supply, Grocery"	SK009	bath soap (one bar uou)	item	0.45	1		XXX
96574	RUC	"Accessory, Procedure"	SD326	patient/clinician goggles	item	6	3		XXX
96574	RUC	Lab	SL471	Q-tip	each	0.06	4		XXX
96574	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
96574	RUC	Lab	SL001	acetone	ml	0.06	5		XXX
96574	RUC	"Office Supply, Grocery"	SK066	plastic wrap	foot	0.02	1		XXX
96574	RUC	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	2.18	1		XXX
96574	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		XXX
96574	RUC	"Pharmacy, NonRx"	SJ064	zinc oxide ointment	oz	1	2		XXX
96574	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	6		XXX
96574	RUC	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.34	2		XXX
96574	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2		XXX
96574	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	3		XXX
96574	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	0.5		XXX
96574	RUC	"Pharmacy, Rx"	SH092	LMX 4% anesthetic cream	gm	3.01	30		XXX
96574	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
96574	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
96574	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
96900	Sep04 D	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
96900	Sep04 D	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
96900	Sep04 D	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.75	1		XXX
96900	Sep04 D	"Office Supply, Grocery"	SK045	lip screen	item	1.08	1		XXX
96900	Sep04 D	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
96902	Jan04 23	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	XXX
96902	Jan04 23	Lab	SL085	label for microscope slides	item	0.14	1	0	XXX
96902	Jan04 23	Lab	SL095	mounting media (Histomount)	ml	0.5	1	0	XXX
96902	Jan04 23	Lab	SL122	"slide, microscope"	item	0.36	1	0	XXX
96902	Jan04 23	Lab	SL030	"cover slip, glass"	item	0.079	1	0	XXX
96904	RUC	"Gown, Drape"	SB050	"bolster covers, disposable"	item	0.08	3		XXX
96904	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
96904	RUC	"Gown, Drape"	SB051	Disposable underwear	item		1		XXX
96904	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	1		XXX
96904	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	36		XXX
96910	RUC	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1		XXX
96910	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	10		XXX
96910	RUC	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.75	2		XXX
96910	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	6		XXX
96910	RUC	Lab	SL087	lens paper	item	0.31	2		XXX
96910	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
96910	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
96910	RUC	"Gown, Drape"	SB054	Sauna suit	item	9.99	0.5		XXX
96910	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
96910	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		XXX
96910	RUC	"Gown, Drape"	SB038	safety glasses	item	1.92	0.1		XXX
96910	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1		XXX
96910	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
96910	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		XXX
96910	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
96910	RUC	"Office Supply, Grocery"	SK066	plastic wrap	foot	0.02	2		XXX
96910	RUC	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.06	30		XXX
96910	RUC	"Gown, Drape"	SB021	"gloves, cotton"	pair	3.86	1		XXX
96910	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2		XXX
96910	RUC	"Pharmacy, NonRx"	SJ035	mineral oil	ml	0.02	100		XXX
96910	RUC	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	3.12	0.3		XXX
96910	RUC	"Pharmacy, NonRx"	SJ026	Eucerin cream	oz	1.38	4		XXX
96910	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
96910	RUC	"Pharmacy, NonRx"	SJ006	anthralin ointment	gm	3.91	3		XXX
96910	RUC	Infection Control	SM015	enzymatic detergent	oz	0.22	1		XXX
96910	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		XXX
96910	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
96910	RUC	"Pharmacy, NonRx"	SJ064	zinc oxide ointment	oz	1	1		XXX
96910	RUC	"Accessory, Procedure"	SD236	"Single Patient Discard Bag, 400 ml"	item	1.04	1		XXX
96910	RUC	"Office Supply, Grocery"	SK045	lip screen	item	1.08	0.04		XXX
96910	RUC	"Pharmacy, NonRx"	SJ013	coal tar soln	ml	0.024	240		XXX
96912	CMS	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.06	30		XXX
96912	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		XXX
96912	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
96912	CMS	"Gown, Drape"	SB043	"towel, professional 13in x 18in"	item	0.04	2		XXX
96912	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
96912	CMS	"Gown, Drape"	SB038	safety glasses	item	1.92	0.1		XXX
96912	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
96912	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1		XXX
96912	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
96912	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1		XXX
96912	CMS	"Pharmacy, NonRx"	SJ006	anthralin ointment	gm	3.91	3		XXX
96912	CMS	"Pharmacy, NonRx"	SJ026	Eucerin cream	oz	1.38	4		XXX
96912	CMS	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	3.12	0.3		XXX
96912	CMS	"Pharmacy, NonRx"	SJ064	zinc oxide ointment	oz	1	1		XXX
96912	CMS	Lab	SL087	lens paper	item	0.31	2		XXX
96912	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
96912	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
96912	CMS	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.75	2		XXX
96912	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	4		XXX
96912	CMS	"Office Supply, Grocery"	SK045	lip screen	item	1.08	0.04		XXX
96912	CMS	"Gown, Drape"	SB021	"gloves, cotton"	pair	3.86	1		XXX
96912	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	8		XXX
96912	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
96912	CMS	"Pharmacy, NonRx"	SJ034	methoxsalen 10mg (Oxsoralen)	item	6.53	3		XXX
96912	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1		XXX
96912	CMS	"Pharmacy, NonRx"	SJ035	mineral oil	ml	0.02	100		XXX
96913	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	24		XXX
96913	CMS	"Pharmacy, NonRx"	SJ035	mineral oil	ml	0.02	300		XXX
96913	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
96913	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	2		XXX
96913	CMS	"Pharmacy, NonRx"	SJ013	coal tar soln	ml	0.024	480		XXX
96913	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		XXX
96913	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	12		XXX
96913	CMS	"Pharmacy, NonRx"	SJ026	Eucerin cream	oz	1.38	4		XXX
96913	CMS	"Pharmacy, NonRx"	SJ064	zinc oxide ointment	oz	1	1		XXX
96913	CMS	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.06	60		XXX
96913	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2		XXX
96913	CMS	"Office Supply, Grocery"	SK045	lip screen	item	1.08	0.04		XXX
96913	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
96913	CMS	"Pharmacy, NonRx"	SJ006	anthralin ointment	gm	3.91	6		XXX
96913	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6		XXX
96913	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1		XXX
96913	CMS	"Gown, Drape"	SB021	"gloves, cotton"	pair	3.86	2		XXX
96913	CMS	"Gown, Drape"	SB043	"towel, professional 13in x 18in"	item	0.04	6		XXX
96913	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	2		XXX
96913	CMS	"Gown, Drape"	SB038	safety glasses	item	1.92	0.1		XXX
96913	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	4		XXX
96913	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1		XXX
96913	CMS	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	3.12	0.3		XXX
96913	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	8		XXX
96913	CMS	Lab	SL087	lens paper	item	0.31	2		XXX
96913	CMS	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.75	2		XXX
96913	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
96920	CMS	Lab	SL006	"alcohol, ethyl, denatured"	ml	0	1	0	000
96920	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	000
96920	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	000
96920	CMS	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.37	1	0	000
96920	CMS	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.75	1	0	000
96920	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
96920	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
96920	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
96920	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
96920	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	6	0	000
96920	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
96920	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
96920	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1	0	000
96920	CMS	"Pharmacy, NonRx"	SJ035	mineral oil	ml	0.02	2	0	000
96920	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
96920	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	1	0	000
96920	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	6	0	000
96920	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	000
96920	CMS	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.06	1	0	000
96920	CMS	"Pharmacy, NonRx"	SJ026	Eucerin cream	oz	1.38	12	0	000
96920	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	000
96920	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	2	0	000
96920	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
96920	CMS	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	3.12	1	0	000
96921	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	2	0	000
96921	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	1	0	000
96921	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	6	0	000
96921	CMS	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.06	1	0	000
96921	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	000
96921	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
96921	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
96921	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	0	000
