HDR CPT CODES AND DESCRIPTIONS ONLY ARE COPYRIGHT
HDR 2018 AMERICAN MEDICAL ASSOCIATION.  ALL RIGHTS
HDR RESERVED.  APPLICABLE FARS/DFARS APPLY.
HDR THE FOLLOWING STATEMENT APPLIES TO ALL DENTAL
HDR CODES (HCPCS START WITH LETTER D):  COPYRIGHT
HDR 2019/20 AMERICAN DENTAL ASSOCIATION.  ALL RIGH
HDR RESERVED.
A0021  Outside state ambulance serv                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0080  Noninterest escort in non er                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0090  Interest escort in non er                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0100  Nonemergency transport taxi                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0110  Nonemergency transport bus                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0120  Noner transport mini-bus                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0130  Noner transport wheelch van                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0140  Nonemergency transport air                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0160  Noner transport case worker                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0170  Transport parking fees/tolls                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0180  Noner transport lodgng recip                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0190  Noner transport meals recip                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0200  Noner transport lodgng escrt                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0210  Noner transport meals escort                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0225  Neonatal emergency transport                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0380  Basic life support mileage                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0382  Basic support routine suppls                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0384  Bls defibrillation supplies                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0390  Advanced life support mileag                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0392  Als defibrillation supplies                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0394  Als iv drug therapy supplies                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0396  Als esophageal intub suppls                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0398  Als routine disposble suppls                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0420  Ambulance waiting 1/2 hr                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0422  Ambulance 02 life sustaining                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0424  Extra ambulance attendant                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0425  Ground mileage                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0426  Als 1                                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0427  Als1-emergency                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0428  Bls                                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0429  Bls-emergency                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0430  Fixed wing air transport                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0431  Rotary wing air transport                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0432  Pi volunteer ambulance co                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0433  Als 2                                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0434  Specialty care transport                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0435  Fixed wing air mileage                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0436  Rotary wing air mileage                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0888  Noncovered ambulance mileage                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0998  Ambulance response/treatment                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A0999  Unlisted ambulance service                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4206  1 cc sterile syringe&needle                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4207  2 cc sterile syringe&needle                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4208  3 cc sterile syringe&needle                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4209  5+ cc sterile syringe&needle                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4210  Nonneedle injection device                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4211  Supp for self-adm injections                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4212  Non coring needle or stylet                       P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4213  20+ cc syringe only                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4215  Sterile needle                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4216  Sterile water/saline, 10 ml                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4217  Sterile water/saline, 500 ml                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4218  Sterile saline or water                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4220  Infusion pump refill kit                          P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4221  Supp non-insulin inf cath/wk                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4222  Infusion supplies with pump                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4223  Infusion supplies w/o pump                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4224  Supply insulin inf cath/wk                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4225  Sup/ext insulin inf pump syr                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4226  Weekly supply maint cgs pump                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4230  Infus insulin pump non needl                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4231  Infusion insulin pump needle                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4232  Syringe w/needle insulin 3cc                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4233  Alkalin batt for glucose mon                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4234  J-cell batt for glucose mon                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4235  Lithium batt for glucose mon                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4236  Silvr oxide batt glucose mon                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4244  Alcohol or peroxide per pint                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4245  Alcohol wipes per box                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4246  Betadine/phisohex solution                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4247  Betadine/iodine swabs/wipes                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4248  Chlorhexidine antisept                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4250  Urine reagent strips/tablets                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4252  Blood ketone test or strip                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4253  Blood glucose/reagent strips                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4255  Glucose monitor platforms                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4256  Calibrator solution/chips                         P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4257  Replace lensshield cartridge                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4258  Lancet device each                                P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4259  Lancets per box                                   P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4261  Cervical cap contraceptive                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4262  Temporary tear duct plug                          B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4263  Permanent tear duct plug                          B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4264  Intratubal occlusion device                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4265  Paraffin                                          P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4266  Diaphragm                                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4267  Male condom                                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4268  Female condom                                     I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4269  Spermicide                                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4270  Disposable endoscope sheath                       B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4280  Brst prsths adhsv attchmnt                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4281  Replacement breastpump tube                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4282  Replacement breastpump adpt                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4283  Replacement breastpump cap                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4284  Replcmnt breast pump shield                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4285  Replcmnt breast pump bottle                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4286  Replcmnt breastpump lok ring                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4290  Sacral nerve stim test lead                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4300  Cath impl vasc access portal                      B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4301  Implantable access syst perc                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4305  Drug delivery system >=50 ml                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4306  Drug delivery system <=50 ml                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4310  Insert tray w/o bag/cath                          P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4311  Catheter w/o bag 2-way latex                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4312  Cath w/o bag 2-way silicone                       P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4313  Catheter w/bag 3-way                              P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4314  Cath w/drainage 2-way latex                       P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4315  Cath w/drainage 2-way silcne                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4316  Cath w/drainage 3-way                             P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4320  Irrigation tray                                   P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4321  Cath therapeutic irrig agent                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4322  Irrigation syringe                                P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4326  Male external catheter                            P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4327  Fem urinary collect dev cup                       P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4328  Fem urinary collect pouch                         P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4330  Stool collection pouch                            P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4331  Extension drainage tubing                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4332  Lube sterile packet                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4333  Urinary cath anchor device                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4334  Urinary cath leg strap                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4335  Incontinence supply                               P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4336  Urethral insert                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4337  Incontinent rectal insert                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4338  Indwelling catheter latex                         P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4340  Indwelling catheter special                       P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4344  Cath indw foley 2 way silicn                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4346  Cath indw foley 3 way                             P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4349  Disposable male external cat                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4351  Straight tip urine catheter                       P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4352  Coude tip urinary catheter                        P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4353  Intermittent urinary cath                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4354  Cath insertion tray w/bag                         P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4355  Bladder irrigation tubing                         P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4356  Ext ureth clmp or compr dvc                       P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4357  Bedside drainage bag                              P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4358  Urinary leg or abdomen bag                        P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4360  Disposable ext urethral dev                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4361  Ostomy face plate                                 P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4362  Solid skin barrier                                P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4363  Ostomy clamp, replacement                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4364  Adhesive, liquid or equal                         P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4366  Ostomy vent                                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4367  Ostomy belt                                       P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4368  Ostomy filter                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4369  Skin barrier liquid per oz                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4371  Skin barrier powder per oz                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4372  Skin barrier solid 4x4 equiv                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4373  Skin barrier with flange                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4375  Drainable plastic pch w fcpl                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4376  Drainable rubber pch w fcplt                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4377  Drainable plstic pch w/o fp                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4378  Drainable rubber pch w/o fp                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4379  Urinary plastic pouch w fcpl                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4380  Urinary rubber pouch w fcplt                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4381  Urinary plastic pouch w/o fp                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4382  Urinary hvy plstc pch w/o fp                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4383  Urinary rubber pouch w/o fp                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4384  Ostomy faceplt/silicone ring                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4385  Ost skn barrier sld ext wear                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4387  Ost clsd pouch w att st barr                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4388  Drainable pch w ex wear barr                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4389  Drainable pch w st wear barr                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4390  Drainable pch ex wear convex                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4391  Urinary pouch w ex wear barr                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4392  Urinary pouch w st wear barr                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4393  Urine pch w ex wear bar conv                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4394  Ostomy pouch liq deodorant                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4395  Ostomy pouch solid deodorant                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4396  Peristomal hernia supprt blt                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4397  Irrigation supply sleeve                          P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4398  Ostomy irrigation bag                             P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4399  Ostomy irrig cone/cath w brs                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4400  Ostomy irrigation set                             P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4402  Lubricant per ounce                               P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4404  Ostomy ring each                                  P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4405  Nonpectin based ostomy paste                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4406  Pectin based ostomy paste                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4407  Ext wear ost skn barr <=4sq"                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4408  Ext wear ost skn barr >4sq"                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4409  Ost skn barr convex <=4 sq i                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4410  Ost skn barr extnd >4 sq                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4411  Ost skn barr extnd =4sq                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4412  Ost pouch drain high output                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4413  2 pc drainable ost pouch                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4414  Ost sknbar w/o conv<=4 sq in                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4415  Ost skn barr w/o conv >4 sqi                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4416  Ost pch clsd w barrier/filtr                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4417  Ost pch w bar/bltinconv/fltr                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4418  Ost pch clsd w/o bar w filtr                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4419  Ost pch for bar w flange/flt                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4420  Ost pch clsd for bar w lk fl                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4421  Ostomy supply misc                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4422  Ost pouch absorbent material                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4423  Ost pch for bar w lk fl/fltr                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4424  Ost pch drain w bar & filter                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4425  Ost pch drain for barrier fl                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4426  Ost pch drain 2 piece system                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4427  Ost pch drain/barr lk flng/f                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4428  Urine ost pouch w faucet/tap                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4429  Urine ost pouch w bltinconv                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4430  Ost urine pch w b/bltin conv                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4431  Ost pch urine w barrier/tapv                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4432  Os pch urine w bar/fange/tap                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4433  Urine ost pch bar w lock fln                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4434  Ost pch urine w lock flng/ft                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4435  1pc ost pch drain hgh output                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4450  Non-waterproof tape                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4452  Waterproof tape                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4455  Adhesive remover per ounce                        P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4456  Adhesive remover, wipes                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4458  Reusable enema bag                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4459  Manual pump enema, reusable                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4461  Surgicl dress hold non-reuse                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4463  Surgical dress holder reuse                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4465  Non-elastic extremity binder                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4467  Belt strap sleev grmnt cover                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4470  Gravlee jet washer                                P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4480  Vabra aspirator                                   P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4481  Tracheostoma filter                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4483  Moisture exchanger                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4490  Above knee surgical stocking                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4495  Thigh length surg stocking                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4500  Below knee surgical stocking                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4510  Full length surg stocking                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4520  Incontinence garment anytype                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4550  Surgical trays                                    B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4553  Nondisp underpads, all sizes                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4554  Disposable underpads                              N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4555  Ca tx e-stim electr/transduc                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4556  Electrodes, pair                                  P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4557  Lead wires, pair                                  P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4558  Conductive gel or paste                           P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4559  Coupling gel or paste                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4561  Pessary rubber, any type                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4562  Pessary, non rubber,any type                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4563  Vag inser rectal control sys                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4565  Slings                                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4566  Should sling/vest/abrestrain                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4570  Splint                                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4575  Hyperbaric o2 chamber disps                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4580  Cast supplies (plaster)                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4590  Special casting material                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4595  Tens suppl 2 lead per month                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4600  Sleeve, inter limb comp dev                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4601  Lith ion non prosth recharge                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4602  Replace lithium battery 1.5v                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4604  Tubing with heating element                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4605  Trach suction cath close sys                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4606  Oxygen probe used w oximeter                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4608  Transtracheal oxygen cath                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4611  Heavy duty battery                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4612  Battery cables                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4613  Battery charger                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4614  Hand-held pefr meter                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4615  Cannula nasal                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4616  Tubing (oxygen) per foot                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4617  Mouth piece                                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4618  Breathing circuits                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4619  Face tent                                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4620  Variable concentration mask                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4623  Tracheostomy inner cannula                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4624  Tracheal suction tube                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4625  Trach care kit for new trach                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4626  Tracheostomy cleaning brush                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4627  Spacer bag/reservoir                              N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4628  Oropharyngeal suction cath                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4629  Tracheostomy care kit                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4630  Repl bat t.e.n.s. own by pt                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4633  Uvl replacement bulb                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4634  Replacement bulb th lightbox                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4635  Underarm crutch pad                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4636  Handgrip for cane etc                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4637  Repl tip cane/crutch/walker                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4638  Repl batt pulse gen sys                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4639  Infrared ht sys replcmnt pad                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4640  Alternating pressure pad                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4641  Radiopharm dx agent noc                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A4642  In111 satumomab                                   C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A4648  Implantable tissue marker                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4649  Surgical supplies                                 P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4650  Implant radiation dosimeter                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4651  Calibrated microcap tube                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4652  Microcapillary tube sealant                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4653  Pd catheter anchor belt                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4657  Syringe w/wo needle                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4660  Sphyg/bp app w cuff and stet                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4663  Dialysis blood pressure cuff                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4670  Automatic bp monitor, dial                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4671  Disposable cycler set                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4672  Drainage ext line, dialysis                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4673  Ext line w easy lock connect                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4674  Chem/antisept solution, 8oz                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4680  Activated carbon filter, ea                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4690  Dialyzer, each                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4706  Bicarbonate conc sol per gal                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4707  Bicarbonate conc pow per pac                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4708  Acetate conc sol per gallon                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4709  Acid conc sol per gallon                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4714  Treated water per gallon                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4719  "y set" tubing                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4720  Dialysat sol fld vol > 249cc                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4721  Dialysat sol fld vol > 999cc                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4722  Dialys sol fld vol > 1999cc                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4723  Dialys sol fld vol > 2999cc                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4724  Dialys sol fld vol > 3999cc                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4725  Dialys sol fld vol > 4999cc                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4726  Dialys sol fld vol > 5999cc                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4728  Dialysate solution, non-dex                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4730  Fistula cannulation set, ea                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4736  Topical anesthetic, per gram                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4737  Inj anesthetic per 10 ml                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4740  Shunt accessory                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4750  Art or venous blood tubing                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4755  Comb art/venous blood tubing                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4760  Dialysate sol test kit, each                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4765  Dialysate conc pow per pack                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4766  Dialysate conc sol add 10 ml                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4770  Blood collection tube/vacuum                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4771  Serum clotting time tube                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4772  Blood glucose test strips                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4773  Occult blood test strips                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4774  Ammonia test strips                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4802  Protamine sulfate per 50 mg                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4860  Disposable catheter tips                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4870  Plumb/elec wk hm hemo equip                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4890  Repair/maint cont hemo equip                      R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A4911  Drain bag/bottle                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4913  Misc dialysis supplies noc                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4918  Venous pressure clamp                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4927  Non-sterile gloves                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4928  Surgical mask                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4929  Tourniquet for dialysis, ea                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4930  Sterile, gloves per pair                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4931  Reusable oral thermometer                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A4932  Reusable rectal thermometer                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5051  Pouch clsd w barr attached                        P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5052  Clsd ostomy pouch w/o barr                        P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5053  Clsd ostomy pouch faceplate                       P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5054  Clsd ostomy pouch w/flange                        P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5055  Stoma cap                                         P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5056  1 pc ost pouch w filter                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5057  1 pc ost pou w built-in conv                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5061  Pouch drainable w barrier at                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5062  Drnble ostomy pouch w/o barr                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5063  Drain ostomy pouch w/flange                       P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5071  Urinary pouch w/barrier                           P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5072  Urinary pouch w/o barrier                         P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5073  Urinary pouch on barr w/flng                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5081  Stoma plug or seal, any type                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5082  Continent stoma catheter                          P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5083  Stoma absorptive cover                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5093  Ostomy accessory convex inse                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5102  Bedside drain btl w/wo tube                       P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5105  Urinary suspensory                                P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5112  Urinary leg bag                                   P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5113  Latex leg strap                                   P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5114  Foam/fabric leg strap                             P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5120  Skin barrier, wipe or swab                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5121  Solid skin barrier 6x6                            P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5122  Solid skin barrier 8x8                            P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5126  Disk/foam pad +or- adhesive                       P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5131  Appliance cleaner                                 P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5200  Percutaneous catheter anchor                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5500  Diab shoe for density insert                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5501  Diabetic custom molded shoe                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5503  Diabetic shoe w/roller/rockr                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5504  Diabetic shoe with wedge                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5505  Diab shoe w/metatarsal bar                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5506  Diabetic shoe w/off set heel                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5507  Modification diabetic shoe                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5508  Diabetic deluxe shoe                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5510  Compression form shoe insert                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5512  Multi den insert direct form                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5513  Multi den insert custom mold                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A5514  Mult den insert dir carv/cam                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6000  Wound warming wound cover                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6010  Collagen based wound filler                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6011  Collagen gel/paste wound fil                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6021  Collagen dressing <=16 sq in                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6022  Collagen drsg>16<=48 sq in                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6023  Collagen dressing >48 sq in                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6024  Collagen dsg wound filler                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6025  Silicone gel sheet, each                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6154  Wound pouch each                                  P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6196  Alginate dressing <=16 sq in                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6197  Alginate drsg >16 <=48 sq in                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6198  Alginate dressing > 48 sq in                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6199  Alginate drsg wound filler                        P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6203  Composite drsg <= 16 sq in                        P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6204  Composite drsg >16<=48 sq in                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6205  Composite drsg > 48 sq in                         P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6206  Contact layer <= 16 sq in                         P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6207  Contact layer >16<= 48 sq in                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6208  Contact layer > 48 sq in                          P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6209  Foam drsg <=16 sq in w/o bdr                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6210  Foam drg >16<=48 sq in w/o b                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6211  Foam drg > 48 sq in w/o brdr                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6212  Foam drg <=16 sq in w/border                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6213  Foam drg >16<=48 sq in w/bdr                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6214  Foam drg > 48 sq in w/border                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6215  Foam dressing wound filler                        P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6216  Non-sterile gauze<=16 sq in                       P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6217  Non-sterile gauze>16<=48 sq                       P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6218  Non-sterile gauze > 48 sq in                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6219  Gauze <= 16 sq in w/border                        P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6220  Gauze >16 <=48 sq in w/bordr                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6221  Gauze > 48 sq in w/border                         P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6222  Gauze <=16 in no w/sal w/o b                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6223  Gauze >16<=48 no w/sal w/o b                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6224  Gauze > 48 in no w/sal w/o b                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6228  Gauze <= 16 sq in water/sal                       P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6229  Gauze >16<=48 sq in watr/sal                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6230  Gauze > 48 sq in water/salne                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6231  Hydrogel dsg<=16 sq in                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6232  Hydrogel dsg>16<=48 sq in                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6233  Hydrogel dressing >48 sq in                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6234  Hydrocolld drg <=16 w/o bdr                       P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6235  Hydrocolld drg >16<=48 w/o b                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6236  Hydrocolld drg > 48 in w/o b                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6237  Hydrocolld drg <=16 in w/bdr                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6238  Hydrocolld drg >16<=48 w/bdr                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6239  Hydrocolld drg > 48 in w/bdr                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6240  Hydrocolld drg filler paste                       P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6241  Hydrocolloid drg filler dry                       P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6242  Hydrogel drg <=16 in w/o bdr                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6243  Hydrogel drg >16<=48 w/o bdr                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6244  Hydrogel drg >48 in w/o bdr                       P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6245  Hydrogel drg <= 16 in w/bdr                       P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6246  Hydrogel drg >16<=48 in w/b                       P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6247  Hydrogel drg > 48 sq in w/b                       P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6248  Hydrogel drsg gel filler                          P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6250  Skin seal protect moisturizr                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6251  Absorpt drg <=16 sq in w/o b                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6252  Absorpt drg >16 <=48 w/o bdr                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6253  Absorpt drg > 48 sq in w/o b                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6254  Absorpt drg <=16 sq in w/bdr                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6255  Absorpt drg >16<=48 in w/bdr                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6256  Absorpt drg > 48 sq in w/bdr                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6257  Transparent film <= 16 sq in                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6258  Transparent film >16<=48 in                       P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6259  Transparent film > 48 sq in                       P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6260  Wound cleanser any type/size                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6261  Wound filler gel/paste /oz                        P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6262  Wound filler dry form / gram                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6266  Impreg gauze no h20/sal/yard                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6402  Sterile gauze <= 16 sq in                         P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6403  Sterile gauze>16 <= 48 sq in                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6404  Sterile gauze > 48 sq in                          P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6407  Packing strips, non-impreg                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6410  Sterile eye pad                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6411  Non-sterile eye pad                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6412  Occlusive eye patch                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6413  Adhesive bandage, first-aid                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6441  Pad band w>=3" <5"/yd                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6442  Conform band n/s w<3"/yd                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6443  Conform band n/s w>=3"<5"/yd                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6444  Conform band n/s w>=5"/yd                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6445  Conform band s w <3"/yd                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6446  Conform band s w>=3" <5"/yd                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6447  Conform band s w >=5"/yd                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6448  Lt compres band <3"/yd                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6449  Lt compres band >=3" <5"/yd                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6450  Lt compres band >=5"/yd                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6451  Mod compres band w>=3"<5"/yd                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6452  High compres band w>=3"<5"yd                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6453  Self-adher band w <3"/yd                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6454  Self-adher band w>=3" <5"/yd                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6455  Self-adher band >=5"/yd                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6456  Zinc paste band w >=3"<5"/yd                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6457  Tubular dressing                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6460  Synthetic drsg <= 16 sq in                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6461  Synthetic drsg >16<=48 sq in                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6501  Compres burngarment bodysuit                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6502  Compres burngarment chinstrp                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6503  Compres burngarment facehood                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6504  Cmprsburngarment glove-wrist                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6505  Cmprsburngarment glove-elbow                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6506  Cmprsburngrmnt glove-axilla                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6507  Cmprs burngarment foot-knee                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6508  Cmprs burngarment foot-thigh                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6509  Compres burn garment jacket                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6510  Compres burn garment leotard                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6511  Compres burn garment panty                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6512  Compres burn garment, noc                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6513  Compress burn mask face/neck                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6530  Compression stocking bk18-30                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6531  Compression stocking bk30-40                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6532  Compression stocking bk40-50                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6533  Gc stocking thighlngth 18-30                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6534  Gc stocking thighlngth 30-40                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6535  Gc stocking thighlngth 40-50                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6536  Gc stocking full lngth 18-30                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6537  Gc stocking full lngth 30-40                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6538  Gc stocking full lngth 40-50                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6539  Gc stocking waistlngth 18-30                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6540  Gc stocking waistlngth 30-40                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6541  Gc stocking waistlngth 40-50                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6544  Gc stocking garter belt                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6545  Grad comp non-elastic bk                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6549  G compression stocking                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A6550  Neg pres wound ther drsg set                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7000  Disposable canister for pump                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7001  Nondisposable pump canister                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7002  Tubing used w suction pump                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7003  Nebulizer administration set                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7004  Disposable nebulizer sml vol                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7005  Nondisposable nebulizer set                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7006  Filtered nebulizer admin set                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7007  Lg vol nebulizer disposable                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7008  Disposable nebulizer prefill                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7009  Nebulizer reservoir bottle                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7010  Disposable corrugated tubing                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7012  Nebulizer water collec devic                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7013  Disposable compressor filter                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7014  Compressor nondispos filter                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7015  Aerosol mask used w nebulize                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7016  Nebulizer dome & mouthpiece                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7017  Nebulizer not used w oxygen                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7018  Water distilled w/nebulizer                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7020  Interface, cough stim device                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7025  Replace chest compress vest                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7026  Replace chst cmprss sys hose                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7027  Combination oral/nasal mask                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7028  Repl oral cushion combo mask                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7029  Repl nasal pillow comb mask                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7030  Cpap full face mask                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7031  Replacement facemask interfa                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7032  Replacement nasal cushion                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7033  Replacement nasal pillows                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7034  Nasal application device                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7035  Pos airway press headgear                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7036  Pos airway press chinstrap                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7037  Pos airway pressure tubing                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7038  Pos airway pressure filter                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7039  Filter, non disposable w pap                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7040  One way chest drain valve                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7041  Water seal drain container                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7044  Pap oral interface                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7045  Repl exhalation port for pap                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7046  Repl water chamber, pap dev                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7047  Resp suction oral interface                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7048  Vacuum drain bottle/tube kit                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7501  Tracheostoma valve w diaphra                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7502  Replacement diaphragm/fplate                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7503  Hmes filter holder or cap                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7504  Tracheostoma hmes filter                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7505  Hmes or trach valve housing                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7506  Hmes/trachvalve adhesivedisk                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7507  Integrated filter & holder                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7508  Housing & integrated adhesiv                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7509  Heat & moisture exchange sys                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7520  Trach/laryn tube non-cuffed                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7521  Trach/laryn tube cuffed                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7522  Trach/laryn tube stainless                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7523  Tracheostomy shower protect                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7524  Tracheostoma stent/stud/bttn                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7525  Tracheostomy mask                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7526  Tracheostomy tube collar                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A7527  Trach/laryn tube plug/stop                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A8000  Soft protect helmet prefab                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A8001  Hard protect helmet prefab                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A8002  Soft protect helmet custom                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A8003  Hard protect helmet custom                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A8004  Repl soft interface, helmet                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9150  Misc/exper non-prescript dru                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9152  Single vitamin nos                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9153  Multi-vitamin nos                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9155  Artificial saliva                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9180  Lice treatment, topical                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9270  Non-covered item or service                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9272  Disp wound suct, drsg/access                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9273  Hot/cold botle/cap/col/wrap                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9274  Ext amb insulin delivery sys                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9275  Disp home glucose monitor                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9276  Disposable sensor, cgm sys                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9277  External transmitter, cgm                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9278  External receiver, cgm sys                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9279  Monitoring feature/devicenoc                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9280  Alert device, noc                                 N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9281  Reaching/grabbing device                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9282  Wig any type                                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9283  Foot press off load supp dev                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9284  Non-electronic spirometer                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9285  Inversion eversion cor devic                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9286  Any hygienic item, device                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9300  Exercise equipment                                N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9500  Tc99m sestamibi                                   C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9501  Technetium tc-99m teboroxime                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9502  Tc99m tetrofosmin                                 C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9503  Tc99m medronate                                   C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9504  Tc99m apcitide                                    C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9505  Tl201 thallium                                    C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9507  In111 capromab                                    C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9508  I131 iodobenguate, dx                             C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9509  Iodine i-123 sod iodide mil                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9510  Tc99m disofenin                                   C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9512  Tc99m pertechnetate                               C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9513  Lutetium lu 177 dotatat ther                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9515  Choline c-11                                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9516  Iodine i-123 sod iodide mic                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9517  I131 iodide cap, rx                               C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9520  Tc99 tilmanocept diag 0.5mci                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9521  Tc99m exametazime                                 C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9524  I131 serum albumin, dx                            C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9526  Nitrogen n-13 ammonia                             C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9527  Iodine i-125 sodium iodide                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9528  Iodine i-131 iodide cap, dx                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9529  I131 iodide sol, dx                               C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9530  I131 iodide sol, rx                               C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9531  I131 max 100uci                                   C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9532  I125 serum albumin, dx                            C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9536  Tc99m depreotide                                  C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9537  Tc99m mebrofenin                                  C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9538  Tc99m pyrophosphate                               C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9539  Tc99m pentetate                                   C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9540  Tc99m maa                                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9541  Tc99m sulfur colloid                              C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9542  In111 ibritumomab, dx                             C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9543  Y90 ibritumomab, rx                               C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9546  Co57/58                                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9547  In111 oxyquinoline                                C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9548  In111 pentetate                                   C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9550  Tc99m gluceptate                                  C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9551  Tc99m succimer                                    C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9552  F18 fdg                                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9553  Cr51 chromate                                     C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9554  I125 iothalamate, dx                              C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9555  Rb82 rubidium                                     C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9556  Ga67 gallium                                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9557  Tc99m bicisate                                    C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9558  Xe133 xenon 10mci                                 C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9559  Co57 cyano                                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9560  Tc99m labeled rbc                                 C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9561  Tc99m oxidronate                                  C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9562  Tc99m mertiatide                                  C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9563  P32 na phosphate                                  C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9564  P32 chromic phosphate                             C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9566  Tc99m fanolesomab                                 C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9567  Technetium tc-99m aerosol                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9568  Technetium tc99m arcitumomab                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9569  Technetium tc-99m auto wbc                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9570  Indium in-111 auto wbc                            C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9571  Indium in-111 auto platelet                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9572  Indium in-111 pentetreotide                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9575  Inj gadoterate meglumi 0.1ml                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9576  Inj prohance multipack                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9577  Inj multihance                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9578  Inj multihance multipack                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9579  Gad-base mr contrast nos,1ml                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9580  Sodium fluoride f-18                              C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9581  Gadoxetate disodium inj                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9582  Iodine i-123 iobenguane                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9583  Gadofosveset trisodium inj                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9584  Iodine i-123 ioflupane                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9585  Gadobutrol injection                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9586  Florbetapir f18                                   C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9587  Gallium ga-68                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9588  Fluciclovine f-18                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9589  Insti hexaminolevulinate hcl                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9590  Iodine i-131 iobenguane 1mci                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9597  Pet, dx, for tumor id, noc                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9598  Pet dx for non-tumor id, noc                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9600  Sr89 strontium                                    C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9604  Sm 153 lexidronam                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9606  Radium ra223 dichloride ther                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9698  Non-rad contrast materialnoc                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9699  Radiopharm rx agent noc                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
A9700  Echocardiography contrast                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9900  Supply/accessory/service                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9901  Delivery/set up/dispensing                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
A9999  Dme supply or accessory, nos                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0120  Periodic oral evaluation                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0140  Limit oral eval problm focus                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0145  Oral evaluation, pt < 3yrs                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0150  Comprehensve oral evaluation                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D0160  Extensv oral eval prob focus                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0170  Re-eval,est pt,problem focus                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0171  Re-eval post-op visit                             N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0180  Comp periodontal evaluation                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0190  Screening of a patient                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0191  Assessment of a patient                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0210  Intraor complete film series                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0220  Intraoral periapical first                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0230  Intraoral periapical ea add                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0240  Intraoral occlusal film                           R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D0250  Extraoral 2d project image                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D0251  Extraoral posterior image                         R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0270  Dental bitewing single image                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D0272  Dental bitewings two images                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D0273  Bitewings - three images                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0274  Bitewings four images                             R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D0277  Vert bitewings 7 to 8 images                      R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0310  Dental saliography                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0320  Dental tmj arthrogram incl i                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0321  Other tmj images by report                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0322  Dental tomographic survey                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0330  Panoramic image                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0340  2d cephalometric image                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0350  Oral/facial photo images                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0351  3d photographic image                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0364  Cone beam ct capt & interp                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0365  Cone beam ct interprete man                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0366  Cone beam ct interprete max                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0367  Cone beam ct interp both jaw                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0368  Cone beam ct interprete tmj                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0369  Max mri capture & interprete                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0370  Max ultrasound capt & interp                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0371  Sialoendoscopy capt & interp                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0380  Cone beam ct capture limited                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0381  Cone beam ct capt mandible                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0382  Cone beam ct capt maxilla                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0383  Cone beam ct both jaws                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0384  Cone beam ct capture tmj                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0385  Max mri image capture                             N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0386  Max ultrasound image capture                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0391  Imterprete diagnostic image                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0393  Trtmnt simulation 3d image                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0394  Digital sub 2 or more images                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0395  Fusion 2 or more 3d images                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0411  Hba1c in office testing                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0412  Blood glucose level test                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0414  Lab process microbial spec                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0415  Collection of microorganisms                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0416  Viral culture                                     R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0417  Collect & prep saliva sample                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0418  Analysis of saliva sample                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0419  Assess of salivary flow                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0422  Collect & prep genetic samp                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0423  Genetic test spec analysis                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0425  Caries susceptibility test                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0431  Diag tst detect mucos abnorm                      R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0460  Pulp vitality test                                R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D0470  Diagnostic casts                                  N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0472  Gross exam, prep & report                         R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0473  Micro exam, prep & report                         R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0474  Micro w exam of surg margins                      R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0475  Decalcification procedure                         R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0476  Spec stains for microorganis                      R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0477  Spec stains not for microorg                      R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0478  Immunohistochemical stains                        R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0479  Tissue in-situ hybridization                      R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0480  Cytopath smear prep & report                      R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0481  Electron microscopy                               R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0482  Direct immunofluorescence                         R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0483  Indirect immunofluorescence                       R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0484  Consult slides prep elsewher                      R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0485  Consult inc prep of slides                        R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0486  Access of transep cytol samp                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0502  Other oral pathology procedu                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D0600  Non-ionizing diag proc                            R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0601  Caries risk assess low risk                       R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0602  Caries risk assess mod risk                       R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0603  Caries risk assess high risk                      R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D0999  Unspecified diagnostic proce                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D1110  Dental prophylaxis adult                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D1120  Dental prophylaxis child                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D1206  Topical fluoride varnish                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D1208  Topical app fluorid ex vrnsh                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D1310  Nutri counsel-control caries                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D1320  Tobacco counseling                                N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D1330  Oral hygiene instruction                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D1351  Dental sealant per tooth                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D1352  Prev resin rest, perm tooth                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D1353  Sealant repair per tooth                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D1354  Int caries med app per tooth                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D1510  Space maintainer fxd unilat                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D1516  Fixed bilat space maint, max                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D1517  Fixed bilat space maint, man                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D1520  Remove unilat space maintain                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D1526  Remove bilat space main, max                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D1527  Remove bilat space main, man                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D1551  Recement space maint - max                        R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D1552  Recement space maint - man                        R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D1553  Recement unilat space maint                       R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D1556  Rem fixed unilat space maint                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D1557  Remove fixed bilat maint max                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D1558  Remove fixed bilat man                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D1575  Dist space maint, fixed unil                      R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D1999  Unspecified preventive proc                       R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2140  Amalgam one surface permanen                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2150  Amalgam two surfaces permane                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2160  Amalgam three surfaces perma                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2161  Amalgam 4 or > surfaces perm                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2330  Resin one surface-anterior                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2331  Resin two surfaces-anterior                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2332  Resin three surfaces-anterio                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2335  Resin 4/> surf or w incis an                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2390  Ant resin-based cmpst crown                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2391  Post 1 srfc resinbased cmpst                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2392  Post 2 srfc resinbased cmpst                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2393  Post 3 srfc resinbased cmpst                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2394  Post >=4srfc resinbase cmpst                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2410  Dental gold foil one surface                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2420  Dental gold foil two surface                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2430  Dental gold foil three surfa                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2510  Dental inlay metalic 1 surf                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2520  Dental inlay metallic 2 surf                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2530  Dental inlay metl 3/more sur                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2542  Dental onlay metallic 2 surf                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2543  Dental onlay metallic 3 surf                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2544  Dental onlay metl 4/more sur                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2610  Inlay porcelain/ceramic 1 su                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2620  Inlay porcelain/ceramic 2 su                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2630  Dental onlay porc 3/more sur                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2642  Dental onlay porcelin 2 surf                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2643  Dental onlay porcelin 3 surf                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2644  Dental onlay porc 4/more sur                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2650  Inlay composite/resin one su                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2651  Inlay composite/resin two su                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2652  Dental inlay resin 3/mre sur                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2662  Dental onlay resin 2 surface                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2663  Dental onlay resin 3 surface                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2664  Dental onlay resin 4/mre sur                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2710  Crown resin-based indirect                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2712  Crown 3/4 resin-based compos                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2720  Crown resin w/ high noble me                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2721  Crown resin w/ base metal                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2722  Crown resin w/ noble metal                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2740  Crown porcelain/ceramic                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2750  Crown porcelain w/ h noble m                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2751  Crown porcelain fused base m                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2752  Crown porcelain w/ noble met                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2753  Crown porc fused to titanium                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2780  Crown 3/4 cast hi noble met                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2781  Crown 3/4 cast base metal                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2782  Crown 3/4 cast noble metal                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2783  Crown 3/4 porcelain/ceramic                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2790  Crown full cast high noble m                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2791  Crown full cast base metal                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2792  Crown full cast noble metal                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2794  Crown-titanium                                    N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2799  Provisional crown                                 N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2910  Recement inlay onlay or part                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2915  Recement cast or prefab post                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2920  Re-cement or re-bond crown                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2921  Reattach tooth fragment                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2929  Prefab porc/ceram crown pri                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2930  Prefab stnlss steel crwn pri                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2931  Prefab stnlss steel crown pe                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2932  Prefabricated resin crown                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2933  Prefab stainless steel crown                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2934  Prefab steel crown primary                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2940  Protective restoration                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2941  Int therapeutic restoration                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2949  Restorative foundation                