96921	CMS	"Pharmacy, NonRx"	SJ026	Eucerin cream	oz	1.38	12	0	000
96921	CMS	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.37	1	0	000
96921	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	6	0	000
96921	CMS	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.75	1	0	000
96921	CMS	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	3.12	1	0	000
96921	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
96921	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	000
96921	CMS	Lab	SL006	"alcohol, ethyl, denatured"	ml	0	1	0	000
96921	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
96921	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
96921	CMS	"Pharmacy, NonRx"	SJ035	mineral oil	ml	0.02	4	0	000
96921	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
96921	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	000
96921	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
96921	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
96921	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	2	0	000
96922	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	000
96922	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	4	0	000
96922	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	0	000
96922	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
96922	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	000
96922	CMS	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.06	1	0	000
96922	CMS	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	3.12	1	0	000
96922	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
96922	CMS	"Pharmacy, NonRx"	SJ035	mineral oil	ml	0.02	8	0	000
96922	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	6	0	000
96922	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
96922	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	000
96922	CMS	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.75	1	0	000
96922	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
96922	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
96922	CMS	"Pharmacy, NonRx"	SJ026	Eucerin cream	oz	1.38	12	0	000
96922	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	6	0	000
96922	CMS	Lab	SL006	"alcohol, ethyl, denatured"	ml	0	1	0	000
96922	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	1	0	000
96922	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
96922	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
96922	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	2	0	000
96922	CMS	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.37	1	0	000
96922	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
96931	RUC	"Kit, Pack, Tray"	SA121	Imaging Tray	item	9.56	1		XXX
96931	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
96931	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	3		XXX
96931	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	1		XXX
96931	RUC	"Office Supply, Grocery"	SK068	razor	item	0.51	1		XXX
96931	RUC	"Office Supply, Grocery"	SK125	Adhesive ruler	item	9.31	1		XXX
96931	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		XXX
96932	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	1		ZZZ
96932	RUC	"Office Supply, Grocery"	SK125	Adhesive ruler	item	9.31	1		ZZZ
96932	RUC	"Office Supply, Grocery"	SK068	razor	item	0.51	1		ZZZ
96932	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		ZZZ
96932	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	3		ZZZ
96932	RUC	"Kit, Pack, Tray"	SA121	Imaging Tray	item	9.56	1		ZZZ
96932	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		ZZZ
96934	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		ZZZ
96934	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	3		ZZZ
96934	RUC	"Office Supply, Grocery"	SK068	razor	item	0.51	1		ZZZ
96935	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		ZZZ
96935	RUC	"Office Supply, Grocery"	SK068	razor	item	0.51	1		ZZZ
96935	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	3		ZZZ
97012	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	2		XXX
97012	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
97012	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	2		XXX
97012	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97014	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97014	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
97014	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
97014	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	1		XXX
97014	RUC	"Accessory, Procedure"	SD055	"electrode, electrical stimulation"	item	0.41	2		XXX
97014	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	1		XXX
97014	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
97016	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
97016	RUC	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.6	1		XXX
97018	RUC	"Office Supply, Grocery"	SK066	plastic wrap	foot	0.02	1.5		XXX
97018	RUC	"Office Supply, Grocery"	SK061	paraffin for therapy bath	lb	3.1	0.25		XXX
97022	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
97022	RUC	Infection Control	SM026	whirlpool antiseptic (80gm pack) (Chlorazene)	item	1.79	1		XXX
97022	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97028	Feb01	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
97032	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	1		XXX
97032	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
97032	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1		XXX
97032	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97032	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	1		XXX
97032	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
97033	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
97033	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
97033	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		XXX
97033	RUC	"Kit, Pack, Tray"	SA014	"kit, electrode, iontophoresis"	kit	3.93	1		XXX
97034	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
97034	RUC	Infection Control	SM026	whirlpool antiseptic (80gm pack) (Chlorazene)	item	1.79	1		XXX
97034	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97035	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	1		XXX
97035	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
97035	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97035	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	30		XXX
97035	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	1		XXX
97036	Feb01	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
97036	Feb01	Infection Control	SM026	whirlpool antiseptic (80gm pack) (Chlorazene)	item	1.79	1		XXX
97110	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	5		XXX
97110	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97110	RUC	"Pharmacy, NonRx"	SJ056	Thera-bands (6in width)	foot	0.602	1.5		XXX
97110	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4		XXX
97112	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	5		XXX
97112	RUC	"Pharmacy, NonRx"	SJ056	Thera-bands (6in width)	foot	0.602	1.5		XXX
97112	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97112	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4		XXX
97113	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97113	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	5		XXX
97113	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4		XXX
97116	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97116	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	5		XXX
97116	RUC	"Pharmacy, NonRx"	SJ056	Thera-bands (6in width)	foot	0.602	1.5		XXX
97116	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4		XXX
97124	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	0.5		XXX
97124	CMS	"Office Supply, Grocery"	SK046	"lotion, massage, unscented"	oz	0.31	0.5		XXX
97129	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	3	0	XXX
97130	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	3	0	ZZZ
97140	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97140	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	5		XXX
97140	RUC	"Office Supply, Grocery"	SK046	"lotion, massage, unscented"	oz	0.31	2		XXX
97140	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4		XXX
97150	CPT13 Mar 16	Infection Control	SM020	"lotion, antibacterial"	oz	0.26	1		XXX
97150	CPT13 Mar 16	Infection Control	SM024	"soap, liquid, antibacterial"	oz	0.17	1		XXX
97150	CPT13 Mar 16	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	1		XXX
97150	CPT13 Mar 16	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97150	CPT13 Mar 16	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
97161	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
97161	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
97161	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
97162	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
97162	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
97162	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
97163	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
97163	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
97163	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
97164	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
97164	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
97164	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
97165	RUC	Infection Control	SM020	"lotion, antibacterial"	oz	0.26	1		XXX
97165	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	2		XXX
97165	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	1		XXX
97165	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
97165	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	3		XXX
97166	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
97166	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	1		XXX
97166	RUC	Infection Control	SM020	"lotion, antibacterial"	oz	0.26	1		XXX