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2950  Core build-up incl any pins                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2951  Tooth pin retention                               N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2952  Post and core cast + crown                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2953  Each addtnl cast post                             N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2954  Prefab post/core + crown                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2955  Post removal                                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2957  Each addtnl prefab post                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2960  Laminate labial veneer                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2961  Lab labial veneer resin                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2962  Lab labial veneer porcelain                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2971  Add proc construct new crown                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2975  Coping                                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2980  Crown repair                                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2981  Inlay repair                                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2982  Onlay repair                                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2983  Veneer repair                                     N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2990  Resin infiltration of lesion                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D2999  Dental unspec restorative pr                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D3110  Pulp cap direct                                   N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3120  Pulp cap indirect                                 N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3220  Therapeutic pulpotomy                             N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3221  Gross pulpal debridement                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3222  Part pulp for apexogenesis                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3230  Pulpal therapy anterior prim                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3240  Pulpal therapy posterior pri                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3310  End thxpy, anterior tooth                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3320  End thxpy, premolar tooth                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3330  End thxpy, molar tooth                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3331  Non-surg tx root canal obs                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3332  Incomplete endodontic tx                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3333  Internal root repair                              N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3346  Retreat root canal anterior                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3347  Retreat root canal premolar                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3348  Retreat root canal molar                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3351  Apexification/recalc initial                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3352  Apexification/recalc interim                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3353  Apexification/recalc final                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3355  Pulpal regeneration initial                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3356  Pulpal regeneration interim                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3357  Pulpal regeneration complete                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3410  Apicoectomy - anterior                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3421  Root surgery premolar                             N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3425  Root surgery molar                                N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3426  Root surgery ea add root                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3427  Periradicular surgery                             N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3428  Bone graft peri per tooth                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3429  Bone graft peri each addl                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3430  Retrograde filling                                N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3431  Biological materials                              N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3432  Guided tissue regeneration                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3450  Root amputation                                   N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3460  Endodontic endosseous implan                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D3470  Intentional replantation                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3910  Isolation- tooth w rubb dam                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3920  Tooth splitting                                   N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3950  Canal prep/fitting of dowel                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D3999  Endodontic procedure                              R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D4210  Gingivectomy/plasty 4 or mor                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D4211  Gingivectomy/plasty 1 to 3                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D4212  Gingivectomy/plasty rest                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D4230  Ana crown exp 4 or> per quad                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D4231  Ana crown exp 1-3 per quad                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D4240  Gingival flap proc w/ planin                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D4241  Gngvl flap w rootplan 1-3 th                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D4245  Apically positioned flap                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D4249  Crown lengthen hard tissue                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D4260  Osseous surgery 4 or more                         R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D4261  Osseous surg 1 to 3 teeth                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D4263  Bone replce graft first site                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D4264  Bone replce graft each add                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D4265  Bio mtrls to aid soft/os reg                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D4266  Guided tiss regen resorble                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D4267  Guided tiss regen nonresorb                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D4268  Surgical revision procedure                       R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D4270  Pedicle soft tissue graft pr                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D4273  Auto tissue graft 1st tooth                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D4274  Mesial/distal wedge proc                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D4275  Non-auto graft 1st tooth                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D4276  Con tissue w dble ped graft                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D4277  Soft tissue graft firsttooth                      R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D4278  Soft tissue graft addl tooth                      R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D4283  Auto tissue graft addl tooth                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D4285  Non-auto graft addl tooth                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D4320  Provision splnt intracoronal                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D4321  Provisional splint extracoro                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D4341  Periodontal scaling & root                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D4342  Periodontal scaling 1-3teeth                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D4346  Scaling gingiv inflammation                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D4355  Full mouth debridement                            R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D4381  Localized delivery antimicro                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D4910  Periodontal maint procedures                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D4920  Unscheduled dressing change                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D4921  Gingival irrigation per quad                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D4999  Unspecified periodontal proc                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5110  Dentures complete maxillary                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5120  Dentures complete mandible                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5130  Dentures immediat maxillary                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5140  Dentures immediat mandible                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5211  Dentures maxill part resin                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5212  Dentures mand part resin                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5213  Dentures maxill part metal                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5214  Dentures mandibl part metal                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5221  Immed max part denture resin                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5222  Immed man part denture resin                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5223  Immed max part dent metal                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5224  Immed mand part dent metal                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5225  Maxillary part denture flex                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5226  Mandibular part denture flex                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5282  Remove unil part denture,max                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5283  Remove unil part denture,man                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5284  Rem unilat dent flex base                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5286  Rem unilat dent 1 pc resin                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5410  Dentures adjust cmplt maxil                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5411  Dentures adjust cmplt mand                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5421  Dentures adjust part maxill                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5422  Dentures adjust part mandbl                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5511  Rep broke comp dent base man                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5512  Rep broke comp dent base max                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5520  Replace denture teeth complt                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5611  Rep resin part dent base man                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5612  Rep resin part dent base max                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5621  Rep cast part frame man                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5622  Rep cast part frame max                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5630  Rep partial denture clasp                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5640  Replace part denture teeth                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5650  Add tooth to partial denture                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5660  Add clasp to partial denture                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5670  Replc tth&acrlc on mtl frmwk                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5671  Replc tth&acrlc mandibular                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5710  Dentures rebase cmplt maxil                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5711  Dentures rebase cmplt mand                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5720  Dentures rebase part maxill                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5721  Dentures rebase part mandbl                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5730  Denture reln cmplt maxil ch                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5731  Denture reln cmplt mand chr                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5740  Denture reln part maxil chr                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5741  Denture reln part mand chr                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5750  Denture reln cmplt max lab                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5751  Denture reln cmplt mand lab                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5760  Denture reln part maxil lab                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5761  Denture reln part mand lab                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5810  Denture interm cmplt maxill                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5811  Denture interm cmplt mandbl                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5820  Denture interm part maxill                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5821  Denture interm part mandbl                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5850  Denture tiss conditn maxill                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5851  Denture tiss condtin mandbl                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5862  Precision attachment                              N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5863  Overdenture complete max                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5864  Overdenture partial max                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5865  Overdenture complete mandib                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5866  Overdenture partial mandib                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5867  Replacement of precision att                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5875  Prosthesis modification                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5876  Add metal sub to acrylc dent                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5899  Removable prosthodontic proc                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5911  Facial moulage sectional                          R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D5912  Facial moulage complete                           R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D5913  Nasal prosthesis                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5914  Auricular prosthesis                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5915  Orbital prosthesis                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5916  Ocular prosthesis                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5919  Facial prosthesis                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5922  Nasal septal prosthesis                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5923  Ocular prosthesis interim                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5924  Cranial prosthesis                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5925  Facial augmentation implant                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5926  Replacement nasal prosthesis                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5927  Auricular replacement                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5928  Orbital replacement                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5929  Facial replacement                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5931  Surgical obturator                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5932  Postsurgical obturator                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5933  Refitting of obturator                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5934  Mandibular flange prosthesis                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5935  Mandibular denture prosth                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5936  Temp obturator prosthesis                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5937  Trismus appliance                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5951  Feeding aid                                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D5952  Pediatric speech aid                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5953  Adult speech aid                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5954  Superimposed prosthesis                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5955  Palatal lift prosthesis                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5958  Intraoral con def inter plt                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5959  Intraoral con def mod palat                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5960  Modify speech aid prosthesis                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5982  Surgical stent                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5983  Radiation applicator                              R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D5984  Radiation shield                                  R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D5985  Radiation cone locator                            R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D5986  Fluoride applicator                               N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5987  Commissure splint                                 R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D5988  Surgical splint                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5991  Vesiculobullous disease carr                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5992  Adjust max prost appliance                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5993  Main/clean max prosthesis                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5994  Peridontal medicament                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D5999  Maxillofacial prosthesis                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6010  Odontics endosteal implant                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6011  Second stage implant surgery                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6012  Endosteal implant                                 N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6013  Surgical place mini implant                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6040  Odontics eposteal implant                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6050  Odontics transosteal implnt                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6051  Interim abutment                                  N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6052  Semi precision attach abut                        R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6055  Implant connecting bar                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6056  Prefabricated abutment                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6057  Custom abutment                                   N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6058  Abutment supported crown                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6059  Abutment supported mtl crown                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6060  Abutment supported mtl crown                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6061  Abutment supported mtl crown                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6062  Abutment supported mtl crown                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6063  Abutment supported mtl crown                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6064  Abutment supported mtl crown                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6065  Implant supported crown                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6066  Implant supported mtl crown                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6067  Implant supported mtl crown                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6068  Abutment supported retainer                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6069  Abutment supported retainer                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6070  Abutment supported retainer                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6071  Abutment supported retainer                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6072  Abutment supported retainer                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6073  Abutment supported retainer                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6074  Abutment supported retainer                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6075  Implant supported retainer                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6076  Implant supported retainer                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6077  Implant supported retainer                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6080  Implant maintenance                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6081  Scale & debride, single imp                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6082  Imp crown porc to base alloy                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6083  Imp crown porc to noble allo                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6084  Imp crown porc to titanium                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6085  Provisional implant crown                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6086  Imp crown base alloys                             N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6087  Implant crown noble alloys                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6088  Imp crown titanium alloys                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6090  Repair implant                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6091  Repl semi/precision attach                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6092  Recement supp crown                               N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6093  Recement supp part denture                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6094  Abut support crown titanium                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6095  Odontics repr abutment                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6096  Remove broken imp ret screw                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6097  Abut crown porc to titanium                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6098  Imp retain porc to base allo                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6099  Imp retainer for fpd                              N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6100  Removal of implant                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6101  Debridement of a periimplant                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6102  Debridement & contouring                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6103  Bone graft repair perimplant                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6104  Bone graft time of implant                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6110  Implnt/abut remov dent max                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6111  Implnt/abut remov dent mand                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6112  Imp/abut rem dent part max                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6113  Imp/abut rem dent part mand                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6114  Implnt/abut fixed dent max                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6115  Implnt/abut fixed dent mand                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6116  Imp/abut fixed dent part max                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6117  Imp/abut fixed dent part man                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6118  Imp/abut int fixed dent man                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6119  Int/abut int fixed dent max                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6120  Imp retain porc to titanium                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6121  Retain metal fpd base alloys                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6122  Retain metal fpd noble alloy                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6123  Retain metal fpd titanium                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6190  Radio/surgical implant index                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6194  Abut support retainer titani                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6195  Abut retain porc to titanium                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6199  Implant procedure                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6205  Pontic-indirect resin based                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6210  Prosthodont high noble metal                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6211  Bridge base metal cast                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6212  Bridge noble metal cast                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6214  Pontic titanium                                   N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6240  Bridge porcelain high noble                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6241  Bridge porcelain base metal                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6242  Bridge porcelain nobel metal                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6243  Pontic porcelain to titanium                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6245  Bridge porcelain/ceramic                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6250  Bridge resin w/high noble                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6251  Bridge resin base metal                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6252  Bridge resin w/noble metal                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6253  Provisional pontic                                N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6545  Dental retainr cast metl                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6548  Porcelain/ceramic retainer                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6549  Resin retainer                                    N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6600  Porcelain/ceramic inlay 2srf                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6601  Porc/ceram inlay >= 3 surfac                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6602  Cst hgh nble mtl inlay 2 srf                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6603  Cst hgh nble mtl inlay >=3sr                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6604  Cst bse mtl inlay 2 surfaces                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6605  Cst bse mtl inlay >= 3 surfa                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6606  Cast noble metal inlay 2 sur                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6607  Cst noble mtl inlay >=3 surf                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6608  Onlay porc/crmc 2 surfaces                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6609  Onlay porc/crmc >=3 surfaces                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6610  Onlay cst hgh nbl mtl 2 srfc                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6611  Onlay cst hgh nbl mtl >=3srf                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6612  Onlay cst base mtl 2 surface                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6613  Onlay cst base mtl >=3 surfa                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6614  Onlay cst nbl mtl 2 surfaces                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6615  Onlay cst nbl mtl >=3 surfac                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6624  Inlay titanium                                    N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6634  Onlay titanium                                    N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6710  Crown-indirect resin based                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6720  Retain crown resin w hi nble                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6721  Crown resin w/base metal                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6722  Crown resin w/noble metal                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6740  Crown porcelain/ceramic                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6750  Crown porcelain high noble                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6751  Crown porcelain base metal                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6752  Crown porcelain noble metal                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6753  Retain crown porc to titaniu                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6780  Crown 3/4 high noble metal                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6781  Crown 3/4 cast based metal                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6782  Crown 3/4 cast noble metal                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6783  Crown 3/4 porcelain/ceramic                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6784  Retainer crown 3/4 titanium                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6790  Crown full high noble metal                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6791  Crown full base metal cast                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6792  Crown full noble metal cast                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6793  Provisional retainer crown                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6794  Crown titanium                                    N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6920  Dental connector bar                              R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D6930  Recement/bond part denture                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6940  Stress breaker                                    N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6950  Precision attachment                              N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6980  Fixed partial repair                              N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6985  Pediatric partial denture fx                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D6999  Fixed prosthodontic proc                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7111  Extraction coronal remnants                       R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7140  Extraction erupted tooth/exr                      R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7210  Rem imp tooth w mucoper flp                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D7220  Impact tooth remov soft tiss                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D7230  Impact tooth remov part bony                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D7240  Impact tooth remov comp bony                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D7241  Impact tooth rem bony w/comp                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D7250  Tooth root removal                                R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D7251  Coronectomy                                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7260  Oral antral fistula closure                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D7261  Primary closure sinus perf                        R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7270  Tooth reimplantation                              N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7272  Tooth transplantation                             N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7280  Exposure of unerupted tooth                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7282  Mobilize erupted/malpos toot                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7283  Place device impacted tooth                       R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7285  Biopsy of oral tissue hard                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7286  Biopsy of oral tissue soft                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7287  Exfoliative cytolog collect                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7288  Brush biopsy                                      R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7290  Repositioning of teeth                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7291  Transseptal fiberotomy                            R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D7292  Screw retained plate                              N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7293  Temp anchorage dev w flap                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7294  Temp anchorage dev w/o flap                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7295  Bone harvest,auto graft proc                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7296  Corticotomy, 1-3 teeth                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7297  Corticotomy, 4 or more teeth                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7310  Alveoplasty w/ extraction                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7311  Alveoloplasty w/extract 1-3                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7320  Alveoplasty w/o extraction                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7321  Alveoloplasty not w/extracts                      R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7340  Vestibuloplasty ridge extens                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7350  Vestibuloplasty exten graft                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7410  Rad exc lesion up to 1.25 cm                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7411  Excision benign lesion>1.25c                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7412  Excision benign lesion compl                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7413  Excision malig lesion<=1.25c                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7414  Excision malig lesion>1.25cm                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7415  Excision malig les complicat                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7440  Malig tumor exc to 1.25 cm                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7441  Malig tumor > 1.25 cm                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7450  Rem odontogen cyst to 1.25cm                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7451  Rem odontogen cyst > 1.25 cm                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7460  Rem nonodonto cyst to 1.25cm                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7461  Rem nonodonto cyst > 1.25 cm                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7465  Lesion destruction                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7471  Rem exostosis any site                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7472  Removal of torus palatinus                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7473  Remove torus mandibularis                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7485  Surg reduct osseoustuberosit                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7490  Maxilla or mandible resectio                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7510  I&d absc intraoral soft tiss                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7511  Incision/drain abscess intra                      R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7520  I&d abscess extraoral                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7521  Incision/drain abscess extra                      R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7530  Removal fb skin/areolar tiss                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7540  Removal of fb reaction                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7550  Removal of sloughed off bone                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7560  Maxillary sinusotomy                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7610  Maxilla open reduct simple                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7620  Clsd reduct simpl maxilla fx                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7630  Open red simpl mandible fx                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7640  Clsd red simpl mandible fx                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7650  Open red simp malar/zygom fx                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7660  Clsd red simp malar/zygom fx                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7670  Closd rductn splint alveolus                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7671  Alveolus open reduction                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7680  Reduct simple facial bone fx                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7710  Maxilla open reduct compound                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7720  Clsd reduct compd maxilla fx                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7730  Open reduct compd mandble fx                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7740  Clsd reduct compd mandble fx                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7750  Open red comp malar/zygma fx                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7760  Clsd red comp malar/zygma fx                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7770  Open reduc compd alveolus fx                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7771  Alveolus clsd reduc stblz te                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7780  Reduct compnd facial bone fx                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7810  Tmj open reduct-dislocation                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7820  Closed tmp manipulation                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7830  Tmj manipulation under anest                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7840  Removal of tmj condyle                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7850  Tmj meniscectomy                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7852  Tmj repair of joint disc                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7854  Tmj excisn of joint membrane                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7856  Tmj cutting of a muscle                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7858  Tmj reconstruction                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7860  Tmj cutting into joint                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7865  Tmj reshaping components                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7870  Tmj aspiration joint fluid                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7871  Lysis + lavage w catheters                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7872  Tmj diagnostic arthroscopy                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7873  Tmj arthroscopy lysis adhesn                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7874  Tmj arthroscopy disc reposit                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7875  Tmj arthroscopy synovectomy                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7876  Tmj arthroscopy discectomy                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7877  Tmj arthroscopy debridement                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7880  Occlusal orthotic appliance                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7881  Occ orthotic device adjust                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7899  Tmj unspecified therapy                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7910  Dent sutur recent wnd to 5cm                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7911  Dental suture wound to 5 cm                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7912  Suture complicate wnd > 5 cm                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7920  Dental skin graft                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7921  Collect & appl blood product                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7922  Place intra-socket bio dress                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7940  Reshaping bone orthognathic                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D7941  Bone cutting ramus closed                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7943  Cutting ramus open w/graft                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7944  Bone cutting segmented                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7945  Bone cutting body mandible                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7946  Reconstruction maxilla total                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7947  Reconstruct maxilla segment                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7948  Reconstruct midface no graft                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7949  Reconstruct midface w/graft                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7950  Mandible graft                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7951  Sinus aug w bone or bone sub                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7952  Sinus augmentation vertical                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7953  Bone replacement graft                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7955  Repair maxillofacial defects                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7960  Frenulectomy/frenectomy                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7963  Frenuloplasty                                     N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7970  Excision hyperplastic tissue                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7971  Excision pericoronal gingiva                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7972  Surg redct fibrous tuberosit                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7979  Non-surgical sialolithotomy                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7980  Surgical sialolithotomy                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7981  Excision of salivary gland                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7982  Sialodochoplasty                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7983  Closure of salivary fistula                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7990  Emergency tracheotomy                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7991  Dental coronoidectomy                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7995  Synthetic graft facial bones                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7996  Implant mandible for augment                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7997  Appliance removal                                 N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7998  Intraoral place of fix dev                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D7999  Oral surgery procedure                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D8010  Limited dental tx primary                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D8020  Limited dental tx transition                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D8030  Limited dental tx adolescent                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D8040  Limited dental tx adult                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D8050  Intercep dental tx primary                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D8060  Intercep dental tx transitn                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D8070  Compre dental tx transition                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D8080  Compre dental tx adolescent                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D8090  Compre dental tx adult                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D8210  Orthodontic rem appliance tx                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D8220  Fixed appliance therapy habt                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D8660  Preorthodontic tx visit                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D8670  Periodic orthodontc tx visit                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D8680  Orthodontic retention                             N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D8681  Removable retainer adjust                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D8690  Orthodontic treatment                             N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D8695  Remove fixed ortho appliance                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D8696  Rep of ortho appliance max                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D8697  Rep of ortho appliance man                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D8698  Recement fixed retainer max                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D8699  Recement fixed retainer man                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D8701  Repair fixed retainer max                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D8702  Repair of fixed retainer man                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D8703  Replace broken retainer max                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D8704  Replace broken retainer man                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D8999  Orthodontic procedure                             N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9110  Tx dental pain minor proc                         R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D9120  Fix partial denture section                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9130  Temporomandibular joint dysf                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9210  Dent anesthesia w/o surgery                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9211  Regional block anesthesia                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9212  Trigeminal block anesthesia                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9215  Local anesthesia                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9219  Eval mod/deep sed/gen anest                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9222  Deep anest, 1st 15 min                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9223  General anesth ea addl 15 mi                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9230  Analgesia                                         R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D9239  Iv mod sedation, 1st 15 min                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9243  Iv sedation ea addl 15m                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9248  Sedation (non-iv)                                 R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9310  Dental consultation                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9311  Consult w/med hlth care prof                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9410  Dental house call                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9420  Hospital/asc call                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9430  Office visit during hours                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9440  Office visit after hours                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9450  Case presentation tx plan                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9610  Dent therapeutic drug inject                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9612  Thera par drugs 2 or > admin                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9613  Infiltration thera drug                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9630  Drugs/meds disp for home use                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D9910  Dent appl desensitizing med                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9911  Appl desensitizing resin                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9920  Behavior management                               N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9930  Treatment of complications                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D9932  Clean & inspect rem dent max                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9933  Clean & inspect rem dent man                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9934  Clean rem part denture max                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9935  Clean rem part denture mand                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9941  Fabrication athletic guard                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9942  Repair/reline occlusal guard                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9943  Occlusal guard adjustment                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9944  Occ guard, hard, full arch                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9945  Occ guard, soft, full arch                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9946  Occ guard, hard, part arch                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9950  Occlusion analysis                                R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D9951  Limited occlusal adjustment                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D9952  Complete occlusal adjustment                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
D9961  Dup/copy patient's records                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9970  Enamel microabrasion                              N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9971  Odontoplasty 1-2 teeth                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9972  Extrnl bleaching per arch                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9973  Extrnl bleaching per tooth                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9974  Intrnl bleaching per tooth                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9975  External bleaching home app                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9985  Sales tax                                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9986  Missed appointment                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9987  Cancelled appointment                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9990  Trans or sign language svcs                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9991  Case mgmt, appt barriers                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9992  Case mgmt, care coordination                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9993  Case mgmt, interviewing                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9994  Case mgmt, pt education                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9995  Teledentistry real-time                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9996  Teledentistry dent review                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9997  Dent case mgmt special needs                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
D9999  Adjunctive procedure                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0008  Admin influenza virus vac                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0009  Admin pneumococcal vaccine                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0010  Admin hepatitis b vaccine                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0027  Semen analysis                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0068  Adm of infusion drug in home                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0069  Adm of immune drug in home                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0070  Adm of chemo drug in home                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0071  Comm svcs by rhc/fqhc 5 min                       X+  0.40   0.25     0.25NA  0.04   0.69  0.690XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0076  Care manag h vst new pt 20 m                      A   1.01   0.48     0.48NA  0.09   1.58  1.580XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0077  Care manag h vst new pt 30 m                      A   1.52   0.61     0.61NA  0.12   2.25  2.250XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0078  Care manag h vst new pt 45 m                      A   2.53   0.97     0.97NA  0.21   3.71  3.710XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0079  Care manag h vst new pt 60 m                      A   3.38   1.55     1.55NA  0.27   5.20  5.200XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0080  Care manag h vst new pt 75 m                      A   4.09   1.90     1.90NA  0.32   6.31  6.310XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0081  Care man h v ext pt 20 mi                         A   1.00   0.49     0.49NA  0.09   1.58  1.580XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0082  Care man h v ext pt 30 m                          A   1.56   0.72     0.72NA  0.12   2.40  2.400XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0083  Care man h v ext pt 45 m                          A   2.33   1.17     1.17NA  0.18   3.68  3.680XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0084  Care man h v ext pt 60 m                          A   3.28   1.56     1.56NA  0.27   5.11  5.110XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0085  Care man h v ext pt 75 m                          A   4.09   1.90     1.90NA  0.32   6.31  6.310XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0086  Care man home care plan 30 m                      A   1.25   0.85     0.85NA  0.09   2.19  2.190XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0087  Care man home care plan 60 m                      A   1.80   1.12     1.12NA  0.13   3.05  3.050XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0101  Ca screen;pelvic/breast exam                      A   0.45   0.60     0.28    0.08   1.13  0.810XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0102  Prostate ca screening; dre                        A   0.17   0.46     0.07    0.01   0.64  0.250XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0103  Psa screening                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0104  Ca screen;flexi sigmoidscope                      A   0.84   4.03     0.66    0.11   4.98  1.610000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
G0105  Colorectal scrn; hi risk ind                      A   3.26   5.75     1.68    0.40   9.41  5.340000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
G010553Colorectal scrn; hi risk ind                      A   1.63   2.88     0.84    0.20   4.71  2.670000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
G0106  Colon ca screen;barium enema                      A   0.99   4.91     4.91NA  0.06   5.96  5.961XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0106TCColon ca screen;barium enema                      A   0.00   4.45     4.45NA  0.01   4.46  4.461XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
G010626Colon ca screen;barium enema                      A   0.99   0.46     0.46    0.05   1.50  1.501XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0108  Diab manage trn  per indiv                        A   0.90   0.63     0.63NA  0.05   1.58  1.580XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0109  Diab manage trn ind/group                         A   0.25   0.18     0.18NA  0.01   0.44  0.440XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0117  Glaucoma scrn hgh risk direc                      T   0.45   1.10     1.10NA  0.01   1.56  1.560XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0118  Glaucoma scrn hgh risk direc                      T   0.17   1.04     1.04NA  0.02   1.23  1.230XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0120  Colon ca scrn; barium enema                       A   0.99   4.91     4.91NA  0.12   6.02  6.021XXX.00.00.0000000             36.0896 090 99     11.02  11.02   0.13
G0120TCColon ca scrn; barium enema                       A   0.00   4.45     4.45NA  0.01   4.46  4.461XXX.00.00.0000000             36.0896 090 99     10.56  10.56   0.02
G012026Colon ca scrn; barium enema                       A   0.99   0.46     0.46    0.11   1.56  1.561XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0121  Colon ca scrn not hi rsk ind                      A   3.26   5.75     1.68    0.42   9.43  5.360000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
G012153Colon ca scrn not hi rsk ind                      A   1.63   2.88     0.84    0.21   4.72  2.680000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
G0122  Colon ca scrn; barium enema                       N+  0.99   7.71     7.71NA  0.07   8.77  8.771XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0122TCColon ca scrn; barium enema                       N+  0.00   7.33     7.33NA  0.02   7.35  7.351XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G012226Colon ca scrn; barium enema                       N+  0.99   0.38     0.38    0.05   1.42  1.421XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0123  Screen cerv/vag thin layer                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0124  Screen c/v thin layer by md                       A   0.26   0.46     0.46    0.01   0.73  0.730XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0127  Trim nail(s)                                      R   0.17   0.49     0.04    0.01   0.67  0.220000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
G0128  Corf skilled nursing service                      R   0.00   0.20     0.20NA  0.01   0.21  0.213XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0129  Partial hosp prog service                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0130  Single energy x-ray study                         A   0.22   0.75     0.75NA  0.02   0.99  0.991XXX.00.00.0000000             36.0896 090 99      3.15   3.15   0.06
G0130TCSingle energy x-ray study                         A   0.00   0.66     0.66NA  0.01   0.67  0.671XXX.00.00.0000000             36.0896 010 99      3.06   3.06   0.05
G013026Single energy x-ray study                         A   0.22   0.09     0.09    0.01   0.32  0.321XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0141  Scr c/v cyto,autosys and md                       A   0.26   0.46     0.46    0.01   0.73  0.730XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0143  Scr c/v cyto,thinlayer,rescr                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0144  Scr c/v cyto,thinlayer,rescr                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0145  Scr c/v cyto,thinlayer,rescr                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0147  Scr c/v cyto, automated sys                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0148  Scr c/v cyto, autosys, rescr                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0151  Hhcp-serv of pt,ea 15 min                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0152  Hhcp-serv of ot,ea 15 min                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0153  Hhcp-svs of s/l path,ea 15mn                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0155  Hhcp-svs of csw,ea 15 min                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0156  Hhcp-svs of aide,ea 15 min                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0157  Hhc pt assistant ea 15                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0158  Hhc ot assistant ea 15                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0159  Hhc pt maint ea 15 min                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0160  Hhc occup therapy ea 15                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0161  Hhc slp ea 15 min                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0162  Hhc rn e&m plan svs, 15 min                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0166  Extrnl counterpulse, per tx                       A   0.00   2.86     2.86NA  0.03   2.89  2.895XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0168  Wound closure by adhesive                         A   0.31   2.66     0.17    0.06   3.03  0.540000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
G0175  Opps service,sched team conf                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0176  Opps/php;activity therapy                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0177  Opps/php; train & educ serv                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0179  Md recertification hha pt                         A   0.45   0.67     0.67NA  0.03   1.15  1.150XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0180  Md certification hha patient                      A   0.67   0.78     0.78NA  0.05   1.50  1.500XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0181  Home health care supervision                      A   1.73   1.18     1.18NA  0.11   3.02  3.020XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0182  Hospice care supervision                          A   1.73   1.20     1.20NA  0.11   3.04  3.040XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0186  Dstry eye lesn,fdr vssl tech                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             36.0896 090 99      0.00   0.00   0.00
G0219  Pet img wholbod melano nonco                      N   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0219TCPet img wholbod melano nonco                      N   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             36.0896 010 99      0.00   0.00   0.00
G021926Pet img wholbod melano nonco                      N   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0235  Pet not otherwise specified                       N   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0235TCPet not otherwise specified                       N   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             36.0896 010 99      0.00   0.00   0.00
G023526Pet not otherwise specified                       N   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0237  Therapeutic procd strg endur                      A   0.00   0.25     0.25NA  0.01   0.26  0.265XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0238  Oth resp proc, indiv                              A   0.00   0.26     0.26NA  0.01   0.27  0.275XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0239  Oth resp proc, group                              A   0.00   0.33     0.33NA  0.01   0.34  0.345XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0245  Initial foot exam pt lops                         R   0.88   0.94     0.28    0.05   1.87  1.210XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0246  Followup eval of foot pt lop                      R   0.45   0.62     0.12    0.02   1.09  0.590XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0247  Routine footcare pt w lops                        R   0.50   1.73     0.12    0.02   2.25  0.640ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0248  Demonstrate use home inr mon                      R   0.00   1.62     1.62NA  0.02   1.64  1.643XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
G0249  Provide inr test mater/equip                      R   0.00   1.63     1.63NA  0.01   1.64  1.643XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
G0250  Md inr test revie inter mgmt                      R   0.18   0.07     0.07NA  0.01   0.26  0.262XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0252  Pet imaging initial dx                            N   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0252TCPet imaging initial dx                            N   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G025226Pet imaging initial dx                            N+  1.50   0.58     0.58    0.08   2.16  2.161XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0255  Current percep threshold tst                      N   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0255TCCurrent percep threshold tst                      N   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             36.0896 010 99      0.00   0.00   0.00
G025526Current percep threshold tst                      N   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0257  Unsched dialysis esrd pt hos                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0259  Inject for sacroiliac joint                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0260  Inj for sacroiliac jt anesth                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0268  Removal of impacted wax md                        A   0.61   0.73     0.26    0.09   1.43  0.960000.00.00.0022100             36.0896 090 99      0.00   0.00   0.00
G0269  Occlusive device in vein art                      B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0270  Mnt subs tx for change dx                         A   0.45   0.45     0.34    0.02   0.92  0.810XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0271  Group mnt 2 or more 30 mins                       A   0.25   0.22     0.19    0.01   0.48  0.450XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0276  Pild/placebo control clin tr                      R   7.17   3.03NA   3.03    0.56  10.76 10.760000.00.00.0022210             36.0896 090 99      0.00   0.00   0.00
G0277  Hbot, full body chamber, 30m                      A   0.00   3.81     3.81NA  0.02   3.83  3.833XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0278  Iliac art angio,cardiac cath                      A   0.25   0.09NA   0.09    0.06   0.40  0.400ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0279  Tomosynthesis, mammo                              A   0.60   0.92     0.92NA  0.03   1.55  1.551ZZZ.00.00.0002900             36.0896 090 99      0.00   0.00   0.00
G0279TCTomosynthesis, mammo                              A   0.00   0.70     0.70NA  0.00   0.70  0.701ZZZ.00.00.0002900             36.0896 090 99      0.00   0.00   0.00
G027926Tomosynthesis, mammo                              A   0.60   0.22     0.22    0.03   0.85  0.851ZZZ.00.00.0002900             36.0896 090 99      0.00   0.00   0.00
G0281  Elec stim unattend for press                      A   0.18   0.20     0.20NA  0.01   0.39  0.397XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
G0282  Elect stim wound care not pd                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0283  Elec stim other than wound                        A   0.18   0.20     0.20NA  0.01   0.39  0.397XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
G0288  Recon, cta for surg plan                          A   0.00   0.90     0.90NA  0.09   0.99  0.993XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
G0289  Arthro, loose body + chondro                      A   1.48   0.74NA   0.74    0.28   2.50  2.500ZZZ.00.00.0001000             36.0896 090 99      0.00   0.00   0.00
G0293  Non-cov surg proc,clin trial                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0294  Non-cov proc, clinical trial                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0295  Electromagnetic therapy onc                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0296  Visit to determ ldct elig                         A   0.52   0.26     0.20    0.05   0.83  0.770XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0297  Ldct for lung ca screen                           A   1.02   5.62     5.62NA  0.06   6.70  6.701XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
G0297TCLdct for lung ca screen                           A   0.00   5.24     5.24NA  0.01   5.25  5.251XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
G029726Ldct for lung ca screen                           A   1.02   0.38     0.38    0.05   1.45  1.451XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
G0299  Hhs/hospice of rn ea 15 min                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0300  Hhs/hospice of lpn ea 15 min                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0302  Pre-op service lvrs complete                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0303  Pre-op service lvrs 10-15dos                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0304  Pre-op service lvrs 1-9 dos                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0305  Post op service lvrs min 6                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0306  Cbc/diffwbc w/o platelet                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0307  Cbc without platelet                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0328  Fecal blood scrn immunoassay                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0329  Electromagntic tx for ulcers                      A   0.06   0.25     0.25NA  0.01   0.32  0.327XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
G0333  Dispense fee initial 30 day                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0337  Hospice evaluation preelecti                      X+  1.42   0.55     0.55    0.11   2.08  2.089XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0339  Robot lin-radsurg com, first                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0340  Robt lin-radsurg fractx 2-5                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0341  Percutaneous islet celltrans                      A   6.98  52.23     2.84    0.56  59.77 10.380000.00.00.0020010             36.0896 090 99      0.00   0.00   0.00
G0342  Laparoscopy islet cell trans                      A  11.92   6.71NA   6.71    0.93  19.56 19.560090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
G0343  Laparotomy islet cell transp                      A  19.85  10.86NA  10.86    1.58  32.29 32.290090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
G0372  Md service required for pmd                       A   0.17   0.08     0.08    0.01   0.26  0.260XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0378  Hospital observation per hr                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0379  Direct refer hospital observ                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0380  Lev 1 hosp type b ed visit                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0381  Lev 2 hosp type b ed visit                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0382  Lev 3 hosp type b ed visit                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0383  Lev 4 hosp type b ed visit                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0384  Lev 5 hosp type b ed visit                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0390  Trauma respons w/hosp criti                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0396  Alcohol/subs interv 15-30mn                       A   0.65   0.32     0.24    0.05   1.02  0.940XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0397  Alcohol/subs interv >30 min                       A   1.30   0.50     0.42    0.11   1.91  1.830XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0398  Home sleep test/type 2 porta                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0398TCHome sleep test/type 2 porta                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G039826Home sleep test/type 2 porta                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0399  Home sleep test/type 3 porta                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0399TCHome sleep test/type 3 porta                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G039926Home sleep test/type 3 porta                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0400  Home sleep test/type 4 porta                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0400TCHome sleep test/type 4 porta                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G040026Home sleep test/type 4 porta                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0402  Initial preventive exam                           A   2.43   2.11     1.02    0.13   4.67  3.580XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0403  Ekg for initial prevent exam                      A   0.17   0.29     0.29NA  0.02   0.48  0.484XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0404  Ekg tracing for initial prev                      A   0.00   0.23     0.23NA  0.01   0.24  0.243XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0405  Ekg interpret & report preve                      A   0.17   0.06     0.06    0.01   0.24  0.242XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0406  Inpt/tele follow up 15                            A   0.76   0.29NA   0.29    0.05   1.10  1.100XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0407  Inpt/tele follow up 25                            A   1.39   0.56NA   0.56    0.08   2.03  2.030XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0408  Inpt/tele follow up 35                            A   2.00   0.81NA   0.81    0.11   2.92  2.920XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0409  Corf related serv 15 mins ea                      R   0.00   0.36     0.36NA  0.01   0.37  0.379XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0410  Grp psych partial hosp 45-50                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0411  Inter active grp psych parti                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0412  Open tx iliac spine uni/bil                       A  10.45   8.48NA   8.48    2.08  21.01 21.010090.10.69.2120220             36.0896 090 99      0.00   0.00   0.00
G0413  Pelvic ring fracture uni/bil                      A  15.73  11.91NA  11.91    3.08  30.72 30.720090.10.69.2120220             36.0896 090 99      0.00   0.00   0.00
G0414  Pelvic ring fx treat int fix                      A  14.65  11.48NA  11.48    2.88  29.01 29.010090.10.69.2120220             36.0896 090 99      0.00   0.00   0.00
G0415  Open tx post pelvic fxcture                       A  20.93  14.55NA  14.55    4.11  39.59 39.590090.10.69.2120220             36.0896 090 99      0.00   0.00   0.00
G0416  Prostate biopsy, any mthd                         A   3.60   5.95     5.95NA  0.09   9.64  9.641XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0416TCProstate biopsy, any mthd                         A   0.00   4.47     4.47NA  0.03   4.50  4.501XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G041626Prostate biopsy, any mthd                         A   3.60   1.48     1.48    0.06   5.14  5.141XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0420  Ed svc ckd ind per session                        A   2.12   0.93     0.93NA  0.12   3.17  3.170XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0421  Ed svc ckd grp per session                        A   0.50   0.21     0.21NA  0.03   0.74  0.740XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0422  Intens cardiac rehab w/exerc                      A   1.65   1.31     1.31    0.09   3.05  3.050XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0423  Intens cardiac rehab no exer                      A   1.65   1.31     1.31    0.09   3.05  3.050XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0424  Pulmonary rehab w exer                            A   0.28   0.54     0.10    0.02   0.84  0.400XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0425  Inpt/ed teleconsult30                             A   1.92   0.77NA   0.77    0.13   2.82  2.820XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0426  Inpt/ed teleconsult50                             A   2.61   1.06NA   1.06    0.16   3.83  3.830XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0427  Inpt/ed teleconsult70                             A   3.86   1.57NA   1.57    0.25   5.68  5.680XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0428  Collagen meniscus implant                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0429  Dermal filler injection(s)                        A   1.19   1.46     0.68    0.11   2.76  1.980000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
G0432  Eia hiv-1/hiv-2 screen                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0433  Elisa hiv-1/hiv-2 screen                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0435  Oral hiv-1/hiv-2 screen                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0438  Ppps, initial visit                               A   2.43   2.23     2.23NA  0.13   4.79  4.790XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0439  Ppps, subseq visit                                A   1.50   1.66     1.66NA  0.09   3.25  3.250XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0442  Annual alcohol screen 15 min                      A   0.18   0.32     0.08    0.01   0.51  0.270XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0443  Brief alcohol misuse counsel                      A   0.45   0.26     0.19    0.03   0.74  0.670XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0444  Depression screen annual                          A   0.18   0.32     0.08    0.01   0.51  0.270XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0445  High inten beh couns std 30m                      A   0.45   0.30     0.19    0.03   0.78  0.670XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0446  Intens behave ther cardio dx                      A   0.45   0.26     0.19    0.03   0.74  0.670XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0447  Behavior counsel obesity 15m                      A   0.45   0.26     0.19    0.03   0.74  0.670XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0448  Place perm pacing cardiovert                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0451  Devlopment test interpt&rep                       A   0.00   0.27     0.27NA  0.01   0.28  0.285XXX.00.00.0000000             36.0896 040 99      0.00   0.00   0.00
G045226Molecular pathology interpr                       A   0.37   0.14     0.14    0.02   0.53  0.536XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0453  Cont intraop neuro monitor                        A   0.60   0.29NA   0.29    0.05   0.94  0.940XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0454  Md document visit by npp                          A   0.18   0.07     0.07    0.01   0.26  0.260XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0455  Fecal microbiota prep instil                      A   1.34   2.16     0.60    0.13   3.63  2.070000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0458  Ldr prostate brachy comp rat                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0459  Telehealth inpt pharm mgmt                        A   0.95   0.18NA   0.18    0.05   1.18  1.180XXX.00.00.0000900             36.0896 090 99      0.00   0.00   0.00
G0460  Autologous prp for ulcers                         A   2.25   3.39     0.99    0.37   6.01  3.610000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
G0463  Hospital outpt clinic visit                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0466  Fqhc visit new patient                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0467  Fqhc visit, estab pt                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0468  Fqhc visit, ippe or awv                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0469  Fqhc visit, mh new pt                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0470  Fqhc visit, mh estab pt                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0471  Ven blood coll snf/hha                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0472  Hep c screen high risk/other                      X   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0473  Group behave couns 2-10                           A   0.23   0.12     0.09    0.01   0.36  0.339XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0475  Hiv combination assay                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0476  Hpv combo assay ca screen                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0480  Drug test def 1-7 classes                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0481  Drug test def 8-14 classes                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0482  Drug test def 15-21 classes                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0483  Drug test def 22+ classes                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0490  Home visit rn, lpn by rhc/fq                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0491  Dialysis acu kidney no esrd                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0492  Md/oth eval acut kid no esrd                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0493  Rn care ea 15 min hh/hospice                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0494  Lpn care ea 15min hh/hospice                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0495  Rn care train/edu in hh                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0496  Lpn care train/edu in hh                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0498  Chemo extend iv infus w/pump                      C   0.00   0.00     0.00    0.00   0.00  0.005YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0499  Hepb screen high risk indiv                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0500  Mod sedat endo service >5yrs                      A   0.10   1.48     0.04    0.02   1.60  0.169XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0501  Resource-inten svc during ov                      B   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0506  Comp asses care plan ccm svc                      A   0.87   0.83     0.36    0.06   1.76  1.290ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0508  Crit care telehea consult 60                      A   4.00   1.62NA   1.62    0.32   5.94  5.940XXX.00.00.0000900             36.0896 090 99      0.00   0.00   0.00
G0509  Crit care telehea consult 50                      A   3.86   1.31NA   1.31    0.31   5.48  5.480XXX.00.00.0000900             36.0896 090 99      0.00   0.00   0.00
G0511  Ccm/bhi by rhc/fqhc 20min mo                      X+  0.92   0.87     0.87NA  0.06   1.85  1.850XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0512  Cocm by rhc/fqhc 60 min mo                        X+  1.62   2.21     2.21NA  0.10   3.93  3.930XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0513  Prolong prev svcs, first 30m                      A   1.17   0.59     0.48    0.09   1.85  1.740ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0514  Prolong prev svcs, addl 30m                       A   1.17   0.59     0.49    0.08   1.84  1.740ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G0516  Insert drug del implant, >=4                      A   1.82   5.38     1.13    0.27   7.47  3.220000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
G0517  Remove drug implant                               A   2.10   4.71     1.06    0.13   6.94  3.290000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
G0518  Remove w insert drug implant                      A   3.55  10.83     1.95    0.46  14.84  5.960000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
G0659  Drug test def simple all cl                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0913  Improve visual funct                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0914  Survey not complete                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0915  No improve visual funct                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0916  Satisfy with care                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0917  Satisfy survey not complete                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G0918  No satisfy with care                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G1000  Cdsm applied pathways                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G1001  Cdsm evicore                                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G1002  Cdsm medcurrent                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G1003  Cdsm medicalis                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G1004  Cdsm ndsc                                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G1005  Cdsm nia                                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G1006  Cdsm test approp                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G1007  Cdsm aim                                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G1008  Cdsm cranberry pk                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G1009  Cdsm sage health                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G1010  Cdsm stanson                                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G1011  Cdsm qualified nos                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G1012  Cdsm agilemd                                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G1013  Cdsm evidencecare                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G1014  Cdsm inveniqa                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G1015  Cdsm reliant                                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G1016  Cdsm speed of care                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G1017  Cdsm healthhelp                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G1018  Cdsm infinx                                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G1019  Cdsm logicnets                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G1020  Cdsm curbside                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G1021  Cdsm ehealthline                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G1022  Cdsm intermountain                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G1023  Cdsm persivia                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2000  Blinded conv. tx mdd clin tr                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G2001  Post d/c h vst new pt 20 m                        A   1.01   0.48     0.48NA  0.05   1.54  1.540XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G2002  Post-d/c h vst new pt 30 m                        A   1.52   0.61     0.61NA  0.08   2.21  2.210XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G2003  Post-d/c h vst new pt 45 m                        A   2.53   0.97     0.97NA  0.13   3.63  3.630XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G2004  Post-d/c h vst new pt 60 m                        A   3.38   1.55     1.55NA  0.22   5.15  5.150XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G2005  Post-d/c h vst new pt 75 m                        A   4.09   1.90     1.90NA  0.28   6.27  6.270XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G2006  Post-d/c h vst ext pt 20 m                        A   1.00   0.49     0.49NA  0.05   1.54  1.540XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G2007  Post-d/c h vst ext pt 30 m                        A   1.56   0.72     0.72NA  0.09   2.37  2.370XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G2008  Post-d/c h vst ext pt 45 m                        A   2.33   1.17     1.17NA  0.13   3.63  3.630XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G2009  Post-d/c h vst ext pt 60 m                        A   3.28   1.56     1.56NA  0.22   5.06  5.060XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G2010  Remot image submit by pt                          A   0.18   0.15     0.07    0.01   0.34  0.260XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G2011  Alcohol/sub misuse assess                         A   0.33   0.12     0.12    0.03   0.48  0.480XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G2012  Brief check in by md/qhp                          A   0.25   0.14     0.10    0.02   0.41  0.370XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G2013  Post-d/c h vst ext pt 75 m                        A   4.09   1.90     1.90NA  0.28   6.27  6.270XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G2014  Post-d/c care plan overs 30m                      A   1.25   0.85     0.85NA  0.09   2.19  2.190XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G2015  Post-d/c care plan overs 60m                      A   1.80   1.12     1.12NA  0.13   3.05  3.050XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G2021  Hea care pract tx in place                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2022  Benef refuses service, mod                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2023  Specimen collect covid-19                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2024  Spec coll SNF/Lab COVID-19                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2025  Dis site tele svcs RHC/FQHC                      X+  1.44   1.01     1.01    0.10   2.55  2.550XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2058  Ccm add 20min                                     A   0.54   0.48     0.22    0.03   1.05  0.790ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G2061  Qual nonmd est pt 5-10m                           A   0.25   0.08     0.08    0.01   0.34  0.340XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G2062  Qual nonmd est pt 11-20m                          A   0.44   0.14     0.14    0.02   0.60  0.600XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G2063  Qual nonmd est pt 21>min                          A   0.69   0.22     0.21    0.03   0.94  0.930XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G2064  Md mang high risk dx 30                           A   1.45   0.99     0.62    0.11   2.55  2.180XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G2065  Clin mang h risk dx 30                            A   0.61   0.44     0.44    0.05   1.10  1.100XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G2066  Inter devc remote 30d                             C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
G2067  Med assist tx meth wk                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2068  Med assist tx bupre oral                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2069  Med assist tx inject                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2070  Med assist tx implant                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2071  Med tx remove implant                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2072  Med tx insert/remove imp                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2073  Med tx naltrexone                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2074  Med assist tx no drug                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2075  Med tx meds nos                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2076  Intake act w/med exam                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2077  Periodic assessment                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2078  Take-home meth                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2079  Take-hom buprenorphine                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2080  Add 30 mins counsel                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2081  Pt 66+ snp or ltc pos > 90d                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2082  Visit esketamine 56m or less                      A   0.48  20.52     0.18    0.05  21.05  0.710XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G2083  Visit esketamine, > 56m                           A   0.48  30.23     0.18    0.05  30.76  0.710XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G2086  Off base opioid tx 70min                          A   7.06   4.12     1.02    0.27  11.45  8.350XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G2087  Off base opioid tx, 60 m                          A   6.89   3.06     0.99    0.26  10.21  8.140XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G2088  Off base opioid tx, add30                         A   0.82   1.09     0.12    0.03   1.94  0.970ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G2089  A1c level 7 to 9%                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2090  Pt 66+ frailty and med dem                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2091  Pt 66+ frailty and adv ill                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2092  Ace arb arni                                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2093  Med doc rsn no ace arn arni                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2094  Pt rsn no ace arn arni                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2095  Sys rsn no ace arn arni                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2096  No rsn ace arb arni                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2097  Child dx uri 3d of other dx                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2098  Pt 66+ frailty and med dem                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2099  Pt 66+ frailty and adv ill                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2100  Pt 66+ frailty and med dem                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2101  Pt 66+ frailty and adv ill                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2102  Dil retinal eye exam                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2103  7 stereo photos interpret                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2104  Eye img valid w/7 stereo                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2105  Pt 66+ lt ints > 90                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2106  Pt 66+ lt ints > 90                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2107  Pt 66+ frailty and adv ill                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2108  Pt 66+ lt ints > 90                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2109  Pt 66+ frailty and med dem                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2110  Pt 66+ frailty and adv ill                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2112  Pred<=5 mg ra glu <6m                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2113  Pred>5 mg >6m, no chg da                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2114  Pt 66-80 frailty and med dem                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2115  Pt 66+ frailty and med dem                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2116  Pt 66+ frailty and adv ill                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2117  Pt 66-80 frailty and adv ill                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2118  Pt 81+ frailty                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2119  Calc vitd opt                                     M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2120  No calc vitd opt                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2121  Psy dep anx ap and icd asse                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2122  Psy/dep/anx/apandicd noasse                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2123  Pt 66-80 frailty med dem                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2124  Pt 66-80 frailty adv ill                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2125  Pt 81+ frailty                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2126  Pt 66+ frailty adv ill                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2127  Pt 66+ frailty med dem                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2128  No aspirin med rsn                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2129  No bp outpt                                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2130  Pt 66+ lt inst > 90                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2131  Pt 81+ frailty                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2132  Pt 66-80 frailty and med dem                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2133  Pt 66-80 frailty and adv ill                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2134  Pt 66+ frailty and med dem                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2135  Pt 66+ frailty and adv ill                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2136  Bk pain vas 6-20wk = 3                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2137  Bk pain vas 6-20wk > 3                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2138  Bk pain vas 9-15mo = 3                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2139  Bk pain vas 9-20mo > 3                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2140  Leg pain vas 6-20wk = 3                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2141  Leg pain vas 6-20wk > 3                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2142  Fs odi 9-15mo postop<= 22                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2143  Fs odi 9-15mo > 22                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2144  Fs odi 6-20wk postop > 22                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2145  Fsodi 6-20wk >22 or chg 30pt                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2146  Leg pain vas 9-15mo <= 3                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2147  Leg pain vas 9-15mo > 3                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2148  Mpm used                                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2149  No mpm med rsn                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2150  No mpm                                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2151  Dx degen neuro                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2152  Res change sc =0                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2153  Hosp dur meas pd                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2154  Td 9 yrs start end meas                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2155  Hist contraindications                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2156  No prior td or hx contra                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2157  Pneum vacc 12 mo 60+                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2158  Pneum vacc adv rx                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2159  No pneum vacc 12 mo 60+                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2160  Herpzos 50+                                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2161  Adv rx zos                                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2162  No herpzos 50+                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2163  Infl vacc 07/01 to 06/30                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2164  Adv rx infl vacc                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2165  No infl vacc 07/01 to 06/30                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2166  No pt adm dx no neck fs prom                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2167  Res change sc < 0                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2168  Svs by pt in home health                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2169  Svs by ot in home health                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G2170  AVF by tissue w thermal e                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
G2171  AVF use magnetic/art/ven                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
G6001  Echo guidance radiotherapy                        A   0.58   2.70     2.70NA  0.03   3.31  3.311XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G6001TCEcho guidance radiotherapy                        A   0.00   2.39     2.39NA  0.01   2.40  2.401XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G600126Echo guidance radiotherapy                        A   0.58   0.31     0.31    0.02   0.91  0.911XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G6002  Stereoscopic x-ray guidance                       A   0.39   1.71     1.71NA  0.02   2.12  2.121XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G6002TCStereoscopic x-ray guidance                       A   0.00   1.53     1.53NA  0.01   1.54  1.541XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G600226Stereoscopic x-ray guidance                       A   0.39   0.18     0.18    0.01   0.58  0.581XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G6003  Radiation treatment delivery                      A   0.00   5.25     5.25NA  0.01   5.26  5.263XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G6004  Radiation treatment delivery                      A   0.00   3.97     3.97NA  0.01   3.98  3.983XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G6005  Radiation treatment delivery                      A   0.00   3.97     3.97NA  0.01   3.98  3.983XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G6006  Radiation treatment delivery                      A   0.00   3.97     3.97NA  0.01   3.98  3.983XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G6007  Radiation treatment delivery                      A   0.00   7.46     7.46NA  0.01   7.47  7.473XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G6008  Radiation treatment delivery                      A   0.00   5.48     5.48NA  0.01   5.49  5.493XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G6009  Radiation treatment delivery                      A   0.00   5.44     5.44NA  0.01   5.45  5.453XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G6010  Radiation treatment delivery                      A   0.00   5.44     5.44NA  0.01   5.45  5.453XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G6011  Radiation treatment delivery                      A   0.00   7.37     7.37NA  0.01   7.38  7.383XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G6012  Radiation treatment delivery                      A   0.00   7.27     7.27NA  0.01   7.28  7.283XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G6013  Radiation treatment delivery                      A   0.00   7.28     7.28NA  0.01   7.29  7.293XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G6014  Radiation treatment delivery                      A   0.00   7.28     7.28NA  0.01   7.29  7.293XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G6015  Radiation tx delivery imrt                        A   0.00  10.20    10.20NA  0.05  10.25 10.253XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G6016  Delivery comp imrt                                A   0.00  10.20    10.20NA  0.01  10.21 10.213XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G6017  Intrafraction track motion                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G8395  Lvef>=40% doc normal or mild                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8396  Lvef not performed                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8397  Dil macula/fundus exam/w doc                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8398  Dil macular/fundus not perfo                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8399  Pt w/dxa results document                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8400  Pt w/dxa no results doc                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8404  Low extemity neur exam docum                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8405  Low extemity neur not perfor                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8410  Eval on foot documented                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8415  Eval on foot not performed                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8416  Pt inelig footwear evaluatio                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8417  Calc bmi abv up param f/u                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8418  Calc bmi blw low param f/u                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8419  Calc bmi out nrm param nof/u                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8420  Calc bmi norm parameters                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8421  Bmi not calculated                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8422  Pt inelig bmi calculation                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8427  Docrev cur meds by elig clin                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8428  Cur meds not document                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8430  Ec at doc medrec pt not elig                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8431  Pos clin depres scrn f/u doc                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8432  Dep scr not doc, rng                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8433  Scr for dep not cpt doc rsn                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8442  Doc pain as nt perf, not elg                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8450  Beta-bloc rx pt w/abn lvef                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8451  Pt w/abn lvef inelig b-bloc                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8452  Pt w/abn lvef b-bloc no rx                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8465  High risk recurrence pro ca                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8473  Ace/arb thxpy rx'd                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8474  Ace/arb not rx'd; doc reas                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8475  Ace/arb thxpy not rx'd                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8476  Bp sys <140 and dias <90                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8477  Bp sys>=140 and/or dias >=90                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8478  Bp not performed/doc                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8482  Flu immunize order/admin                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8483  Flu imm no admin doc rea                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8484  Flu immunize no admin                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8506  Pt rec ace/arb                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8509  Pos pain assess no f/u doc                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8510  Scr dep neg, no plan reqd                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8511  Scr dep pos, no plan doc rng                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8535  Eld maltreatment not doc                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8536  No doc elder mal scrn                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8539  Doc funct and care plan                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8540  Foa not doc as being perf                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8541  No doc cur funct assess                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8542  Doc funct no deficiencies                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8543  Cur funct asses; no care pln                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8559  Pt ref doc oto eval                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8560  Pt hx act drain prev 90 days                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8561  Pt inelig for ref oto eval                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8562  Pt no hx act drain 90 d                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8563  Pt no ref oto reas no spec                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8564  Pt ref oto eval                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8565  Ver doc hear loss                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8566  Pt inelig ref oto eval                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8567  Pt no doc hear loss                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8568  Pt no ref otolo no spec                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8569  Prol intubation req                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8570  No prol intub req                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8571  Ster wd ifx 30 d postop                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8572  No ster wd ifx                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8573  Stk cabg                                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8574  No strk cabg                                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8575  Postop ren fail                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8576  No postop ren fail                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8577  Reop req bld grft oth                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8578  No reop req bld grft oth                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8598  Asa/antiplat ther used                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8599  No asa/antiplat ther use rng                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8600  Tpa initi w/in 3 hrs                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8601  No elig tpa init w/in 3 hrs                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8602  No tpa init w/in 3 hrs                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8627  Surg proc w/in 30 days                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8628  No surg proc w/in 30 days                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8633  Pharm ther osteo rx                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8635  No pharm ther osteo rx                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8647  Rafscrs ki scor >= 0                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8648  Rafscrs ki scor < 0                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8650  Rafs crs ki no scor no surv                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8651  Rafscrs hi scor >=0                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8652  Rafscrs hi scor < 0                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8654  Rafs crs hi no scor no surv                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8655  Rafscrs llfai scor >= 0                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8656  Rafscrs llfai scor < 0                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8658  Rafscrs llfai no scor + surv                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8659  Rafscrs lbi scor >= 0                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8660  Rafscrs lbi scor < 0                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8661  Rafscrs lbi no scor                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8662  Rafs crs lbi no scor no surv                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8663  Rafscrs si scor >= 0                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8664  Rafscrs si scor < 0                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8666  Rafs crs si no scor no surv                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8667  Rafscrs ewh scor >= 0                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8668  Rafscrs ewh scor < 0                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8670  Rafs crs ewh no scor no surv                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8671  Rafscrs goi scor >= 0                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8672  Rafscrs goi scor < 0                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8674  Rafscrs neck, no msr/no foto                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8694  Lvef <40%                                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8708  Antibiotic not pres                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8709  Pt presc doc med rsn id uri                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8710  Pt pres antibiotic                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8711  Pres antibiotic                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8712  Not pres antibiotic                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8721  Pt, pn, hist grade doc                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8722  Med reas pt, pn, not doc                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8723  Spec sit not prim tumor                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8724  Pt, pn, hist grade not doc                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8730  Pain doc pos and plan                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8731  Pain neg no plan                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8732  No doc of pain                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8733  Doc pos elder mal scrn plan                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8734  Doc neg elder mal no plan                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8735  Eld mal scrn pos no plan                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8749  No signs melanoma                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8752  Sys bp less 140                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8753  Sys bp > or = 140                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8754  Dias bp less 90                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8755  Dias bp > or = 90                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8756  No bp measure doc                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8783  Bp scrn perf rec interval                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8785  Bp scrn no perf at interval                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8797  Specimen site not esophagus                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8798  Specimen site not prostate                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8806  Perf ultrsnd to lct preg doc                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8807  No ta tv ultrasnd                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8808  Ultrasound not perf, rng                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8809  Rh-immunoglobulin order                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8810  Doc reas no rh-immuno                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8811  No rh-immunoglobulin order                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8815  Doc reas no statin therapy                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8816  Statin med pres at disch                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8817  Doc reas no statin med disch                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8818  Pt disch to home by day#7                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8825  Pt not disch to home day#7                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8826  Pt disch home day #2 evar                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8833  Pt not disch home day#2 evar                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8834  Pt disch home day #2 cea                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8838  Not disch home by day #2                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8839  Sleep apnea assess                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8840  Doc reas no sleep apnea                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8841  No sleep apnea assess                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8842  Ahi or rdi initial dx                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8843  Doc reas no ahi or rdi                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8844  No ahi or rdi initial dx                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8845  Pos airway press prescribed                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8846  Mod or severe osa                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8849  Doc reas no pos air press                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8850  No pap prescribed                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8851  Adhere pos air press therapy                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8852  Pos air press prescribe                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8854  Reas no adhere pos air pres                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8855  Pos air press adhere no perf                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8856  Ref for oto eval                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8857  No elig ref for oto eval                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8858  Not ref for oto eval                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8863  No assess bone loss                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8864  Pneumococcal vaccine admin                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8865  Doc med reas no pneumococcal                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8866  Doc pt reas no pneumococcal                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8867  No pneumococcal admin                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8869  Doc immune hep b antitnf                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8872  Intraop image confirm excise                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8873  Specimen not intraop image                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8874  Tissue not image intraop                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8875  Breast cancer dx min invsive                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8876  Doc reas no min inv dx                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8877  No brst cncr dx min invasive                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8878  Sent lymph node biopsy                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8880  Sen lym p node biop not perf                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8881  Brst cncr stage > t1n0m0                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8882  No sent lymph node biopsy                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8883  Rev, comm, track, doc biopsy                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8884  Doc reas biopsy not review                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8885  No rev, comm, track biopsy                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8907  Pt doc no events on discharg                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8908  Pt doc w burn prior to d/c                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8909  Pt doc no burn prior to d/c                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8910  Pt doc to have fall in asc                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8911  Pt doc no fall in asc                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8912  Pt doc with wrong event                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8913  Pt doc no wrong event                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8914  Pt trans to hosp post d/c                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8915  Pt not trans to hosp at d/c                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8916  Pt w iv ab given on time                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8917  Pt w iv ab not given on time                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8918  Pt w/o preop order iv ab pro                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8923  Lvef < 40% or lvsd                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8924  Spir fev1/fvc<70%,fev<60%                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8925  Spir fev1/fvc>=60% & no copd                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8926  Spiro no perf or doc                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8934  Lvef <40% or dep lv sys fcn                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8935  Rx ace or arb therapy                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8936  Pt not eligible ace/arb                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8937  No rx ace/arb therapy                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8938  Bmi doc onl fup nt doc                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8939  Pain as doc positive, no f/u                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8941  Eld maltreatment doc as pos                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8942  Doc fcn/care plan w/30 days                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8944  Ajcc mel cnr stg 0 - iic                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8946  Mibm but no dx of breast ca                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8950  Pre-htn or htn doc, f/u indc                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8952  Pre-htn/htn, no f/u, not gvn                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8955  Most recent assess vol mgmt                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8956  Pt rcv hedia outpt dyls fac                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8958  Assess vol mgmt not doc                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8959  Clin tx mdd comm to tx clin                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8960  Clin tx mdd not comm                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8961  Csit lowrisk surg pts preop                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8962  Csit on pt any reas 30 days                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8963  Csi per asx pt w/pci 2 yrs                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8964  Csi any other than pci 2 yr                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8965  Csit perf on low chd rsk                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8966  Csit perf sx or high chd rsk                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8967  Warf or other fda drug presc                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8968  Doc med not presb                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8969  Doc pt rsn no presc warf/fda                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8970  No rsk fac or 1 mod risk te                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8973  Mst rcnt hbb < 10g/dl                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8974  Hgb not doc rns not gvn                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8975  Hgb <10g/dl, med rsn                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G8976  Hgb >= 10 g/dl                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9001  Mccd, initial rate                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9002  Mccd,maintenance rate                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9003  Mccd, risk adj hi, initial                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9004  Mccd, risk adj lo, initial                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9005  Mccd, risk adj, maintenance                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9006  Mccd, home monitoring                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9007  Mccd, sch team conf                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9008  Mccd,phys coor-care ovrsght                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9009  Mccd, risk adj, level 3                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9010  Mccd, risk adj, level 4                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9011  Mccd, risk adj, level 5                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9012  Other specified case mgmt                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9013  Esrd demo bundle level i                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9014  Esrd demo bundle-level ii                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9016  Demo-smoking cessation coun                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9050  Oncology work-up evaluation                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9051  Oncology tx decision-mgmt                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9052  Onc surveillance for disease                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9053  Onc expectant management pt                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9054  Onc supervision palliative                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9055  Onc visit unspecified nos                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9056  Onc prac mgmt adheres guide                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9057  Onc pract mgmt differs trial                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9058  Onc prac mgmt disagree w/gui                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9059  Onc prac mgmt pt opt alterna                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9060  Onc prac mgmt dif pt comorb                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9061  Onc prac cond noadd by guide                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9062  Onc prac guide differs nos                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9063  Onc dx nsclc stgi no progres                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9064  Onc dx nsclc stg2 no progres                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9065  Onc dx nsclc stg3a no progre                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9066  Onc dx nsclc stg3b-4 metasta                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9067  Onc dx nsclc dx unknown nos                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9068  Onc dx sclc/nsclc limited                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9069  Onc dx sclc/nsclc ext at dx                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9070  Onc dx sclc/nsclc ext unknwn                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9071  Onc dx brst stg1-2b hr,nopro                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9072  Onc dx brst stg1-2 noprogres                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9073  Onc dx brst stg3-hr, no pro                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9074  Onc dx brst stg3-noprogress                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9075  Onc dx brst metastic/ recur                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9077  Onc dx prostate t1no progres                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9078  Onc dx prostate t2no progres                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9079  Onc dx prostate t3b-t4noprog                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9080  Onc dx prostate w/rise psa                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9083  Onc dx prostate unknwn nos                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9084  Onc dx colon t1-3,n1-2,no pr                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9085  Onc dx colon t4, n0 w/o prog                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9086  Onc dx colon t1-4 no dx prog                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9087  Onc dx colon metas evid dx                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9088  Onc dx colon metas noevid dx                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9089  Onc dx colon extent unknown                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9090  Onc dx rectal t1-2 no progr                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9091  Onc dx rectal t3 n0 no prog                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9092  Onc dx rectal t1-3,n1-2noprg                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9093  Onc dx rectal t4,n,m0 no prg                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9094  Onc dx rectal m1 w/mets prog                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9095  Onc dx rectal extent unknwn                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9096  Onc dx esophag t1-t3 noprog                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9097  Onc dx esophageal t4 no prog                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9098  Onc dx esophageal mets recur                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9099  Onc dx esophageal unknown                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9100  Onc dx gastric no recurrence                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9101  Onc dx gastric p r1-r2noprog                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9102  Onc dx gastric unresectable                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9103  Onc dx gastric recurrent                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9104  Onc dx gastric unknown nos                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9105  Onc dx pancreatc p r0 res no                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9106  Onc dx pancreatc p r1/r2 no                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9107  Onc dx pancreatic unresectab                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9108  Onc dx pancreatic unknwn nos                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9109  Onc dx head/neck t1-t2no prg                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9110  Onc dx head/neck t3-4 noprog                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9111  Onc dx head/neck m1 mets rec                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9112  Onc dx head/neck ext unknown                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9113  Onc dx ovarian stg1a-b no pr                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9114  Onc dx ovarian stg1a-b or 2                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9115  Onc dx ovarian stg3/4 noprog                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9116  Onc dx ovarian recurrence                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9117  Onc dx ovarian unknown nos                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9123  Onc dx cml chronic phase                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9124  Onc dx cml acceler phase                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9125  Onc dx cml blast phase                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9126  Onc dx cml remission                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9128  Onc dx multi myeloma stage i                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9129  Onc dx mult myeloma stg2 hig                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9130  Onc dx multi myeloma unknown                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9131  Onc dx brst unknown nos                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9132  Onc dx prostate mets no cast                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9133  Onc dx prostate clinical met                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9134  Onc nhlstg 1-2 no relap no                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9135  Onc dx nhl stg 3-4 not relap                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9136  Onc dx nhl trans to lg bcell                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9137  Onc dx nhl relapse/refractor                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9138  Onc dx nhl stg unknown                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9139  Onc dx cml dx status unknown                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9140  Frontier extended stay demo                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9143  Warfarin respon genetic test                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9147  Outpt iv insulin tx any mea                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9148  Medical home level 1                              R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9149  Medical home level ii                             R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9150  Medical home level iii                            R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9151  Mapcp demo state                                  R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9152  Mapcp demo community                              R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9153  Mapcp demo physician                              R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9156  Evaluation for wheelchair                         R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9157  Transesoph doppl cardiac mon                      A   2.20   0.38NA   0.38    0.18   2.76  2.762XXX.00.00.0099900             36.0896 090 99      0.00   0.00   0.00
G9187  Bpci home visit                                   A   0.18   1.03     1.03NA  0.02   1.23  1.230XXX.00.00.0000999             36.0896 090 99      0.00   0.00   0.00
G9188  Beta not given no reason                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9189  Beta pres or already taking                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9190  Medical reason for no beta                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9191  Pt reason for no beta                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9192  System reason for no beta                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9196  Med reason for no ceph                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9197  Order for ceph                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9198  No order for ceph no reason                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9212  Doc of dsm-iv init eval                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9213  No doc of dsm-iv                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9223  Pjp proph ordered cd4 low                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9225  Norsn no foot exam                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9226  3 comp foot exam completed                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9227  Foa doc, care plan not doc                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9228  Gc chl syp documented                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9229  Ptrsn no gc chl syp test                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9230  Norsn for gc chl syp test                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9231  Doc esrd dia trans preg                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9232  Ptrsn no comm comorbid                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9239  Doc rsn hemod & cath acc                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9240  Doc pt w cath maint dia                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9241  Doc pt w out cath maint dia                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9242  Doc viral load >=200                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9243  Doc viral load <200                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9246  No med visit in 24mo                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9247  1 med visit in 24mo                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9250  Doc of pain comfort 48hr                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9251  Doc no pain comfort 48hr                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9254  Doc pt dischg >2d                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9255  Doc pt dischg <=2d                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9256  Doc of pat death after cas                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9257  Doc of pat stroke after cas                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9258  Doc of pat stroke after cea                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9259  Survive/no stroke post cas                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9260  Doc of pat death after cea                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9261  Survive/no stroke post cea                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9262  Doc of death post-aaa repair                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9263  Doc of disch post-aaa repair                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9264  Doc rsn hemod w/cath >=90d                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9265  Doc cath >90d for maint dia                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9266  Norsn pt cath >=90d                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9267  Doc comp or mort w in 30d                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9268  Doc comp or mort w in 90d                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9269  Doc no comp or mort w in 30d                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9270  Doc no comp or mort w in 90d                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9273  Sys<140 and dia<90                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9274  Bp out of nrml limits                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9275  Doc of non tobacco user                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9276  Doc of tobacco user                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9277  Doc daily aspirin or contra                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9278  Doc no daily aspirin                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9279  Pne scrn done doc vac done                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9280  Pne not given norsn                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9281  Pne scrn done doc not ind                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9282  Doc medrsn no histo type                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9283  Hist type doc on report                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9284  No hist type doc on report                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9285  Site not small cell lung ca                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9286  Antibio rx w in 10d of sympt                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9287  No antibio w in 10d of sympt                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9288  Doc medrsn no hist type rpt                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9289  Doc type nsm lung ca                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9290  No doc type nsm lung ca                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9291  Not nsm lung ca                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9292  Medrsn no pt category                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9293  No pt category on report                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9294  Pt cat and thck on report                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9295  Non cutaneous loc                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9296  Doc share dec prior proc                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9297  No doc share dec prior proc                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9298  Eval risk vte card 30d prior                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9299  No eval riskk vte card prior                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9300  Doc medrsn no compl antibio                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9301  Doc compl inf antibio                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9302  Norsn incomp inf antibio                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9303  Norsn no pros info op rpt                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9304  Pros info op rpt                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9305  No interv req for leak                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9306  Interv req for leak                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9307  No ret for surg w in 30d                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9308  Unpl ret or w/compl w/in 30d                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9309  No unplnd hosp readm in 30d                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9310  Unplnd hosp readm in 30d                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9311  No surg site infection                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9312  Surgical site infection                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9313  Amoxic not presc as 1st line                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9314  Norsn not first line amox                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9315  Doc first line amox                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9316  Doc comm risk calc                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9317  No doc comm risk calc                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9318  Image std nomenclature                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9319  Image not std nomenclature                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9321  Doc count of ct in 12mo                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9322  No doc count of ct in 12mo                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9326  Ct done no rad ds index, nrg                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9327  Ct done rad ds index                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9329  Norsn no dicom format doc                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9340  Dicom format doc on rpt                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9341  Srch for ct w in 12 mos                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9342  No srch for ct in 12mo norsn                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9344  Sysrsn no dicom srch                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9345  Follow up pulm nod                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9347  No follow up pulm nod norsn                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9348  Doc rsn for ord ct scan                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9349  Ct within 28 days                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9350  No doc sinus ct 28d or dx                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9351  Doc >1 sinus ct w 90d dx                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9352  Not >1 sinus ct w 90d dx                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9353  Medrsn >1 sinus ct w 90d dx                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9354  1 or no ct sinus w/in 90d dx                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9355  No early ind/delivery                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9356  Early ind/delivery                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9357  Pp eval/edu perf                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9358  Pp eval/edu not perf                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9359  Neg mgd pos tb notact                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9360  No doc of neg or man pos tb                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9361  Doc rsn elect c-sec/induct                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9364  Sinus caus bac inx                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9365  1high risk med ord                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9366  1high risk no ord                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9367  >= 2 same hi-rsk med ord                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9368  >= 2 same hi-rsk med not ord                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9380  Off assis eol iss                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9382  No off assis eol                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9383  Recd scrn hcv infec                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9384  Doc med rsn no hcv scrn                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9385  Doc pt reas not rec hcv srn                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9386  Scrn hcv infec not recd                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9389  Unpln rup post cap                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9390  No unpln rup post cap                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9393  Ini phq9 >9 remiss <5                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9394  Dx bipol, death, nhres, hosp                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9395  Ini phq9 >9 no remiss >=5                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9396  Ini phq9 >9 not assess                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9399  Doc disc tx choices                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9400  Doc reas no disc tx opt                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9401  No disc tx choices                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9402  Recd f/u w/in 30d disch                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9403  Doc reas no 30 day f/u                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9404  No 30 day f/u                                     M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9405  Recd f/u w/in 7d dc                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9406  Doc reas no 7d f/u                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9407  No 7d f/u                                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9408  Card tamp w/in 30d                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9409  No card tamp e/in 30d                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9410  Admit w/in 180d req remov                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9411  No admit w/in 180d req remov                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9412  Admit w/in 180d req surg rev                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9413  No admit req surg rev                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9414  1dose menig vac btwn 11 & 13                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9415  No 1dose meni vac btwn 11&13                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9416  Pt 1 tdap betw 10-13 yrs                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9417  Pt not 1 tdap betw 10-13 yrs                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9418  Lungcx bx rpt docs class                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9419  Med reas not incl histo type                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9420  Spec site no lung                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9421  Lung cx bx rpt no doc class                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9422  Rpt doc class histo type                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9423  Med reas rpt no histo type                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9424  Site no lung or lung cx                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9425  Spec rpt no doc class histo                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9426  Impr med time edarr pain med                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9427  No impro med time pain med                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9428  Patho rpt incl pt ctg                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9429  Doc med rsn no pt cat                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9430  Spec site no cutaneous                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9431  Patho rpt no pt ctg                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9432  Asth controlled                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9434  Asth not controlled                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9448  Born 1945-1965                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9449  Hx bld transf b/f 1992                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9450  Hx injec drug use                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9451  1x scrn hcv infect                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9452  Doc med reas no scrn hcv                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9453  Pt reas no hcv infect                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9454  No scr hcv inf 12 mth rp                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9455  Abd imag w/us, ct or mri                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9456  Doc med pt reas no hcc scrn                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9457  Pt no abd img no doc rsn                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9458  Tob user recd cess interv                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9459  Tob non-user                                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9460  No tob assess or cess inter                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9468  No recd cortico>=10mg/d >60d                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9469  Rec cortico>90d or 1rx 900mg                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9470  No rec cortico>60d 1rx 600mg                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9471  W/in 2yr dxa not order                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9473  Chap services at hospice                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9474  Diet counsel at hospice                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9475  Other counselor at hospice                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9476  Volun service at hospice                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9477  Care coord at hospice                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9478  Othe therapist at hospice                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9479  Pharmacist at hospice                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9480  Admission to mccm                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9481  Remote e/m new pt 10mins                          A   0.48   0.00     0.00    0.05   0.53  0.530XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G9482  Remote e/m new pt 20mins                          A   0.93   0.00     0.00    0.09   1.02  1.020XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G9483  Remote e/m new pt 30mins                          A   1.42   0.00     0.00    0.13   1.55  1.550XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G9484  Remote e/m new pt 45mins                          A   2.43   0.00     0.00    0.22   2.65  2.650XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G9485  Remote e/m new pt 60mins                          A   3.17   0.00     0.00    0.28   3.45  3.450XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G9486  Remote e/m est. pt 10mins                         A   0.48   0.00     0.00    0.05   0.53  0.530XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G9487  Remote e/m est. pt 15mins                         A   0.97   0.00     0.00    0.08   1.05  1.050XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G9488  Remote e/m est. pt 25mins                         A   1.50   0.00     0.00    0.11   1.61  1.610XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G9489  Remote e/m est. pt 40mins                         A   2.11   0.00     0.00    0.15   2.26  2.260XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G9490  Cmmi mod home visit                               A   0.18   1.03     1.03NA  0.03   1.24  1.240XXX.00.00.0000999             36.0896 090 99      0.00   0.00   0.00