97166	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	3		XXX
97166	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	2		XXX
97167	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
97167	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	3		XXX
97167	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	1		XXX
97167	RUC	Infection Control	SM020	"lotion, antibacterial"	oz	0.26	1		XXX
97167	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	2		XXX
97168	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
97168	CMS	Infection Control	SM020	"lotion, antibacterial"	oz	0.26	1		XXX
97168	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	1		XXX
97168	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	2		XXX
97168	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	3		XXX
97530	RUC	"Kit, Pack, Tray"	SA040	"kit, woodworking"	kit	12.99	0.25		XXX
97530	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4		XXX
97530	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97530	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	5		XXX
97533	RUC	"Kit, Pack, Tray"	SA028	"kit, sensory integration"	kit	27.43	1		XXX
97533	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97533	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	5		XXX
97533	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4		XXX
97535	RUC	"Kit, Pack, Tray"	SA007	"kit, cooking activity ingredients (mac-cheese)"	kit	0.97	1		XXX
97535	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97535	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	5		XXX
97535	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4		XXX
97537	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4		XXX
97537	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	5		XXX
97537	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97542	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4		XXX
97542	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97542	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	5		XXX
97597	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	000
97597	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
97597	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
97597	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
97597	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
97597	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
97597	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
97597	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	000
97597	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
97597	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	000
97597	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
97597	RUC	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.08	72	0	000
97597	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
97597	RUC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34	1	0	000
97597	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
97597	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
97597	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
97597	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
97597	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	2	0	000
97597	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
97598	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	ZZZ
97598	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	ZZZ
97598	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	ZZZ
97598	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	ZZZ
97598	RUC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34	1	0	ZZZ
97598	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	ZZZ
97598	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	ZZZ
97598	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	1	0	ZZZ
97598	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	ZZZ
97598	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	ZZZ
97605	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
97605	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	XXX
97605	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
97605	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1	0	XXX
97605	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	XXX
97606	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	XXX
97606	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	XXX
97606	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1	0	XXX
97606	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
97606	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
97607	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	XXX
97607	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
97607	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1	0	XXX
97607	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	XXX
97607	CMS	"Kit, Pack, Tray"	SA131	"kit, negative pressure wound therapy, disposable"	kit	208	1	0	XXX
97607	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
97607	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
97608	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
97608	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1	0	XXX
97608	CMS	"Kit, Pack, Tray"	SA131	"kit, negative pressure wound therapy, disposable"	kit	208	1	0	XXX
97608	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	XXX
97608	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
97608	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	XXX
97608	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
97610	RUC	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.08	36	0	XXX
97610	RUC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34	1	0	XXX
97610	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
97610	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	2	0	XXX
97610	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	XXX
97610	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	XXX
97610	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	XXX
97610	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	XXX
97610	RUC	"Kit, Pack, Tray"	SA119	"kit, low frequency ultrasound wound therapy (MIST)"	kit	320.18	1	0	XXX
97750	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97755	CMS	"Office Supply, Grocery"	SK085	"Velcro, strong (Poly-Lock)"	foot	3.85	0.2		XXX
97755	CMS	"Office Supply, Grocery"	SK084	"Velcro, standard"	foot	0.97	0.2		XXX
97755	CMS	"Office Supply, Grocery"	SK039	"foam 3in, therapy positioning (per 1 sq in)"	item	0.11	6		XXX
97755	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	0.3		XXX
97755	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	0.2		XXX
97755	CMS	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	24		XXX
97760	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4		XXX
97760	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	85		XXX
97760	RUC	"Wound Care, Dressings"	SG002	"adhesive bonder, orthotic"	oz	0.375	0.5		XXX
97760	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
97760	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	0.5		XXX
97760	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	5		XXX
97760	RUC	"Pharmacy, Rx"	SH035	fluori-methane (cold spray)	ml	0.68	5		XXX
97761	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4		XXX
97761	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	0.5		XXX
97761	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	0.75		XXX
97761	RUC	"Wound Care, Dressings"	SG058	moleskin 9in width	foot	3.85	0.2		XXX
97761	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	5		XXX
97761	RUC	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.6	0.3		XXX
97763	RUC	"Pharmacy, NonRx"	SJ048	splint straps 2in	item	3.36	1.3		XXX
97763	RUC	"Wound Care, Dressings"	SG002	"adhesive bonder, orthotic"	oz	0.375	0.5		XXX
97763	RUC	"Wound Care, Dressings"	SG060	outrigger line	yd	0.04	7		XXX
97763	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	0.5		XXX
97763	RUC	"Wound Care, Dressings"	SG058	moleskin 9in width	foot	3.85	0.7		XXX
97763	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4		XXX
97763	RUC	"Wound Care, Dressings"	SG061	outrigger post	item	0.399	3		XXX
97763	RUC	"Pharmacy, NonRx"	SJ047	splint straps 1in	item	2.56	0.7		XXX
97763	RUC	"Office Supply, Grocery"	SK071	"rubber bands, non-sterile"	item	0.03	4		XXX
97763	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	5		XXX
97763	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	85		XXX
97763	RUC	"Pharmacy, Rx"	SH035	fluori-methane (cold spray)	ml	0.68	5		XXX
97763	RUC	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.6	0.4		XXX
97802	CPT09 rv	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	0.25	0	XXX
97802	CPT09 rv	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.25	0	XXX
97802	CPT09 rv	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2	0	XXX
97803	CPT09 rv	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2	0	XXX
97803	CPT09 rv	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.25	0	XXX
97803	CPT09 rv	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	0.25	0	XXX
97804	PFS07	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2	0	XXX
97804	PFS07	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.1	0	XXX
97804	PFS07	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	0.25	0	XXX
97810	CPT05	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	XXX
97810	CPT05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
97810	CPT05	"Hypodermic, IV"	SC075	"needle, acupuncture"	item	0.1	12	0	XXX
97810	CPT05	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
97810	CPT05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
97810	CPT05	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	XXX
97811	CPT05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	ZZZ
97811	CPT05	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	ZZZ
97811	CPT05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	ZZZ