G9497  Rec inst no smoke day surg                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9498  Abx reg prescribed                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9500  Rad expos ind/exp tm doc                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9501  Rad expos ind/exp tm no doc                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9502  Med reas no perf foot exam                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9503  Pt tk tams hcl                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9504  Doc rsn hep b stat not asses                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9505  Abx pres w/in 10 dys of symp                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9506  Bio imm resp mod presc                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9507  Doc reas on statin or contra                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9508  Doc pt not on statin                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9509  Adit mdd dys rem 12 mnths                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9510  Remis12m not phq-9 score <5                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9511  Idx evt dte phq>9 doc 12 mo                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9512  Indiv pdc > 0.8                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9513  Indiv pdc not > 0.8                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9514  Req ret or w/in 90d of surg                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9515  No reas, no ret or w/in 90d                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9516  Impr vis acuit w/in 90d                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9517  No impr vis acuit w/in 90d                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9518  Doc active inj drug use                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9519  Final ref +/- 1.0 w/in 90d                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9520  Refract not +/- 1.0 w/in 90d                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9521  Er and ip hosp <2 in 12 mos                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9522  Er/ip hosp =/>2 in 12 mos                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9523  D/c hemo or perit dialysis                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9524  Refer to hospice                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9525  Doc pt reas no hospice refer                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9526  No reason, no refer hospice                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9529  Minor blunt trauma w/head ct                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9530  Pt mbht hd ct ord ec prov                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9531  Pt doc                                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9532  Pt hd ct ord                                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9533  Indic for head ct not valid                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9537  Doc sysm rsn img hd                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9539  Intent pot remv time placemt                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9540  Pt alive 3 mos post proc                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9541  Filter rem 3 mon plmt                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9542  Doc reass appr remo filt 3ms                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9543  Doc 2x re-assess filt remov                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9544  No filt remov w/in 3mos plcm                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9547  Cys ren les or adren                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9548  No f/u rec image study                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9549  Doc med rsn for f/u imag                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9550  Imag rec                                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9551  Imag no les                                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9552  Inc thyr node <1.0 in rpt                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9553  Prior thyroid dise dx                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9554  Ct/cta/mri/a chst foll rec                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9555  Doc med rsn for follup image                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9556  Ct/cta/mri/a no follup imag                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9557  Ct/cta/mri/a no thyr <1.0cm                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9558  Tx beta-lactam abx therapy                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9559  Doc med reas no abx therapy                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9560  No beta-lactam abx ther, rng                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9561  Presc opiates >6 wks                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9562  Foll-up eval q3mo opiod tx                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9563  No f/u eval q3mo opiod tx                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9573  Adl pt md or dys rem 6 mon                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9574  Adl pt md dys no rem 6 mon                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9577  Presc opiates >6 wks                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9578  Doc opioid tx 1x during ther                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9579  No doc opioid tx 1x at ther                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9580  Door to punc time <2hrs                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9582  Door to punc time >2hr, nrg                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9583  Presc opiates >6 wks                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9584  Eval opioid use instr/pt int                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9585  No eval opi use instr/intv                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9593  Low pecarn ped head trauma                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9594  Pt mbht hd ct ord ec prov                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9595  Doc shnt/tum/coag                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9596  Ped pt hd ct ord                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9597  No low pecarn ped head traum                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9598  Aor ane 5.5-5.9 cm max diam                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9599  Aor ane >=6.0 cm max diam                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9600  Symp aaa urgent repair                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9601  Pt dchg home post op day 7                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9602  Pt no dchg home postop day 7                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9603  Pt surv improv bsline tx                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9604  Pt surv results not avail                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9605  Surv score no improv w/tx                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9606  Intraop cyst eval trac inj                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9607  Doc med rsn not perf cystosc                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9608  Intraop cyst eval not done                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9609  Doc order anti-plat                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9610  Doc md rsn no antipla                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9611  No doc order anti-plat rng                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9612  Phodoc 2 mr cec lndmk                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9613  Doc post surg anatomy                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9614  Photodoc < 2 cec lndmk                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9615  Pre-op asst doc                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9616  Doc rsn no preop assmt                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9617  Pre-op asst not doc, rng                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9618  Doc scr uter mal or us/samp                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9620  No scr utr malig/us/samp rng                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9621  Scr unheal etoh w/counsel                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9622  No unheal etoh user                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9623  Doc med rsn no scr etoh use                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9624  Pt not scrn or no counseling                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9625  Pt bl srg 30 day pst srg                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9626  Med rsn no rpt baldder inj                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9627  Pt no bl srg 30 day pst srg                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9628  Pt bwli srg 30 day pst srg                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9629  Med rsn no rpt bowel inj                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9630  Pt no bwli srg 30 day srg                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9631  Pt ui srg 30 day pst srg                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9632  Med rsn for no rpt uret inj                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9633  Pt no ui srg 30 day pst srg                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9634  Qual life tool 2x same/impr                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9635  No doc rsn do qual life assm                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9636  No life asst 2x same/decr                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9637  Doc >1 dose reduc tech                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9638  No doc >1 dose reduc tech                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9639  Amp no reqd in48h ieler proc                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9640  Doc plan hybrid/stage proc                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9641  Amp reqd w/in 48h ieler proc                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9642  Current smoker                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9643  Elective surgery                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9644  No smok b/4 anes day of surg                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9645  Had smoke b/4 anes day surg                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9646  Pt w/90d mrs 0-2                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9647  No mrs score in 90d followup                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9648  Pt w/90d mrs >2                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9649  Psor as doc spc bm                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9651  Psor as doc no spc bm                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9654  Mon anesth care                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9655  Toc tool incl key elem                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9656  Pt trans from anest to pacu                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9658  Toc tool incl elem not used                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9659  >85y no hx colo ca/rsn scope                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9660  Doc med rsn scope pt >85y                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9661  >85y scope othr rsn                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9662  Prior dx/active clin ascvd                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9663  Fast/dir ldl <= 190 mg/dl                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9664  Taking statin or rec'd order                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9665  No statin/no order statin                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9666  Fas/dir ldl 70-189mg/dl mst                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9674  Pt w/clin ascvd dx                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9675  Pt w/fast/dir lab ldl-c >190                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9676  40-75y w/type 1/2 w/ldl-c rs                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9678  Oncology care model service                       C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9679  Acute care pneumonia                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9680  Acute care congestive heart                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9681  Acute care chronic obstruct                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9682  Acute care skin infection                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9683  Acute fluid/electro disorder                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9684  Acute care urinary tract inf                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9685  Acute nursing facility care                       A   3.86   1.57     1.57    0.29   5.72  5.720XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G9687  Hospice anytime msmt per                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9688  Pt w/hosp anytime msmt per                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9689  Inpt elect carotid intervent                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9690  Pt in hos                                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9691  Pt hosp dur msmt period                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9692  Hosp recd by pt dur msmt per                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9693  Pt use hosp during msmt per                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9694  Hosp srv used pt in msmt per                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9695  Long act inhal bronchdil pre                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9696  Med rsn no presc bronchdil                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9697  Pt rsn no presc bronchdil                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9698  Sys rsn no presc bronchdil                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9699  Long inhal bronchdil no pres                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9700  Pt is w/hosp during msmt per                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9701  Child anbx 30 prior dx estab                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9702  Pt use hosp during msmt per                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9703  Child anbx 30 prior dx phary                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9704  Ajcc br ca stg i: t1 mic/t1a                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9705  Ajcc br ca stg ib                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9706  Low recur prost ca                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9707  Pt had hosp dur msmt per                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9708  Bilat mast/hx bi /unilat mas                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9709  Hosp srv used pt in msmt per                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9710  Pt prov hosp srv msmt per                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9711  Pt hx tot col or colon ca                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9712  Doc med rsn presc anbx                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9713  Pt use hosp during msmt per                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9714  Pt is w/hosp during msmt per                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9715  Pt w/hosp anytime msmt per                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9716  Bmi doc onl fup not cmpltd                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9717  Doc pt dx dep/bp f/u nt req                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9718  Hospice anytime msmt per                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9719  Pt not ambul/immob/wc                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9720  Hospice anytime msmt per                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9721  Pt not ambul/immob/wc                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9722  Doc hx renal fail or cr+ >4                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9723  Hosp recd by pt dur msmt per                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9724  Pt w/doc use anticoag mst yr                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9725  Pt w/hosp anytime msmt per                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9726  Refused to participate                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9727  Pt unable cmplt knee fs prom                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9728  Refused to participate                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9729  Pt unbl cmplt hip fs prom                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9730  Refused to participate                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9731  Pt unbl cmplt ft/ank fs prom                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9732  Refused to participate                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9733  Pt unbl cmplt lb fs prom                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9734  Refused to participate                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9735  Pt unbl cmplt shld fs prom                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9736  Refused to participate                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9737  Pt unbl cmplt ewh fs prom                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9738  Refused to participate                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9739  Pt unbl cmplt go fs prom                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9740  Hosp srv to pt dur msmt per                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9741  Pt w/hosp anytime msmt per                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9744  Pt not eli d/t act dig htn                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9745  Doc rsn no hbp scrn or f/u                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9746  Mit sten, valve or trans af                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9747  Pall dialysis with catheter                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9748  App transpl lvg kidney donor                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9749  Pall dialysis with catheter                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9750  App transpl lvg kidney donor                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9751  Pt died w/in 24 mos rpt time                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9752  Urgent surgery                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9753  Doc no dicom, ct other fac                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9754  Incid pulm nodule                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9755  Doc med rsn no fllw up                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9756  Surg proc w/silicone oil                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9757  Surg proc w/silicone oil                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9758  Pt in hos                                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9759  Hx preop post cap rup                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9760  Pt w/hosp anytime msmt per                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9761  Pt w/hosp anytime msmt per                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9762  Pt had >= 2-3 hpv vaccines                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9763  Pt not have 2-3 hpv vaccines                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9764  Pt treatd w/oral syst or bio                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9765  Doc pat declined therapy                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9766  Cva stroke dx tx transf fac                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9767  Hosp new dx cva consid evst                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9768  Pt w/hosp anytime msmt per                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9769  Bn den 2yr/got ost med/ther                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9770  Perip nerve block                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9771  Anes end, 1 temp >35.5(95.9)                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9772  Doc med rsn no temp >= 35.5                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9773  1 bod temp >=35.5                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9774  Pt had hyst                                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9775  Recd 2 anti-emet pre/intraop                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9776  Doc med rsn no proph antiem                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9777  Pt no antiemet pre/intraop                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9778  Pts dx w/pregn                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9779  Pts breastfeeding                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9780  Pts dx w/rhabdomyolysis                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9781  Doc rsn no statin                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9782  Hx dx fam/pure hypercholes                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9783  Doc dx dm, fast <70, no stat                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9784  Path/derm prov 2nd biop opin                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9785  Path report sent                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9786  Path report not sent                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9787  Pt alive                                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9788  Most rct bp </= 140/90                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9789  Record bp ip, er, urg/self                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9790  Most rct bp >/= 140/90                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9791  Most rct tob stat free                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9792  Most rct tob stat not free                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9793  Pt on daily asa/antiplat                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9794  Doc med rsn no daily aspirin                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9795  Pt no daily asa/antiplat                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9796  Pt not currently on statin                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9797  Pt currently on statin                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9798  D/c ami btw 7/1-6/30 meas pd                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9799  Med disp evt indic hx asth                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9800  Pt id intol/alleg beta-block                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9801  Nonacut transf from inpt                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9802  Pt w/hosp anytime msmt per                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9803  Pt presc 135 day trmt                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9804  Pt not presc 135 day trmt                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9805  Pt w/hosp anytime msmt per                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9806  Pt recd cerv cyto/hpv                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9807  Pt no recd cerv cyto/hpv                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9808  Pt no asthm cont med mst per                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9809  Pt w/hosp anytime msmt per                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9810  Pdc 75% w/asth cont med                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9811  No pdc 75% w/asth cont med                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9812  Pt died during inpt/30d aft                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9813  Pt not died w/in 30d of proc                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9814  Death during index hosp                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9815  Death not during index hosp                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9816  Death <30 day post discharge                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9817  No death 30-days post-disch                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9818  Doc sex activity                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9819  Pt w/hosp anytime msmt per                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9820  Doc chlam scr test w/follow                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9821  No doc chlam scr ts w/follow                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9822  Endo abl proc yr prev ind dt                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9823  Endo smpl/hyst bx res doc                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9824  Endo smpl/hyst bx res no doc                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9825  Her-2 neg,undoc/unkn                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9826  Transf pract aft init chemo                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9827  Her-2 targ ther no init tx                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9828  Her-2 targ ther dur init tx                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9829  Breast adj chemo admin                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9830  Her-2 pos                                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9831  Ajcc stg brt ca dx ii or iii                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9832  Brt ca dx i, no t1/t1a/t1b                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9833  Transf pract aft init chemo                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9834  Pt met dis at dx                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9835  Trastuz given w/in 12 mos dx                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9836  Rsn no trast given doc                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9837  Trastuz not in 12 mos dx                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9838  Pt met dis at dx                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9839  Anti-egfr mon anti ther                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9840  Gene testing performed                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9841  Gene testing not performed                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9842  Pt met dis at dx                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9843  Kras or nras gene mutation                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9844  Pt no recd anti-egfr ther                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9845  Pt recd anti-egfr ther                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9846  Pt died from cancer                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9847  Pt recd chemo last 14d life                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9848  Pt no chemo last 14d life                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9849  Pt died from cancer                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9850  1/more ed last 30d life                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9851  1/no ed visit last 30d life                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9852  Pt died from cancer                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9853  Icu stay last 30d life                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9854  No icu stay last 30d life                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9855  Pt died from cancer                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9856  Pt no hospice                                     M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9857  Pt admit hospice                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9858  Pt enroll hospice                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9859  Pt died from cancer                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9860  Pt less 3d hospice                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9861  Pt more than 3d hospice                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9862  Doc rsn no 10 yr follow                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9868  Next gen aco model <10min                         A   0.80   0.00     0.00    0.00   0.80  0.809XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9869  Next gen aco model 10-20min                       A   1.07   0.00     0.00    0.00   1.07  1.079XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9870  Next gen aco model >20min                         A   1.34   0.00     0.00    0.00   1.34  1.349XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9873  1 em core session                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9874  4 em core sessions                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9875  9 em core sessions                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9876  2 em core ms mo 7-9 no wl                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9877  2 em core ms mo 10-12 no wl                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9878  2 em core ms mo 7-9 wl                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9879  2 em core ms mo 10-12 wl                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9880  Em 5 percent wl                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9881  Em 9 percent wl                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9882  2 em ongoing ms mo 13-15 wl                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9883  2 em ongoing ms mo 16-18 wl                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9884  2 em ongoing ms mo 19-21 wl                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9885  2 em ongoing ms mo 22-24 wl                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9890  Em bridge payment                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9891  Em session reporting                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9892  Doc pt rsn no dil mac exam                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9893  No mac exam                                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9894  Adr dep thrpy prescribed                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9895  Doc med rsn no adr dep thrpy                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9896  Doc pt rsn no adr dep thrpy                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9897  Pt nt prsc adr dep thrpy rng                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9898  Pt 66+ snp or ltc pos                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9899  Scrn mam perf rslts doc                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9900  Scrn mam perf rslts not doc                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9901  Pt 66+ snp or ltc pos                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9902  Pt scrn tbco and id as user                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9903  Pt scrn tbco id as non user                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9904  Doc med rsn no tbco scrn                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9905  No pt tbco scrn rng                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9906  Pt recv tbco cess interv                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9907  Doc med rsn no tbco interv                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9908  No pt tbco cess interv rng                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9909  Doc med rsn no tbco interv                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9910  Pt 66+ snp or ltc pos                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9911  Node neg pre/post syst ther                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9912  Hbv status assesed and int                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9913  No hbv status assesd and int                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9914  Pt receiving anti-tnf agent                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9915  No documntd hbv results rcd                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9916  Funct status past 12 months                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9917  Adv dem crgvr limited                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9918  No funct stat perf, rsn nos                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9919  Scrn nd pos nd prov of rec                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9920  Scrning perf and negative                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9921  No or part scrn nd rng or os                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9922  Sfty cncrns scrn nd mit recs                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9923  Safty cncrns scrn and neg                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9924  Doc med rsn no scrn or recs                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9925  No scrn prov rsn nos                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9926  Sfty cncrns scrn but no recs                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9927  Doc no warf /fda  pt trial                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9928  No warf or fda drug presc                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9929  Trs/rev af                                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9930  Com care                                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9931  No chad or chad scr 0 or 1                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9932  Doc pt rsn no tb scrn recrds                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9933  Canc detectd during col scrn                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9934  Doc rsn not detecting cancer                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9935  Canc not detectd during srcn                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9936  Pmh plyp/neo co/rect/jun/ans                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9937  Dig or surv colsco                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9938  Pt 66+ snp or ltc pos                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9939  Same path/derm perf biopsy                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9940  Doc reas no statin therapy                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9942  Adtl spine proc on same date                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9943  Bk pn nt msr vas scl pre/pst                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9945  Pt w/cancer  scoliosis                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9946  Bk pain no vas                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9948  Adtl spine proc on same date                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9949  Leg pain no vas                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9954  Pt >2 rsk fac post-op vomit                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9955  Inhlnt anesth only for induc                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9956  Combo thrpy of >= 2 prophly                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9957  Doc med rsn no combo thrpy                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9958  No combo prohpyl thrp for pt                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9959  Systemic antimicro not presc                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9960  Med rsn sys antimi nt rx                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9961  Systemic antimicro presc                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9962  Embolization doc separatly                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9963  Embolization not doc separat                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9964  Pt recv >=1 well-chld visit                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9965  No well-chld vist recv by pt                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9966  Scrn, inter, report child                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9967  No scrn, inter, reprt child                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9968  Pt refrd 2 pvdr/spclst in pp                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9969  Pvdr rfrd pt rprt rcvd                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9970  Pvdr rfrd pt no rprt rcvd                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9974  Mac exam perf                                     M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9975  Doc med rsn no dil mac exam                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
G9978  Remote e/m new pt 10mins                          A   0.48   0.22     0.22    0.05   0.75  0.750XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G9979  Remote e/m new pt 20mins                          A   0.93   0.41     0.41    0.09   1.43  1.430XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G9980  Remote e/m new pt 30 mins                         A   1.42   0.59     0.59    0.13   2.14  2.140XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G9981  Remote e/m new pt 45mins                          A   2.43   1.01     1.01    0.22   3.66  3.660XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G9982  Remote e/m new pt 60mins                          A   3.17   1.33     1.33    0.28   4.78  4.780XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G9983  Remote e/m est. pt 10mins                         A   0.48   0.20     0.20    0.05   0.73  0.730XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G9984  Remote e/m est. pt  15mins                        A   0.97   0.40     0.40    0.08   1.45  1.450XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G9985  Remote e/m est. pt 25mins                         A   1.50   0.62     0.62    0.11   2.23  2.230XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G9986  Remote e/m est. pt 40mins                         A   2.11   0.89     0.89    0.15   3.15  3.150XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
G9987  Bpci advanced in home visit                       A   0.18   1.03     1.03    0.02   1.23  1.230XXX.00.00.0000999             36.0896 090 99      0.00   0.00   0.00
H0001  Alcohol and/or drug assess                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0002  Alcohol and/or drug screenin                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0003  Alcohol and/or drug screenin                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0004  Alcohol and/or drug services                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0005  Alcohol and/or drug services                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0006  Alcohol and/or drug services                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0007  Alcohol and/or drug services                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0008  Alcohol and/or drug services                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0009  Alcohol and/or drug services                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0010  Alcohol and/or drug services                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0011  Alcohol and/or drug services                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0012  Alcohol and/or drug services                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0013  Alcohol and/or drug services                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0014  Alcohol and/or drug services                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0015  Alcohol and/or drug services                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0016  Alcohol and/or drug services                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0017  Alcohol and/or drug services                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0018  Alcohol and/or drug services                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0019  Alcohol and/or drug services                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0020  Alcohol and/or drug services                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0021  Alcohol and/or drug training                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0022  Alcohol and/or drug interven                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0023  Alcohol and/or drug outreach                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0024  Alcohol and/or drug preventi                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0025  Alcohol and/or drug preventi                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0026  Alcohol and/or drug preventi                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0027  Alcohol and/or drug preventi                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0028  Alcohol and/or drug preventi                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0029  Alcohol and/or drug preventi                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0030  Alcohol and/or drug hotline                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0031  Mh health assess by non-md                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0032  Mh svc plan dev by non-md                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0033  Oral med adm direct observe                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0034  Med trng & support per 15min                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0035  Mh partial hosp tx under 24h                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0036  Comm psy face-face per 15min                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0037  Comm psy sup tx pgm per diem                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0038  Self-help/peer svc per 15min                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0039  Asser com tx face-face/15min                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0040  Assert comm tx pgm per diem                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0041  Fos c chld non-ther per diem                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0042  Fos c chld non-ther per mon                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0043  Supported housing, per diem                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0044  Supported housing, per month                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0045  Respite not-in-home per diem                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0046  Mental health service, nos                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0047  Alcohol/drug abuse svc nos                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0048  Spec coll non-blood:a/d test                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0049  Alcohol/drug screening                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H0050  Alcohol/drug service 15 min                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H1000  Prenatal care atrisk assessm                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H1001  Antepartum management                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H1002  Carecoordination prenatal                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H1003  Prenatal at risk education                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H1004  Follow up home visit/prental                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H1005  Prenatalcare enhanced srv pk                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H1010  Nonmed family planning ed                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H1011  Family assessment                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H2000  Comp multidisipln evaluation                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H2001  Rehabilitation program 1/2 d                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H2010  Comprehensive med svc 15 min                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H2011  Crisis interven svc, 15 min                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H2012  Behav hlth day treat, per hr                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H2013  Psych hlth fac svc, per diem                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H2014  Skills train and dev, 15 min                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H2015  Comp comm supp svc, 15 min                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H2016  Comp comm supp svc, per diem                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H2017  Psysoc rehab svc, per 15 min                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H2018  Psysoc rehab svc, per diem                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H2019  Ther behav svc, per 15 min                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H2020  Ther behav svc, per diem                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H2021  Com wrap-around sv, 15 min                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H2022  Com wrap-around sv, per diem                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H2023  Supported employ, per 15 min                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H2024  Supported employ, per diem                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H2025  Supp maint employ, 15 min                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H2026  Supp maint employ, per diem                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H2027  Psychoed svc, per 15 min                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H2028  Sex offend tx svc, 15 min                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H2029  Sex offend tx svc, per diem                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H2030  Mh clubhouse svc, per 15 min                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H2031  Mh clubhouse svc, per diem                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H2032  Activity therapy, per 15 min                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H2033  Multisys ther/juvenile 15min                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H2034  A/d halfway house, per diem                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H2035  A/d tx program, per hour                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H2036  A/d tx program, per diem                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
H2037  Dev delay prev dp ch, 15 min                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0120  Tetracyclin injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0121  Inj., omadacycline, 1 mg                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0122  Inj., eravacycline, 1 mg                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0129  Abatacept injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0130  Abciximab injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0131  Acetaminophen injection                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0132  Acetylcysteine injection                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0133  Acyclovir injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0135  Adalimumab injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0153  Adenosine inj 1mg                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0171  Adrenalin epinephrine inject                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0178  Aflibercept injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0179  Inj, brolucizumab-dbll, 1 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0180  Agalsidase beta injection                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0185  Inj., aprepitant, 1 mg                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0190  Inj biperiden lactate/5 mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0200  Alatrofloxacin mesylate                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0202  Injection, alemtuzumab                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0205  Alglucerase injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0207  Amifostine                                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0210  Methyldopate hcl injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0215  Alefacept                                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0220  Alglucosidase alfa injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0221  Lumizyme injection                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0222  Inj., patisiran, 0.1 mg                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0223  Inj givosiran 0.5 mg                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0256  Alpha 1 proteinase inhibitor                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0257  Glassia injection                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0270  Alprostadil for injection                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0275  Alprostadil urethral suppos                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0278  Amikacin sulfate injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0280  Aminophyllin 250 mg inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0282  Amiodarone hcl                                    E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0285  Amphotericin b                                    E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0287  Amphotericin b lipid complex                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0288  Ampho b cholesteryl sulfate                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0289  Amphotericin b liposome inj                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0290  Ampicillin 500 mg inj                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0291  Inj., plazomicin, 5 mg                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0295  Ampicillin sulbactam 1.5 gm                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0300  Amobarbital 125 mg inj                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0330  Succinycholine chloride inj                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0348  Anidulafungin injection                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0350  Injection anistreplase 30 u                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0360  Hydralazine hcl injection                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0364  Apomorphine hydrochloride                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0365  Aprotonin, 10,000 kiu                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0380  Inj metaraminol bitartrate                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0390  Chloroquine injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0395  Arbutamine hcl injection                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0400  Aripiprazole injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0401  Inj aripiprazole ext rel 1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0456  Azithromycin                                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0461  Atropine sulfate injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0470  Dimecaprol injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0475  Baclofen 10 mg injection                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0476  Baclofen intrathecal trial                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0480  Basiliximab                                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0485  Belatacept injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0490  Belimumab injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0500  Dicyclomine injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0515  Inj benztropine mesylate                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0517  Inj., benralizumab, 1 mg                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0520  Bethanechol chloride inject                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0558  Peng benzathine/procaine inj                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0561  Penicillin g benzathine inj                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0565  Inj, bezlotoxumab, 10 mg                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0567  Inj., cerliponase alfa 1 mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0570  Buprenorphine implant 74.2mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0571  Buprenorphine oral 1mg                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0572  Bupren/nal up to 3mg bupreno                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0573  Bupren/nal 3.1 to 6mg bupren                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0574  Bupren/nal 6.1 to 10mg bupre                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0575  Bupren/nal over 10mg bupreno                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0583  Bivalirudin                                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0584  Injection, burosumab-twza 1m                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0585  Injection,onabotulinumtoxina                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0586  Abobotulinumtoxina                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0587  Inj, rimabotulinumtoxinb                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0588  Incobotulinumtoxin a                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0591  Inj deoxycholic acid, 1 mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0592  Buprenorphine hydrochloride                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0593  Inj., lanadelumab-flyo, 1 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0594  Busulfan injection                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0595  Butorphanol tartrate 1 mg                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0596  Injection, ruconest                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0597  C-1 esterase, berinert                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0598  C-1 esterase, cinryze                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0599  Inj., haegarda 10 units                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0600  Edetate calcium disodium inj                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0604  Cinacalcet, esrd on dialysis                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0606  Inj, etelcalcetide, 0.1 mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0610  Calcium gluconate injection                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0620  Calcium glycer & lact/10 ml                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0630  Calcitonin salmon injection                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0636  Inj calcitriol per 0.1 mcg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0637  Caspofungin acetate                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0638  Canakinumab injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0640  Leucovorin calcium injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0641  Inj levoleucovorin nos 0.5mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0642  Injection, khapzory, 0.5 mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0670  Inj mepivacaine hcl/10 ml                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0690  Cefazolin sodium injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0691  Inj lefamulin 1 mg                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0692  Cefepime hcl for injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0694  Cefoxitin sodium injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0695  Inj ceftolozane tazobactam                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0696  Ceftriaxone sodium injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0697  Sterile cefuroxime injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0698  Cefotaxime sodium injection                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0702  Betamethasone acet&sod phosp                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0706  Caffeine citrate injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0710  Cephapirin sodium injection                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0712  Ceftaroline fosamil inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0713  Inj ceftazidime per 500 mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0714  Ceftazidime and avibactam                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0715  Ceftizoxime sodium / 500 mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0716  Centruroides immune f(ab)                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0717  Certolizumab pegol inj 1mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0720  Chloramphenicol sodium injec                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0725  Chorionic gonadotropin/1000u                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0735  Clonidine hydrochloride                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0740  Cidofovir injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0742  Inj imip 4 cilas 4 releb 2mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0743  Cilastatin sodium injection                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0744  Ciprofloxacin iv                                  E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0745  Inj codeine phosphate /30 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0770  Colistimethate sodium inj                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0775  Collagenase, clost hist inj                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0780  Prochlorperazine injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0791  Inj crizanlizumab-tmca 5mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0795  Corticorelin ovine triflutal                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0800  Corticotropin injection                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0834  Inj., cosyntropin, 0.25 mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0840  Crotalidae poly immune fab                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0841  Inj crotalidae im f(ab')2 eq                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0850  Cytomegalovirus imm iv /vial                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0875  Injection, dalbavancin                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0878  Daptomycin injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0881  Darbepoetin alfa, non-esrd                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0882  Darbepoetin alfa, esrd use                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0883  Argatroban nonesrd use 1mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0884  Argatroban esrd dialysis 1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0885  Epoetin alfa, non-esrd                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0887  Epoetin beta esrd use                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0888  Epoetin beta non esrd                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0890  Peginesatide injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0894  Decitabine injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0895  Deferoxamine mesylate inj                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0896  Inj luspatercept-aamt 0.25mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0897  Denosumab injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J0945  Brompheniramine maleate inj                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1000  Depo-estradiol cypionate inj                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1020  Methylprednisolone 20 mg inj                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1030  Methylprednisolone 40 mg inj                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1040  Methylprednisolone 80 mg inj                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1050  Medroxyprogesterone acetate                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1071  Inj testosterone cypionate                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1094  Inj dexamethasone acetate                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1095  Injection, dexamethasone 9%                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1096  Dexametha opth insert 0.1 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1097  Phenylep ketorolac opth soln                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1100  Dexamethasone sodium phos                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1110  Inj dihydroergotamine mesylt                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1120  Acetazolamid sodium injectio                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1130  Inj diclofenac sodium 0.5mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1160  Digoxin injection                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1162  Digoxin immune fab (ovine)                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1165  Phenytoin sodium injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1170  Hydromorphone injection                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1180  Dyphylline injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1190  Dexrazoxane hcl injection                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1200  Diphenhydramine hcl injectio                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1201  Inj. cetirizine hcl 0.5mg                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1205  Chlorothiazide sodium inj                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1212  Dimethyl sulfoxide 50% 50 ml                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1230  Methadone injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1240  Dimenhydrinate injection                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1245  Dipyridamole injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1250  Inj dobutamine hcl/250 mg                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1260  Dolasetron mesylate                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1265  Dopamine injection                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1267  Doripenem injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1270  Injection, doxercalciferol                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1290  Ecallantide injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1300  Eculizumab injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1301  Injection, edaravone, 1 mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1303  Inj., ravulizumab-cwvz 10 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1320  Amitriptyline injection                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1322  Elosulfase alfa, injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1324  Enfuvirtide injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1325  Epoprostenol injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1327  Eptifibatide injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1330  Ergonovine maleate injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1335  Ertapenem injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1364  Erythro lactobionate /500 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1380  Estradiol valerate 10 mg inj                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1410  Inj estrogen conjugate 25 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1428  Inj, eteplirsen, 10 mg                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1429  Inj golodirsen 10 mg                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1430  Ethanolamine oleate 100 mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1435  Injection estrone per 1 mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1436  Etidronate disodium inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1437  Inj. fe derisomaltose 10 mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1438  Etanercept injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1439  Inj ferric carboxymaltos 1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1442  Inj filgrastim excl biosimil                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1443  Inj ferric pyrophosphate cit                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1444  Fe pyro cit pow 0.1 mg iron                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1447  Inj tbo filgrastim 1 microg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1450  Fluconazole                                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1451  Fomepizole, 15 mg                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1452  Intraocular fomivirsen na                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1453  Fosaprepitant injection                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1454  Inj fosnetupitant, palonoset                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1455  Foscarnet sodium injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1457  Gallium nitrate injection                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1458  Galsulfase injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1459  Inj ivig privigen 500 mg                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1460  Gamma globulin 1 cc inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1555  Inj cuvitru, 100 mg                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1556  Inj, imm glob bivigam, 500mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1557  Gammaplex injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1558  Inj. xembify, 100 mg                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1559  Hizentra injection                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1560  Gamma globulin > 10 cc inj                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1561  Gamunex-c/gammaked                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1562  Vivaglobin, inj                                   E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1566  Immune globulin, powder                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1568  Octagam injection                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1569  Gammagard liquid injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1570  Ganciclovir sodium injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1571  Hepagam b im injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1572  Flebogamma injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1573  Hepagam b intravenous, inj                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1575  Hyqvia 100mg immuneglobulin                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1580  Garamycin gentamicin inj                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1595  Injection glatiramer acetate                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1599  Ivig non-lyophilized, nos                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1600  Gold sodium thiomaleate inj                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1602  Golimumab for iv use 1mg                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1610  Glucagon hydrochloride/1 mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1620  Gonadorelin hydroch/ 100 mcg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1626  Granisetron hcl injection                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1627  Inj, granisetron, xr, 0.1 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1628  Inj., guselkumab, 1 mg                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1630  Haloperidol injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1631  Haloperidol decanoate inj                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1632  Inj., brexanolone, 1 mg                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1640  Hemin, 1 mg                                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1642  Inj heparin sodium per 10 u                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1644  Inj heparin sodium per 1000u                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1645  Dalteparin sodium                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1650  Inj enoxaparin sodium                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1652  Fondaparinux sodium                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1655  Tinzaparin sodium injection                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1670  Tetanus immune globulin inj                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1675  Histrelin acetate                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1700  Hydrocortisone acetate inj                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1710  Hydrocortisone sodium ph inj                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1720  Hydrocortisone sodium succ i                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1726  Makena, 10 mg                                     E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1729  Inj hydroxyprogst capoat nos                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1730  Diazoxide injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1738  Inj. meloxicam 1 mg                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1740  Ibandronate sodium injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1741  Ibuprofen injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1742  Ibutilide fumarate injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1743  Idursulfase injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1744  Icatibant injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1745  Infliximab not biosimil 10mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1746  Inj., ibalizumab-uiyk, 10 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1750  Inj iron dextran                                  E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1756  Iron sucrose injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1786  Imuglucerase injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1790  Droperidol injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1800  Propranolol injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1810  Droperidol/fentanyl inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1815  Insulin injection                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1817  Insulin for insulin pump use                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1826  Interferon beta-1a inj                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1830  Interferon beta-1b / .25 mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1833  Injection, isavuconazonium                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1835  Itraconazole injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1840  Kanamycin sulfate 500 mg inj                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1850  Kanamycin sulfate 75 mg inj                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1885  Ketorolac tromethamine inj                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1890  Cephalothin sodium injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1930  Lanreotide injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1931  Laronidase injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1940  Furosemide injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1943  Inj., aristada initio, 1 mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1944  Aripirazole lauroxil 1 mg                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1945  Lepirudin                                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1950  Leuprolide acetate /3.75 mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1953  Levetiracetam injection                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1955  Inj levocarnitine per 1 gm                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1956  Levofloxacin injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1960  Levorphanol tartrate inj                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1980  Hyoscyamine sulfate inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J1990  Chlordiazepoxide injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2001  Lidocaine injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2010  Lincomycin injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2020  Linezolid injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2060  Lorazepam injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2062  Loxapine for inhalation 1 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2150  Mannitol injection                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2170  Mecasermin injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2175  Meperidine hydrochl /100 mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2180  Meperidine/promethazine inj                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2182  Injection, mepolizumab, 1mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2185  Meropenem                                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2186  Inj., meropenem, vaborbactam                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2210  Methylergonovin maleate inj                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2212  Methylnaltrexone injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2248  Micafungin sodium injection                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2250  Inj midazolam hydrochloride                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2260  Inj milrinone lactate / 5 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2265  Minocycline hydrochloride                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2270  Morphine sulfate injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2274  Inj morphine pf epid ithc                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2278  Ziconotide injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2280  Inj, moxifloxacin 100 mg                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2300  Inj nalbuphine hydrochloride                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2310  Inj naloxone hydrochloride                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2315  Naltrexone, depot form                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2320  Nandrolone decanoate 50 mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2323  Natalizumab injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2325  Nesiritide injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2326  Inj, nusinersen, 0.1mg                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2350  Injection, ocrelizumab, 1 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2353  Octreotide injection, depot                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2354  Octreotide inj, non-depot                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2355  Oprelvekin injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2357  Omalizumab injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2358  Olanzapine long-acting inj                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2360  Orphenadrine injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2370  Phenylephrine hcl injection                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2400  Chloroprocaine hcl injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2405  Ondansetron hcl injection                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2407  Injection, oritavancin                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2410  Oxymorphone hcl injection                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2425  Palifermin injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2426  Paliperidone palmitate inj                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2430  Pamidronate disodium /30 mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2440  Papaverin hcl injection                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2460  Oxytetracycline injection                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2469  Palonosetron hcl                                  E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2501  Paricalcitol                                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2502  Inj, pasireotide long acting                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2503  Pegaptanib sodium injection                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2504  Pegademase bovine, 25 iu                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2505  Injection, pegfilgrastim 6mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2507  Pegloticase injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2510  Penicillin g procaine inj                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2513  Pentastarch 10% solution                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2515  Pentobarbital sodium inj                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2540  Penicillin g potassium inj                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2543  Piperacillin/tazobactam                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2545  Pentamidine non-comp unit                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2547  Injection, peramivir                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2550  Promethazine hcl injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2560  Phenobarbital sodium inj                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2562  Plerixafor injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2590  Oxytocin injection                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2597  Inj desmopressin acetate                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2650  Prednisolone acetate inj                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2670  Totazoline hcl injection                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2675  Inj progesterone per 50 mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2680  Fluphenazine decanoate 25 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2690  Procainamide hcl injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2700  Oxacillin sodium injeciton                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2704  Inj, propofol, 10 mg                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2710  Neostigmine methylslfte inj                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2720  Inj protamine sulfate/10 mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2724  Protein c concentrate                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2725  Inj protirelin per 250 mcg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2730  Pralidoxime chloride inj                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2760  Phentolaine mesylate inj                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2765  Metoclopramide hcl injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2770  Quinupristin/dalfopristin                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2778  Ranibizumab injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2780  Ranitidine hydrochloride inj                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2783  Rasburicase                                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2785  Regadenoson injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2786  Injection, reslizumab, 1mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2787  Riboflavin 5'phos opth<=3ml                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2788  Rho d immune globulin 50 mcg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2790  Rho d immune globulin inj                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2791  Rhophylac injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2792  Rho(d) immune globulin h, sd                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2793  Rilonacept injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2794  Inj risperdal consta, 0.5 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2795  Ropivacaine hcl injection                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2796  Romiplostim injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2797  Inj., rolapitant, 0.5 mg                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2798  Inj., perseris, 0.5 mg                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2800  Methocarbamol injection                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2805  Sincalide injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2810  Inj theophylline per 40 mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2820  Sargramostim injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2840  Inj sebelipase alfa 1 mg                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2850  Inj secretin synthetic human                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2860  Injection, siltuximab                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2910  Aurothioglucose injeciton                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2916  Na ferric gluconate complex                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2920  Methylprednisolone injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2930  Methylprednisolone injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2940  Somatrem injection                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2941  Somatropin injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2950  Promazine hcl injection                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2993  Reteplase injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2995  Inj streptokinase /250000 iu                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J2997  Alteplase recombinant                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3000  Streptomycin injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3010  Fentanyl citrate injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3030  Sumatriptan succinate / 6 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3031  Inj., fremanezumab-vfrm 1 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3032  Inj. eptinezumab-jjmr 1 mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3060  Inj, taliglucerase alfa 10 u                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3070  Pentazocine injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3090  Inj tedizolid phosphate                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3095  Telavancin injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3101  Tenecteplase injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3105  Terbutaline sulfate inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3110  Teriparatide injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3111  Inj. romosozumab-aqqg 1 mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3121  Inj testostero enanthate 1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3145  Testosterone undecanoate 1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3230  Chlorpromazine hcl injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3240  Thyrotropin injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3241  Inj. teprotumumab-trbw 10 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3243  Tigecycline injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3245  Inj., tildrakizumab, 1 mg                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3246  Tirofiban hcl                                     E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3250  Trimethobenzamide hcl inj                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3260  Tobramycin sulfate injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3262  Tocilizumab injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3265  Injection torsemide 10 mg/ml                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3280  Thiethylperazine maleate inj                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3285  Treprostinil injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3300  Triamcinolone a inj prs-free                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3301  Triamcinolone acet inj nos                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3302  Triamcinolone diacetate inj                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3303  Triamcinolone hexacetonl inj                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3304  Inj triamcinolone ace xr 1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3305  Inj trimetrexate glucoronate                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3310  Perphenazine injeciton                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3315  Triptorelin pamoate                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3316  Inj., triptorelin xr 3.75 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3320  Spectinomycn di-hcl inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3350  Urea injection                                    E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3355  Urofollitropin, 75 iu                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3357  Ustekinumab sub cu inj, 1 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3358  Ustekinumab, iv inject, 1 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3360  Diazepam injection                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3364  Urokinase 5000 iu injection                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3365  Urokinase 250,000 iu inj                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3370  Vancomycin hcl injection                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3380  Injection, vedolizumab                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3385  Velaglucerase alfa                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3396  Verteporfin injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3397  Inj., vestronidase alfa-vjbk                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3398  Inj luxturna 1 billion vec g                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3399  Inj onase abepar-xioi treat                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3400  Triflupromazine hcl inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3410  Hydroxyzine hcl injection                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3411  Thiamine hcl 100 mg                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3415  Pyridoxine hcl 100 mg                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3420  Vitamin b12 injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3430  Vitamin k phytonadione inj                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3465  Injection, voriconazole                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3470  Hyaluronidase injection                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3471  Ovine, up to 999 usp units                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3472  Ovine, 1000 usp units                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3473  Hyaluronidase recombinant                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3475  Inj magnesium sulfate                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3480  Inj potassium chloride                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3485  Zidovudine                                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3486  Ziprasidone mesylate                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3489  Zoledronic acid 1mg                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3490  Drugs unclassified injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3520  Edetate disodium per 150 mg                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3530  Nasal vaccine inhalation                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3535  Metered dose inhaler drug                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3570  Laetrile amygdalin vit b17                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3590  Unclassified biologics                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J3591  Esrd on dialysi drug/bio noc                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7030  Normal saline solution infus                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7040  Normal saline solution infus                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7042  5% dextrose/normal saline                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7050  Normal saline solution infus                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7060  5% dextrose/water                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7070  D5w infusion                                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7100  Dextran 40 infusion                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7110  Dextran 75 infusion                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7120  Ringers lactate infusion                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7121  5% dextrose in lac ringers                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7131  Hypertonic saline sol                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7169  Inj andexxa, 10 mg                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7170  Inj., emicizumab-kxwh 0.5 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7175  Inj, factor x, (human), 1iu                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7177  Inj., fibryga, 1 mg                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7178  Inj human fibrinogen con nos                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7179  Vonvendi inj 1 iu vwf:rco                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7180  Factor xiii anti-hem factor                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7181  Factor xiii recomb a-subunit                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7182  Factor viii recomb novoeight                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7183  Wilate injection                                  E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7185  Xyntha inj                                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7186  Antihemophilic viii/vwf comp                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7187  Humate-p, inj                                     E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7188  Factor viii recomb obizur                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7189  Factor viia                                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7190  Factor viii                                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7191  Factor viii (porcine)                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7192  Factor viii recombinant nos                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7193  Factor ix non-recombinant                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7194  Factor ix complex                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7195  Factor ix recombinant nos                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7196  Antithrombin recombinant                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7197  Antithrombin iii injection                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7198  Anti-inhibitor                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7199  Hemophilia clot factor noc                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7200  Factor ix recombinan rixubis                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7201  Factor ix alprolix recomb                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7202  Factor ix idelvion inj                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7203  Factor ix recomb gly rebinyn                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7204  Inj recombin esperoct per iu                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7205  Factor viii fc fusion recomb                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7207  Factor viii pegylated recomb                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7208  Inj. jivi 1 iu                                    E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7209  Factor viii nuwiq recomb 1iu                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7210  Inj, afstyla, 1 i.u.                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7211  Inj, kovaltry, 1 i.u.                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7296  Kyleena, 19.5 mg                                  N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7297  Liletta, 52 mg                                    N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7298  Mirena, 52 mg                                     N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7300  Intraut copper contraceptive                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7301  Skyla, 13.5 mg                                    N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7303  Contraceptive vaginal ring                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7304  Contraceptive hormone patch                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7306  Levonorgestrel implant sys                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7307  Etonogestrel implant system                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7308  Aminolevulinic acid hcl top                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7309  Methyl aminolevulinate, top                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7310  Ganciclovir long act implant                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7311  Inj., retisert, 0.01 mg                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7312  Dexamethasone intra implant                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7313  Inj., iluvien, 0.01 mg                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7314  Inj., yutiq, 0.01 mg                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7315  Ophthalmic mitomycin                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7316  Inj, ocriplasmin, 0.125 mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7318  Inj, durolane 1 mg                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7320  Genvisc 850, inj, 1mg                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7321  Hyalgan or supartz inj dose                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7322  Hymovis injection 1 mg                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7323  Euflexxa inj per dose                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7324  Orthovisc inj per dose                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7325  Synvisc or synvisc-one                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7326  Gel-one                                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7327  Monovisc inj per dose                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7328  Gelsyn-3 injection 0.1 mg                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7329  Inj, trivisc 1 mg                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7330  Cultured chondrocytes implnt                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7331  Synojoynt, inj., 1 mg                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7332  Inj., triluron, 1 mg                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7333  Visco-3 inj dose                                  E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7336  Capsaicin 8% patch                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7340  Carbidopa levodopa ent 100ml                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7342  Ciprofloxacin otic susp 6 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7345  Aminolevulinic acid, 10% gel                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7351  Inj bimatoprost itc imp 1mcg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7401  Mometasone furoate sinus imp                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7500  Azathioprine oral 50mg                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7501  Azathioprine parenteral                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7502  Cyclosporine oral 100 mg                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7503  Tacrol envarsus ex rel oral                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7504  Lymphocyte immune globulin                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7505  Monoclonal antibodies                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7507  Tacrolimus imme rel oral 1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7508  Tacrol astagraf ex rel oral                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7509  Methylprednisolone oral                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7510  Prednisolone oral per 5 mg                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7511  Antithymocyte globuln rabbit                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7512  Prednisone ir or dr oral 1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7513  Daclizumab, parenteral                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7515  Cyclosporine oral 25 mg                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7516  Cyclosporin parenteral 250mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7517  Mycophenolate mofetil oral                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7518  Mycophenolic acid                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7520  Sirolimus, oral                                   E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7525  Tacrolimus injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7527  Oral everolimus                                   E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7599  Immunosuppressive drug noc                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7604  Acetylcysteine comp unit                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7605  Arformoterol non-comp unit                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7606  Formoterol fumarate, inh                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7607  Levalbuterol comp con                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7608  Acetylcysteine non-comp unit                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7609  Albuterol comp unit                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7610  Albuterol comp con                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7611  Albuterol non-comp con                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7612  Levalbuterol non-comp con                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7613  Albuterol non-comp unit                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7614  Levalbuterol non-comp unit                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7615  Levalbuterol comp unit                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7620  Albuterol ipratrop non-comp                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7622  Beclomethasone comp unit                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7624  Betamethasone comp unit                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7626  Budesonide non-comp unit                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7627  Budesonide comp unit                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7628  Bitolterol mesylate comp con                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7629  Bitolterol mesylate comp unt                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7631  Cromolyn sodium noncomp unit                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7632  Cromolyn sodium comp unit                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7633  Budesonide non-comp con                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7634  Budesonide comp con                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7635  Atropine comp con                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7636  Atropine comp unit                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7637  Dexamethasone comp con                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7638  Dexamethasone comp unit                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7639  Dornase alfa non-comp unit                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7640  Formoterol comp unit                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7641  Flunisolide comp unit                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7642  Glycopyrrolate comp con                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7643  Glycopyrrolate comp unit                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7644  Ipratropium bromide non-comp                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7645  Ipratropium bromide comp                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7647  Isoetharine comp con                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7648  Isoetharine non-comp con                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7649  Isoetharine non-comp unit                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7650  Isoetharine comp unit                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7657  Isoproterenol comp con                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7658  Isoproterenol non-comp con                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7659  Isoproterenol non-comp unit                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7660  Isoproterenol comp unit                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7665  Mannitol for inhaler                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7667  Metaproterenol comp con                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7668  Metaproterenol non-comp con                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7669  Metaproterenol non-comp unit                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7670  Metaproterenol comp unit                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7674  Methacholine chloride, neb                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7676  Pentamidine comp unit dose                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7677  Revefenacin inh non-com 1mcg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7680  Terbutaline sulf comp con                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7681  Terbutaline sulf comp unit                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7682  Tobramycin non-comp unit                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7683  Triamcinolone comp con                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7684  Triamcinolone comp unit                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7685  Tobramycin comp unit                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7686  Treprostinil, non-comp unit                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7699  Inhalation solution for dme                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7799  Non-inhalation drug for dme                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J7999  Compounded drug, noc                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J8498  Antiemetic rectal/supp nos                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J8499  Oral prescrip drug non chemo                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J8501  Oral aprepitant                                   E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J8510  Oral busulfan                                     E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J8515  Cabergoline, oral 0.25mg                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J8520  Capecitabine, oral, 150 mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J8521  Capecitabine, oral, 500 mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J8530  Cyclophosphamide oral 25 mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J8540  Oral dexamethasone                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J8560  Etoposide oral 50 mg                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J8562  Oral fludarabine phosphate                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J8565  Gefitinib oral                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J8597  Antiemetic drug oral nos                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J8600  Melphalan oral 2 mg                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J8610  Methotrexate oral 2.5 mg                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J8650  Nabilone oral                                     E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J8655  Oral netupitant, palonosetro                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J8670  Rolapitant, oral, 1mg                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J8700  Temozolomide                                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J8705  Topotecan oral                                    E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J8999  Oral prescription drug chemo                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9000  Doxorubicin hcl injection                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9015  Aldesleukin injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9017  Arsenic trioxide injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9019  Erwinaze injection                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9020  Asparaginase, nos                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9022  Inj, atezolizumab,10 mg                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9023  Injection, avelumab, 10 mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9025  Azacitidine injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9027  Clofarabine injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9030  Bcg live intravesical 1mg                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9032  Injection, belinostat, 10mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9033  Inj., treanda 1 mg                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9034  Inj., bendeka 1 mg                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9035  Bevacizumab injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9036  Inj. belrapzo/bendamustine                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9039  Injection, blinatumomab                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9040  Bleomycin sulfate injection                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9041  Inj., velcade 0.1 mg                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9042  Brentuximab vedotin inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9043  Cabazitaxel injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9044  Inj, bortezomib, nos, 0.1 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9045  Carboplatin injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9047  Injection, carfilzomib, 1 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9050  Carmustine injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9055  Cetuximab injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9057  Inj., copanlisib, 1 mg                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9060  Cisplatin 10 mg injection                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9065  Inj cladribine per 1 mg                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9070  Cyclophosphamide 100 mg inj                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9098  Cytarabine liposome inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9100  Cytarabine hcl 100 mg inj                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9118  Inj. calaspargase pegol-mknl                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9119  Inj., cemiplimab-rwlc, 1 mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9120  Dactinomycin injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9130  Dacarbazine 100 mg inj                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9145  Injection, daratumumab 10 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9150  Daunorubicin injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9151  Daunorubicin citrate inj                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9153  Inj daunorubicin, cytarabine                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9155  Degarelix injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9160  Denileukin diftitox inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9165  Diethylstilbestrol injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9171  Docetaxel injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9173  Inj., durvalumab, 10 mg                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9175  Elliotts b solution per ml                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9176  Injection, elotuzumab, 1mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9177  Inj enfort vedo-ejfv 0.25mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9178  Inj, epirubicin hcl, 2 mg                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9179  Eribulin mesylate injection                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9181  Etoposide injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9185  Fludarabine phosphate inj                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9190  Fluorouracil injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9198  Inj. infugem, 100 mg                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9199  Injection, infugem, 200 mg                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9200  Floxuridine injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9201  In gemcitabine hcl nos 200mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9202  Goserelin acetate implant                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9203  Gemtuzumab ozogamicin 0.1 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9204  Inj mogamulizumab-kpkc, 1 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9205  Inj irinotecan liposome 1 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9206  Irinotecan injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9207  Ixabepilone injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9208  Ifosfamide injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9209  Mesna injection                                   E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9210  Inj., emapalumab-lzsg, 1 mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9211  Idarubicin hcl injection                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9212  Interferon alfacon-1 inj                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9213  Interferon alfa-2a inj                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9214  Interferon alfa-2b inj                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9215  Interferon alfa-n3 inj                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9216  Interferon gamma 1-b inj                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9217  Leuprolide acetate suspnsion                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9218  Leuprolide acetate injeciton                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9219  Leuprolide acetate implant                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9225  Vantas implant                                    E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9226  Supprelin la implant                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9227  Inj. isatuximab-irfc 10 mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9228  Ipilimumab injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9229  Inj inotuzumab ozogam 0.1 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9230  Mechlorethamine hcl inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9245  Inj melpha hydroch nos 50 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9246  Inj., evomela, 1 mg                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9250  Methotrexate sodium inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9260  Methotrexate sodium inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9261  Nelarabine injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9262  Inj, omacetaxine mep, 0.01mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9263  Oxaliplatin                                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9264  Paclitaxel protein bound                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9266  Pegaspargase injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9267  Paclitaxel injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9268  Pentostatin injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9269  Inj. tagraxofusp-erzs 10 mcg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9270  Plicamycin (mithramycin) inj                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9271  Inj pembrolizumab                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9280  Mitomycin injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9285  Inj, olaratumab, 10 mg                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9293  Mitoxantrone hydrochl / 5 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9295  Injection, necitumumab, 1 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9299  Injection, nivolumab                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9301  Obinutuzumab inj                                  E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9302  Ofatumumab injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9303  Panitumumab injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9304  Inj. pemetrexed, 10 mg                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9305  Inj. pemetrexed nos 10mg                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9306  Injection, pertuzumab, 1 mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9307  Pralatrexate injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9308  Injection, ramucirumab                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9309  Inj, polatuzumab vedotin 1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9311  Inj rituximab, hyaluronidase                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9312  Inj., rituximab, 10 mg                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9313  Inj., lumoxiti, 0.01 mg                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9315  Romidepsin injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9320  Streptozocin injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9325  Inj talimogene laherparepvec                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9328  Temozolomide injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9330  Temsirolimus injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9340  Thiotepa injection                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9351  Topotecan injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9352  Injection trabectedin 0.1mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9354  Inj, ado-trastuzumab emt 1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9355  Inj trastuzumab excl biosimi                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9356  Inj. herceptin hylecta, 10mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9357  Valrubicin injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9358  Inj fam-trastu deru-nxki 1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9360  Vinblastine sulfate inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9370  Vincristine sulfate 1 mg inj                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9371  Inj, vincristine sul lip 1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9390  Vinorelbine tartrate inj                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9395  Injection, fulvestrant                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9400  Inj, ziv-aflibercept, 1mg                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9600  Porfimer sodium injection                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
J9999  Chemotherapy drug                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M0075  Cellular therapy                                  N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M0076  Prolotherapy                                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M0100  Intragastric hypothermia                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M0300  Iv chelationtherapy                               N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M0301  Fabric wrapping of aneurysm                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1003  Tb scr 12 mo pri fst bio dz                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1004  Doc med rsn no srn tb                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1005  Tb scr no perf                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1006  Dz not ases, no rsn                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1007  >=50% total pt outpt ra enct                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1008  <50% total pt outpt ra encts                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1009  Dc eoc doc med rec                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1010  Dc eoc doc med rec                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1011  Dc eoc doc med rec                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1012  Dc eoc doc med rec                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1013  Dc eoc doc med rec                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1014  Dc epi care doc medrec                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1015  Dc eoc doc med rec                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1016  Pt dx meop or sur steri                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1017  Pt admt to palitve serv                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1018  Pt dx hst cr pt sk lg cr scr                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1019  Adl pt mj dep ds rs 12 phq<5                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1020  Adl pt mj dep ds no rs 12 mo                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1021  Pt uc in pp                                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1022  Pt hospice during perf pd                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1023  Adl pt mj dep ds rs 6 phq<5                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1024  Adl pt mj dep ds no rs 6 mo                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1025  Pt hospice during perf pd                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1026  Pt hospice during perf pd                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1027  Img head (ct or mri) obtnd                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1028  Doc of pt prm hda dx and otr                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1029  Doc sysm rsn img hd                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1031  Pt clin ind img hd                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1032  Adt tkng pharmthry for oud                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1033  Pharmthry for oud afr 6.30                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1034  Adt 180 dys pharmthry oud                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1035  Adt pd out mat pr 180 dys tx                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1036  Adt no 180 dys pharmthry oud                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1037  Pt dx lum sp reg cacr                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1038  Pt dx lum sp reg fract                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1039  Pt dx lum sp reg inf                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1040  Pt dx lum idi or cong scol                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1041  Pt cr ft inf lm or pt id sl                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1043  Fs no odi 9-15mo                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1045  Fs oks 9-15mo = 37                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1046  Fs oks 9-15mo = 37                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1049  Fs wth scr no odi pre and p                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1051  Pt w/cancer scoliosis                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1052  Lg pn not meas w/ vas 1yr po                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1054  Pt uc in pp                                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1055  Aspirin used                                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1056  Presc antico med in pp                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1057  Aspirin not used, no rsn                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1058  Pt prm nurs hm res in pp                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1059  Pt no prm nurs hm res in pp                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1060  Pt died in pp                                     M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1061  Pt preg                                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1062  Pt imcomprmd                                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1063  Pt rec hg dos imsup thpy                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1064  Shing vac doc adm or pv rec                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1065  Shing vac no adm clinc rsn                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1066  Shing vac no doc no rsn                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1067  Hspc pt prv time meam per                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1068  Pt not ambulatory                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1069  Pt scr ft fall rsk                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1070  Pt not scrn fut fall no rsn                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1071  Pt had add'l sp pcr perf                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1106  Start eoc doc med rec                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1107  Docu dx degen neuro                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1108  Oc ni pt 1-2 vis                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1109  Oc ni pt dc 1-2 vis                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1110  Oc ni pt selfdc 1-2 vis                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1111  Start eoc doc med rec                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1112  Docu dx degen neuro                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1113  Oc ni pt 1-2 vis                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1114  Oc ni pt dc 1-2 vis                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1115  Oc ni pt selfdc 1-2 vis                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1116  Start eoc doc med rec                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1117  Docu dx degen neuro                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1118  Oc ni pt 1-2 vis                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1119  Oc ni pt dc 1-2 vis                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1120  Oc ni pt selfdc 1-2 vis                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1121  Start eoc doc med rec                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1122  Docu dx degen neuro                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1123  Oc ni pt 1-2 vis                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1124  Oc ni pt dc 1-2 vis                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1125  Oc ni pt selfdc 1-2 vis                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1126  Start eoc doc med rec                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1127  Docu dx degen neuro                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1128  Oc ni pt 1-2 vis                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1129  Oc ni pt dc 1-2 vis                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1130  Oc ni pt self dc 1-2 vis                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1131  Docu dx degen neuro                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1132  Oc ni pt 1-2 vis                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1133  Oc ni pt dc 1-2 vis                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1134  Oc ni pt self dc 1-2 vis                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1135  Start eoc doc med rec                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1136  Start eoc doc med rec                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1137  Docu dx degen neuro                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1138  Oc ni pt 1-2 vis                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1139  Oc ni pt self dc 1-2 vis                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1140  Oc ni pt dc 1-2 vis                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1141  Fs no oks                                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1142  Emerge cases                                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1143  Ni rehab med chiro                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
M1144  Oc no ind pt 1-2 vis                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P2028  Cephalin floculation test                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P2029  Congo red blood test                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P2031  Hair analysis                                     N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P2033  Blood thymol turbidity                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P2038  Blood mucoprotein                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P3000  Screen pap by tech w md supv                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P3001  Screening pap smear by phys                       A   0.26   0.46     0.46    0.01   0.73  0.730XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
P7001  Culture bacterial urine                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9010  Whole blood for transfusion                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9011  Blood split unit                                  E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9012  Cryoprecipitate each unit                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9016  Rbc leukocytes reduced                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9017  Plasma 1 donor frz w/in 8 hr                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9019  Platelets, each unit                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9020  Plaelet rich plasma unit                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9021  Red blood cells unit                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9022  Washed red blood cells unit                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9023  Frozen plasma, pooled, sd                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9031  Platelets leukocytes reduced                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9032  Platelets, irradiated                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9033  Platelets leukoreduced irrad                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9034  Platelets, pheresis                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9035  Platelet pheres leukoreduced                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9036  Platelet pheresis irradiated                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9037  Plate pheres leukoredu irrad                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9038  Rbc irradiated                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9039  Rbc deglycerolized                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9040  Rbc leukoreduced irradiated                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9041  Albumin (human),5%, 50ml                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9043  Plasma protein fract,5%,50ml                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9044  Cryoprecipitatereducedplasma                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9045  Albumin (human), 5%, 250 ml                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9046  Albumin (human), 25%, 20 ml                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9047  Albumin (human), 25%, 50ml                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9048  Plasmaprotein fract,5%,250ml                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9050  Granulocytes, pheresis unit                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9051  Blood, l/r, cmv-neg                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9052  Platelets, hla-m, l/r, unit                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9053  Plt, pher, l/r cmv-neg, irr                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9054  Blood, l/r, froz/degly/wash                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9055  Plt, aph/pher, l/r, cmv-neg                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9056  Blood, l/r, irradiated                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9057  Rbc, frz/deg/wsh, l/r, irrad                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9058  Rbc, l/r, cmv-neg, irrad                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9059  Plasma, frz between 8-24hour                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9060  Fr frz plasma donor retested                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9070  Pathogen reduced plasma pool                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9071  Pathogen reduced plasma sing                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9073  Platelets pheresis path redu                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9099  Blood component/product noc                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9100  Pathogen test for platelets                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9603  One-way allow prorated miles                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9604  One-way allow prorated trip                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9612  Catheterize for urine spec                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
P9615  Urine specimen collect mult                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0035  Cardiokymography                                  A   0.17   0.34     0.34NA  0.02   0.53  0.531XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
Q0035TCCardiokymography                                  A   0.00   0.28     0.28NA  0.01   0.29  0.291XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
Q003526Cardiokymography                                  A   0.17   0.06     0.06    0.01   0.24  0.241XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
Q0081  Infusion ther other than che                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0083  Chemo by other than infusion                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0084  Chemotherapy by infusion                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0085  Chemo by both infusion and o                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0091  Obtaining screen pap smear                        A   0.37   0.81     0.14    0.03   1.21  0.540XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
Q0092  Set up port xray equipment                        A   0.00   0.65     0.65    0.01   0.66  0.663XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
Q0111  Wet mounts/ w preparations                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0112  Potassium hydroxide preps                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0113  Pinworm examinations                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0114  Fern test                                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0115  Post-coital mucous exam                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0138  Ferumoxytol, non-esrd                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0139  Ferumoxytol, esrd use                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0144  Azithromycin dihydrate, oral                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0161  Chlorpromazine hcl 5mg oral                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0162  Ondansetron oral                                  E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0163  Diphenhydramine hcl 50mg                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0164  Prochlorperazine maleate 5mg                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0166  Granisetron hcl 1 mg oral                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0167  Dronabinol 2.5mg oral                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0169  Promethazine hcl 12.5mg oral                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0173  Trimethobenzamide hcl 250mg                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0174  Thiethylperazine maleate10mg                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0175  Perphenazine 4mg oral                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0177  Hydroxyzine pamoate 25mg                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0180  Dolasetron mesylate oral                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0181  Unspecified oral anti-emetic                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0477  Pwr module pt cable lvad rpl                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0478  Power adapter, combo vad                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0479  Power module combo vad, rep                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0480  Driver pneumatic vad, rep                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0481  Microprcsr cu elec vad, rep                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0482  Microprcsr cu combo vad, rep                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0483  Monitor elec vad, rep                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0484  Monitor elec or comb vad rep                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0485  Monitor cable elec vad, rep                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0486  Mon cable elec/pneum vad rep                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0487  Leads any type vad, rep only                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0488  Pwr pack base elec vad, rep                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0489  Pwr pck base combo vad, rep                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0490  Emr pwr source elec vad, rep                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0491  Emr pwr source combo vad rep                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0492  Emr pwr cbl elec vad, rep                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0493  Emr pwr cbl combo vad, rep                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0494  Emr hd pmp elec/combo, rep                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0495  Charger elec/combo vad, rep                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0496  Battery elec/combo vad, rep                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0497  Bat clps elec/comb vad, rep                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0498  Holster elec/combo vad, rep                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0499  Belt/vest elec/combo vad rep                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0500  Filters elec/combo vad, rep                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0501  Shwr cov elec/combo vad, rep                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0502  Mobility cart pneum vad, rep                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0503  Battery pneum vad replacemnt                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0504  Pwr adpt pneum vad, rep veh                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0506  Lith-ion batt elec/pneum vad                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0507  Misc sup/acc ext vad                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0508  Mis sup/acc imp vad                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0509  Mis sup/ac imp vad nopay med                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0510  Dispens fee immunosupressive                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0511  Sup fee antiem,antica,immuno                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0512  Px sup fee anti-can sub pres                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0513  Disp fee inhal drugs/30 days                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0514  Disp fee inhal drugs/90 days                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q0515  Sermorelin acetate injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q1004  Ntiol category 4                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q1005  Ntiol category 5                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q2004  Bladder calculi irrig sol                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q2009  Fosphenytoin inj pe                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q2017  Teniposide, 50 mg                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q2026  Radiesse injection                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q2028  Inj, sculptra, 0.5mg                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q2034  Agriflu vaccine                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q2035  Afluria vacc, 3 yrs & >, im                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q2036  Flulaval vacc, 3 yrs & >, im                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q2037  Fluvirin vacc, 3 yrs & >, im                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q2038  Fluzone vacc, 3 yrs & >, im                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q2039  Influenza virus vaccine, nos                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q2041  Axicabtagene ciloleucel car+                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q2042  Tisagenlecleucel car-pos t                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q2043  Sipuleucel-t auto cd54+                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q2049  Imported lipodox inj                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q2050  Doxorubicin inj 10mg                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q2052  Ivig demo, services/supplies                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q3001  Brachytherapy radioelements                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
Q3014  Telehealth facility fee                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q3027  Inj beta interferon im 1 mcg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q3028  Inj beta interferon sq 1 mcg                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q3031  Collagen skin test                                B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4001  Cast sup body cast plaster                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4002  Cast sup body cast fiberglas                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4003  Cast sup shoulder cast plstr                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4004  Cast sup shoulder cast fbrgl                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4005  Cast sup long arm adult plst                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4006  Cast sup long arm adult fbrg                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4007  Cast sup long arm ped plster                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4008  Cast sup long arm ped fbrgls                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4009  Cast sup sht arm adult plstr                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4010  Cast sup sht arm adult fbrgl                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4011  Cast sup sht arm ped plaster                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4012  Cast sup sht arm ped fbrglas                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4013  Cast sup gauntlet plaster                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4014  Cast sup gauntlet fiberglass                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4015  Cast sup gauntlet ped plster                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4016  Cast sup gauntlet ped fbrgls                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4017  Cast sup lng arm splint plst                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4018  Cast sup lng arm splint fbrg                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4019  Cast sup lng arm splnt ped p                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4020  Cast sup lng arm splnt ped f                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4021  Cast sup sht arm splint plst                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4022  Cast sup sht arm splint fbrg                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4023  Cast sup sht arm splnt ped p                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4024  Cast sup sht arm splnt ped f                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4025  Cast sup hip spica plaster                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4026  Cast sup hip spica fiberglas                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4027  Cast sup hip spica ped plstr                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4028  Cast sup hip spica ped fbrgl                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4029  Cast sup long leg plaster                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4030  Cast sup long leg fiberglass                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4031  Cast sup lng leg ped plaster                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4032  Cast sup lng leg ped fbrgls                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4033  Cast sup lng leg cylinder pl                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4034  Cast sup lng leg cylinder fb                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4035  Cast sup lngleg cylndr ped p                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4036  Cast sup lngleg cylndr ped f                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4037  Cast sup shrt leg plaster                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4038  Cast sup shrt leg fiberglass                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4039  Cast sup shrt leg ped plster                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4040  Cast sup shrt leg ped fbrgls                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4041  Cast sup lng leg splnt plstr                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4042  Cast sup lng leg splnt fbrgl                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4043  Cast sup lng leg splnt ped p                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4044  Cast sup lng leg splnt ped f                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4045  Cast sup sht leg splnt plstr                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4046  Cast sup sht leg splnt fbrgl                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4047  Cast sup sht leg splnt ped p                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4048  Cast sup sht leg splnt ped f                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4049  Finger splint, static                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4050  Cast supplies unlisted                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4051  Splint supplies misc                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4074  Iloprost non-comp unit dose                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4081  Epoetin alfa, 100 units esrd                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4082  Drug/bio noc part b drug cap                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4100  Skin substitute, nos                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4101  Apligraf                                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4102  Oasis wound matrix                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4103  Oasis burn matrix                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4104  Integra bmwd                                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4105  Integra drt or omnigraft                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4106  Dermagraft                                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4107  Graftjacket                                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4108  Integra matrix                                    E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4110  Primatrix                                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4111  Gammagraft                                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4112  Cymetra injectable                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4113  Graftjacket xpress                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4114  Integra flowable wound matri                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4115  Alloskin                                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4116  Alloderm                                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4117  Hyalomatrix                                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4118  Matristem micromatrix                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4121  Theraskin                                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4122  Dermacell, awm, porous sq cm                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4123  Alloskin                                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4124  Oasis tri-layer wound matrix                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4125  Arthroflex                                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4126  Memoderm/derma/tranz/integup                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4127  Talymed                                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4128  Flexhd/allopatchhd/matrixhd                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4130  Strattice tm                                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4132  Grafix core, grafixpl core                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4133  Grafix stravix prime pl sqcm                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4134  Hmatrix                                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4135  Mediskin                                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4136  Ezderm                                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4137  Amnioexcel biodexcel 1sq cm                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4138  Biodfence dryflex, 1cm                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4139  Amnio or biodmatrix, inj 1cc                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4140  Biodfence 1cm                                     E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4141  Alloskin ac, 1 cm                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4142  Xcm biologic tiss matrix 1cm                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4143  Repriza, 1cm                                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4145  Epifix, inj, 1mg                                  E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4146  Tensix, 1cm                                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4147  Architect ecm px fx 1 sq cm                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4148  Neox neox rt or clarix cord                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4149  Excellagen, 0.1 cc                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4150  Allowrap ds or dry 1 sq cm                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4151  Amnioband, guardian 1 sq cm                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4152  Dermapure 1 square cm                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4153  Dermavest, plurivest sq cm                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4154  Biovance 1 square cm                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4155  Neoxflo or clarixflo 1 mg                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4156  Neox 100 or clarix 100                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4157  Revitalon 1 square cm                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4158  Kerecis omega3, per sq cm                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4159  Affinity1 square cm                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4160  Nushield 1 square cm                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4161  Bio-connekt per square cm                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4162  Wndex flw, bioskn flw, 0.5cc                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4163  Woundex, bioskin, per sq cm                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4164  Helicoll, per square cm                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4165  Keramatrix, kerasorb sq cm                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4166  Cytal, per square centimeter                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4167  Truskin, per sq centimeter                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4168  Amnioband, 1 mg                                   E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4169  Artacent wound, per sq cm                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4170  Cygnus, per sq cm                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4171  Interfyl, 1 mg                                    E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4173  Palingen or palingen xplus                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4174  Palingen or promatrx                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4175  Miroderm                                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4176  Neopatch or therion, 1 sq cm                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4177  Floweramnioflo, 0.1 cc                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4178  Floweramniopatch, per sq cm                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4179  Flowerderm, per sq cm                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4180  Revita, per sq cm                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4181  Amnio wound, per square cm                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4182  Transcyte, per sq centimeter                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4183  Surgigraft, 1 sq cm                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4184  Cellesta or duo per sq cm                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4185  Cellesta flowab amnion 0.5cc                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4186  Epifix 1 sq cm                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4187  Epicord 1 sq cm                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4188  Amnioarmor 1 sq cm                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4189  Artacent ac, 1 mg                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4190  Artacent ac 1 sq cm                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4191  Restorigin 1 sq cm                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4192  Restorigin, 1 cc                                  E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4193  Coll-e-derm 1 sq cm                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4194  Novachor 1 sq cm                                  E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4195  Puraply 1 sq cm                                   E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4196  Puraply am 1 sq cm                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4197  Puraply xt 1 sq cm                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4198  Genesis amnio membrane 1sqcm                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4200  Skin te 1 sq cm                                   E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4201  Matrion 1 sq cm                                   E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4202  Keroxx (2.5g/cc), 1cc                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4203  Derma-gide, 1 sq cm                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4204  Xwrap 1 sq cm                                     E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4205  Membrane graft or wrap sq cm                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4206  Fluid flow or fluid gf 1 cc                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4208  Novafix per sq cm                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4209  Surgraft per sq cm                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4210  Axolotl graf dualgraf sq cm                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4211  Amnion bio or axobio sq cm                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4212  Allogen, per cc                                   E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4213  Ascent, 0.5 mg                                    E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4214  Cellesta cord per sq cm                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4215  Axolotl ambient, cryo 0.1 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4216  Artacent cord per sq cm                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4217  Woundfix biowound plus xplus                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4218  Surgicord per sq cm                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4219  Surgigraft dual per sq cm                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4220  Bellacell hd, surederm sq cm                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4221  Amniowrap2 per sq cm                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4222  Progenamatrix, per sq cm                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4226  Myown harv prep proc sq cm                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4227  Amniocore per sq cm                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4228  Bionextpatch, per sq cm                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4229  Cogenex amnio memb per sq cm                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4230  Cogenex flow amnion 0.5 cc                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4231  Corplex p, per cc                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4232  Corplex, per sq cm                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4233  Surfactor /nudyn per 0.5 cc                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4234  Xcellerate, per sq cm                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4235  Amniorepair or altiply sq cm                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4236  Carepatch per sq cm                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4237  cryo-cord, per sq cm                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4238  Derm-maxx, per sq cm                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4239  Amnio-maxx or lite per sq cm                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4240  Corecyte topical only 0.5 cc                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4241  Polycyte, topical only 0.5cc                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4242  Amniocyte plus, per 0.5 cc                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4244  Procenta, per 200 mg                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4245  Amniotext, per cc                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4246  Coretext or protext, per cc                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4247  Amniotext patch, per sq cm                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4248  Dermacyte Amn mem allo sq cm                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4249  Amniply, per sq cm                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4250  AmnioAMP-MP per sq cm                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4254  Novafix dl per sq cm                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q4255  Reguard, topical use per sq                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q5001  Hospice or home hlth in home                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q5002  Hospice/home hlth in asst lv                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q5003  Hospice in lt/non-skilled nf                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q5004  Hospice in snf                                    E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q5005  Hospice, inpatient hospital                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q5006  Hospice in hospice facility                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q5007  Hospice in ltch                                   E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q5008  Hospice in inpatient psych                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q5009  Hospice/home hlth, place nos                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q5010  Hospice home care in hospice                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q5101  Injection, zarxio                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q5103  Injection, inflectra                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q5104  Injection, renflexis                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q5105  Inj retacrit esrd on dialysi                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q5106  Inj retacrit non-esrd use                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q5107  Inj mvasi 10 mg                                   E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q5108  Injection, fulphila                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q5109  Injection, ixifi, 10 mg                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q5110  Nivestym                                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q5111  Injection, udenyca 0.5 mg                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q5112  Inj ontruzant 10 mg                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q5113  Inj herzuma 10 mg                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q5114  Inj ogivri 10 mg                                  E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q5115  Inj truxima 10 mg                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q5116  Inj., trazimera, 10 mg                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q5117  Inj., kanjinti, 10 mg                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q5118  Inj., zirabev, 10 mg                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q5119  Inj ruxience, 10 mg                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q5120  Inj pegfilgrastim-bmez 0.5mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q5121  Inj. avsola, 10 mg                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q9001  VA chaplain assessment                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q9002  VA chaplain counsel individu                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q9003  VA chaplain counsel group                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q9950  Inj sulf hexa lipid microsph                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q9951  Locm >= 400 mg/ml iodine,1ml                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q9953  Inj fe-based mr contrast,1ml                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q9954  Oral mr contrast, 100 ml                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q9955  Inj perflexane lip micros,ml                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q9956  Inj octafluoropropane mic,ml                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q9957  Inj perflutren lip micros,ml                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q9958  Hocm <=149 mg/ml iodine, 1ml                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q9959  Hocm 150-199mg/ml iodine,1ml                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q9960  Hocm 200-249mg/ml iodine,1ml                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q9961  Hocm 250-299mg/ml iodine,1ml                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q9962  Hocm 300-349mg/ml iodine,1ml                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q9963  Hocm 350-399mg/ml iodine,1ml                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q9964  Hocm>= 400mg/ml iodine, 1ml                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q9965  Locm 100-199mg/ml iodine,1ml                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q9966  Locm 200-299mg/ml iodine,1ml                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q9967  Locm 300-399mg/ml iodine,1ml                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q9968  Visualization adjunct                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q9969  Non-heu tc-99m add-on/dose                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q9982  Flutemetamol f18 diagnostic                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q9983  Florbetaben f18 diagnostic                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q9991  Buprenorph xr 100 mg or less                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
Q9992  Buprenorphine xr over 100 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
R0070  Transport portable x-ray                          C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
R0075  Transport port x-ray multipl                      C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