97811	CPT05	"Hypodermic, IV"	SC075	"needle, acupuncture"	item	0.1	12	0	ZZZ
97813	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	XXX
97813	CPT05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
97813	CPT05	"Hypodermic, IV"	SC075	"needle, acupuncture"	item	0.1	12	0	XXX
97814	CPT05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	ZZZ
97814	CPT05	"Hypodermic, IV"	SC075	"needle, acupuncture"	item	0.1	12	0	ZZZ
97814	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	ZZZ
98940	CPT14 Nov HCPAC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
98940	CPT14 Nov HCPAC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
98941	CPT14 Nov HCPAC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
98941	CPT14 Nov HCPAC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
98942	CPT14 Nov HCPAC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
98942	CPT14 Nov HCPAC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
98943	CPT14 Nov HCPAC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
98943	CPT14 Nov HCPAC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	XXX
98960	RUC05	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.25		XXX
98961	RUC05	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.25		XXX
98962	RUC05	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.25		XXX
989X2	RUC	NO DETAILS	SX007	NO SUPPLIES			1		XXX
99151	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	18.55	1	0	000
99152	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	18.55	1	0	000
99170	CPT14 May 27	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
99170	CPT14 May 27	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
99170	CPT14 May 27	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
99170	CPT14 May 27	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
99170	CPT14 May 27	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	1	0	000
99170	CPT14 May 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
99170	CPT14 May 27	Lab	SL146	tubed culture media	item	0.92	2	0	000
99170	CPT14 May 27	Lab	SL157	"cup, sterile, 8 oz"	item	0.58	1	0	000
99170	CPT14 May 27	"Accessory, Procedure"	SD118	"specula, vaginal"	item	1.36	1	0	000
99174	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
99174	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	1		XXX
99175	Jan04 14	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
99175	Jan04 14	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
99175	Jan04 14	"Pharmacy, NonRx"	SJ030	ipecac syrup (1oz uou)	item	2.59	1		XXX
99175	Jan04 14	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		XXX
99175	Jan04 14	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1		XXX
99177	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
99177	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	1		XXX
99188	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	0	XXX
99188	RUC	"Office Supply, Grocery"	SK012	CDC information sheet	item	0.03	1	0	XXX
99188	RUC	"Pharmacy, Rx"	SH106	CavityShield 5% Varnish .25mL	item	0.91	1	0	XXX
99195	Mar02	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
99195	Mar02	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1		XXX
99195	Mar02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		XXX
99195	Mar02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
99195	Mar02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
99195	Mar02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
99195	Mar02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
99195	Mar02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1		XXX
99195	Mar02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
99195	Mar02	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	3		XXX
99195	Mar02	"Hypodermic, IV"	SC004	blood collection bag	item	9.38	1		XXX
99202	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
99202	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99203	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
99203	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99204	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99204	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
99205	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
99205	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99211	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99211	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
99212	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
99212	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99213	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99213	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
99214	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99214	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
99215	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
99215	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99241	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99242	Apr00	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99243	Apr00	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99244	Apr00	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99245	Apr00	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99291	Mar03 20	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	XXX
99291	Mar03 20	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	XXX
99291	Mar03 20	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	2	0	XXX
99291	Mar03 20	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	30	0	XXX
99291	Mar03 20	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	XXX
99291	Mar03 20	Infection Control	SM016	"eye shield, splash protection"	item	3.18	1	0	XXX
99291	Mar03 20	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99291	Mar03 20	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	2	0	XXX
99291	Mar03 20	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.01	120	0	XXX
99292	Mar03 20	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	ZZZ
99292	Mar03 20	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.01	60	0	ZZZ
99324	RUC05	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
99324	RUC05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
99324	RUC05	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
99324	RUC05	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
99324	RUC05	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
99324	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
99325	RUC05	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
99325	RUC05	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
99325	RUC05	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
99325	RUC05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
99325	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
99325	RUC05	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
99326	RUC05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
99326	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
99326	RUC05	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
99326	RUC05	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
99326	RUC05	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
99326	RUC05	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
99327	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
99327	RUC05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
99327	RUC05	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
99327	RUC05	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
99327	RUC05	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
99327	RUC05	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
99328	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
99328	RUC05	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
99328	RUC05	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
99328	RUC05	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
99328	RUC05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
99328	RUC05	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
99334	RUC05	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
99334	RUC05	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
99334	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
99334	RUC05	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
99334	RUC05	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
99334	RUC05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
99335	RUC05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
99335	RUC05	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
99335	RUC05	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
99335	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
99335	RUC05	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
99335	RUC05	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
99336	RUC05	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
99336	RUC05	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
99336	RUC05	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
99336	RUC05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
99336	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
99336	RUC05	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
99337	RUC05	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
99337	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
99337	RUC05	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
99337	RUC05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
99337	RUC05	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
99337	RUC05	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
99341	Mar03 20	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
99341	Mar03 20	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
99341	Mar03 20	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
99341	Mar03 20	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
99341	Mar03 20	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
99341	Mar03 20	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
99342	Mar03 20	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
99342	Mar03 20	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
99342	Mar03 20	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
99342	Mar03 20	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
99342	Mar03 20	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
99342	Mar03 20	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
99343	Mar03 20	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
99343	Mar03 20	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
99343	Mar03 20	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
99343	Mar03 20	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
99343	Mar03 20	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
99343	Mar03 20	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
99344	Mar03 20	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
99344	Mar03 20	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
99344	Mar03 20	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
99344	Mar03 20	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
99344	Mar03 20	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
99344	Mar03 20	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
99345	Mar03 20	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
99345	Mar03 20	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
99345	Mar03 20	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
99345	Mar03 20	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
99345	Mar03 20	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
99345	Mar03 20	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
99347	Mar03 20	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
99347	Mar03 20	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
99347	Mar03 20	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
99347	Mar03 20	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
99347	Mar03 20	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
99347	Mar03 20	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
99348	Mar03 20	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
99348	Mar03 20	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
99348	Mar03 20	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
99348	Mar03 20	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
99348	Mar03 20	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
99348	Mar03 20	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
99349	Mar03 20	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
99349	Mar03 20	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
99349	Mar03 20	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
99349	Mar03 20	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
99349	Mar03 20	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
99349	Mar03 20	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
99350	Mar03 20	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
99350	Mar03 20	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
99350	Mar03 20	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
99350	Mar03 20	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
99350	Mar03 20	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
99350	Mar03 20	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
99366	CPT08 HP	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.33	0	XXX
99381	Mar03 20	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1	0	XXX
99381	Mar03 20	"Gown, Drape"	SB032	"liner, baby scale"	item	0.074	1	0	XXX
99381	Mar03 20	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99382	Mar03 20	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1	0	XXX
99382	Mar03 20	"Gown, Drape"	SB032	"liner, baby scale"	item	0.074	1	0	XXX
99382	Mar03 20	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99383	Mar03 20	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99384	Mar03 20	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99385	Mar03 20	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99386	Mar03 20	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99387	Mar03 20	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99391	Mar03 20	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99391	Mar03 20	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1	0	XXX
99391	Mar03 20	"Gown, Drape"	SB032	"liner, baby scale"	item	0.074	1	0	XXX
99392	Mar03 20	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99392	Mar03 20	"Gown, Drape"	SB032	"liner, baby scale"	item	0.074	1	0	XXX
99392	Mar03 20	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1	0	XXX
99393	Mar03 20	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99394	Mar03 20	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99395	Mar03 20	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99396	Mar03 20	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99397	Mar03 20	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99401	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99402	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99403	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99404	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99406	CPT08 V	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
99407	CPT08 V	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
99408	CPT08 W	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
99409	CPT08 W	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
99411	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
99411	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99412	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99412	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
99441	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
99441	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99442	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
99442	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99443	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99443	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
99461	Mar03 rn	"Gown, Drape"	SB032	"liner, baby scale"	item	0.074	1	0	XXX
99461	Mar03 rn	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99461	Mar03 rn	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1	0	XXX
99483	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
99483	RUC	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	1	0	XXX
99483	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99484	CMS	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	1	0	XXX
99484	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
99492	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	2	0	XXX
99492	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
99492	RUC	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	4	0	XXX
99493	RUC	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	4	0	XXX
99493	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
99495	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99496	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99497	RUC	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		1	0	XXX
99497	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
G0101		"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
G0104	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
G0104	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
G0104	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
G0104	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	6	0	000
G0104	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
G0104	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
G0104	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6.4	0	000
G0104	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
G0104	CMS	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	3	0	000
G0104	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
G0104	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	3	0	000
G0104	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
G0104	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
G0104	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
G0104	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
G0104	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1	0	000
G0104	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	000
G0104	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	10	0	000
G0104	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	0	000
G0104	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	0	000
G0104	CMS	"Accessory, Procedure"	SD040	"cytology, brush"	item	1.3	1	0	000
G0104	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
G0105	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
G0105	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
G0105	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
G0105	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
G0105	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
G0105	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
G0105	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	000
G0105	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
G0105	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
G0105	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
G0105	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
G0105	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	4	0	000
G0105	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	000
G0105	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
G0105	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
G0105	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
G0105	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
G0105	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	6	0	000