R0076  Transport portable ekg                            B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0012  Butorphanol tartrate, nasal                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0014  Tacrine hydrochloride, 10 mg                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0017  Injection, aminocaproic acid                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0020  Injection, bupivicaine hydro                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0021  Injection, cefoperazone sod                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0023  Injection, cimetidine hydroc                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0028  Injection, famotidine, 20 mg                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0030  Injection, metronidazole                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0032  Injection, nafcillin sodium                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0034  Injection, ofloxacin, 400 mg                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0039  Injection, sulfamethoxazole                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0040  Injection, ticarcillin disod                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0073  Injection, aztreonam, 500 mg                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0074  Injection, cefotetan disodiu                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0077  Injection, clindamycin phosp                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0078  Injection, fosphenytoin sodi                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0080  Injection, pentamidine iseth                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0081  Injection, piperacillin sodi                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0088  Imatinib 100 mg                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0090  Sildenafil citrate, 25 mg                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0091  Granisetron 1mg                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0092  Hydromorphone 250 mg                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0093  Morphine 500 mg                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0104  Zidovudine, oral, 100 mg                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0106  Bupropion hcl sr 60 tablets                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0108  Mercaptopurine 50 mg                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0109  Methadone oral 5mg                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0117  Tretinoin topical 5 g                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0119  Ondansetron 4 mg                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0122  Inj menotropins 75 iu                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0126  Inj follitropin alfa 75 iu                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0128  Inj follitropin beta 75 iu                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0132  Inj ganirelix acetat 250 mcg                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0136  Clozapine, 25 mg                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0137  Didanosine, 25 mg                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0138  Finasteride, 5 mg                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0139  Minoxidil, 10 mg                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0140  Saquinavir, 200 mg                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0142  Colistimethate inh sol mg                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0145  Peg interferon alfa-2a/180                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0148  Peg interferon alfa-2b/10                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0155  Epoprostenol dilutant                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0156  Exemestane, 25 mg                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0157  Becaplermin gel 1%, 0.5 gm                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0160  Dextroamphetamine                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0164  Injection pantroprazole                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0166  Inj olanzapine 2.5mg                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0169  Calcitrol                                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0170  Anastrozole 1 mg                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0171  Bumetanide 0.5 mg                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0172  Chlorambucil 2 mg                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0174  Dolasetron 50 mg                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0175  Flutamide 125 mg                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0176  Hydroxyurea 500 mg                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0177  Levamisole 50 mg                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0178  Lomustine 10 mg                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0179  Megestrol 20 mg                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0182  Procarbazine, oral                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0183  Prochlorperazine 5 mg                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0187  Tamoxifen 10 mg                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0189  Testosterone pellet 75 mg                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0190  Mifepristone, oral, 200 mg                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0191  Misoprostol, oral, 200 mcg                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0194  Vitamin suppl 100 caps                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0197  Prenatal vitamins 30 day                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0199  Med abortion inc all ex drug                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0201  Partial hospitalization serv                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0207  Paramedicintercep nonhospals                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0208  Paramed intrcept nonvol                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0209  Wc van mileage per mi                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0215  Nonemerg transp mileage                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0220  Medical conference by physic                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0221  Medical conference, 60 min                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0250  Comp geriatr assmt team                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0255  Hospice refer visit nonmd                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0257  End of life counseling                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0260  H&p for surgery                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0265  Genetic counsel 15 mins                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0270  Home std case rate 30 days                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0271  Home hospice case 30 days                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0272  Home episodic case 30 days                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0273  Md home visit outside cap                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0274  Nurse practr visit outs cap                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0280  Medical home, initial plan                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0281  Medical home, maintenance                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0285  Cnslt before screen colonosc                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0302  Completed epsdt                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0310  Hospitalist visit                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0311  Comp mgmt care coord adv ill                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0315  Disease management program                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0316  Follow-up/reassessment                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0317  Disease mgmt per diem                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0320  Rn telephone calls to dmp                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0340  Lifestyle mod 1st stage                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0341  Lifestyle mod 2 or 3 stage                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0342  Lifestyle mod 4th stage                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0353  Cancer treatmentplan initial                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0354  Cancer treatment plan change                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0390  Rout foot care per visit                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0395  Impression casting ft                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0400  Global eswl kidney                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0500  Dispos cont lens                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0504  Singl prscrp lens                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0506  Bifoc prscp lens                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0508  Trifoc prscrp lens                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0510  Non-prscrp lens                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0512  Daily cont lens                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0514  Color cont lens                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0515  Scleral lens liquid bandage                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0516  Safety frames                                     I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0518  Sunglass frames                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0580  Polycarb lens                                     I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0581  Nonstnd lens                                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0590  Misc integral lens serv                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0592  Comp cont lens eval                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0595  New lenses in pts old frame                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0596  Phakic iol refractive error                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0601  Screening proctoscopy                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0610  Annual gynecological examina                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0612  Annual gynecological examina                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0613  Ann breast exam                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0618  Audiometry for hearing aid                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0620  Routine ophthalmological exa                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0621  Routine ophthalmological exa                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0622  Phys exam for college                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0630  Removal of sutures                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0800  Laser in situ keratomileusis                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0810  Photorefractive keratectomy                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S0812  Phototherap keratect                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S1001  Deluxe item                                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S1002  Custom item                                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S1015  Iv tubing extension set                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S1016  Non-pvc intravenous administ                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S1030  Gluc monitor purchase                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S1031  Gluc monitor rental                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S1034  Art pancreas system                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S1035  Art pancreas inv disp sensor                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S1036  Art pancreas ext transmitter                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S1037  Art pancreas ext receiver                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S1040  Cranial remolding orthosis                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2053  Transplantation of small int                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2054  Transplantation of multivisc                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2055  Harvesting of donor multivis                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2060  Lobar lung transplantation                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2061  Donor lobectomy (lung)                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2065  Simult panc kidn trans                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2066  Breast gap flap reconst                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2067  Breast "stacked" diep/gap                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2068  Breast diep or siea flap                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2070  Cysto laser tx ureteral calc                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2079  Lap esophagomyotomy                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2080  Laup                                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2083  Adjustment gastric band                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2095  Transcath emboliz microspher                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2102  Islet cell tissue transplant                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2103  Adrenal tissue transplant                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2107  Adoptive immunotherapy                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2112  Knee arthroscp harv                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2115  Periacetabular osteotomy                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2117  Arthroereisis, subtalar                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2118  Total hip resurfacing                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2120  Low density lipoprotein(ldl)                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2140  Cord blood harvesting                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2142  Cord blood-derived stem-cell                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2150  Bmt harv/transpl 28d pkg                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2152  Solid organ transpl pkg                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2202  Echosclerotherapy                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2205  Minimally invasive direct co                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2206  Minimally invasive direct co                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2207  Minimally invasive direct co                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2208  Minimally invasive direct co                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2209  Minimally invasive direct co                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2225  Myringotomy laser-assist                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2230  Implant semi-imp hear                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2235  Implant auditory brain imp                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2260  Induced abortion 17-24 weeks                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2265  Induced abortion 25-28 wks                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2266  Induced abortion 29-31 wks                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2267  Induced abortion 32 or more                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2300  Arthroscopy, shoulder, surgi                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2325  Hip core decompression                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2340  Chemodenervation of abductor                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2341  Chemodenerv adduct vocal                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2342  Nasal endoscop po debrid                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2348  Decompress disc rf lumbar                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2350  Diskectomy, anterior, with d                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2351  Diskectomy, anterior, with d                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2400  Fetal surg congen hernia                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2401  Fetal surg urin trac obstr                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2402  Fetal surg cong cyst malf                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2403  Fetal surg pulmon sequest                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2404  Fetal surg myelomeningo                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2405  Fetal surg sacrococ teratoma                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2409  Fetal surg noc                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2411  Fetoscop laser ther ttts                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S2900  Robotic surgical system                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3000  Bilat dil retinal exam                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3005  Eval self-assess depression                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3600  Stat lab                                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3601  Stat lab home/nf                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3620  Newborn metabolic screening                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3630  Eosinophil blood count                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3645  Hiv-1 antibody testing of or                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3650  Saliva test, hormone level;                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3652  Saliva test, hormone level;                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3655  Antisperm antibodies test                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3708  Gastrointestinal fat absorpt                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3722  Dose optimization auc - 5fu                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3800  Genetic testing als                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3840  Dna analysis ret-oncogene                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3841  Gene test retinoblastoma                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3842  Gene test hippel-lindau                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3844  Dna analysis deafness                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3845  Gene test alpha-thalassemia                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3846  Gene test beta-thalassemia                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3849  Gene test niemann-pick                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3850  Gene test sickle cell                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3852  Dna analysis apoe alzheimer                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3853  Gene test myo musclr dyst                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3854  Gene profile panel breast                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3861  Genetic test brugada                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3865  Comp genet test hyp cardiomy                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3866  Spec gene test hyp cardiomy                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3870  Cgh test developmental delay                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3900  Surface emg                                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3902  Ballistocardiogram                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S3904  Masters two step                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S4005  Interim labor facility globa                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S4011  Ivf package                                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S4013  Compl gift case rate                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S4014  Compl zift case rate                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S4015  Complete ivf nos case rate                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S4016  Frozen ivf case rate                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S4017  Ivf canc a stim case rate                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S4018  F emb trns canc case rate                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S4020  Ivf canc a aspir case rate                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S4021  Ivf canc p aspir case rate                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S4022  Asst oocyte fert case rate                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S4023  Incompl donor egg case rate                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S4025  Donor serv ivf case rate                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S4026  Procure donor sperm                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S4027  Store prev froz embryos                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S4028  Microsurg epi sperm asp                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S4030  Sperm procure init visit                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S4031  Sperm procure subs visit                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S4035  Stimulated iui case rate                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S4037  Cryo embryo transf case rate                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S4040  Monit store cryo embryo 30 d                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S4042  Ovulation mgmt per cycle                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S4981  Insert levonorgestrel ius                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S4989  Contracept iud                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S4990  Nicotine patch legend                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S4991  Nicotine patch nonlegend                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S4993  Contraceptive pills for bc                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S4995  Smoking cessation gum                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5000  Prescription drug, generic                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5001  Prescription drug,brand name                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5010  5% dextrose and 0.45% saline                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5012  5% dextrose with potassium                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5013  5%dextrose/0.45%saline1000ml                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5014  D5w/0.45ns w kcl and mgs04                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5035  Hit routine device maint                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5036  Hit device repair                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5100  Adult daycare services 15min                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5101  Adult day care per half day                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5102  Adult day care per diem                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5105  Centerbased day care perdiem                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5108  Homecare train pt 15 min                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5109  Homecare train pt session                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5110  Family homecare training 15m                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5111  Family homecare train/sessio                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5115  Nonfamily homecare train/15m                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5116  Nonfamily hc train/session                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5120  Chore services per 15 min                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5121  Chore services per diem                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5125  Attendant care service /15m                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5126  Attendant care service /diem                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5130  Homaker service nos per 15m                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5131  Homemaker service nos /diem                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5135  Adult companioncare per 15m                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5136  Adult companioncare per diem                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5140  Adult foster care per diem                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5141  Adult foster care per month                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5145  Child fostercare th per diem                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5146  Ther fostercare child /month                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5150  Unskilled respite care /15m                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5151  Unskilled respitecare /diem                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5160  Emer response sys instal&tst                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5161  Emer rspns sys serv permonth                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5162  Emer rspns system purchase                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5165  Home modifications per serv                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5170  Homedelivered prepared meal                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5175  Laundry serv,ext,prof,/order                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5180  Hh respiratory thrpy in eval                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5181  Hh respiratory thrpy nos/day                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5185  Med reminder serv per month                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5190  Wellness assessment by nonph                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5199  Personal care item nos each                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5497  Hit cath care noc                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5498  Hit simple cath care                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5501  Hit complex cath care                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5502  Hit interim cath care                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5517  Hit declotting kit                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5518  Hit cath repair kit                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5520  Hit picc insert kit                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5521  Hit midline cath insert kit                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5522  Hit picc insert no supp                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5523  Hip midline cath insert kit                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5550  Insulin rapid 5 u                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5551  Insulin most rapid 5 u                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5552  Insulin intermed 5 u                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5553  Insulin long acting 5 u                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5560  Insulin reuse pen 1.5 ml                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5561  Insulin reuse pen 3 ml                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5565  Insulin cartridge 150 u                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5566  Insulin cartridge 300 u                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5570  Insulin dispos pen 1.5 ml                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S5571  Insulin dispos pen 3 ml                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8030  Tantalum ring application                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8035  Magnetic source imaging                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8037  Mrcp                                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8040  Topographic brain mapping                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8042  Mri low field                                     I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8055  Us guidance fetal reduct                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8080  Scintimammography                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8085  Fluorine-18 fluorodeoxygluco                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8092  Electron beam computed tomog                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8096  Portable peak flow meter                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8097  Asthma kit                                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8100  Spacer without mask                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8101  Spacer with mask                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8110  Peak expiratory flow rate (p                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8120  O2 contents gas cubic ft                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8121  O2 contents liquid lb                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8130  Interferential stim 2 chan                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8131  Interferential stim 4 chan                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8185  Flutter device                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8186  Swivel adaptor                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8189  Trach supply noc                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8210  Mucus trap                                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8265  Haberman feeder                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8270  Enuresis alarm                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8301  Infect control supplies nos                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8415  Supplies for home delivery                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8420  Custom gradient sleev/glov                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8421  Ready gradient sleev/glov                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8422  Custom grad sleeve med                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8423  Custom grad sleeve heavy                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8424  Ready gradient sleeve                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8425  Custom grad glove med                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8426  Custom grad glove heavy                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8427  Ready gradient glove                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8428  Ready gradient gauntlet                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8429  Gradient pressure wrap                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8430  Padding for comprssn bdg                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8431  Compression bandage                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8450  Splint digit                                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8451  Splint wrist or ankle                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8452  Splint elbow                                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8460  Camisole post-mast                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8490  100 insulin syringes                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8930  Auricular electrostimulation                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8940  Hippotherapy per session                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8948  Low-level laser trmt 15 min                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8950  Complex lymphedema therapy,                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8990  Pt or manip for maint                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S8999  Resuscitation bag                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9001  Home uterine monitor with or                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9007  Ultrafiltration monitor                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9024  Paranasal sinus ultrasound                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9025  Omnicardiogram/cardiointegra                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9034  Eswl for gallstones                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9055  Procuren or other growth fac                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9056  Coma stimulation per diem                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9061  Medical supplies and equipme                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9083  Urgent care center global                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9088  Services provided in urgent                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9090  Vertebral axial decompressio                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9097  Home visit wound care                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9098  Home phototherapy visit                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9110  Telemonitoring/home per mnth                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9117  Back school visit                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9122  Home health aide or certifie                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9123  Nursing care in home rn                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9124  Nursing care, in the home; b                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9125  Respite care, in the home, p                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9126  Hospice care, in the home, p                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9127  Social work visit, in the ho                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9128  Speech therapy, in the home,                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9129  Occupational therapy, in the                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9131  Pt in the home per diem                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9140  Diabetic management program,                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9141  Diabetic management program,                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9145  Insulin pump initiation                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9150  Evaluation by ocularist                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9152  Speech therapy, re-eval                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9208  Home mgmt preterm labor                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9209  Home mgmt pprom                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9211  Home mgmt gest hypertension                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9212  Hm postpar hyper per diem                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9213  Hm preeclamp per diem                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9214  Hm gest dm per diem                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9325  Hit pain mgmt per diem                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9326  Hit cont pain per diem                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9327  Hit int pain per diem                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9328  Hit pain imp pump diem                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9329  Hit chemo per diem                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9330  Hit cont chem diem                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9331  Hit intermit chemo diem                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9335  Ht hemodialysis diem                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9336  Hit cont anticoag diem                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9338  Hit immunotherapy diem                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9339  Hit periton dialysis diem                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9340  Hit enteral per diem                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9341  Hit enteral grav diem                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9342  Hit enteral pump diem                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9343  Hit enteral bolus nurs                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9345  Hit anti-hemophil diem                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9346  Hit alpha-1-proteinas diem                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9347  Hit longterm infusion diem                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9348  Hit sympathomim diem                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9349  Hit tocolysis diem                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9351  Hit cont antiemetic diem                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9353  Hit cont insulin diem                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9355  Hit chelation diem                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9357  Hit enzyme replace diem                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9359  Hit anti-tnf per diem                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9361  Hit diuretic infus diem                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9363  Hit anti-spasmotic diem                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9364  Hit tpn total diem                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9365  Hit tpn 1 liter diem                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9366  Hit tpn 2 liter diem                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9367  Hit tpn 3 liter diem                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9368  Hit tpn over 3l diem                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9370  Ht inj antiemetic diem                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9372  Ht inj anticoag diem                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9373  Hit hydra total diem                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9374  Hit hydra 1 liter diem                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9375  Hit hydra 2 liter diem                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9376  Hit hydra 3 liter diem                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9377  Hit hydra over 3l diem                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9379  Hit noc per diem                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9381  Hit high risk/escort                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9401  Anticoag clinic per session                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9430  Pharmacy comp/disp serv                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9433  Medical food oral 100% nutr                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9434  Mod solid food suppl                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9435  Medical foods for inborn err                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9436  Lamaze class                                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9437  Childbirth refresher class                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9438  Cesarean birth class                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9439  Vbac class                                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9441  Asthma education                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9442  Birthing class                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9443  Lactation class                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9444  Parenting class                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9445  Pt education noc individ                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9446  Pt education noc group                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9447  Infant safety class                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9449  Weight mgmt class                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9451  Exercise class                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9452  Nutrition class                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9453  Smoking cessation class                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9454  Stress mgmt class                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9455  Diabetic management program,                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9460  Diabetic management program,                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9465  Diabetic management program,                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9470  Nutritional counseling, diet                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9472  Cardiac rehabilitation progr                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9473  Pulmonary rehabilitation pro                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9474  Enterostomal therapy by a re                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9475  Ambulatory setting substance                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9476  Vestibular rehab per diem                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9480  Intensive outpatient psychia                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9482  Family stabilization 15 min                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9484  Crisis intervention per hour                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9485  Crisis intervention mental h                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9490  Hit corticosteroid/diem                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9494  Hit antibiotic total diem                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9497  Hit antibiotic q3h diem                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9500  Hit antibiotic q24h diem                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9501  Hit antibiotic q12h diem                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9502  Hit antibiotic q8h diem                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9503  Hit antibiotic q6h diem                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9504  Hit antibiotic q4h diem                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9529  Venipuncture home/snf                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9537  Ht hem horm inj diem                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9538  Hit blood products diem                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9542  Ht inj noc per diem                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9558  Ht inj growth horm diem                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9559  Hit inj interferon diem                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9560  Ht inj hormone diem                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9562  Ht inj palivizumab diem                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9590  Ht irrigation diem                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9810  Ht pharm per hour                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9900  Christian sci pract visit                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9901  Christian sci nurse visit                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9960  Air ambulanc nonemerg fixed                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9961  Air ambulan nonemerg rotary                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9970  Health club membership yr                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9975  Transplant related per diem                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9976  Lodging per diem                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9977  Meals per diem                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9981  Med record copy admin                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9982  Med record copy per page                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9986  Not medically necessary svc                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9988  Serv part of phase i trial                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9989  Services outside us                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9990  Services provided as part of                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9991  Services provided as part of                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9992  Transportation costs to and                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9994  Lodging costs (e.g. hotel ch                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9996  Meals for clinical trial par                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
S9999  Sales tax                                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1000  Private duty/independent nsg                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1001  Nursing assessment/evaluatn                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1002  Rn services up to 15 minutes                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1003  Lpn/lvn services up to 15min                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1004  Nsg aide service up to 15min                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1005  Respite care service 15 min                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1006  Family/couple counseling                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1007  Treatment plan development                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1009  Child sitting services                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1010  Meals when receive services                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1012  Alcohol/substance abuse skil                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1013  Sign lang/oral interpreter                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1014  Telehealth transmit, per min                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1015  Clinic service                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1016  Case management                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1017  Targeted case management                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1018  School-based iep ser bundled                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1019  Personal care ser per 15 min                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1020  Personal care ser per diem                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1021  Hh aide or cn aide per visit                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1022  Contracted services per day                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1023  Program intake assessment                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1024  Team evaluation & management                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1025  Ped compr care pkg, per diem                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1026  Ped compr care pkg, per hour                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1027  Family training & counseling                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1028  Home environment assessment                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1029  Dwelling lead investigation                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1030  Rn home care per diem                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1031  Lpn home care per diem                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1040  Comm bh clinic svc per diem                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1041  Comm bh clinic svc per month                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1502  Medication admin visit                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1503  Med admin, not oral/inject                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1505  Elec med comp dev, noc                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T1999  Noc retail items andsupplies                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2001  N-et; patient attend/escort                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2002  N-et; per diem                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2003  N-et; encounter/trip                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2004  N-et; commerc carrier pass                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2005  N-et; stretcher van                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2007  Non-emer transport wait time                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2010  Pasrr level i                                     I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2011  Pasrr level ii                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2012  Habil ed waiver, per diem                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2013  Habil ed waiver per hour                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2014  Habil prevoc waiver, per d                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2015  Habil prevoc waiver per hr                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2016  Habil res waiver per diem                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2017  Habil res waiver 15 min                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2018  Habil sup empl waiver/diem                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2019  Habil sup empl waiver 15min                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2020  Day habil waiver per diem                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2021  Day habil waiver per 15 min                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2022  Case management, per month                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2023  Targeted case mgmt per month                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2024  Serv asmnt/care plan waiver                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2025  Waiver service, nos                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2026  Special childcare waiver/d                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2027  Spec childcare waiver 15 min                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2028  Special supply, nos waiver                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2029  Special med equip, noswaiver                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2030  Assist living waiver/month                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2031  Assist living waiver/diem                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2032  Res care, nos waiver/month                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2033  Res, nos waiver per diem                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2034  Crisis interven waiver/diem                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2035  Utility services waiver                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2036  Camp overnite waiver/session                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2037  Camp day waiver/session                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2038  Comm trans waiver/service                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2039  Vehicle mod waiver/service                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2040  Financial mgt waiver/15min                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2041  Support broker waiver/15 min                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2042  Hospice routine home care                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2043  Hospice continuous home care                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2044  Hospice respite care                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2045  Hospice general care                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2046  Hospice long term care, r&b                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2047  Hab prevo waiver per 15                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2048  Bh ltc res r&b, per diem                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2049  N-et; stretcher van, mileage                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T2101  Breast milk proc/store/dist                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T4521  Adult size brief/diaper sm                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T4522  Adult size brief/diaper med                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T4523  Adult size brief/diaper lg                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T4524  Adult size brief/diaper xl                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T4525  Adult size pull-on sm                             N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T4526  Adult size pull-on med                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T4527  Adult size pull-on lg                             N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T4528  Adult size pull-on xl                             N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T4529  Ped size brief/diaper sm/med                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T4530  Ped size brief/diaper lg                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T4531  Ped size pull-on sm/med                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T4532  Ped size pull-on lg                               N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T4533  Youth size brief/diaper                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T4534  Youth size pull-on                                N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T4535  Disposable liner/shield/pad                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T4536  Reusable pull-on any size                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T4537  Reusable underpad bed size                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T4538  Diaper serv reusable diaper                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T4539  Reuse diaper/brief any size                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T4540  Reusable underpad chair size                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T4541  Large disposable underpad                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T4542  Small disposable underpad                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T4543  Adult disp brief/diap abv xl                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T4544  Adlt disp und/pull on abv xl                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T4545  Incon disposable penile wrap                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T5001  Position seat spec orth need                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
T5999  Supply, nos                                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2020  Vision svcs frames purchases                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2025  Eyeglasses delux frames                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2100  Lens spher single plano 4.00                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2101  Single visn sphere 4.12-7.00                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2102  Singl visn sphere 7.12-20.00                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2103  Spherocylindr 4.00d/12-2.00d                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2104  Spherocylindr 4.00d/2.12-4d                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2105  Spherocylinder 4.00d/4.25-6d                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2106  Spherocylinder 4.00d/>6.00d                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2107  Spherocylinder 4.25d/12-2d                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2108  Spherocylinder 4.25d/2.12-4d                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2109  Spherocylinder 4.25d/4.25-6d                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2110  Spherocylinder 4.25d/over 6d                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2111  Spherocylindr 7.25d/.25-2.25                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2112  Spherocylindr 7.25d/2.25-4d                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2113  Spherocylindr 7.25d/4.25-6d                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2114  Spherocylinder over 12.00d                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2115  Lens lenticular bifocal                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2118  Lens aniseikonic single                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2121  Lenticular lens, single                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2199  Lens single vision not oth c                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2200  Lens spher bifoc plano 4.00d                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2201  Lens sphere bifocal 4.12-7.0                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2202  Lens sphere bifocal 7.12-20.                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2203  Lens sphcyl bifocal 4.00d/.1                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2204  Lens sphcy bifocal 4.00d/2.1                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2205  Lens sphcy bifocal 4.00d/4.2                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2206  Lens sphcy bifocal 4.00d/ove                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2207  Lens sphcy bifocal 4.25-7d/.                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2208  Lens sphcy bifocal 4.25-7/2.                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2209  Lens sphcy bifocal 4.25-7/4.                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2210  Lens sphcy bifocal 4.25-7/ov                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2211  Lens sphcy bifo 7.25-12/.25-                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2212  Lens sphcyl bifo 7.25-12/2.2                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2213  Lens sphcyl bifo 7.25-12/4.2                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2214  Lens sphcyl bifocal over 12.                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2215  Lens lenticular bifocal                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2218  Lens aniseikonic bifocal                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2219  Lens bifocal seg width over                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2220  Lens bifocal add over 3.25d                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2221  Lenticular lens, bifocal                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2299  Lens bifocal speciality                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2300  Lens sphere trifocal 4.00d                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2301  Lens sphere trifocal 4.12-7.                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2302  Lens sphere trifocal 7.12-20                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2303  Lens sphcy trifocal 4.0/.12-                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2304  Lens sphcy trifocal 4.0/2.25                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2305  Lens sphcy trifocal 4.0/4.25                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2306  Lens sphcyl trifocal 4.00/>6                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2307  Lens sphcy trifocal 4.25-7/.                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2308  Lens sphc trifocal 4.25-7/2.                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2309  Lens sphc trifocal 4.25-7/4.                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2310  Lens sphc trifocal 4.25-7/>6                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2311  Lens sphc trifo 7.25-12/.25-                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2312  Lens sphc trifo 7.25-12/2.25                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2313  Lens sphc trifo 7.25-12/4.25                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2314  Lens sphcyl trifocal over 12                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2315  Lens lenticular trifocal                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2318  Lens aniseikonic trifocal                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2319  Lens trifocal seg width > 28                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2320  Lens trifocal add over 3.25d                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2321  Lenticular lens, trifocal                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2399  Lens trifocal speciality                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2410  Lens variab asphericity sing                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2430  Lens variable asphericity bi                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2499  Variable asphericity lens                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2500  Contact lens pmma spherical                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2501  Cntct lens pmma-toric/prism                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2502  Contact lens pmma bifocal                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2503  Cntct lens pmma color vision                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2510  Cntct gas permeable sphericl                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2511  Cntct toric prism ballast                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2512  Cntct lens gas permbl bifocl                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2513  Contact lens extended wear                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2520  Contact lens hydrophilic                          P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2521  Cntct lens hydrophilic toric                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2522  Cntct lens hydrophil bifocl                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2523  Cntct lens hydrophil extend                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2524  Cntct lens hydrophil photoch                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2530  Contact lens gas impermeable                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2531  Contact lens gas permeable                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2599  Contact lens/es other type                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2600  Hand held low vision aids                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2610  Single lens spectacle mount                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2615  Telescop/othr compound lens                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2623  Plastic eye prosth custom                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2624  Polishing artifical eye                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2625  Enlargemnt of eye prosthesis                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2626  Reduction of eye prosthesis                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2627  Scleral cover shell                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2628  Fabrication & fitting                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2629  Prosthetic eye other type                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2630  Anter chamber intraocul lens                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2631  Iris support intraoclr lens                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2632  Post chmbr intraocular lens                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2700  Balance lens                                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2702  Deluxe lens feature                               N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2710  Glass/plastic slab off prism                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2715  Prism lens/es                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2718  Fresnell prism press-on lens                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2730  Special base curve                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2744  Tint photochromatic lens/es                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2745  Tint, any color/solid/grad                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2750  Anti-reflective coating                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2755  Uv lens/es                                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2756  Eye glass case                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2760  Scratch resistant coating                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2761  Mirror coating                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2762  Polarization, any lens                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2770  Occluder lens/es                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2780  Oversize lens/es                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2781  Progressive lens per lens                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2782  Lens, 1.54-1.65 p/1.60-1.79g                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2783  Lens, >= 1.66 p/>=1.80 g                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2784  Lens polycarb or equal                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2785  Corneal tissue processing                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2786  Occupational multifocal lens                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2787  Astigmatism-correct function                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2788  Presbyopia-correct function                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2790  Amniotic membrane                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2797  Vis item/svc in other code                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V2799  Misc vision item or service                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5008  Hearing screening                                 N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5010  Assessment for hearing aid                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5011  Hearing aid fitting/checking                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5014  Hearing aid repair/modifying                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5020  Conformity evaluation                             N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5030  Body-worn hearing aid air                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5040  Body-worn hearing aid bone                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5050  Hearing aid monaural in ear                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5060  Behind ear hearing aid                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5070  Glasses air conduction                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5080  Glasses bone conduction                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5090  Hearing aid dispensing fee                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5095  Implant mid ear hearing pros                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5100  Body-worn bilat hearing aid                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5110  Hearing aid dispensing fee                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5120  Body-worn binaur hearing aid                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5130  In ear binaural hearing aid                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5140  Behind ear binaur hearing ai                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5150  Glasses binaural hearing aid                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5160  Dispensing fee binaural                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5171  Hearing aid monaural ite                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5172  Hearing aid monaural itc                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5181  Hearing aid monaural bte                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5190  Hearing aid monaural glasses                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5200  Disp fee contralateral monau                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5211  Hearing aid binaural ite/ite                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5212  Hearing aid binaural ite/itc                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5213  Hearing aid binaural ite/bte                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5214  Hearing aid binaural itc/itc                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5215  Hearing aid binaural itc/bte                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5221  Hearing aid binaural bte/bte                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5230  Hearing aid binaural glasses                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5240  Disp fee contralateral binau                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5241  Dispensing fee, monaural                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5242  Hearing aid, monaural, cic                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5243  Hearing aid, monaural, itc                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5244  Hearing aid, prog, mon, cic                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5245  Hearing aid, prog, mon, itc                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5246  Hearing aid, prog, mon, ite                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5247  Hearing aid, prog, mon, bte                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5248  Hearing aid, binaural, cic                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5249  Hearing aid, binaural, itc                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5250  Hearing aid, prog, bin, cic                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5251  Hearing aid, prog, bin, itc                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5252  Hearing aid, prog, bin, ite                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5253  Hearing aid, prog, bin, bte                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5254  Hearing id, digit, mon, cic                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5255  Hearing aid, digit, mon, itc                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5256  Hearing aid, digit, mon, ite                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5257  Hearing aid, digit, mon, bte                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5258  Hearing aid, digit, bin, cic                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5259  Hearing aid, digit, bin, itc                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5260  Hearing aid, digit, bin, ite                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5261  Hearing aid, digit, bin, bte                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5262  Hearing aid, disp, monaural                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5263  Hearing aid, disp, binaural                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5264  Ear mold/insert                                   N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5265  Ear mold/insert, disp                             N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5266  Battery for hearing device                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5267  Hearing aid sup/access/dev                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5268  Ald telephone amplifier                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5269  Alerting device, any type                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5270  Ald, tv amplifier, any type                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5271  Ald, tv caption decoder                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5272  Tdd                                               N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5273  Ald for cochlear implant                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5274  Ald unspecified                                   N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5275  Ear impression                                    N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5281  Ald fm/dm system, monaural                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5282  Ald fm/dm system binaural                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5283  Ald neck, loop ind receiver                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5284  Ald fm/dm ear level receiver                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5285  Ald fm/dm aud input receiver                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5286  Ald blu tooth fm/dm receiver                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5287  Ald fm/dm receiver, nos                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5288  Ald fm/dm transmitter ald                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5289  Ald fm/dm adapt/boot couplin                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5290  Ald transmitter microphone                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5298  Hearing aid noc                                   N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5299  Hearing service                                   R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
V5336  Repair communication device                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
V5362  Speech screening                                  N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 010 99      0.00   0.00   0.00
V5363  Language screening                                N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 010 99      0.00   0.00   0.00
V5364  Dysphagia screening                               N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 010 99      0.00   0.00   0.00
0001F  Heart failure composite                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0005F  Osteoarthritis composite                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00100  Anesth salivary gland                             J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00102  Anesth repair of cleft lip                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00103  Anesth blepharoplasty                             J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00104  Anesth electroshock                               J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0012F  Cap bacterial assess                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00120  Anesth ear surgery                                J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00124  Anesth ear exam                                   J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00126  Anesth tympanotomy                                J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0014F  Comp preop assess cat surg                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00140  Anesth procedures on eye                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00142  Anesth lens surgery                               J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00144  Anesth corneal transplant                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00145  Anesth vitreoretinal surg                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00147  Anesth iridectomy                                 J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00148  Anesth eye exam                                   J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0015F  Melan follow-up complete                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00160  Anesth nose/sinus surgery                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00162  Anesth nose/sinus surgery                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00164  Anesth biopsy of nose                             J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00170  Anesth procedure on mouth                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00172  Anesth cleft palate repair                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00174  Anesth pharyngeal surgery                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00176  Anesth pharyngeal surgery                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00190  Anesth face/skull bone surg                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00192  Anesth facial bone surgery                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00210  Anesth cranial surg nos                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00211  Anesth cran surg hemotoma                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00212  Anesth skull drainage                             J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00214  Anesth skull drainage                             J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00215  Anesth skull repair/fract                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00216  Anesth head vessel surgery                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00218  Anesth special head surgery                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00220  Anesth intrcrn nerve                              J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00222  Anesth head nerve surgery                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00300  Anesth head/neck/ptrunk                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00320  Anesth neck organ 1yr/>                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00322  Anesth biopsy of thyroid                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00326  Anesth larynx/trach < 1 yr                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00350  Anesth neck vessel surgery                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00352  Anesth neck vessel surgery                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00400  Anesth skin ext/per/atrunk                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00402  Anesth surgery of breast                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00404  Anesth surgery of breast                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00406  Anesth surgery of breast                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00410  Anesth correct heart rhythm                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0042T  Ct perfusion w/contrast cbf                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
00450  Anesth surgery of shoulder                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00454  Anesth collar bone biopsy                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00470  Anesth removal of rib                             J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00472  Anesth chest wall repair                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00474  Anesth surgery of rib                             J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00500  Anesth esophageal surgery                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00520  Anesth chest procedure                            J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00522  Anesth chest lining biopsy                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00524  Anesth chest drainage                             J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00528  Anes mediascpy & dx thorscpy                      J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00529  Anes medscpy&thorscpy 1 lung                      J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00530  Anesth pacemaker insertion                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00532  Anesth vascular access                            J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00534  Anesth cardioverter/defib                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00537  Anesth cardiac electrophys                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00539  Anesth trach-bronch reconst                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0054T  Bone srgry cmptr fluor image                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
00540  Anesth chest surgery                              J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00541  Anesth one lung ventilation                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00542  Anesthesia removal pleura                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00546  Anesth lung chest wall surg                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00548  Anesth trachea bronchi surg                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0055T  Bone srgry cmptr ct/mri imag                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
00550  Anesth sternal debridement                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00560  Anesth heart surg w/o pump                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00561  Anesth heart surg <1 yr                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00562  Anesth hrt surg w/pmp age 1+                      J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00563  Anesth heart surg w/arrest                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00566  Anesth cabg w/o pump                              J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00567  Anesth cabg w/pump                                J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0058T  Cryopreservation ovary tiss                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
00580  Anesth heart/lung transplnt                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00600  Anesth spine cord surgery                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00604  Anesth sitting procedure                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00620  Anesth spine cord surgery                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00625  Anes spine tranthor w/o vent                      J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00626  Anes spine transthor w/vent                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00630  Anesth spine cord surgery                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00632  Anesth removal of nerves                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00635  Anesth lumbar puncture                            J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00640  Anesth spine manipulation                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00670  Anesth spine cord surgery                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00700  Anesth abdominal wall surg                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00702  Anesth for liver biopsy                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0071T  Us leiomyomata ablate <200                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0072T  Us leiomyomata ablate >200                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
00730  Anesth abdominal wall surg                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00731  Anes upr gi ndsc px nos                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00732  Anes upr gi ndsc px ercp                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0075T  Perq stent/chest vert art                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0075TTCPerq stent/chest vert art                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0075T26Perq stent/chest vert art                         C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
00750  Anesth repair of hernia                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00752  Anesth repair of hernia                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00754  Anesth repair of hernia                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00756  Anesth repair of hernia                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0076T  S&i stent/chest vert art                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0076TTCS&i stent/chest vert art                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0076T26S&i stent/chest vert art                          C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