G0105	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32	1	0	000
G0106	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
G0106	CMS	"Kit, Pack, Tray"	SA004	"kit, barium with insufflator"	kit	34.09	1		XXX
G0106	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
G0106	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
G0106	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
G0108	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.5		XXX
G0108	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
G0108	RUC	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	0.5		XXX
G0109	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.1		XXX
G0109	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
G0109	RUC	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	0.25		XXX
G0117		"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	1		XXX
G0117		"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3		XXX
G0117		"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
G0118		"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
G0118		"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.91	1		XXX
G0118		"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3		XXX
G0120	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
G0120	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
G0120	CMS	"Kit, Pack, Tray"	SA004	"kit, barium with insufflator"	kit	34.09	1		XXX
G0120	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
G0120	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
G0121	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	XXX
G0121	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	XXX
G0121	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	XXX
G0121	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
G0121	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	XXX
G0121	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	XXX
G0121	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	XXX
G0121	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	XXX
G0121	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	XXX
G0121	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	XXX
G0121	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
G0121	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	XXX
G0121	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	6	0	XXX
G0121	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	XXX
G0121	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	4	0	XXX
G0121	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32	1	0	XXX
G0121	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	XXX
G0121	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	XXX
G0121	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	XXX
G0122	CPT15 FTD Migration	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
G0122	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
G0122	CPT15 FTD Migration	"Kit, Pack, Tray"	SA004	"kit, barium with insufflator"	kit	34.09	1		XXX
G0122	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
G0122	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
G0127	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
G0127	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1	0	000
G0127	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
G0127	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	2	0	000
G0127	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	000
G0127	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
G0127	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
G0127	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	2	0	000
G0127	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
G0127	CMS	"Cutters, Closures, Cautery"	SF009	"blade, surgical chisel 81-86 (Beaver)"	item	3.6	1	0	000
G0127	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
G0130		"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
G0130		"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
G0166	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
G0166	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3		XXX
G0166	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
G0166	RUC	"Accessory, Procedure"	SD341	EECP compression equipment package	item	826.75	0.01		XXX
G0166	RUC	"Accessory, Procedure"	SD342	EECP electrical equipment package	item	752	0.0025		XXX
G0166	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
G0166	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	4		XXX
G0168	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
G0168	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
G0168	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
G0168	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
G0168	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
G0168	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
G0168	RUC	"Wound Care, Dressings"	SG007	"adhesive, skin (Dermabond)"	item	57.67	1	0	000
G0168	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
G0245	CPT12	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
G0246	CPT12	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
G0247	CPT12	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.08	72	0	XXX
G0247	CPT12	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	XXX
G0247	CPT12	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	12.61	1	0	XXX
G0247	CPT12	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	XXX
G0247	CPT12	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	XXX
G0247	CPT12	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	XXX
G0247	CPT12	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	XXX
G0247	CPT12	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	XXX
G0247	CPT12	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	XXX
G0247	CPT12	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	XXX
G0247	CPT12	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	XXX
G0247	CPT12	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34	1	0	XXX
G0247	CPT12	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	XXX
G0247	CPT12	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	XXX
G0247	CPT12	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	XXX
G0247	CPT12	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	XXX
G0247	CPT12	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	2	0	XXX
G0247	CPT12	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
G0247	CPT12	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	2	0	XXX
G0248	PFS07	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
G0248	PFS07	"Office Supply, Grocery"	SK011	"battery, AAA"	item	1.03	3		XXX
G0248	PFS07	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
G0248	PFS07	"Pharmacy, NonRx"	SJ055	"test strip, INR"	item	4.71	4		XXX
G0248	PFS07	"Hypodermic, IV"	SC021	lancet	item	0.21	4		XXX
G0249	CMS	"Hypodermic, IV"	SC021	lancet	item	0.21	6		XXX
G0249	CMS	"Pharmacy, NonRx"	SJ055	"test strip, INR"	item	4.71	6		XXX
G0249	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	6		XXX
G0268	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
G0268	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
G0268	RUC	"Cutters, Closures, Cautery"	SF023	curette for ear cerumen	item	0.76	2	0	000
G0268	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
G0268	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1	0	000
G0270	PFS07	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.33	0	XXX
G0270	PFS07	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2	0	XXX
G0270	PFS07	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1	0	XXX
G0271	PFS07	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1	0	XXX
G0271	PFS07	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2	0	XXX
G0271	PFS07	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.1	0	XXX
G0277	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	0.25		XXX
G0277	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	0.25		XXX
G0277	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	0.5		XXX
G0277	CMS	"Accessory, Procedure"	SD077	"gas, air"	cu ft	0.025	7.5		XXX
G0277	CMS	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.01	11900		XXX
G0277	CMS	"Pharmacy, NonRx"	SJ063	urinal	item	3.4	0.25		XXX
G0277	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	0.5		XXX
G0277	CMS	Lab	SL088	lint-free cloth	item	0.26	1		XXX
G0277	CMS	"Pharmacy, NonRx"	SJ069	"test strip, glucose (blood test)"	item	1.42	1		XXX
G0281		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
G0281		"Pharmacy, NonRx"	SJ024	electrolyte coupling gel	ml	0.04	1		XXX
G0281		"Office Supply, Grocery"	SK068	razor	item	0.51	1		XXX
G0281		"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
G0281		"Accessory, Procedure"	SD055	"electrode, electrical stimulation"	item	0.41	2		XXX
G0281		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
G0283		"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
G0283		"Accessory, Procedure"	SD055	"electrode, electrical stimulation"	item	0.41	2		XXX
G0283		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
G0283		"Pharmacy, NonRx"	SJ024	electrolyte coupling gel	ml	0.04	1		XXX
G0283		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
G0283		"Office Supply, Grocery"	SK068	razor	item	0.51	1		XXX
G0296		"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.5	0	XXX
G0329		"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
G0329		Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
G0329		"Gown, Drape"	SB049	"condom, Diapulse, Asepticap"	item	0.76	1		XXX
G0341	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	
G0341	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	
G0341	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	
G0341	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	
G0341	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	
G0341	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	20.555	1	0	