00770  Anesth blood vessel repair                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00790  Anesth surg upper abdomen                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00792  Anesth hemorr/excise liver                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00794  Anesth pancreas removal                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00796  Anesth for liver transplant                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00797  Anesth surgery for obesity                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00800  Anesth abdominal wall surg                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00802  Anesth fat layer removal                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00811  Anes lwr intst ndsc nos                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00812  Anes lwr intst scr colsc                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00813  Anes upr lwr gi ndsc px                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00820  Anesth abdominal wall surg                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00830  Anesth repair of hernia                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00832  Anesth repair of hernia                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00834  Anesth hernia repair < 1 yr                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00836  Anesth hernia repair preemie                      J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00840  Anesth surg lower abdomen                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00842  Anesth amniocentesis                              J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00844  Anesth pelvis surgery                             J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00846  Anesth hysterectomy                               J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00848  Anesth pelvic organ surg                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0085T  Breath test heart reject                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00851  Anesth tubal ligation                             J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00860  Anesth surgery of abdomen                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00862  Anesth kidney/ureter surg                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00864  Anesth removal of bladder                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00865  Anesth removal of prostate                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00866  Anesth removal of adrenal                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00868  Anesth kidney transplant                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00870  Anesth bladder stone surg                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00872  Anesth kidney stone destruct                      J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00873  Anesth kidney stone destruct                      J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00880  Anesth abdomen vessel surg                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00882  Anesth major vein ligation                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00902  Anesth anorectal surgery                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00904  Anesth perineal surgery                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00906  Anesth removal of vulva                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00908  Anesth removal of prostate                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00910  Anesth bladder surgery                            J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00912  Anesth bladder tumor surg                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00914  Anesth removal of prostate                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00916  Anesth bleeding control                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00918  Anesth stone removal                              J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00920  Anesth genitalia surgery                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00921  Anesth vasectomy                                  J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00922  Anesth sperm duct surgery                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00924  Anesth testis exploration                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00926  Anesth removal of testis                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00928  Anesth removal of testis                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00930  Anesth testis suspension                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00932  Anesth amputation of penis                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00934  Anesth penis nodes removal                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00936  Anesth penis nodes removal                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00938  Anesth insert penis device                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00940  Anesth vaginal procedures                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00942  Anesth surg on vag/urethral                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00944  Anesth vaginal hysterectomy                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00948  Anesth repair of cervix                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0095T  Rmvl artific disc addl crvcl                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
00950  Anesth vaginal endoscopy                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
00952  Anesth hysteroscope/graph                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0098T  Rev artific disc addl                             C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0100T  Prosth retina receive&gen                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0101T  Extracorp shockwv tx hi enrg                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0102T  Extracorp shockwv tx anesth                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0106T  Touch quant sensory test                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0107T  Vibrate quant sensory test                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0108T  Cool quant sensory test                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0109T  Heat quant sensory test                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0110T  Nos quant sensory test                            C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0111T  Rbc membranes fatty acids                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01112  Anesth bone aspirate/bx                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01120  Anesth pelvis surgery                             J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01130  Anesth body cast procedure                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01140  Anesth amputation at pelvis                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01150  Anesth pelvic tumor surgery                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01160  Anesth pelvis procedure                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01170  Anesth pelvis surgery                             J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01173  Anesth fx repair pelvis                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01200  Anesth hip joint procedure                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01202  Anesth arthroscopy of hip                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01210  Anesth hip joint surgery                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01212  Anesth hip disarticulation                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01214  Anesth hip arthroplasty                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01215  Anesth revise hip repair                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01220  Anesth procedure on femur                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01230  Anesth surgery of femur                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01232  Anesth amputation of femur                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01234  Anesth radical femur surg                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01250  Anesth upper leg surgery                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0126T  Chd risk imt study                                C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
01260  Anesth upper leg veins surg                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01270  Anesth thigh arteries surg                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01272  Anesth femoral artery surg                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01274  Anesth femoral embolectomy                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01320  Anesth knee area surgery                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01340  Anesth knee area procedure                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01360  Anesth knee area surgery                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01380  Anesth knee joint procedure                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01382  Anesth dx knee arthroscopy                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01390  Anesth knee area procedure                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01392  Anesth knee area surgery                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01400  Anesth knee joint surgery                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01402  Anesth knee arthroplasty                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01404  Anesth amputation at knee                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01420  Anesth knee joint casting                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01430  Anesth knee veins surgery                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01432  Anesth knee vessel surg                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01440  Anesth knee arteries surg                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01442  Anesth knee artery surg                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01444  Anesth knee artery repair                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01462  Anesth lower leg procedure                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01464  Anesth ankle/ft arthroscopy                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01470  Anesth lower leg surgery                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01472  Anesth achilles tendon surg                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01474  Anesth lower leg surgery                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01480  Anesth lower leg bone surg                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01482  Anesth radical leg surgery                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01484  Anesth lower leg revision                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01486  Anesth ankle replacement                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01490  Anesth lower leg casting                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01500  Anesth leg arteries surg                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01502  Anesth lwr leg embolectomy                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01520  Anesth lower leg vein surg                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01522  Anesth lower leg vein surg                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01610  Anesth surgery of shoulder                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01620  Anesth shoulder procedure                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01622  Anes dx shoulder arthroscopy                      J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0163T  Lumb artif diskectomy addl                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
01630  Anesth surgery of shoulder                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01634  Anesth shoulder joint amput                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01636  Anesth forequarter amput                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01638  Anesth shoulder replacement                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0164T  Remove lumb artif disc addl                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0165T  Revise lumb artif disc addl                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
01650  Anesth shoulder artery surg                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01652  Anesth shoulder vessel surg                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01654  Anesth shoulder vessel surg                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01656  Anesth arm-leg vessel surg                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01670  Anesth shoulder vein surg                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01680  Anesth shoulder casting                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01710  Anesth elbow area surgery                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01712  Anesth uppr arm tendon surg                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01714  Anesth uppr arm tendon surg                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01716  Anesth biceps tendon repair                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01730  Anesth uppr arm procedure                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01732  Anesth dx elbow arthroscopy                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0174T  Cad cxr with interp                               C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
01740  Anesth upper arm surgery                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01742  Anesth humerus surgery                            J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01744  Anesth humerus repair                             J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0175T  Cad cxr remote                                    C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
01756  Anesth radical humerus surg                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01758  Anesth humeral lesion surg                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01760  Anesth elbow replacement                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01770  Anesth uppr arm artery surg                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01772  Anesth uppr arm embolectomy                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01780  Anesth upper arm vein surg                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01782  Anesth uppr arm vein repair                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01810  Anesth lower arm surgery                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01820  Anesth lower arm procedure                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01829  Anesth dx wrist arthroscopy                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01830  Anesth lower arm surgery                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01832  Anesth wrist replacement                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0184T  Exc rectal tumor endoscopic                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
01840  Anesth lwr arm artery surg                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01842  Anesth lwr arm embolectomy                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01844  Anesth vascular shunt surg                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01850  Anesth lower arm vein surg                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01852  Anesth lwr arm vein repair                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01860  Anesth lower arm casting                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0191T  Insert ant segment drain int                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
01916  Anesth dx arteriography                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01920  Anesth catheterize heart                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01922  Anesth cat or mri scan                            J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01924  Anes ther interven rad artrl                      J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01925  Anes ther interven rad card                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01926  Anes tx interv rad hrt/cran                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01930  Anes ther interven rad vein                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01931  Anes ther interven rad tips                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01932  Anes tx interv rad th vein                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01933  Anes tx interv rad cran vein                      J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01935  Anesth perc img dx sp proc                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01936  Anesth perc img tx sp proc                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01951  Anesth burn less 4 percent                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01952  Anesth burn 4-9 percent                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01953  Anesth burn each 9 percent                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01958  Anesth antepartum manipul                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01960  Anesth vaginal delivery                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01961  Anesth cs delivery                                J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01962  Anesth emer hysterectomy                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01963  Anesth cs hysterectomy                            J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01965  Anesth inc/missed ab proc                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01966  Anesth induced ab procedure                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01967  Anesth/analg vag delivery                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01968  Anes/analg cs deliver add-on                      J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01969  Anesth/analg cs hyst add-on                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0198T  Ocular blood flow measure                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
01990  Support for organ donor                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01991  Anesth nerve block/inj                            J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01992  Anesth n block/inj prone                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01996  Hosp manage cont drug admin                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
01999  Unlisted anesth procedure                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0200T  Perq sacral augmt unilat inj                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0001000             36.0896 090 99      0.00   0.00   0.00
0201T  Perq sacral augmt bilat inj                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
0202T  Post vert arthrplst 1 lumbar                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0207T  Clear eyelid gland w/heat                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0208T  Audiometry air only                               C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0209T  Audiometry air & bone                             C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0210T  Speech audiometry threshold                       C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0211T  Speech audiom thresh & recog                      C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0212T  Compre audiometry evaluation                      C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0213T  Njx paravert w/us cer/thor                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0001000             36.0896 090 99      0.00   0.00   0.00
0214T  Njx paravert w/us cer/thor                        C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0001000             36.0896 090 99      0.00   0.00   0.00
0215T  Njx paravert w/us cer/thor                        C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0001000             36.0896 090 99      0.00   0.00   0.00
0216T  Njx paravert w/us lumb/sac                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0001000             36.0896 090 99      0.00   0.00   0.00
0217T  Njx paravert w/us lumb/sac                        C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0001000             36.0896 090 99      0.00   0.00   0.00
0218T  Njx paravert w/us lumb/sac                        C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0001000             36.0896 090 99      0.00   0.00   0.00
0219T  Plmt post facet implt cerv                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0220T  Plmt post facet implt thor                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0221T  Plmt post facet implt lumb                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0222T  Plmt post facet implt addl                        C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0228T  Njx tfrml eprl w/us cer/thor                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0001100             36.0896 090 99      0.00   0.00   0.00
0229T  Njx tfrml eprl w/us cer/thor                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0001100             36.0896 090 99      0.00   0.00   0.00
0230T  Njx tfrml eprl w/us lumb/sac                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0001100             36.0896 090 99      0.00   0.00   0.00
0231T  Njx tfrml eprl w/us lumb/sac                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0001100             36.0896 090 99      0.00   0.00   0.00
0232T  Njx platelet plasma                               C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
0234T  Trluml perip athrc renal art                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0235T  Trluml perip athrc visceral                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0236T  Trluml perip athrc abd aorta                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0237T  Trluml perip athrc brchiocph                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0238T  Trluml perip athrc iliac art                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0253T  Insert aqueous drain device                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0263T  Im b1 mrw cel ther cmpl                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0264T  Im b1 mrw cel ther xcl hrvst                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0265T  Im b1 mrw cel ther hrvst onl                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0266T  Implt/rpl crtd sns dev total                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0267T  Implt/rpl crtd sns dev lead                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0268T  Implt/rpl crtd sns dev gen                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0269T  Rev/remvl crtd sns dev total                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0270T  Rev/remvl crtd sns dev lead                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0271T  Rev/remvl crtd sns dev gen                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0272T  Interrogate crtd sns dev                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0273T  Interrogate crtd sns w/pgrmg                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0274T  Perq lamot/lam crv/thrc                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0275T  Perq lamot/lam lumbar                             R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0278T  Tempr                                             C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0290T  Laser inc for pkp/lkp recip                       C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0295T  Ext ecg complete                                  C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0296T  Ext ecg recording                                 C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0297T  Ext ecg scan w/report                             C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0298T  Ext ecg review and interp                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0308T  Insj ocular telescope prosth                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
0312T  Laps impltj nstim vagus                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0313T  Laps rmvl nstim array vagus                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0314T  Laps rmvl vgl arry&pls gen                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0315T  Rmvl vagus nerve pls gen                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0316T  Replc vagus nerve pls gen                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0317T  Elec alys vagus nrv pls gen                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0329T  Mntr io press 24hrs/> uni/bi                      C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0330T  Tear film img uni/bi w/i&r                        C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0331T  Heart symp image plnr                             C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0332T  Heart symp image plnr spect                       C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0333T  Visual ep scr acuity auto                         C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0335T  Insj sinus tarsi implant                          C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0338T  Trnscth renal symp denrv unl                      C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0339T  Trnscth renal symp denrv bil                      C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0342T  Thxp apheresis w/hdl delip                        C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0345T  Transcath mtral vlve repair                       C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0347T  Ins bone device for rsa                           C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0348T  Rsa spine exam                                    C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0349T  Rsa upper extr exam                               C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0350T  Rsa lower extr exam                               C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0351T  Intraop oct brst/node spec                        C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0352T  Oct brst/node i&r per spec                        C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0353T  Intraop oct breast cavity                         C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0354T  Oct breast surg cavity i&r                        C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0355T  Gi tract capsule endoscopy                        C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0356T  Insrt drug device for iop                         C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0358T  Bia whole body                                    C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0362T  Bhv id suprt assmt ea 15 min                      C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0373T  Adapt bhv tx ea 15 min                            C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0376T  Insert ant segment drain int                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0378T  Visual field assmnt rev/rprt                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0379T  Vis field assmnt tech suppt                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0381T  Ext h rate epi sz 14 days                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0382T  Ext h rate sz 14 day ri only                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0383T  Ext h rate sz up to 30 days                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0384T  Ex h rate sz 30 day ri only                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0385T  Ex h rate for sz ovr 30 day                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0386T  Ex h rate sz 30+ day ri only                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0394T  Hdr elctrnc skn surf brchytx                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0395T  Hdr elctr ntrst/ntrcv brchtx                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0396T  Intraop kinetic balnce sensr                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0397T  Ercp w/optical endomicroscpy                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0398T  Mrgfus strtctc les abltj                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0400T  Mltispectrl digital les alys                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0401T  Mltispectrl digital les alys                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0402T  Colgn cross-link crn med sep                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0403T  Diabetes prev standard curr                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0404T  Trnscrv uterin fibroid abltj                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0405T  Ovrsght xtrcorp liv asst pat                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0408T  Insj/rplc cardiac modulj sys                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0409T  Insj/rplc car modulj pls gn                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0410T  Insj/rplc car modulj atr elt                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0411T  Insj/rplc car modulj vnt elt                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0412T  Rmvl cardiac modulj pls gen                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0413T  Rmvl car modulj tranvns elt                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0414T  Rmvl & rpl car modulj pls gn                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0415T  Repos car modulj tranvns elt                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0416T  Reloc skin pocket pls gen                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0417T  Prgrmg eval cardiac modulj                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0418T  Interro eval cardiac modulj                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0419T  Dstrj neurofibroma xtnsv                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0420T  Dstrj neurofibroma xtnsv                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0421T  Waterjet prostate abltj cmpl                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0422T  Tactile breast img uni/bi                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0423T  Assay secretory type ii pla2                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0424T  Insj/rplc nstim apnea compl                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0425T  Insj/rplc nstim apnea sen ld                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0426T  Insj/rplc nstim apnea stm ld                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0427T  Insj/rplc nstim apnea pls gn                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0428T  Rmvl nstim apnea pls gen                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0429T  Rmvl nstim apnea sen ld                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0430T  Rmvl nstim apnea stimj ld                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0431T  Rmvl/rplc nstim apnea pls gn                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0432T  Repos nstim apnea stimj ld                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0433T  Repos nstim apnea sensing ld                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0434T  Interro eval npgs apnea                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0435T  Prgrmg eval npgs apnea 1 ses                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0436T  Prgrmg eval npgs apnea study                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0437T  Impltj synth rnfcmt abdl wal                      C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0439T  Myocrd contrast prfuj echo                        C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0440T  Abltj perc uxtr/perph nrv                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0441T  Abltj perc lxtr/perph nrv                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0442T  Abltj perc plex/trncl nrv                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0443T  R-t spctrl alys prst8 tiss                        C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0444T  1st plmt drug elut oc ins                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0445T  Sbsqt plmt drug elut oc ins                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0446T  Insj impltbl glucose sensor                       C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0447T  Rmvl impltbl glucose sensor                       C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0448T  Remvl insj impltbl gluc sens                      C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0449T  Insj aqueous drain dev 1st                        C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0450T  Insj aqueous drain dev each                       C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0451T  Insj/rplcmt aortic ventr sys                      C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0452T  Insj/rplcmt dev vasc seal                         C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0453T  Insj/rplcmt mech-elec ntrfce                      C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0454T  Insj/rplcmt subq electrode                        C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0455T  Remvl aortic ventr cmpl sys                       C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0456T  Remvl aortic dev vasc seal                        C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0457T  Remvl mech-elec skin ntrfce                       C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0458T  Remvl subq electrode                              C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0459T  Relocaj rplcmt aortic ventr                       C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0460T  Repos aortic ventr dev eltrd                      C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0461T  Repos aortic contrpulsj dev                       C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0462T  Prgrmg eval aortic ventr sys                      C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0463T  Interrog aortic ventr sys                         C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0464T  Visual ep test for glaucoma                       C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0465T  Supchrdl njx rx w/o supply                        C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0466T  Insj ch wal respir eltrd/ra                       C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0467T  Revj/rplmnt ch respir eltrd                       C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0468T  Rmvl ch wal respir eltrd/ra                       C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0469T  Rta polarize scan oc scr bi                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0470T  Oct skn img acquisj i&r 1st                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0470TTCOct skn img acquisj i&r 1st                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0470T26Oct skn img acquisj i&r 1st                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0471T  Oct skn img acquisj i&r addl                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0471TTCOct skn img acquisj i&r addl                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0471T26Oct skn img acquisj i&r addl                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0472T  Prgrmg io rta eltrd ra                            C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0473T  Reprgrmg io rta eltrd ra                          C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0474T  Insj aqueous drg dev io rsvr                      C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0475T  Rec ftl car sgl 3 ch i&r                          C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0476T  Rec ftl car sgl elec tr data                      C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0477T  Rec ftl car sgl xrtj alys                         C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0478T  Rec ftl car 3 ch rev i&r                          C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0479T  Fxjl abl lsr 1st 100 sq cm                        C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
0480T  Fxjl abl lsr ea addl 100sqcm                      C   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0009999             36.0896 090 99      0.00   0.00   0.00
0481T  Njx autol wbc concentrate                         C   0.00   0.00     0.00    0.00   0.00  0.009000.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0483T  Tmvi percutaneous approach                        C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0020021             36.0896 090 99      0.00   0.00   0.00
0484T  Tmvi transthoracic exposure                       C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0020021             36.0896 090 99      0.00   0.00   0.00
0485T  Oct mid ear i&r unilateral                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0091999             36.0896 090 99      0.00   0.00   0.00
0485TTCOct mid ear i&r unilateral                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0091999             36.0896 090 99      0.00   0.00   0.00
0485T26Oct mid ear i&r unilateral                        C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0091999             36.0896 090 99      0.00   0.00   0.00
0486T  Oct mid ear i&r bilateral                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0092999             36.0896 090 99      0.00   0.00   0.00
0486TTCOct mid ear i&r bilateral                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0092999             36.0896 090 99      0.00   0.00   0.00
0486T26Oct mid ear i&r bilateral                         C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0092999             36.0896 090 99      0.00   0.00   0.00
0487T  Trvg biomchn mapg w/reprt                         C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0488T  Diabetes prev online/elec                         C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0489T  Regn cell tx scldr hands                          C   0.00   0.00     0.00    0.00   0.00  0.009000.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0490T  Regn cell tx scldr h mlt inj                      C   0.00   0.00     0.00    0.00   0.00  0.009000.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0491T  Abl lsr opn wnd 1st 20 sqcm                       C   0.00   0.00     0.00    0.00   0.00  0.009000.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0492T  Abl lsr opn wnd addl 20 sqcm                      C   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0009999             36.0896 090 99      0.00   0.00   0.00
0493T  Near ifr spectrsc of wounds                       C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0494T  Prep & cannulj cdvr don lung                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0022210             36.0896 090 99      0.00   0.00   0.00
0495T  Mntr cdvr don lng 1st 2 hrs                       C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0496T  Mntr cdvr don lng ea addl hr                      C   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0009999             36.0896 090 99      0.00   0.00   0.00
0497T  Xtrnl pt act ecg in-off conn                      C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0498T  Xtrnl pt act ecg r&i pr 30 d                      C   0.00   0.00     0.00    0.00   0.00  0.002XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0499T  Cysto f/urtl strix/stenosis                       C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
0500F  Initial prenatal care visit                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0500T  Hpv 5+ hi risk hpv types                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0501F  Prenatal flow sheet                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0501T  Cor ffr derived cor cta data                      C   0.00   0.00     0.00    0.00   0.00  0.004XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0502F  Subsequent prenatal care                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0502T  Cor ffr data prep & transmis                      C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0503F  Postpartum care visit                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0503T  Cor ffr alys gnrj ffr mdl                         C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0504T  Cor ffr data review i&r                           C   0.00   0.00     0.00    0.00   0.00  0.002XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0505F  Hemodialysis plan docd                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0505T  Ev fempop artl revsc                              C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0506T  Mac pgmt opt dns meas hfp                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0070000             36.0896 090 99      0.00   0.00   0.00
0506TTCMac pgmt opt dns meas hfp                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0070000             36.0896 010 99      0.00   0.00   0.00
0506T26Mac pgmt opt dns meas hfp                         C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0070000             36.0896 090 99      0.00   0.00   0.00
0507F  Periton dialysis plan docd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0507T  Near ifr 2img mibmn glnd i&r                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0070000             36.0896 090 99      0.00   0.00   0.00
0507TTCNear ifr 2img mibmn glnd i&r                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0070000             36.0896 010 99      0.00   0.00   0.00
0507T26Near ifr 2img mibmn glnd i&r                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0070000             36.0896 090 99      0.00   0.00   0.00
0508T  Pls echo us b1 dns meas tib                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0070000             36.0896 090 99      0.00   0.00   0.00
0508TTCPls echo us b1 dns meas tib                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0070000             36.0896 010 99      0.00   0.00   0.00
0508T26Pls echo us b1 dns meas tib                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0070000             36.0896 090 99      0.00   0.00   0.00
0509F  Urine incon plan docd                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0509T  Pattern erg w/i&r                                 A   0.40   1.75     1.75NA  0.02   2.17  2.171XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
0509TTCPattern erg w/i&r                                 A   0.00   1.55     1.55NA  0.01   1.56  1.561XXX.00.00.0072000             36.0896 010 99      0.00   0.00   0.00
0509T26Pattern erg w/i&r                                 A   0.40   0.20     0.20    0.01   0.61  0.611XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
0510T  Rmvl sinus tarsi implant                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
0511T  Rmvl&rinsj sinus tarsi implt                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
0512T  Esw integ wnd hlg 1st wnd                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0513F  Elev bp plan of care docd                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0513T  Esw integ wnd hlg ea addl                         C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0514F  Care plan hgb docd esa pt                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0514T  Intraop vis axis id pt fixj                       C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
0515T  Insj wcs lv compl sys                             C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
0516F  Anemia plan of care docd                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0516T  Insj wcs lv eltrd only                            C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
0517F  Glaucoma plan of care docd                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0517T  Insj wcs lv pg compnt                             C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
0518F  Fall plan of care docd                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0518T  Rmvl pg compnt wcs                                C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
0519F  Pland chemo docd b/4 txmnt                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0519T  Rmvl & rplcmt pg compnt wcs                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
0520F  Rad dos limts b/4 3d rad                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0520T  Rmvl&rplcmt pg wcs new eltrd                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
0521F  Plan of care 4 pain docd                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0521T  Interrog dev eval wcs ip                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0521TTCInterrog dev eval wcs ip                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             36.0896 020 99      0.00   0.00   0.00
0521T26Interrog dev eval wcs ip                          C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0522T  Prgrmg dev eval wcs ip                            C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0522TTCPrgrmg dev eval wcs ip                            C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             36.0896 020 99      0.00   0.00   0.00
0522T26Prgrmg dev eval wcs ip                            C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0523T  Ntrapx c ffr w/3d funcjl map                      C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0524T  Ev cath dir chem abltj w/img                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
0525F  Initial visit for episode                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0525T  Insj/rplcmt compl iims                            C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
0526F  Subs visit for episode                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0526T  Insj/rplcmt iims eltrd only                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
0527T  Insj/rplcmt iims implt mntr                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
0528F  Rcmnd flw-up 10 yrs docd                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0528T  Prgrmg dev eval iims ip                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0528TTCPrgrmg dev eval iims ip                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             36.0896 020 99      0.00   0.00   0.00
0528T26Prgrmg dev eval iims ip                           C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0529F  Intrvl 3/>yr pts clnscp docd                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0529T  Interrog dev eval iims ip                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0529TTCInterrog dev eval iims ip                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             36.0896 020 99      0.00   0.00   0.00
0529T26Interrog dev eval iims ip                         C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0530T  Removal complete iims                             C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
0531T  Removal iims electrode only                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
0532T  Removal iims implt mntr only                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
0533T  Cont rec mvmt do 6-10 days                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0533TTCCont rec mvmt do 6-10 days                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0533T26Cont rec mvmt do 6-10 days                        C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0534T  Cont rec mvmt do setup&train                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0534TTCCont rec mvmt do setup&train                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0534T26Cont rec mvmt do setup&train                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0535F  Dyspnea mngmnt plan docd                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0535T  Cont rec mvmt do reprt cnfig                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0535TTCCont rec mvmt do reprt cnfig                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0535T26Cont rec mvmt do reprt cnfig                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0536T  Cont rec mvmt do dl w/i&r                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0536TTCCont rec mvmt do dl w/i&r                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0536T26Cont rec mvmt do dl w/i&r                         C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0537T  Bld drv t lymphcyt car-t cll                      B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0538T  Bld drv t lymphcyt prep trns                      B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0539T  Receipt&prep car-t cll admn                       B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0540F  Gluco mngmnt plan docd                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0540T  Car-t cll admn autologous                         C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0541T  Myocardial imaging mcg                            C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0542T  Myocardial imaging mcg i&r                        C   0.00   0.00     0.00    0.00   0.00  0.002XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0543T  Ta mv rpr w/artif chord tend                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0544T  Tcat mv annulus rcnstj                            C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0545F  Follow up care plan mdd docd                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0545T  Tcat tv annulus rcnstj                            C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0546T  Rf spectrsc ntraop mrgn asmt                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0547T  B1 matrl qual tst mcrind tib                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0548T  Tprnl balo cntnc dev bi                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0549T  Tprnl balo cntnc dev uni                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0550F  Cytopath report nongyn spcmn                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0550T  Tprnl balo cntnc dev rmvl ea                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0551F  Cytopath report non routine                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0551T  Tprnl balo cntnc dev adjmt                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0552T  Low-level laser therapy                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0553T  Perq tcat iliac anast implt                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0554T  B1 str & fx rsk analysis                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0555F  Symptom mgmnt plan care docd                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0555T  B1 str&fx rsk transmis data                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0556F  Plan care lipid control docd                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0556T  B1 str & fx rsk assessment                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0557F  Plan caremng angnl symptdocd                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0557T  B1 str & fx rsk i&r                               C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0558T  Ct scan f/biomchn ct alys                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0559T  Antmc mdl 3d print 1st cmpnt                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0560T  Antmc mdl 3d print ea addl                        C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0561T  Antmc guide 3d print 1st gd                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0562T  Antmc guide 3d print ea addl                      C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0563T  Evac meibomian glnd heat bi                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0564T  Onc chemo rx cytotox csc 14                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0565T  Autol cell implt adps hrvg                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0566T  Autol cell implt adps njx                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0567T  Perm flp tube occls w/implt                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0568T  Intro mix saline&air f/ssg                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0569T  Ttvr perq appr 1st prosth                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0570T  Ttvr perq ea addl prosth                          C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0571T  Insj/rplcmt icds ss eltrd                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0572T  Insertion ss dfb electrode                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0573T  Removal ss dfb electrode                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0574T  Repos prev ss impl dfb eltrd                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0575F  Hiv rna plan care docd                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0575T  Prgrmg dev eval icds ss ip                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0576T  Interrog dev eval icds ss ip                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0577T  Ephys eval icds ss                                C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0578T  Rem interrog dev icds phys                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0579T  Rem interrog dev icds tech                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0580F  Multidisciplinary care plan                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0580T  Rmvl ss impl dfb pg only                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0581F  Pt trnsfrd from anesth to cc                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0581T  Abltj mal brst tum perq crtx                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0582F  No trnsfr from anesth to cc                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0582T  Trurl abltj mal prst8 tiss                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0583F  Transfer care checklist used                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0583T  Tmpst auto tube dlvr sys                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0584F  No transfercare chklist used                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
0584T  Perq islet cell transplant                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0585T  Laps islet cell transplant                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0586T  Open islet cell transplant                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0587T  Perq impltj/rplcmt isdns ptn                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0588T  Revision/removal isdns ptn                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0589T  Elec alys smpl prgrmg iins                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0590T  Elec alys cplx prgrmg iins                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0591T  Hlth&wb coaching indiv 1st                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0592T  Hlth&wb coaching indiv f-up                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0593T  Hlth&wb coaching group                            C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0594T  Osteot hum xtrnl lngth dev                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0596T  Temp fml iu vlv-pmp 1st insj                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0597T  Temp fml iu valve-pmp rplcmt                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0598T  Ncntc r-t fluor wnd img 1st                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0599T  Ncntc r-t fluor wnd img ea                        C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0600T  Ire abltj 1+tum organ perq                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0601T  Ire abltj 1+tumors open                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0602T  Transdermal gfr measurements                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0603T  Transdermal gfr monitoring                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0604T  Rem oct rta dev setup&educaj                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0605T  Rem oct rta techl sprt min 8                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0606T  Rem oct rta phys/qhp ea 30d                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0607T  Rem mntr pulm flu mntr setup                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0608T  Rem mntr pulm flu mntr alys                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0609T  Mrs disc pain acquisj data                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0610T  Mrs disc pain transmis data                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0611T  Mrs disc pain alg alys data                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0612T  Mrs discogenic pain i&r                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0613T  Perq tcat intratrl septl sht                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0614T  Rmvl&rplcmt ss impl dfb pg                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0615T  Eye mvmt alys w/o calbrj i&r                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0616T  Insertion of iris prosthesis                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0617T  Insj iris prosth w/rmvl&insj                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0618T  Insj iris prosth sec io lens                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
0619T  Cysto w/prst8 commissurotomy                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
1000F  Tobacco use assessed                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
10004  Fna bx w/o img gdn ea addl                        A   0.80   0.57     0.34    0.11   1.48  1.250ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
10005  Fna bx w/us gdn 1st les                           A   1.46   2.08     0.48    0.13   3.67  2.070XXX.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
10006  Fna bx w/us gdn ea addl                           A   1.00   0.61     0.33    0.09   1.70  1.420ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
10007  Fna bx w/fluor gdn 1st les                        A   1.81   6.44     0.70    0.18   8.43  2.690XXX.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
10008  Fna bx w/fluor gdn ea addl                        A   1.18   3.49     0.46    0.12   4.79  1.760ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
10009  Fna bx w/ct gdn 1st les                           A   2.26  10.84     0.80    0.22  13.32  3.280XXX.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
10010  Fna bx w/ct gdn ea addl                           A   1.65   6.22     0.58    0.15   8.02  2.380ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
10011  Fna bx w/mr gdn 1st les                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
10012  Fna bx w/mr gdn ea addl                           C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
1002F  Assess anginal symptom/level                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
10021  Fna bx w/o img gdn 1st les                        A   1.03   1.64     0.44    0.13   2.80  1.600XXX.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
1003F  Level of activity assess                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
10030  Guide cathet fluid drainage                       A   2.75  14.52     0.97    0.26  17.53  3.989000.00.00.0029000             36.0896 090 99      0.00   0.00   0.00
10035  Perq dev soft tiss 1st imag                       A   1.70  11.01     0.63    0.13  12.84  2.460000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
10036  Perq dev soft tiss add imag                       A   0.85   9.98     0.31    0.09  10.92  1.250ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
1004F  Clin symp vol ovrld assess                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
10040  Acne surgery                                      A   0.91   2.11     0.53    0.09   3.11  1.530010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
1005F  Asthma symptoms evaluate                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1006F  Osteoarthritis assess                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
10060  Drainage of skin abscess                          A   1.22   2.09     1.52    0.13   3.44  2.870010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
10061  Drainage of skin abscess                          A   2.45   3.20     2.44    0.32   5.97  5.210010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
1007F  Anti-inflm/anlgsc otc assess                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1008F  Gi/renal risk assess                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
10080  Drainage of pilonidal cyst                        A   1.22   4.58     1.54    0.19   5.99  2.950010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
10081  Drainage of pilonidal cyst                        A   2.50   5.78     2.04    0.39   8.67  4.930010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
1010F  Severity angina by actvty                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1011F  Angina present                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1012F  Angina absent                                     I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
10120  Remove foreign body                               A   1.22   2.96     1.59    0.13   4.31  2.940010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
10121  Remove foreign body                               A   2.74   4.61     2.18    0.41   7.76  5.330010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
10140  Drainage of hematoma/fluid                        A   1.58   3.05     1.61    0.22   4.85  3.410010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
1015F  Copd symptoms assess                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
10160  Puncture drainage of lesion                       A   1.25   2.31     1.31    0.15   3.71  2.710010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
1018F  Assess dyspnea not present                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
10180  Complex drainage wound                            A   2.30   4.51     2.32    0.49   7.30  5.110010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
1019F  Assess dyspnea present                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1022F  Pneumo imm status assess                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1026F  Co-morbid condition assess                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1030F  Influenza imm status assess                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1031F  Smoking & 2nd hand assessed                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1032F  Smoker/exposed 2nd hnd smoke                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1033F  Tobacco nonsmoker nor 2ndhnd                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1034F  Current tobacco smoker                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1035F  Smokeless tobacco user                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1036F  Tobacco non-user                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1038F  Persistent asthma                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1039F  Intermittent asthma                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1040F  Dsm-5 info mdd docd                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1050F  History of mole changes                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1052F  Type location activityassess                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1055F  Visual funct status assess                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1060F  Doc perm/cont/parox atr fib                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1061F  Doc lack perm+cont+parox fib                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1065F  Ischm stroke symp lt3 hrsb/4                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1066F  Ischm stroke symp ge3 hrsb/4                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1070F  Alarm symp assessed-absent                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1071F  Alarm symp assessed-1+ prsnt                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1090F  Pres/absn urine incon assess                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1091F  Urine incon characterized                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1100F  Ptfalls assess-docd ge2>/yr                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
11000  Debride infected skin                             A   0.60   0.95     0.16    0.06   1.61  0.820000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
11001  Debride infected skin add-on                      A   0.30   0.34     0.08    0.03   0.67  0.410ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
11004  Debride genitalia & perineum                      A  10.80   3.90NA   3.90    1.98  16.68 16.680000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
11005  Debride abdom wall                                A  14.24   5.24NA   5.24    3.24  22.72 22.720000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
11006  Debride genit/per/abdom wall                      A  13.10   4.77NA   4.77    2.62  20.49 20.490000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
11008  Remove mesh from abd wall                         A   5.00   1.83NA   1.83    1.16   7.99  7.990ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
1101F  Pt falls assess-docd le1/yr                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
11010  Debride skin at fx site                           A   4.19   8.65     3.05    0.72  13.56  7.960010.10.80.1022100             36.0896 090 99      0.00   0.00   0.00
11011  Debride skin musc at fx site                      A   4.94   9.21     2.80    0.95  15.10  8.690000.00.00.0022100             36.0896 090 99      0.00   0.00   0.00
11012  Deb skin bone at fx site                          A   6.87  11.21     3.96    1.26  19.34 12.090000.00.00.0022100             36.0896 090 99      0.00   0.00   0.00
11042  Deb subq tissue 20 sq cm/<                        A   1.01   2.44     0.62    0.12   3.57  1.750000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
11043  Deb musc/fascia 20 sq cm/<                        A   2.70   3.52     1.35    0.42   6.64  4.470000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
11044  Deb bone 20 sq cm/<                               A   4.10   4.22     1.82    0.64   8.96  6.560000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
11045  Deb subq tissue add-on                            A   0.50   0.60     0.18    0.09   1.19  0.770ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
11046  Deb musc/fascia add-on                            A   1.03   0.90     0.40    0.19   2.12  1.620ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
11047  Deb bone add-on                                   A   1.80   1.38     0.71    0.35   3.53  2.860ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
11055  Trim skin lesion                                  R   0.35   1.40     0.08    0.03   1.78  0.460000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
11056  Trim skin lesions 2 to 4                          R   0.50   1.55     0.12    0.05   2.10  0.670000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
11057  Trim skin lesions over 4                          R   0.65   1.61     0.15    0.05   2.31  0.850000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
1110F  Pt lft inpt fac w/in 60 days                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
11102  Tangntl bx skin single les                        A   0.66   2.10     0.38    0.08   2.84  1.120000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
11103  Tangntl bx skin ea sep/addl                       A   0.38   1.08     0.22    0.05   1.51  0.650ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
11104  Punch bx skin single lesion                       A   0.83   2.65     0.48    0.09   3.57  1.400000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
11105  Punch bx skin ea sep/addl                         A   0.45   1.22     0.26    0.05   1.72  0.760ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
11106  Incal bx skn single les                           A   1.01   3.22     0.59    0.09   4.32  1.690000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
11107  Incal bx skn ea sep/addl                          A   0.54   1.45     0.32    0.05   2.04  0.910ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
1111F  Dschrg med/current med merge                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1116F  Auric/peri pain assessed                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1118F  Gerd symps assessed 12 month                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1119F  Init eval for condition                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
11200  Removal of skin tags <w/15                        A   0.82   1.61     1.19    0.09   2.52  2.100010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11201  Remove skin tags add-on                           A   0.29   0.21     0.15    0.03   0.53  0.470ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
1121F  Subs eval for condition                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1123F  Acp discuss/dscn mkr docd                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1124F  Acp discuss-no dscnmkr docd                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1125F  Amnt pain noted pain prsnt                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1126F  Amnt pain noted none prsnt                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1127F  New episode for condition                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1128F  Subs episode for condition                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1130F  Bk pain & fxn assessed                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
11300  Shave skin lesion 0.5 cm/<                        A   0.60   2.18     0.33    0.06   2.84  0.990000.00.00.0029000             36.0896 090 99      0.00   0.00   0.00
11301  Shave skin lesion 0.6-1.0 cm                      A   0.90   2.46     0.51    0.09   3.45  1.500000.00.00.0029000             36.0896 090 99      0.00   0.00   0.00
11302  Shave skin lesion 1.1-2.0 cm                      A   1.05   2.83     0.60    0.11   3.99  1.760000.00.00.0029000             36.0896 090 99      0.00   0.00   0.00
11303  Shave skin lesion >2.0 cm                         A   1.25   3.02     0.70    0.12   4.39  2.070000.00.00.0029000             36.0896 090 99      0.00   0.00   0.00
11305  Shave skin lesion 0.5 cm/<                        A   0.80   2.11     0.25    0.08   2.99  1.130000.00.00.0029000             36.0896 090 99      0.00   0.00   0.00
11306  Shave skin lesion 0.6-1.0 cm                      A   0.96   2.45     0.40    0.09   3.50  1.450000.00.00.0029000             36.0896 090 99      0.00   0.00   0.00
11307  Shave skin lesion 1.1-2.0 cm                      A   1.20   2.78     0.56    0.11   4.09  1.870000.00.00.0029000             36.0896 090 99      0.00   0.00   0.00
11308  Shave skin lesion >2.0 cm                         A   1.46   2.79     0.53    0.12   4.37  2.110000.00.00.0029000             36.0896 090 99      0.00   0.00   0.00
11310  Shave skin lesion 0.5 cm/<                        A   0.80   2.40     0.45    0.09   3.29  1.340000.00.00.0029000             36.0896 090 99      0.00   0.00   0.00
11311  Shave skin lesion 0.6-1.0 cm                      A   1.10   2.69     0.62    0.11   3.90  1.830000.00.00.0029000             36.0896 090 99      0.00   0.00   0.00
11312  Shave skin lesion 1.1-2.0 cm                      A   1.30   3.08     0.74    0.13   4.51  2.170000.00.00.0029000             36.0896 090 99      0.00   0.00   0.00
11313  Shave skin lesion >2.0 cm                         A   1.68   3.41     0.96    0.18   5.27  2.820000.00.00.0029000             36.0896 090 99      0.00   0.00   0.00
1134F  Epsd bk pain for 6 wks/<                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1135F  Epsd bk pain for >6 wks                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1136F  Epsd bk pain for 12 wks/<                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1137F  Epsd bk pain for >12 wks                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
11400  Exc tr-ext b9+marg 0.5 cm<                        A   0.90   2.56     1.32    0.11   3.57  2.330010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11401  Exc tr-ext b9+marg 0.6-1 cm                       A   1.28   2.92     1.53    0.15   4.35  2.960010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11402  Exc tr-ext b9+marg 1.1-2 cm                       A   1.45   3.19     1.63    0.19   4.83  3.270010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11403  Exc tr-ext b9+marg 2.1-3cm                        A   1.84   3.46     2.11    0.28   5.58  4.230010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11404  Exc tr-ext b9+marg 3.1-4 cm                       A   2.11   3.88     2.20    0.35   6.34  4.660010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11406  Exc tr-ext b9+marg >4.0 cm                        A   3.52   4.91     2.93    0.64   9.07  7.090010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11420  Exc h-f-nk-sp b9+marg 0.5/<                       A   1.03   2.46     1.20    0.11   3.60  2.340010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11421  Exc h-f-nk-sp b9+marg 0.6-1                       A   1.47   2.89     1.48    0.18   4.54  3.130010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11422  Exc h-f-nk-sp b9+marg 1.1-2                       A   1.68   3.20     1.97    0.23   5.11  3.880010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11423  Exc h-f-nk-sp b9+marg 2.1-3                       A   2.06   3.47     2.11    0.28   5.81  4.450010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11424  Exc h-f-nk-sp b9+marg 3.1-4                       A   2.48   3.86     2.26    0.37   6.71  5.110010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11426  Exc h-f-nk-sp b9+marg >4 cm                       A   4.09   4.86     3.12    0.68   9.63  7.890010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11440  Exc face-mm b9+marg 0.5 cm/<                      A   1.05   2.81     1.78    0.11   3.97  2.940010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11441  Exc face-mm b9+marg 0.6-1 cm                      A   1.53   3.16     2.01    0.19   4.88  3.730010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11442  Exc face-mm b9+marg 1.1-2 cm                      A   1.77   3.42     2.13    0.24   5.43  4.140010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11443  Exc face-mm b9+marg 2.1-3 cm                      A   2.34   3.79     2.42    0.32   6.45  5.080010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11444  Exc face-mm b9+marg 3.1-4 cm                      A   3.19   4.44     2.84    0.46   8.09  6.490010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11446  Exc face-mm b9+marg >4 cm                         A   4.80   5.66     3.78    0.68  11.14  9.260010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11450  Removal sweat gland lesion                        A   3.22   7.75     3.44    0.70  11.67  7.360090.10.71.1921100             36.0896 090 99      0.00   0.00   0.00
11451  Removal sweat gland lesion                        A   4.43   9.20     4.07    0.91  14.54  9.410090.10.71.1921000             36.0896 090 99      0.00   0.00   0.00
11462  Removal sweat gland lesion                        A   3.00   7.73     3.38    0.63  11.36  7.010090.10.71.1921000             36.0896 090 99      0.00   0.00   0.00
11463  Removal sweat gland lesion                        A   4.43   9.44     4.14    0.92  14.79  9.490090.10.71.1921000             36.0896 090 99      0.00   0.00   0.00
11470  Removal sweat gland lesion                        A   3.74   7.91     3.64    0.73  12.38  8.110090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
11471  Removal sweat gland lesion                        A   4.89   9.28     4.22    0.91  15.08 10.020090.10.71.1920000             36.0896 090 99      0.00   0.00   0.00
1150F  Doc pt rsk death w/in 1yr                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1151F  Doc no pt rsk death w/in 1yr                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1152F  Doc advncd dis comfort 1st                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1153F  Doc advncd dis cmfrt not 1st                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1157F  Advnc care plan in rcrd                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1158F  Advnc care plan tlk docd                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1159F  Med list docd in rcrd                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1160F  Rvw meds by rx/dr in rcrd                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
11600  Exc tr-ext mal+marg 0.5 cm/<                      A   1.63   3.77     1.62    0.21   5.61  3.460010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11601  Exc tr-ext mal+marg 0.6-1 cm                      A   2.07   4.20     1.92    0.25   6.52  4.240010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11602  Exc tr-ext mal+marg 1.1-2 cm                      A   2.27   4.50     2.11    0.25   7.02  4.630010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11603  Exc tr-ext mal+marg 2.1-3 cm                      A   2.82   4.86     2.40    0.32   8.00  5.540010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11604  Exc tr-ext mal+marg 3.1-4 cm                      A   3.17   5.35     2.54    0.41   8.93  6.120010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11606  Exc tr-ext mal+marg >4 cm                         A   5.02   7.00     3.34    0.79  12.81  9.150010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11620  Exc h-f-nk-sp mal+marg 0.5/<                      A   1.64   3.78     1.64    0.22   5.64  3.500010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11621  Exc s/n/h/f/g mal+mrg 0.6-1                       A   2.08   4.21     1.93    0.26   6.55  4.270010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11622  Exc s/n/h/f/g mal+mrg 1.1-2                       A   2.41   4.57     2.17    0.27   7.25  4.850010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11623  Exc s/n/h/f/g mal+mrg 2.1-3                       A   3.11   5.02     2.53    0.39   8.52  6.030010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11624  Exc s/n/h/f/g mal+mrg 3.1-4                       A   3.62   5.54     2.74    0.49   9.65  6.850010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11626  Exc s/n/h/f/g mal+mrg >4 cm                       A   4.61   6.31     3.09    0.74  11.66  8.440010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11640  Exc f/e/e/n/l mal+mrg 0.5cm<                      A   1.67   3.89     1.71    0.21   5.77  3.590010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11641  Exc f/e/e/n/l mal+mrg 0.6-1                       A   2.17   4.34     2.01    0.27   6.78  4.450010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11642  Exc f/e/e/n/l mal+mrg 1.1-2                       A   2.62   4.75     2.28    0.32   7.69  5.220010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11643  Exc f/e/e/n/l mal+mrg 2.1-3                       A   3.42   5.20     2.69    0.44   9.06  6.550010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11644  Exc f/e/e/n/l mal+mrg 3.1-4                       A   4.34   6.24     3.20    0.60  11.18  8.140010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11646  Exc f/e/e/n/l mal+mrg >4 cm                       A   6.26   7.40     4.11    0.91  14.57 11.280010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
1170F  Fxnl status assessed                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
11719  Trim nail(s) any number                           R   0.17   0.22     0.04    0.01   0.40  0.220000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
11720  Debride nail 1-5                                  A   0.32   0.58     0.07    0.03   0.93  0.420000.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
11721  Debride nail 6 or more                            A   0.54   0.70     0.13    0.05   1.29  0.720000.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
11730  Removal of nail plate                             A   1.05   2.00     0.43    0.09   3.14  1.570000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
11732  Remove nail plate add-on                          A   0.38   0.54     0.09    0.03   0.95  0.500ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
11740  Drain blood from under nail                       A   0.37   1.12     0.50    0.03   1.52  0.900000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
1175F  Function stat assessed rvwd                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
11750  Removal of nail bed                               A   1.58   2.75     1.21    0.12   4.45  2.910010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11755  Biopsy nail unit                                  A   1.25   2.13     0.44    0.09   3.47  1.780000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
11760  Repair of nail bed                                A   1.63   3.71     1.45    0.21   5.55  3.290010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11762  Reconstruction of nail bed                        A   2.94   5.18     2.22    0.32   8.44  5.480010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11765  Excision of nail fold toe                         A   1.22   3.49     1.33    0.09   4.80  2.640010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11770  Remove pilonidal cyst simple                      A   2.66   5.70     2.12    0.56   8.92  5.340010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