G0341	Mod sed	"Accessory, Procedure"	SD153	"catheter, curved"	item	18.25	1	0	
G0341	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	
G0341	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	
G0341	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	
G0341	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	
G0341	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	
G0341	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	
G0341	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	48.95	1	0	
G0341	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	
G0341	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	
G0341	Mod sed	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	
G0341	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	
G0341	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	
G0341	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	
G0341	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	
G0341	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	
G0341	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	
G0341	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	
G0341	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	
G0341	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	
G0341	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	
G0341	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	
G0341	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	
G0341	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	
G0341	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	
G0341	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	
G0341	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	
G0341	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	
G0341	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	
G0341	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	
G0341	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	
G0341	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	
G0342	CPT12	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		2.5	090
G0342	CPT12	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.8		1	090
G0343	CPT12	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
G0343	CPT12	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
G0343	CPT12	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
G0343	CPT12	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
G0343	CPT12	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
G0343	CPT12	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
G0343	CPT12	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
G0343	CPT12	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
G0343	CPT12	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
G0343	CPT12	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
G0343	CPT12	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
G0343	CPT12	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
G0343	CPT12	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
G0396	CPT08 W	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
G0397	CPT08 W	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
G0402	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
G0402	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
G0403	CPT11	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	10		XXX
G0403	CPT11	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	4		XXX
G0403	CPT11	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
G0412	CPT09 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
G0412	CPT09 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		3	090
G0413	CPT09 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
G0413	CPT09 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
G0414	CPT09 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
G0414	CPT09 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
G0415	CPT09 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02		4	090
G0415	CPT09 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.62		1	090
G0416	RUC	Lab	SL020	bleach	ml	0.01	10		XXX
G0416	RUC	Lab	SL093	"mold release agent, liquid"	ml	0.1	1.2		XXX
G0416	RUC	Lab	SL030	"cover slip, glass"	item	0.079	36		XXX
G0416	RUC	Lab	SL151	xylenes solvent	ml	0.012	360		XXX
G0416	RUC	Lab	SL085	label for microscope slides	item	0.14	36		XXX
G0416	RUC	Lab	SL468	Paraffin repel	ml	0.21	12		XXX
G0416	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	192		XXX
G0416	RUC	Lab	SL122	"slide, microscope"	item	0.36	36		XXX
G0416	RUC	Lab	SL095	mounting media (Histomount)	ml	0.5	12		XXX
G0416	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	216		XXX
G0416	RUC	Lab	SL068	fixative (for tissue specimen)	ml	0.013	600		XXX
G0416	RUC	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	168		XXX
G0416	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	360		XXX
G0416	RUC	Lab	SL201	"stain, eosin"	ml	0.06	48		XXX
G0416	RUC	Lab	SL060	embedding mold	item	0.1231	12		XXX
G0416	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	12		XXX
G0416	RUC	Lab	SL061	embedding paraffin	kg	5.3	0.1		XXX
G0416	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	2		XXX
G0416	RUC	Lab	SL058	embedding cassette	item	0.1805	12		XXX
G0416	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	1.2		XXX
G0416	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	12		XXX
G0416	RUC	Lab	SL469	Clarifier	ml	0.005	24		XXX
G0416	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1		XXX
G0416	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	0.1		XXX
G0416	RUC	"Accessory, Procedure"	SD005	biopsy sponge (Histo-Prep)	item	0.2665	12		XXX
G0416	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	1.2		XXX
G0416	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	0.1		XXX
G0416	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2		XXX
G0416	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	12		XXX
G0416	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	48		XXX
G0420	CPT11 rv	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
G0420	CPT11 rv	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1		XXX
G0420	CPT11 rv	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
G0421	CPT11	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.2		XXX
G0421	CPT11	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	0.5		XXX
G0421	CPT11	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
G0429	CPT11	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
G0429	CPT11	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
G0429	CPT11	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
G0429	CPT11	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
G0438	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1		XXX
G0438	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
G0439	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1		XXX
G0439	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
G0442		"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.5	0	XXX
G0443		"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.5	0	XXX
G0444		"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.5	0	XXX
G0445	CPT13 CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.5	0	XXX
G0446		"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.5	0	XXX
G0447		"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.5	0	XXX
G0451	CPT12	"Office Supply, Grocery"	SK001	ages & stages questionnaire	item	0.2	1		XXX
G0455	CPT13	Infection Control	SM016	"eye shield, splash protection"	item	3.18	1	0	XXX
G0455	CPT13	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	XXX
G0455	CPT13	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	XXX
G0455	CPT13	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	XXX
G0455	CPT13	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	XXX
G0455	CPT13	"Accessory, Procedure"	SD277	polypropelene funnel	item	0.53	1	0	XXX
G0455	CPT13	Lab	SL018	"beaker, 250 ml"	item	0.44	1	0	XXX
G0455	CPT13	Lab	SL020	bleach	ml	0.01	300	0	XXX
G0455	CPT13	Lab	SL107	phosphate buffered saline solution	ml	0.01	50	0	XXX
G0455	CPT13	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
G0455	CPT13	Lab	SL066	"filter, nylon mesh (55mm)"	item	0.47	1	0	XXX
G0473		"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.1	0	XXX
G0500	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	18.55	1	0	000
G0516	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
G0516	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
G0516	CMS	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8	1	0	000
G0516	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
G0516	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
G0516	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
G0516	CMS	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.05	1	0	000
G0516	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
G0516	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
G0516	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
G0516	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	000
G0516	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
G0516	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	000
G0516	CMS	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	2.18	2	0	000
G0516	CMS	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	8.38	1	0	000
G0516	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
G0516	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
G0516	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	000
G0516	CMS	"Wound Care, Dressings"	SG007	"adhesive, skin (Dermabond)"	item	57.67	1	0	000
G0516	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
G0517	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	000
G0517	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	000
G0517	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
G0517	CMS	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.05	1	0	000
G0517	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
G0517	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
G0517	CMS	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	2.18	2	0	000
G0517	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
G0517	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
G0517	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
G0517	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
G0517	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
G0517	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
G0517	CMS	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8	1	0	000
G0517	CMS	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	8.38	1	0	000
G0517	CMS	"Wound Care, Dressings"	SG007	"adhesive, skin (Dermabond)"	item	57.67	1	0	000
G0517	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
G0517	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	000
G0517	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
G0517	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
G0518	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	0	000
G0518	CMS	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	2.18	4	0	000
G0518	CMS	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8	2	0	000
G0518	CMS	"Wound Care, Dressings"	SG007	"adhesive, skin (Dermabond)"	item	57.67	2	0	000
G0518	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	2	0	000
G0518	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	0	000
G0518	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
G0518	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1	0	000
G0518	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
G0518	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
G0518	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
G0518	CMS	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.05	1	0	000
G0518	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
G0518	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
G0518	CMS	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	8.38	2	0	000
G0518	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
G0518	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	2	0	000
G0518	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
G0518	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	000
G0518	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
G0518	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	2	0	000
G0518	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
G0518	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
G2082	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
G2082	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
G2082	CMS	"Pharmacy, Rx"	SH109	Esketamine (56 mg vial)	item	616.93	1	0	XXX
G2083	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
G2083	CMS	"Pharmacy, Rx"	SH110	Esketamine (84 mg vial)	item	928.38	1	0	XXX
G2083	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
G2086	CMS	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		1	0	XXX
G2086	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.35	0	XXX
G2086	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	2	0	XXX
G2086	CMS	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	4.5	0	XXX
G2087	CMS	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	4.5	0	XXX
G2087	CMS	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		1	0	XXX
G2087	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.35	0	XXX
G2213	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
G2214	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.025	0	XXX
G2214	CMS	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	2	0	XXX
G6001		"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1		XXX
G6001		Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	32		XXX
G6001		"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2		XXX
G6002		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
G6003		"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
G6003		"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	10		XXX
G6003		Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
G6003		"Gown, Drape"	SB037	pillow case	item	0.47	2		XXX
G6003		"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	2		XXX
G6004		Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
G6004		"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	2		XXX
G6004		"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
G6004		"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	10		XXX
G6004		"Gown, Drape"	SB037	pillow case	item	0.47	2		XXX
G6005		"Gown, Drape"	SB037	pillow case	item	0.47	2		XXX
G6005		"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	10		XXX
G6005		"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
G6005		Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
G6005		"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	2		XXX
G6006		Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
G6006		"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
G6006		"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	10		XXX
G6006		"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	2		XXX
G6006		"Gown, Drape"	SB037	pillow case	item	0.47	2		XXX
G6007		"Gown, Drape"	SB037	pillow case	item	0.47	2		XXX
G6007		"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	10		XXX
G6007		"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
G6007		"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	2		XXX
G6007		Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
G6008		"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	2		XXX
G6008		"Gown, Drape"	SB037	pillow case	item	0.47	2		XXX
G6008		"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	2		XXX
G6008		Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
G6008		"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	10		XXX
G6009		"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
G6009		"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	2		XXX
G6009		Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
G6009		"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	10		XXX
G6009		"Gown, Drape"	SB037	pillow case	item	0.47	2		XXX
G6010		Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
G6010		"Gown, Drape"	SB037	pillow case	item	0.47	2		XXX
G6010		"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	2		XXX
G6010		"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
G6010		"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	10		XXX
G6011		"Gown, Drape"	SB037	pillow case	item	0.47	2		XXX
G6011		Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
G6011		"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	10		XXX
G6011		"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
G6011		"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	2		XXX
G6012		Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
G6012		"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	2		XXX
G6012		"Gown, Drape"	SB037	pillow case	item	0.47	2		XXX
G6012		"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
G6012		"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	10		XXX
G6013		"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
G6013		"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	10		XXX
G6013		"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	2		XXX
G6013		"Gown, Drape"	SB037	pillow case	item	0.47	2		XXX
G6013		Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
G6014		Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
G6014		"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	10		XXX
G6014		"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
G6014		"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	2		XXX
G6014		"Gown, Drape"	SB037	pillow case	item	0.47	2		XXX
G6015		"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
G6015		"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
G6015		"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1		XXX
G6015		"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
G6015		Lab	SL006	"alcohol, ethyl, denatured"	ml	0	7		XXX
G6015		"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.51	2		XXX
G6015		"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2		XXX
G6015		"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	8		XXX
G6015		"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4		XXX
G6015		"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
G6016		Lab	SL006	"alcohol, ethyl, denatured"	ml	0	7		XXX
G6016		"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.51	2		XXX
G6016		"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2		XXX
G6016		"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
G6016		"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	5.02	1		XXX
G6016		"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
G6016		"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1		XXX
G6016		"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	8		XXX
G6016		"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
G6016		"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4		XXX
G9187	CPT14	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
G9187	CPT14	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
G9187	CPT14	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
G9187	CPT14	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
G9187	CPT14	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
G9187	CPT14	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
Q0035		"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	10		XXX
Q0035		"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	4		XXX
Q0035		"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
Q0091		"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
Q0091		"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	XXX