11771  Remove pilonidal cyst exten                       A   6.09   9.84     5.29    1.36  17.29 12.740090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
11772  Remove pilonidal cyst compl                       A   7.35  11.99     7.72    1.61  20.95 16.680090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
1180F  Thromboemb risk assessed                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1181F  Neuropsychia sympts assessed                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1182F  Neuropsychi sympt 1+present                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1183F  Neuropsychiatric symp absent                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
11900  Inject skin lesions </w 7                         A   0.52   0.99     0.30    0.05   1.56  0.870000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
11901  Inject skin lesions >7                            A   0.80   1.08     0.47    0.09   1.97  1.360000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
11920  Correct skin color 6.0 cm/<                       R   1.61   3.44     1.34    0.28   5.33  3.230000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
11921  Correct skn color 6.1-20.0cm                      R   1.93   3.81     1.54    0.34   6.08  3.810000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
11922  Correct skin color ea 20.0cm                      R   0.49   1.13     0.28    0.09   1.71  0.860ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
11950  Tx contour defects 1 cc/<                         R   0.84   1.29     0.54    0.13   2.26  1.510000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
11951  Tx contour defects 1.1-5.0cc                      R   1.19   1.66     0.74    0.22   3.07  2.150000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
11952  Tx contour defects 5.1-10cc                       R   1.69   2.14     1.04    0.30   4.13  3.030000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
11954  Tx contour defects >10.0 cc                       R   1.85   2.37     1.12    0.32   4.54  3.290000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
11960  Insert tissue expander(s)                         A  11.49  14.60NA  14.60    2.02  28.11 28.110090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
11970  Replace tissue expander                           A   8.01   8.19NA   8.19    1.42  17.62 17.620090.10.71.1921100             36.0896 090 99      0.00   0.00   0.00
11971  Remove tissue expander(s)                         A   3.41   9.76     5.30    0.60  13.77  9.310090.10.71.1921000             36.0896 090 99      0.00   0.00   0.00
11976  Remove contraceptive capsule                      R   1.78   2.09     0.67    0.28   4.15  2.730000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
11980  Implant hormone pellet(s)                         A   1.10   1.46     0.38    0.13   2.69  1.610000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
11981  Insert drug implant device                        A   1.14   1.60     0.50    0.22   2.96  1.860000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
11982  Remove drug implant device                        A   1.34   1.77     0.60    0.25   3.36  2.190000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
11983  Remove/insert drug implant                        A   1.91   1.93     0.79    0.31   4.15  3.010000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
1200F  Seizure type& frequ docd                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
12001  Rpr s/n/ax/gen/trnk 2.5cm/<                       A   0.84   1.59     0.31    0.15   2.58  1.300000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
12002  Rpr s/n/ax/gen/trnk2.6-7.5cm                      A   1.14   1.80     0.37    0.22   3.16  1.730000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
12004  Rpr s/n/ax/gen/trk7.6-12.5cm                      A   1.44   1.98     0.44    0.27   3.69  2.150000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
12005  Rpr s/n/a/gen/trk12.6-20.0cm                      A   1.97   2.53     0.45    0.38   4.88  2.800000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
12006  Rpr s/n/a/gen/trk20.1-30.0cm                      A   2.39   2.91     0.58    0.46   5.76  3.430000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
12007  Rpr s/n/ax/gen/trnk >30.0 cm                      A   2.90   3.14     0.79    0.54   6.58  4.230000.00.00.0020110             36.0896 090 99      0.00   0.00   0.00
12011  Rpr f/e/e/n/l/m 2.5 cm/<                          A   1.07   1.87     0.35    0.21   3.15  1.630000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
12013  Rpr f/e/e/n/l/m 2.6-5.0 cm                        A   1.22   1.83     0.26    0.24   3.29  1.720000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
12014  Rpr f/e/e/n/l/m 5.1-7.5 cm                        A   1.57   2.13     0.33    0.30   4.00  2.200000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
12015  Rpr f/e/e/n/l/m 7.6-12.5 cm                       A   1.98   2.48     0.42    0.38   4.84  2.780000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
12016  Rpr fe/e/en/l/m 12.6-20.0 cm                      A   2.68   2.96     0.57    0.52   6.16  3.770000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
12017  Rpr fe/e/en/l/m 20.1-30.0 cm                      A   3.18   0.67NA   0.67    0.63   4.48  4.480000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
12018  Rpr f/e/e/n/l/m >30.0 cm                          A   3.61   0.74NA   0.74    0.73   5.08  5.080000.00.00.0020200             36.0896 090 99      0.00   0.00   0.00
12020  Closure of split wound                            A   2.67   5.31     2.33    0.43   8.41  5.430010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
12021  Closure of split wound                            A   1.89   2.69     1.80    0.32   4.90  4.010010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
12031  Intmd rpr s/a/t/ext 2.5 cm/<                      A   2.00   4.91     2.10    0.26   7.17  4.360010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
12032  Intmd rpr s/a/t/ext 2.6-7.5                       A   2.52   5.80     2.67    0.27   8.59  5.460010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
12034  Intmd rpr s/tr/ext 7.6-12.5                       A   2.97   5.86     2.53    0.41   9.24  5.910010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
12035  Intmd rpr s/a/t/ext 12.6-20                       A   3.50   6.91     2.82    0.62  11.03  6.940010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
12036  Intmd rpr s/a/t/ext 20.1-30                       A   4.23   7.27     3.08    0.84  12.34  8.150010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
12037  Intmd rpr s/tr/ext >30.0 cm                       A   5.00   7.99     3.51    1.02  14.01  9.530010.10.80.1020010             36.0896 090 99      0.00   0.00   0.00
12041  Intmd rpr n-hf/genit 2.5cm/<                      A   2.10   4.82     1.85    0.27   7.19  4.220010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
12042  Intmd rpr n-hf/genit2.6-7.5                       A   2.79   5.44     2.54    0.31   8.54  5.640010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
12044  Intmd rpr n-hf/genit7.6-12.5                      A   3.19   6.95     2.51    0.46  10.60  6.160010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
12045  Intmd rpr n-hf/genit12.6-20                       A   3.75   7.24     3.37    0.64  11.63  7.760010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
12046  Intmd rpr n-hf/genit20.1-30                       A   4.30   8.71     3.74    1.04  14.05  9.080010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
12047  Intmd rpr n-hf/genit >30.0cm                      A   4.95   9.27     3.97    1.21  15.43 10.130010.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
1205F  Epi etiol synd rvwd and docd                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
12051  Intmd rpr face/mm 2.5 cm/<                        A   2.33   5.12     2.24    0.28   7.73  4.850010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
12052  Intmd rpr face/mm 2.6-5.0 cm                      A   2.87   5.48     2.55    0.32   8.67  5.740010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
12053  Intmd rpr face/mm 5.1-7.5 cm                      A   3.17   6.58     2.62    0.41  10.16  6.200010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
12054  Intmd rpr face/mm 7.6-12.5cm                      A   3.50   6.68     2.31    0.54  10.72  6.350010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
12055  Intmd rpr face/mm 12.6-20 cm                      A   4.50   8.63     3.37    0.79  13.92  8.660010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
12056  Intmd rpr face/mm 20.1-30.0                       A   5.30  10.12     4.88    0.92  16.34 11.100010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
12057  Intmd rpr face/mm >30.0 cm                        A   6.00  10.32     5.23    1.05  17.37 12.280010.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
1220F  Pt screened for depression                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
13100  Cmplx rpr trunk 1.1-2.5 cm                        A   3.00   6.37     2.46    0.35   9.72  5.810010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
13101  Cmplx rpr trunk 2.6-7.5 cm                        A   3.50   7.52     3.25    0.39  11.41  7.140010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
13102  Cmplx rpr trunk addl 5cm/<                        A   1.24   2.01     0.68    0.18   3.43  2.100ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
13120  Cmplx rpr s/a/l 1.1-2.5 cm                        A   3.23   6.53     3.07    0.38  10.14  6.680010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
13121  Cmplx rpr s/a/l 2.6-7.5 cm                        A   4.00   7.81     3.07    0.43  12.24  7.500010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
13122  Cmplx rpr s/a/l addl 5 cm/>                       A   1.44   2.11     0.79    0.19   3.74  2.420ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
13131  Cmplx rpr f/c/c/m/n/ax/g/h/f                      A   3.73   6.95     2.88    0.43  11.11  7.040010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
13132  Cmplx rpr f/c/c/m/n/ax/g/h/f                      A   4.78   8.30     3.52    0.51  13.59  8.810010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
13133  Cmplx rpr f/c/c/m/n/ax/g/h/f                      A   2.19   2.52     1.23    0.27   4.98  3.690ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
13151  Cmplx rpr e/n/e/l 1.1-2.5 cm                      A   4.34   7.28     3.24    0.51  12.13  8.090010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
13152  Cmplx rpr e/n/e/l 2.6-7.5 cm                      A   5.34   8.44     3.82    0.58  14.36  9.740010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
13153  Cmplx rpr e/n/e/l addl 5cm/<                      A   2.38   2.73     1.30    0.34   5.45  4.020ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
13160  Late closure of wound                             A  12.04   8.89NA   8.89    2.06  22.99 22.990090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
1400F  Prkns diag rviewed                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
14000  Tis trnfr trunk 10 sq cm/<                        A   6.37  10.49     6.90    1.03  17.89 14.300090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
14001  Tis trnfr trunk 10.1-30sqcm                       A   8.78  12.52     8.26    1.55  22.85 18.590090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
14020  Tis trnfr s/a/l 10 sq cm/<                        A   7.22  11.65     7.90    0.93  19.80 16.050090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
14021  Tis trnfr s/a/l 10.1-30 sqcm                      A   9.72  13.67     9.33    1.24  24.63 20.290090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
14040  Tis trnfr f/c/c/m/n/a/g/h/f                       A   8.60  11.95     8.22    1.01  21.56 17.830090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
14041  Tis trnfr f/c/c/m/n/a/g/h/f                       A  10.83  14.32     9.81    1.22  26.37 21.860090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
14060  Tis trnfr e/n/e/l 10 sq cm/<                      A   9.23  11.63     8.73    1.04  21.90 19.000090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
14061  Tis trnfr e/n/e/l10.1-30sqcm                      A  11.48  15.61    10.66    1.27  28.36 23.410090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
14301  Tis trnfr any 30.1-60 sq cm                       A  12.65  16.35    10.50    1.86  30.86 25.010090.10.71.1920200             36.0896 090 99      0.00   0.00   0.00
14302  Tis trnfr addl 30 sq cm                           A   3.73   1.96     1.96    0.62   6.31  6.310ZZZ.00.00.0000200             36.0896 090 99      0.00   0.00   0.00
14350  Filleted finger/toe flap                          A  11.05   7.51NA   7.51    1.17  19.73 19.730090.10.71.1920000             36.0896 090 99      0.00   0.00   0.00
1450F  Symptoms improved/consist                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1451F  Sympt show clin import drop                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1460F  Qual card diag prior 12 mons                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1461F  No qual card diag prior12mon                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1490F  Dem severity classified mild                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1491F  Dem severity classified mod                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1493F  Dem severity class severe                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1494F  Cognit assessed and reviewed                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1500F  Symptom+sign symm polyneuro                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
15002  Wound prep trk/arm/leg                            A   3.65   5.75     2.16    0.64  10.04  6.450000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
15003  Wound prep addl 100 cm                            A   0.80   1.12     0.36    0.16   2.08  1.320ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
15004  Wound prep f/n/hf/g                               A   4.58   6.24     2.45    0.62  11.44  7.650000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
15005  Wnd prep f/n/hf/g addl cm                         A   1.60   1.58     0.74    0.32   3.50  2.660ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
1501F  Not initial eval for cond                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1502F  Pt queried pain fxn w/ instr                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1503F  Pt queried symp resp insuff                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
1504F  Pt has resp insufficiency                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
15040  Harvest cultured skin graft                       A   2.00   5.07     1.20    0.40   7.47  3.600000.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
1505F  Pt has no resp insufficiency                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
15050  Skin pinch graft                                  A   5.57  10.25     6.57    0.95  16.77 13.090090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
15100  Skin splt grft trnk/arm/leg                       A   9.90  13.06     8.81    1.88  24.84 20.590090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
15101  Skin splt grft t/a/l add-on                       A   1.72   3.33     1.17    0.35   5.40  3.240ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
15110  Epidrm autogrft trnk/arm/leg                      A  10.97  10.21     7.03    1.95  23.13 19.950090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
15111  Epidrm autogrft t/a/l add-on                      A   1.85   1.05     0.74    0.43   3.33  3.020ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
15115  Epidrm a-grft face/nck/hf/g                       A  11.28  10.05     6.90    1.51  22.84 19.690090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
15116  Epidrm a-grft f/n/hf/g addl                       A   2.50   1.87     1.45    0.44   4.81  4.390ZZZ.00.00.0000110             36.0896 090 99      0.00   0.00   0.00
15120  Skn splt a-grft fac/nck/hf/g                      A  10.15  12.60     8.19    1.61  24.36 19.950090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
15121  Skn splt a-grft f/n/hf/g add                      A   2.00   3.66     1.51    0.39   6.05  3.900ZZZ.00.00.0000110             36.0896 090 99      0.00   0.00   0.00
15130  Derm autograft trnk/arm/leg                       A   7.53  11.78     8.29    1.32  20.63 17.140090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
15131  Derm autograft t/a/l add-on                       A   1.50   1.09     0.88    0.27   2.86  2.650ZZZ.00.00.0000110             36.0896 090 99      0.00   0.00   0.00
15135  Derm autograft face/nck/hf/g                      A  11.03  12.39     9.12    1.59  25.01 21.740090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
15136  Derm autograft f/n/hf/g add                       A   1.50   1.06     0.88    0.27   2.83  2.650ZZZ.00.00.0000110             36.0896 090 99      0.00   0.00   0.00
15150  Cult skin grft t/arm/leg                          A   9.39   8.63     6.77    2.28  20.30 18.440090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
15151  Cult skin grft t/a/l addl                         A   2.00   0.98     0.72    0.49   3.47  3.210ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
15152  Cult skin graft t/a/l +%                          A   2.50   1.45     1.20    0.52   4.47  4.220ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
15155  Cult skin graft f/n/hf/g                          A  10.14  11.12     9.24    1.80  23.06 21.180090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
15156  Cult skin grft f/n/hfg add                        A   2.75   1.24     0.99    0.65   4.64  4.390ZZZ.00.00.0000110             36.0896 090 99      0.00   0.00   0.00
15157  Cult epiderm grft f/n/hfg +%                      A   3.00   1.46     1.09    0.73   5.19  4.820ZZZ.00.00.0000110             36.0896 090 99      0.00   0.00   0.00
15200  Skin full graft trunk                             A   9.15  13.30     8.66    1.48  23.93 19.290090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
15201  Skin full graft trunk add-on                      A   1.32   2.63     0.69    0.25   4.20  2.260ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
15220  Skin full graft sclp/arm/leg                      A   8.09  12.78     8.28    1.11  21.98 17.480090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
15221  Skin full graft add-on                            A   1.19   2.48     0.65    0.19   3.86  2.030ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
15240  Skin full grft face/genit/hf                      A  10.41  14.78    10.99    1.34  26.53 22.740090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
15241  Skin full graft add-on                            A   1.86   3.04     1.01    0.28   5.18  3.150ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
15260  Skin full graft een & lips                        A  11.64  15.61    11.29    1.25  28.50 24.180090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
15261  Skin full graft add-on                            A   2.23   3.46     1.43    0.30   5.99  3.960ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
15271  Skin sub graft trnk/arm/leg                       A   1.50   2.56     0.72    0.23   4.29  2.450000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
15272  Skin sub graft t/a/l add-on                       A   0.33   0.36     0.12    0.06   0.75  0.510ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
15273  Skin sub grft t/arm/lg child                      A   3.50   4.80     1.69    0.63   8.93  5.820000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
15274  Skn sub grft t/a/l child add                      A   0.80   1.30     0.36    0.16   2.26  1.320ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
15275  Skin sub graft face/nk/hf/g                       A   1.83   2.46     0.73    0.19   4.48  2.750000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
15276  Skin sub graft f/n/hf/g addl                      A   0.50   0.40     0.17    0.08   0.98  0.750ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
15277  Skn sub grft f/n/hf/g child                       A   4.00   5.09     1.90    0.70   9.79  6.600000.00.00.0020110             36.0896 090 99      0.00   0.00   0.00
15278  Skn sub grft f/n/hf/g ch add                      A   1.00   1.46     0.46    0.21   2.67  1.670ZZZ.00.00.0000110             36.0896 090 99      0.00   0.00   0.00
15570  Skin pedicle flap trunk                           A  10.21  14.15     9.10    1.86  26.22 21.170090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
15572  Skin pedicle flap arms/legs                       A  10.12  13.49     9.46    1.69  25.30 21.270090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
15574  Pedcle fh/ch/ch/m/n/ax/g/h/f                      A  10.70  13.46     9.33    1.59  25.75 21.620090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
15576  Pedicle e/n/e/l/ntroral                           A   9.37  12.23     8.41    1.15  22.75 18.930090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
15600  Delay flap trunk                                  A   2.01   7.11     3.60    0.35   9.47  5.960090.10.71.1920000             36.0896 090 99      0.00   0.00   0.00
15610  Delay flap arms/legs                              A   2.52   7.33     3.93    0.44  10.29  6.890090.10.71.1920000             36.0896 090 99      0.00   0.00   0.00
15620  Delay flap f/c/c/n/ax/g/h/f                       A   3.75   8.29     4.95    0.56  12.60  9.260090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
15630  Delay flap eye/nos/ear/lip                        A   4.08   8.45     5.16    0.53  13.06  9.770090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
15650  Transfer skin pedicle flap                        A   4.77   9.01     5.42    0.73  14.51 10.920090.10.71.1920000             36.0896 090 99      0.00   0.00   0.00
15730  Mdfc flap w/prsrv vasc pedcl                      A  13.50  27.69    11.12    1.76  42.95 26.380090.10.71.1920110             36.0896 090 99      0.00   0.00   0.00
15731  Forehead flap w/vasc pedicle                      A  14.38  15.63    12.21    2.08  32.09 28.670090.10.71.1920000             36.0896 090 99      0.00   0.00   0.00
15733  Musc myoq/fscq flp h&n pedcl                      A  15.68  11.99NA  11.99    2.27  29.94 29.940090.10.71.1920110             36.0896 090 99      0.00   0.00   0.00
15734  Muscle-skin graft trunk                           A  23.00  15.90NA  15.90    4.71  43.61 43.610090.10.71.1920210             36.0896 090 99      0.00   0.00   0.00
15736  Muscle-skin graft arm                             A  17.04  15.08NA  15.08    3.18  35.30 35.300090.10.71.1920110             36.0896 090 99      0.00   0.00   0.00
15738  Muscle-skin graft leg                             A  19.04  14.87NA  14.87    3.52  37.43 37.430090.10.71.1920210             36.0896 090 99      0.00   0.00   0.00
15740  Island pedicle flap graft                         A  11.80  15.18    10.54    1.64  28.62 23.980090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
15750  Neurovascular pedicle flap                        A  12.96  11.22NA  11.22    2.23  26.41 26.410090.10.71.1920200             36.0896 090 99      0.00   0.00   0.00
15756  Free myo/skin flap microvasc                      A  36.94  23.34NA  23.34    5.74  66.02 66.020090.10.71.1920220             36.0896 090 99      0.00   0.00   0.00
15757  Free skin flap microvasc                          A  37.15  22.88NA  22.88    5.59  65.62 65.620090.10.71.1920220             36.0896 090 99      0.00   0.00   0.00
15758  Free fascial flap microvasc                       A  36.90  23.49NA  23.49    5.65  66.04 66.040090.10.71.1920220             36.0896 090 99      0.00   0.00   0.00
15760  Composite skin graft                              A   9.86  12.98     8.92    1.30  24.14 20.080090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
15769  Grfg autol soft tiss dir exc                      A   6.68   6.04NA   6.04    1.14  13.86 13.860090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
15770  Derma-fat-fascia graft                            A   8.96   8.80NA   8.80    1.29  19.05 19.050090.10.71.1920210             36.0896 090 99      0.00   0.00   0.00
15771  Grfg autol fat lipo 50 cc/<                       A   6.73   8.67     5.88    1.15  16.55 13.760090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
15772  Grfg autol fat lipo ea addl                       A   2.50   2.29     1.14    0.43   5.22  4.070ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
15773  Grfg autol fat lipo 25 cc/<                       A   6.83   8.72     5.93    1.15  16.70 13.910090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
15774  Gfrg autol fat lipo ea addl                       A   2.41   2.25     1.10    0.40   5.06  3.910ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
15775  Hair trnspl 1-15 punch grfts                      R   3.95   5.98     2.82    0.67  10.60  7.440000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
15776  Hair trnspl >15 punch grafts                      R   5.53   8.05     3.73    0.96  14.54 10.220000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
15777  Acellular derm matrix implt                       A   3.65   1.96     1.96    0.64   6.25  6.250ZZZ.00.00.0001100             36.0896 090 99      0.00   0.00   0.00
15780  Dermabrasion total face                           A   8.73  15.68     9.82    0.79  25.20 19.340090.10.71.1920000             36.0896 090 99      0.00   0.00   0.00
15781  Dermabrasion segmental face                       A   5.02   9.86     6.50    0.79  15.67 12.310090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
15782  Dermabrasion other than face                      A   4.44  10.49     6.39    0.42  15.35 11.250090.10.71.1920000             36.0896 090 99      0.00   0.00   0.00
15783  Dermabrasion suprfl any site                      A   4.41   8.37     5.43    0.42  13.20 10.260090.10.71.1920000             36.0896 090 99      0.00   0.00   0.00
15786  Abrasion lesion single                            A   2.08   4.58     1.56    0.21   6.87  3.850010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
15787  Abrasion lesions add-on                           A   0.33   0.80     0.15    0.02   1.15  0.500ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
15788  Chemical peel face epiderm                        R   2.09   9.90     4.19    0.27  12.26  6.550090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
15789  Chemical peel face dermal                         R   4.91   9.81     6.08    0.66  15.38 11.650090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
15792  Chemical peel nonfacial                           R   1.86   8.88     4.50    0.25  10.99  6.610090.10.71.1920000             36.0896 090 99      0.00   0.00   0.00
15793  Chemical peel nonfacial                           A   3.96   9.08     5.50    0.60  13.64 10.060090.10.71.1920000             36.0896 090 99      0.00   0.00   0.00
15819  Plastic surgery neck                              A  10.65  10.43NA  10.43    1.88  22.96 22.960090.10.71.1920000             36.0896 090 99      0.00   0.00   0.00
15820  Revision of lower eyelid                          A   6.27   9.49     7.77    0.47  16.23 14.510090.10.71.1921000             36.0896 090 99      0.00   0.00   0.00
15821  Revision of lower eyelid                          A   6.84   9.96     8.07    0.62  17.42 15.530090.10.71.1921000             36.0896 090 99      0.00   0.00   0.00
15822  Revision of upper eyelid                          A   4.62   7.78     6.09    0.51  12.91 11.220090.10.71.1921100             36.0896 090 99      0.00   0.00   0.00
15823  Revision of upper eyelid                          A   6.81  10.06     8.16    0.57  17.44 15.540090.10.71.1921100             36.0896 090 99      0.00   0.00   0.00
15824  Removal of forehead wrinkles                      R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
15825  Removal of neck wrinkles                          R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
15826  Removal of brow wrinkles                          R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
15828  Removal of face wrinkles                          R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
15829  Removal of skin wrinkles                          R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
15830  Exc skin abd                                      R  17.11  13.62NA  13.62    3.25  33.98 33.980090.10.71.1920210             36.0896 090 99      0.00   0.00   0.00
15832  Excise excessive skin thigh                       A  12.85  11.35NA  11.35    2.37  26.57 26.570090.10.71.1921210             36.0896 090 99      0.00   0.00   0.00
15833  Excise excessive skin leg                         A  11.90  11.25NA  11.25    2.08  25.23 25.230090.10.71.1921000             36.0896 090 99      0.00   0.00   0.00
15834  Excise excessive skin hip                         A  12.17  11.41NA  11.41    2.15  25.73 25.730090.10.71.1921000             36.0896 090 99      0.00   0.00   0.00
15835  Excise excessive skin buttck                      A  12.99  11.70NA  11.70    2.29  26.98 26.980090.10.71.1920000             36.0896 090 99      0.00   0.00   0.00
15836  Excise excessive skin arm                         A  10.61   9.00NA   9.00    2.06  21.67 21.670090.10.71.1921000             36.0896 090 99      0.00   0.00   0.00
15837  Excise excess skin arm/hand                       A   9.55  13.67     9.50    1.68  24.90 20.730090.10.71.1920000             36.0896 090 99      0.00   0.00   0.00
15838  Excise excess skin fat pad                        A   8.25   8.84NA   8.84    1.44  18.53 18.530090.10.71.1920000             36.0896 090 99      0.00   0.00   0.00
15839  Excise excess skin & tissue                       A  10.50  13.04     8.84    1.90  25.44 21.240090.10.71.1920000             36.0896 090 99      0.00   0.00   0.00
15840  Nerve palsy fascial graft                         A  14.99  11.77NA  11.77    2.17  28.93 28.930090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
15841  Nerve palsy muscle graft                          A  25.99  21.02NA  21.02    4.56  51.57 51.570090.10.71.1920210             36.0896 090 99      0.00   0.00   0.00
15842  Nerve palsy microsurg graft                       A  41.01  30.31NA  30.31    7.23  78.55 78.550090.10.71.1920210             36.0896 090 99      0.00   0.00   0.00
15845  Skin and muscle repair face                       A  14.32  13.04NA  13.04    1.61  28.97 28.970090.10.71.1920200             36.0896 090 99      0.00   0.00   0.00
15847  Exc skin abd add-on                               C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
15850  Remove sutures same surgeon                       B+  0.78   1.73     0.30    0.06   2.57  1.149XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
15851  Remove sutures diff surgeon                       A   0.86   1.98     0.36    0.09   2.93  1.310000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
15852  Dressing change not for burn                      A   0.86   0.35NA   0.35    0.13   1.34  1.340000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
15860  Test for blood flow in graft                      A   1.95   0.83NA   0.83    0.35   3.13  3.130000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
15876  Suction lipectomy head&neck                       R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
15877  Suction lipectomy trunk                           R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
15878  Suction lipectomy upr extrem                      R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
15879  Suction lipectomy lwr extrem                      R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
15920  Removal of tail bone ulcer                        A   8.29   7.96NA   7.96    1.80  18.05 18.050090.10.71.1920000             36.0896 090 99      0.00   0.00   0.00
15922  Removal of tail bone ulcer                        A  10.38  10.60NA  10.60    1.82  22.80 22.800090.10.71.1920210             36.0896 090 99      0.00   0.00   0.00
15931  Remove sacrum pressure sore                       A  10.07   7.84NA   7.84    2.27  20.18 20.180090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
15933  Remove sacrum pressure sore                       A  11.77  10.65NA  10.65    2.54  24.96 24.960090.10.71.1920000             36.0896 090 99      0.00   0.00   0.00
15934  Remove sacrum pressure sore                       A  13.68  10.86NA  10.86    2.77  27.31 27.310090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
15935  Remove sacrum pressure sore                       A  15.78  14.66NA  14.66    2.78  33.22 33.220090.10.71.1920210             36.0896 090 99      0.00   0.00   0.00
15936  Remove sacrum pressure sore                       A  13.16  10.16NA  10.16    2.71  26.03 26.030090.10.71.1920110             36.0896 090 99      0.00   0.00   0.00
15937  Remove sacrum pressure sore                       A  15.14  12.06NA  12.06    2.93  30.13 30.130090.10.71.1920110             36.0896 090 99      0.00   0.00   0.00
15940  Remove hip pressure sore                          A  10.20   7.93NA   7.93    2.16  20.29 20.290090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
15941  Remove hip pressure sore                          A  12.41  11.61NA  11.61    2.41  26.43 26.430090.10.71.1920000             36.0896 090 99      0.00   0.00   0.00
15944  Remove hip pressure sore                          A  12.44  11.48NA  11.48    2.35  26.27 26.270090.10.71.1920000             36.0896 090 99      0.00   0.00   0.00
15945  Remove hip pressure sore                          A  13.75  13.13NA  13.13    2.42  29.30 29.300090.10.71.1920000             36.0896 090 99      0.00   0.00   0.00
15946  Remove hip pressure sore                          A  24.12  18.39NA  18.39    4.58  47.09 47.090090.10.71.1920110             36.0896 090 99      0.00   0.00   0.00
15950  Remove thigh pressure sore                        A   8.03   7.89NA   7.89    1.69  17.61 17.610090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
15951  Remove thigh pressure sore                        A  11.58  12.10NA  12.10    2.02  25.70 25.700090.10.71.1920010             36.0896 090 99      0.00   0.00   0.00
15952  Remove thigh pressure sore                        A  12.31  11.83NA  11.83    2.17  26.31 26.310090.10.71.1920210             36.0896 090 99      0.00   0.00   0.00
15953  Remove thigh pressure sore                        A  13.57  13.02NA  13.02    2.37  28.96 28.960090.10.71.1920110             36.0896 090 99      0.00   0.00   0.00
15956  Remove thigh pressure sore                        A  16.79  13.62NA  13.62    3.34  33.75 33.750090.10.71.1920110             36.0896 090 99      0.00   0.00   0.00
15958  Remove thigh pressure sore                        A  16.75  14.23NA  14.23    3.10  34.08 34.080090.10.71.1920110             36.0896 090 99      0.00   0.00   0.00
15999  Removal of pressure sore                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
16000  Initial treatment of burn(s)                      A   0.89   1.08     0.32    0.12   2.09  1.330000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
16020  Dress/debrid p-thick burn s                       A   0.71   1.53     0.74    0.11   2.35  1.560000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
16025  Dress/debrid p-thick burn m                       A   1.74   2.37     1.16    0.28   4.39  3.180000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
16030  Dress/debrid p-thick burn l                       A   2.08   3.09     1.39    0.37   5.54  3.840000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
16035  Incision of burn scab initi                       A   3.74   1.41NA   1.41    0.56   5.71  5.710000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
16036  Escharotomy addl incision                         A   1.50   0.59NA   0.59    0.28   2.37  2.370ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
17000  Destruct premalg lesion                           A   0.61   1.18     0.86    0.06   1.85  1.530010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
17003  Destruct premalg les 2-14                         A   0.04   0.13     0.02    0.00   0.17  0.060ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
17004  Destroy premal lesions 15/>                       A   1.37   2.99     1.30    0.12   4.48  2.790010.10.80.1000100             36.0896 090 99      0.00   0.00   0.00
17106  Destruction of skin lesions                       A   3.69   5.63     3.75    0.40   9.72  7.840090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
17107  Destruction of skin lesions                       A   4.79   7.34     4.78    0.60  12.73 10.170090.10.71.1920100             36.0896 090 99      0.00   0.00   0.00
17108  Destruction of skin lesions                       A   7.49   9.79     6.66    0.86  18.14 15.010090.10.71.1920000             36.0896 090 99      0.00   0.00   0.00
17110  Destruct b9 lesion 1-14                           A   0.70   2.39     1.13    0.08   3.17  1.910010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
17111  Destruct lesion 15 or more                        A   0.97   2.66     1.28    0.09   3.72  2.340010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
17250  Chem caut of granltj tissue                       A   0.50   1.83     0.48    0.09   2.42  1.070000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
17260  Destruction of skin lesions                       A   0.96   1.69     0.95    0.09   2.74  2.000010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
17261  Destruction of skin lesions                       A   1.22   2.80     1.16    0.11   4.13  2.490010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
17262  Destruction of skin lesions                       A   1.63   3.23     1.41    0.15   5.01  3.190010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
17263  Destruction of skin lesions                       A   1.84   3.43     1.53    0.18   5.45  3.550010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
17264  Destruction of skin lesions                       A   1.99   3.66     1.61    0.19   5.84  3.790010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
17266  Destruction of skin lesions                       A   2.39   4.03     1.84    0.24   6.66  4.470010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
17270  Destruction of skin lesions                       A   1.37   2.72     1.24    0.13   4.22  2.740010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
17271  Destruction of skin lesions                       A   1.54   2.98     1.35    0.13   4.65  3.020010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
17272  Destruction of skin lesions                       A   1.82   3.32     1.52    0.18   5.32  3.520010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
17273  Destruction of skin lesions                       A   2.10   3.61     1.68    0.21   5.92  3.990010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
17274  Destruction of skin lesions                       A   2.64   4.07     1.98    0.26   6.97  4.880010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
17276  Destruction of skin lesions                       A   3.25   4.51     2.30    0.31   8.07  5.860010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
17280  Destruction of skin lesions                       A   1.22   2.61     1.15    0.11   3.94  2.480010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
17281  Destruction of skin lesions                       A   1.77   3.13     1.48    0.16   5.06  3.410010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
17282  Destruction of skin lesions                       A   2.09   3.52     1.67    0.21   5.82  3.970010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
17283  Destruction of skin lesions                       A   2.69   3.98     2.01    0.27   6.94  4.970010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
17284  Destruction of skin lesions                       A   3.20   4.39     2.29    0.31   7.90  5.800010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
17286  Destruction of skin lesions                       A   4.48   5.23     2.91    0.47  10.18  7.860010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
17311  Mohs 1 stage h/n/hf/g                             A   6.20  12.07     3.64    0.57  18.84 10.410000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
17312  Mohs addl stage                                   A   3.30   7.69     1.94    0.31  11.30  5.550ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
17313  Mohs 1 stage t/a/l                                A   5.56  11.58     3.26    0.52  17.66  9.340000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
17314  Mohs addl stage t/a/l                             A   3.06   7.46     1.80    0.28  10.80  5.140ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
17315  Mohs surg addl block                              A   0.87   1.26     0.51    0.09   2.22  1.470ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
17340  Cryotherapy of skin                               A   0.77   0.64     0.55    0.09   1.50  1.410010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
17360  Skin peel therapy                                 A   1.46   1.93     1.08    0.13   3.52  2.670010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
17380  Hair removal by electrolysis                      R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
17999  Skin tissue procedure                             C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
19000  Drainage of breast lesion                         A   0.84   2.16     0.31    0.11   3.11  1.260000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
19001  Drain breast lesion add-on                        A   0.42   0.31     0.16    0.05   0.78  0.630ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
19020  Incision of breast lesion                         A   3.83   8.85     4.24    0.86  13.54  8.930090.10.71.1921100             36.0896 090 99      0.00   0.00   0.00
19030  Injection for breast x-ray                        A   1.53   3.14     0.57    0.12   4.79  2.220000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
19081  Bx breast 1st lesion strtctc                      A   3.29  13.73     1.21    0.32  17.34  4.820000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
19082  Bx breast add lesion strtctc                      A   1.65  12.17     0.61    0.16  13.98  2.420ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
19083  Bx breast 1st lesion us imag                      A   3.10  13.74     1.14    0.32  17.16  4.560000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
19084  Bx breast add lesion us imag                      A   1.55  11.92     0.57    0.13  13.60  2.250ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
19085  Bx breast 1st lesion mr imag                      A   3.64  22.24     1.34    0.30  26.18  5.280000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
19086  Bx breast add lesion mr imag                      A   1.82  18.86     0.68    0.13  20.81  2.630ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
19100  Bx breast percut w/o image                        A   1.27   2.83     0.47    0.30   4.40  2.040000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
19101  Biopsy of breast open                             A   3.23   5.65     2.48    0.74   9.62  6.450010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
19105  Cryosurg ablate fa each                           A   3.69  73.06     1.56    0.89  77.64  6.140000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
19110  Nipple exploration                                A   4.44   8.52     4.52    1.05  14.01 10.010090.10.71.1921100             36.0896 090 99      0.00   0.00   0.00
19112  Excise breast duct fistula                        A   3.81   8.48     4.40    0.91  13.20  9.120090.10.71.1921000             36.0896 090 99      0.00   0.00   0.00
19120  Removal of breast lesion                          A   5.92   7.21     4.69    1.39  14.52 12.000090.10.71.1921100             36.0896 090 99      0.00   0.00   0.00
19125  Excision breast lesion                            A   6.69   7.75     5.03    1.61  16.05 13.330090.10.71.1921110             36.0896 090 99      0.00   0.00   0.00
19126  Excision addl breast lesion                       A   2.93   1.07NA   1.07    0.68   4.68  4.680ZZZ.00.00.0000110             36.0896 090 99      0.00   0.00   0.00
19281  Perq device breast 1st imag                       A   2.00   4.81     0.74    0.16   6.97  2.900000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
19282  Perq device breast ea imag                        A   1.00   3.83     0.37    0.09   4.92  1.460ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
19283  Perq dev breast 1st strtctc                       A   2.00   5.55     0.74    0.19   7.74  2.930000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
19284  Perq dev breast add strtctc                       A   1.00   4.78     0.37    0.12   5.90  1.490ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
19285  Perq dev breast 1st us imag                       A   1.70  11.12     0.63    0.16  12.98  2.490000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
19286  Perq dev breast add us imag                       A   0.85  10.14     0.32    0.09  11.08  1.260ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
19287  Perq dev breast 1st mr guide                      A   2.55  19.33     0.95    0.22  22.10  3.720000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
19288  Perq dev breast add mr guide                      A   1.28  16.19     0.48    0.11  17.58  1.870ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
19294  Prep tum cav iort prtl mast                       A   3.00   1.09NA   1.09    0.72   4.81  4.810ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
19296  Place po breast cath for rad                      A   3.63 109.76     1.64    0.84 114.23  6.110000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
19297  Place breast cath for rad                         A   1.72   0.63NA   0.63    0.42   2.77  2.770ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
19298  Place breast rad tube/caths                       A   5.75  21.93     2.68    0.79  28.47  9.220000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
19300  Removal of breast tissue                          A   5.31   9.34     5.66    1.18  15.83 12.150090.10.71.1921100             36.0896 090 99      0.00   0.00   0.00
19301  Partial mastectomy                                A  10.13   6.51NA   6.51    2.42  19.06 19.060090.10.71.1921000             36.0896 090 99      0.00   0.00   0.00
19302  P-mastectomy w/ln removal                         A  13.99   8.85NA   8.85    3.36  26.20 26.200090.10.71.1921210             36.0896 090 99      0.00   0.00   0.00
19303  Mast simple complete                              A  15.00   9.26NA   9.26    3.58  27.84 27.840090.10.71.1921210             36.0896 090 99      0.00   0.00   0.00
19305  Mast radical                                      A  17.46  11.41NA  11.41    4.18  33.05 33.050090.10.71.1921210             36.0896 090 99      0.00   0.00   0.00
19306  Mast rad urban type                               A  18.13  12.56NA  12.56    4.40  35.09 35.090090.10.71.1921210             36.0896 090 99      0.00   0.00   0.00
19307  Mast mod rad                                      A  18.23  12.38NA  12.38    4.37  34.98 34.980090.10.71.1921210             36.0896 090 99      0.00   0.00   0.00
19316  Suspension of breast                              A  11.09   9.21NA   9.21    2.07  22.37 22.370090.10.71.1921210             36.0896 090 99      0.00   0.00   0.00
19318  Reduction of large breast                         A  16.03  12.82NA  12.82    2.87  31.72 31.720090.10.71.1921210             36.0896 090 99      0.00   0.00   0.00
19324  Enlarge breast                                    A   6.80   7.40NA   7.40    1.21  15.41 15.410090.10.71.1921000             36.0896 090 99      0.00   0.00   0.00
19325  Enlarge breast with implant                       A   8.64   8.53NA   8.53    1.52  18.69 18.690090.10.71.1921000             36.0896 090 99      0.00   0.00   0.00
19328  Removal of breast implant                         A   6.48   6.77NA   6.77    1.18  14.43 14.430090.10.71.1921100             36.0896 090 99      0.00   0.00   0.00
19330  Removal of implant material                       A   8.54   8.22NA   8.22    1.55  18.31 18.310090.10.71.1921100             36.0896 090 99      0.00   0.00   0.00
19340  Immediate breast prosthesis                       A  13.99  12.00NA  12.00    2.59  28.58 28.580090.10.71.1921110             36.0896 090 99      0.00   0.00   0.00
19342  Delayed breast prosthesis                         A  12.63  11.93NA  11.93    2.22  26.78 26.780090.10.71.1921010             36.0896 090 99      0.00   0.00   0.00
19350  Breast reconstruction                             A   9.11  13.10     8.71    1.61  23.82 19.430090.10.71.1921100             36.0896 090 99      0.00   0.00   0.00
19355  Correct inverted nipple(s)                        A   8.52  11.74     7.87    1.50  21.76 17.890090.10.71.1921000             36.0896 090 99      0.00   0.00   0.00
19357  Breast reconstruction                             A  18.50  21.61NA  21.61    3.26  43.37 43.370090.10.71.1921210             36.0896 090 99      0.00   0.00   0.00
19361  Breast reconstr w/lat flap                        A  23.36  17.94NA  17.94    4.16  45.46 45.460090.10.71.1921210             36.0896 090 99      0.00   0.00   0.00
19364  Breast reconstruction                             A  42.58  29.58NA  29.58    7.56  79.72 79.720090.10.71.1921210             36.0896 090 99      0.00   0.00   0.00
19366  Breast reconstruction                             A  21.84  14.32NA  14.32    4.22  40.38 40.380090.10.71.1921210             36.0896 090 99      0.00   0.00   0.00
19367  Breast reconstruction                             A  26.80  19.91NA  19.91    4.79  51.50 51.500090.10.71.1921210             36.0896 090 99      0.00   0.00   0.00
19368  Breast reconstruction                             A  33.90  23.69NA  23.69    5.95  63.54 63.540090.10.71.1921210             36.0896 090 99      0.00   0.00   0.00
19369  Breast reconstruction                             A  31.31  22.18NA  22.18    5.52  59.01 59.010090.10.71.1921210             36.0896 090 99      0.00   0.00   0.00
19370  Surgery of breast capsule                         A   9.17   9.11NA   9.11    1.63  19.91 19.910090.10.71.1921100             36.0896 090 99      0.00   0.00   0.00
19371  Removal of breast capsule                         A  10.62  10.25NA  10.25    1.89  22.76 22.760090.10.71.1921100             36.0896 090 99      0.00   0.00   0.00
19380  Revise breast reconstruction                      A  10.41  10.21NA  10.21    1.85  22.47 22.470090.10.71.1921100             36.0896 090 99      0.00   0.00   0.00
19396  Design custom breast implant                      A   2.17   5.64     1.62    0.39   8.20  4.180000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
19499  Breast surgery procedure                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             36.0896 090 99      0.00   0.00   0.00
2000F  Blood pressure measure                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
2001F  Weight record                                     I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
2002F  Clin sign vol ovrld assess                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
2004F  Initial exam involved joints                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
2010F  Vital signs recorded                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
20100  Explore wound neck                                A  10.38   5.03NA   5.03    2.06  17.47 17.470010.10.80.1021200             36.0896 090 99      0.00   0.00   0.00
20101  Explore wound chest                               A   3.23   9.69     2.08    0.79  13.71  6.100010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
20102  Explore wound abdomen                             A   3.98   9.86     2.55    0.90  14.74  7.430010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
20103  Explore wound extremity                           A   5.34  10.27     3.71    0.96  16.57 10.010010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
2014F  Mental status assess                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
2015F  Asthma impairment assessed                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
20150  Excise epiphyseal bar                             A  14.75  11.38NA  11.38    2.93  29.06 29.060090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
2016F  Asthma risk assessed                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
2018F  Hydration status assess                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
2019F  Dilated macul exam done                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
2020F  Dilated fundus eval done                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
20200  Muscle biopsy                                     A   1.46   4.26     0.92    0.35   6.07  2.730000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
20205  Deep muscle biopsy                                A   2.35   5.52     1.49    0.60   8.47  4.440000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
20206  Needle biopsy muscle                              A   0.99   5.68     0.59    0.09   6.76  1.670000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
2021F  Dilat macular exam done                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
2022F  Dilat rta xm evc rtnopthy                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
20220  Bone biopsy trocar/needle                         A   1.65   5.26     0.77    0.13   7.04  2.550000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
20225  Bone biopsy trocar/needle                         A   2.45   9.24     1.12    0.23  11.92  3.800000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
2023F  Dilat rta xm w/o rtnopthy                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
2024F  7 fld rta photo evc rtnopthy                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
20240  Bone biopsy open superficial                      A   2.61   1.28NA   1.28    0.32   4.21  4.210000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
20245  Bone biopsy open deep                             A   6.00   3.10NA   3.10    0.97  10.07 10.070000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
2025F  7 fld rta photo w/o rtnopthy                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
20250  Open bone biopsy                                  A   5.19   4.77NA   4.77    1.42  11.38 11.380010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
20251  Open bone biopsy                                  A   5.72   5.06NA   5.06    1.58  12.36 12.360010.10.80.1020200             36.0896 090 99      0.00   0.00   0.00
2026F  Eye img valid evc rtnopthy                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
2027F  Optic nerve head eval done                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
2028F  Foot exam performed                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
2029F  Complete phys skin exam done                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
2030F  H2o stat docd normal                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
2031F  H2o stat docd dehydrated                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
2033F  Eye img valid w/o rtnopthy                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
2035F  Tymp memb motion examd                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
2040F  Bk pn xm on init visit date                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
2044F  Doc mntl tst b/4 bk trxmnt                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
2050F  Wound char size etc docd                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
20500  Injection of sinus tract                          A   1.28   1.84     1.08    0.13   3.25  2.490010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
20501  Inject sinus tract for x-ray                      A   0.76   3.07     0.26    0.08   3.91  1.100000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
20520  Removal of foreign body                           A   1.90   3.85     2.04    0.28   6.03  4.220010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
20525  Removal of foreign body                           A   3.54   9.44     2.95    0.62  13.60  7.110010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
20526  Ther injection carp tunnel                        A   0.94   1.15     0.55    0.16   2.25  1.650000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
20527  Inj dupuytren cord w/enzyme                       A   1.00   1.25     0.72    0.18   2.43  1.900000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
20550  Inj tendon sheath/ligament                        A   0.75   0.72     0.29    0.09   1.56  1.130000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
20551  Inj tendon origin/insertion                       A   0.75   0.76     0.31    0.09   1.60  1.150000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
20552  Inj trigger point 1/2 muscl                       A   0.66   0.84     0.36    0.09   1.59  1.110000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
20553  Inject trigger points 3/>                         A   0.75   0.98     0.41    0.09   1.82  1.250000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
20555  Place ndl musc/tis for rt                         A   6.00   2.81NA   2.81    0.67   9.48  9.480000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
20560  Ndl insj w/o njx 1 or 2 musc                      A   0.32   0.39     0.12    0.03   0.74  0.470XXX.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
20561  Ndl insj w/o njx 3+ musc                          A   0.48   0.57     0.18    0.05   1.10  0.710XXX.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
2060F  Pt talk eval hlthwkr re mdd                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
20600  Drain/inj joint/bursa w/o us                      A   0.66   0.69     0.29    0.09   1.44  1.040000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
20604  Drain/inj joint/bursa w/us                        A   0.89   1.19     0.34    0.09   2.17  1.320000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
20605  Drain/inj joint/bursa w/o us                      A   0.68   0.72     0.31    0.09   1.49  1.080000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
20606  Drain/inj joint/bursa w/us                        A   1.00   1.29     0.41    0.11   2.40  1.520000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
20610  Drain/inj joint/bursa w/o us                      A   0.79   0.86     0.41    0.12   1.77  1.320000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
20611  Drain/inj joint/bursa w/us                        A   1.10   1.45     0.50    0.13   2.68  1.730000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
20612  Aspirate/inj ganglion cyst                        A   0.70   0.97     0.40    0.09   1.76  1.190000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
20615  Treatment of bone cyst                            A   2.33   4.49     1.99    0.28   7.10  4.600010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
20650  Insert and remove bone pin                        A   2.28   3.48     1.94    0.32   6.08  4.540010.10.80.1020110             36.0896 090 99      0.00   0.00   0.00
20660  Apply rem fixation device                         A   4.00   1.85NA   1.85    1.15   7.00  7.000000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
20661  Application of head brace                         A   5.26   7.52NA   7.52    1.65  14.43 14.430090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
20662  Application of pelvis brace                       A   6.38   7.16NA   7.16    1.26  14.80 14.800090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
20663  Application of thigh brace                        A   5.74   6.73NA   6.73    1.14  13.61 13.610090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
20664  Application of halo                               A  10.06  11.25NA  11.25    3.72  25.03 25.030090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
20665  Removal of fixation device                        A   1.36   1.74     1.23    0.09   3.19  2.680010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
20670  Removal of support implant                        A   1.79   8.46     2.11    0.28  10.53  4.180010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
20680  Removal of support implant                        A   5.96  10.63     5.17    1.00  17.59 12.130090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
20690  Apply bone fixation device                        A   8.78   6.79NA   6.79    1.65  17.22 17.220090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
20692  Apply bone fixation device                        A  16.27  13.21NA  13.21    2.80  32.28 32.280090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
20693  Adjust bone fixation device                       A   6.06   5.73NA   5.73    0.97  12.76 12.760090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
20694  Remove bone fixation device                       A   4.28   7.20     4.67    0.77  12.25  9.720090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
20696  Comp multiplane ext fixation                      A  17.56  13.62NA  13.62    3.15  34.33 34.330090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
20697  Comp ext fixate strut change                      A   0.00  57.78    57.78NA  0.03  57.81 57.813000.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
20700  Mnl prep&insj dp rx dlvr dev                      A   1.50   0.67     0.67    0.27   2.44  2.440ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
20701  Rmvl deep rx delivery device                      A   1.13   0.50     0.50    0.19   1.82  1.820ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
20702  Mnl prep&insj imed rx dev                         A   2.50   1.10     1.10    0.46   4.06  4.060ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
20703  Rmvl imed rx delivery device                      A   1.80   0.80     0.80    0.31   2.91  2.910ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
20704  Mnl prep&insj i-artic rx dev                      A   2.60   1.15     1.15    0.48   4.23  4.230ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
20705  Rmvl i-artic rx delivery dev                      A   2.15   0.95     0.95    0.38   3.48  3.480ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
20802  Replantation arm complete                         A  42.62  28.47NA  28.47    8.45  79.54 79.540090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
20805  Replant forearm complete                          A  51.46  33.01NA  33.01   10.24  94.71 94.710090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
20808  Replantation hand complete                        A  63.09  38.84NA  38.84   12.59 114.52114.520090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
20816  Replantation digit complete                       A  31.95  21.29NA  21.29    6.34  59.58 59.580090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
20822  Replantation digit complete                       A  26.66  19.29NA  19.29    5.29  51.24 51.240090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
20824  Replantation thumb complete                       A  31.95  21.39NA  21.39    6.34  59.68 59.680090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
20827  Replantation thumb complete                       A  27.48  19.71NA  19.71    5.45  52.64 52.640090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
20838  Replantation foot complete                        A  42.88  29.25NA  29.25    8.51  80.64 80.640090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
20900  Removal of bone for graft                         A   3.00   8.13     1.82    0.51  11.64  5.330000.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
20902  Removal of bone for graft                         A   4.58   2.72NA   2.72    0.86   8.16  8.160000.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
20910  Remove cartilage for graft                        A   5.53   6.88NA   6.88    1.09  13.50 13.500090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
20912  Remove cartilage for graft                        A   6.54   6.13NA   6.13    0.96  13.63 13.630090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
20920  Removal of fascia for graft                       A   5.51   4.95NA   4.95    0.76  11.22 11.220090.10.69.2120110             36.0896 090 99      0.00   0.00   0.00
20922  Removal of fascia for graft                       A   6.93   8.75     5.67    1.38  17.06 13.980090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
20924  Removal of tendon for graft                       A   6.68   6.70NA   6.70    1.22  14.60 14.600090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
20930  Sp bone algrft morsel add-on                      B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
20931  Sp bone algrft struct add-on                      A   1.81   0.87NA   0.87    0.54   3.22  3.220ZZZ.00.00.0000110             36.0896 090 99      0.00   0.00   0.00
20932  Osteoart algrft w/surf & b1                       A  13.01   5.59NA   5.59    2.03  20.63 20.630ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
20933  Hemicrt intrclry algrft prtl                      A  11.94   5.14NA   5.14    1.88  18.96 18.960ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
20934  Intercalary algrft compl                          A  13.00   5.59NA   5.59    2.03  20.62 20.620ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
20936  Sp bone agrft local add-on                        B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
20937  Sp bone agrft morsel add-on                       A   2.79   1.36NA   1.36    0.70   4.85  4.850ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
20938  Sp bone agrft struct add-on                       A   3.02   1.44NA   1.44    0.88   5.34  5.340ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
20939  Bone marrow aspir bone grfg                       A   1.16   0.56NA   0.56    0.31   2.03  2.030ZZZ.00.00.0001000             36.0896 090 99      0.00   0.00   0.00
20950  Fluid pressure muscle                             A   1.26   5.94     1.07    0.23   7.43  2.560000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
20955  Fibula bone graft microvasc                       A  40.26  24.73NA  24.73    6.00  70.99 70.990090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
20956  Iliac bone graft microvasc                        A  41.18  27.18NA  27.18    8.16  76.52 76.520090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
20957  Mt bone graft microvasc                           A  42.61  28.56NA  28.56    8.45  79.62 79.620090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
20962  Other bone graft microvasc                        A  39.21  29.90NA  29.90    7.79  76.90 76.900090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
20969  Bone/skin graft microvasc                         A  45.43  26.69NA  26.69    6.49  78.61 78.610090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
20970  Bone/skin graft iliac crest                       A  44.58  29.22NA  29.22    8.87  82.67 82.670090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
20972  Bone/skin graft metatarsal                        A  44.51  29.10NA  29.10    8.84  82.45 82.450090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
20973  Bone/skin graft great toe                         A  47.27  30.45NA  30.45    9.37  87.09 87.090090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
20974  Electrical bone stimulation                       A   0.62   1.49     0.68    0.15   2.26  1.450000.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
20975  Electrical bone stimulation                       A   2.60   1.88NA   1.88    0.64   5.12  5.120000.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
20979  Us bone stimulation                               A   0.62   0.82     0.22    0.09   1.53  0.930000.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
20982  Ablate bone tumor(s) perq                         A   7.02 101.28     2.72    0.82 109.12 10.560000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
20983  Ablate bone tumor(s) perq                         A   6.88 155.09     2.50    0.63 162.60 10.010000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
20985  Cptr-asst dir ms px                               A   2.50   1.25NA   1.25    0.49   4.24  4.240ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
20999  Musculoskeletal surgery                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
21010  Incision of jaw joint                             A  11.04   9.43NA   9.43    1.02  21.49 21.490090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
21011  Exc face les sc <2 cm                             A   2.99   6.85     3.88    0.51  10.35  7.380090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21012  Exc face les sbq 2 cm/>                           A   4.45   4.40NA   4.40    0.87   9.72  9.720090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21013  Exc face tum deep < 2 cm                          A   5.42   8.86     5.22    0.90  15.18 11.540090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21014  Exc face tum deep 2 cm/>                          A   7.13   6.58NA   6.58    1.29  15.00 15.000090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21015  Resect face/scalp tum < 2 cm                      A   9.89   8.71NA   8.71    1.68  20.28 20.280090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
21016  Resect face/scalp tum 2 cm/>                      A  15.26  11.11NA  11.11    2.72  29.09 29.090090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21025  Excision of bone lower jaw                        A  10.03  12.67     8.94    0.95  23.65 19.920090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
21026  Excision of facial bone(s)                        A   5.70   9.84     6.74    0.54  16.08 12.980090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
21029  Contour of face bone lesion                       A   8.39  12.42     8.47    1.04  21.85 17.900090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
21030  Excise max/zygoma b9 tumor                        A   4.91   8.70     5.75    0.46  14.07 11.120090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
21031  Remove exostosis mandible                         A   3.30   7.52     4.43    0.30  11.12  8.030090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
21032  Remove exostosis maxilla                          A   3.34   7.48     4.22    0.32  11.14  7.880090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
21034  Excise max/zygoma mal tumor                       A  17.38  17.50    12.89    2.35  37.23 32.620090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21040  Excise mandible lesion                            A   4.91   8.81     5.78    0.46  14.18 11.150090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
21044  Removal of jaw bone lesion                        A  12.80  10.30NA  10.30    1.69  24.79 24.790090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21045  Extensive jaw surgery                             A  18.37  13.88NA  13.88    2.44  34.69 34.690090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21046  Remove mandible cyst complex                      A  14.21  14.56NA  14.56    1.30  30.07 30.070090.10.69.2120010             36.0896 090 99      0.00   0.00   0.00
21047  Excise lwr jaw cyst w/repair                      A  20.07  14.46NA  14.46    2.22  36.75 36.750090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21048  Remove maxilla cyst complex                       A  14.71  14.42NA  14.42    1.37  30.50 30.500090.10.69.2120010             36.0896 090 99      0.00   0.00   0.00
21049  Excis uppr jaw cyst w/repair                      A  19.32  12.73NA  12.73    2.64  34.69 34.690090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21050  Removal of jaw joint                              A  11.76  12.37NA  12.37    1.08  25.21 25.210090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
21060  Remove jaw joint cartilage                        A  11.07  10.82NA  10.82    1.03  22.92 22.920090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
21070  Remove coronoid process                           A   8.62   8.39NA   8.39    1.01  18.02 18.020090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
21073  Mnpj of tmj w/anesth                              A   3.45   7.13     3.40    0.34  10.92  7.190090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
21076  Prepare face/oral prosthesis                      A  13.40  11.31     6.96    1.18  25.89 21.540010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
21077  Prepare face/oral prosthesis                      A  33.70  27.45    16.86    2.88  64.03 53.440090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
21079  Prepare face/oral prosthesis                      A  22.31  19.37    11.67    1.91  43.59 35.890090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
21080  Prepare face/oral prosthesis                      A  25.06  22.61    13.25    2.17  49.84 40.480090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
21081  Prepare face/oral prosthesis                      A  22.85  20.96    12.18    1.98  45.79 37.010090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
21082  Prepare face/oral prosthesis                      A  20.84  19.79    11.42    1.78  42.41 34.040090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
21083  Prepare face/oral prosthesis                      A  19.27  19.51    10.69    1.64  40.42 31.600090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
21084  Prepare face/oral prosthesis                      A  22.48  21.88    12.18    1.91  46.27 36.570090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
21085  Prepare face/oral prosthesis                      A   8.99  10.23     4.88    0.85  20.07 14.720010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
21086  Prepare face/oral prosthesis                      A  24.88  20.64    12.41    2.13  47.65 39.420090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
21087  Prepare face/oral prosthesis                      A  24.88  20.64    12.41    2.13  47.65 39.420090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
21088  Prepare face/oral prosthesis                      C   0.00   0.00     0.00    0.00   0.00  0.000090.10.69.2100000             36.0896 090 99      0.00   0.00   0.00
21089  Prepare face/oral prosthesis                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000111             36.0896 090 99      0.00   0.00   0.00
21100  Maxillofacial fixation                            A   4.73  13.80     5.50    0.41  18.94 10.640090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
21110  Interdental fixation                              A   5.99  17.07    13.15    0.53  23.59 19.670090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
21116  Injection jaw joint x-ray                         A   0.81   4.72     0.44    0.09   5.62  1.340000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
21120  Reconstruction of chin                            A   5.10  13.23     9.02    0.89  19.22 15.010090.10.69.2120110             36.0896 090 99      0.00   0.00   0.00
21121  Reconstruction of chin                            A   7.81  10.99     7.97    0.64  19.44 16.420090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21122  Reconstruction of chin                            A   8.71  11.91NA  11.91    1.52  22.14 22.140090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21123  Reconstruction of chin                            A  11.34  12.78NA  12.78    1.04  25.16 25.160090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21125  Augmentation lower jaw bone                       A  10.80  69.18     8.17    0.91  80.89 19.880090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21127  Augmentation lower jaw bone                       A  12.44 101.66     9.39    1.05 115.15 22.880090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21137  Reduction of forehead                             A  10.24   9.71NA   9.71    1.80  21.75 21.750090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21138  Reduction of forehead                             A  12.87  11.43NA  11.43    2.27  26.57 26.570090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21139  Reduction of forehead                             A  15.02  14.42NA  14.42    2.64  32.08 32.080090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21141  Lefort i-1 piece w/o graft                        A  19.57  17.09NA  17.09    1.80  38.46 38.460090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21142  Lefort i-2 piece w/o graft                        A  20.28  17.37NA  17.37    1.88  39.53 39.530090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21143  Lefort i-3/> piece w/o graft                      A  21.05  18.06NA  18.06    1.95  41.06 41.060090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21145  Lefort i-1 piece w/ graft                         A  23.94  18.79NA  18.79    2.20  44.93 44.930090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21146  Lefort i-2 piece w/ graft                         A  24.87  19.72NA  19.72    2.30  46.89 46.890090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21147  Lefort i-3/> piece w/ graft                       A  26.47  20.50NA  20.50    2.45  49.42 49.420090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21150  Lefort ii anterior intrusion                      A  25.96  17.80NA  17.80    3.54  47.30 47.300090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21151  Lefort ii w/bone grafts                           A  29.02  19.10NA  19.10    3.96  52.08 52.080090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21154  Lefort iii w/o lefort i                           A  31.29  20.47NA  20.47    4.28  56.04 56.040090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21155  Lefort iii w/ lefort i                            A  35.22  22.16NA  22.16    4.82  62.20 62.200090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21159  Lefort iii w/fhdw/o lefort i                      A  43.14  25.55NA  25.55    5.90  74.59 74.590090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21160  Lefort iii w/fhd w/ lefort i                      A  47.19  27.29NA  27.29    6.44  80.92 80.920090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21172  Reconstruct orbit/forehead                        A  28.20  21.64NA  21.64   10.42  60.26 60.260090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21175  Reconstruct orbit/forehead                        A  33.56  24.92NA  24.92    5.91  64.39 64.390090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21179  Reconstruct entire forehead                       A  22.65  17.57NA  17.57    3.98  44.20 44.200090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21180  Reconstruct entire forehead                       A  25.58  19.36NA  19.36    4.50  49.44 49.440090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21181  Contour cranial bone lesion                       A  10.28   9.37NA   9.37    1.80  21.45 21.450090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
21182  Reconstruct cranial bone                          A  32.58  23.38NA  23.38    5.73  61.69 61.690090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21183  Reconstruct cranial bone                          A  35.70  25.19NA  25.19    6.30  67.19 67.190090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21184  Reconstruct cranial bone                          A  38.62  26.90NA  26.90    6.80  72.32 72.320090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21188  Reconstruction of midface                         A  23.15  21.27NA  21.27    2.15  46.57 46.570090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21193  Reconst lwr jaw w/o graft                         A  18.90  15.14NA  15.14    1.74  35.78 35.780090.10.69.2122210             36.0896 090 99      0.00   0.00   0.00
21194  Reconst lwr jaw w/graft                           A  21.82  17.42NA  17.42    2.00  41.24 41.240090.10.69.2122200             36.0896 090 99      0.00   0.00   0.00
21195  Reconst lwr jaw w/o fixation                      A  19.16  18.61NA  18.61    1.77  39.54 39.540090.10.69.2122200             36.0896 090 99      0.00   0.00   0.00
21196  Reconst lwr jaw w/fixation                        A  20.83  17.70NA  17.70    2.41  40.94 40.940090.10.69.2122210             36.0896 090 99      0.00   0.00   0.00
21198  Reconstr lwr jaw segment                          A  15.71  14.19NA  14.19    1.96  31.86 31.860090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21199  Reconstr lwr jaw w/advance                        A  16.73  11.60NA  11.60    1.55  29.88 29.880090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21206  Reconstruct upper jaw bone                        A  15.59  15.90NA  15.90    1.43  32.92 32.920090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21208  Augmentation of facial bones                      A  11.42  36.31     9.32    0.99  48.72 21.730090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
21209  Reduction of facial bones                         A   7.82  14.38     8.85    0.77  22.97 17.440090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21210  Face bone graft                                   A  11.69  43.82     9.66    1.01  56.52 22.360090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
21215  Lower jaw bone graft                              A  12.23 104.02     9.95    1.05 117.30 23.230090.10.69.2120110             36.0896 090 99      0.00   0.00   0.00
21230  Rib cartilage graft                               A  11.17   8.53NA   8.53    1.68  21.38 21.380090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
21235  Ear cartilage graft                               A   7.50  12.24     7.66    0.96  20.70 16.120090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
21240  Reconstruction of jaw joint                       A  16.07  13.28NA  13.28    1.50  30.85 30.850090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
21242  Reconstruction of jaw joint                       A  14.59  13.28NA  13.28    1.33  29.20 29.200090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
21243  Reconstruction of jaw joint                       A  24.53  20.18NA  20.18    2.35  47.06 47.060090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
21244  Reconstruction of lower jaw                       A  13.62  14.02NA  14.02    1.68  29.32 29.320090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21245  Reconstruction of jaw                             A  13.12  20.24    12.47    1.22  34.58 26.810090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21246  Reconstruction of jaw                             A  12.92  10.57NA  10.57    1.19  24.68 24.680090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21247  Reconstruct lower jaw bone                        A  24.37  19.31NA  19.31    2.25  45.93 45.930090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
21248  Reconstruction of jaw                             A  12.74  15.48     9.79    1.13  29.35 23.660090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
21249  Reconstruction of jaw                             A  18.77  19.71    12.98    1.69  40.17 33.440090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
21255  Reconstruct lower jaw bone                        A  18.46  19.14NA  19.14    1.69  39.29 39.290090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
21256  Reconstruction of orbit                           A  17.66  15.22NA  15.22    3.10  35.98 35.980090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
21260  Revise eye sockets                                A  17.90  19.07NA  19.07    3.13  40.10 40.100090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21261  Revise eye sockets                                A  34.07  31.08NA  31.08    5.97  71.12 71.120090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21263  Revise eye sockets                                A  31.01  29.30NA  29.30    5.46  65.77 65.770090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21267  Revise eye sockets                                A  20.69  22.56NA  22.56    3.64  46.89 46.890090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
21268  Revise eye sockets                                A  27.07  27.00NA  27.00    4.76  58.83 58.830090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
21270  Augmentation cheek bone                           A  10.63  16.66     9.25    1.88  29.17 21.760090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
21275  Revision orbitofacial bones                       A  11.76  10.58NA  10.58    2.06  24.40 24.400090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21280  Revision of eyelid                                A   7.13   8.64NA   8.64    0.67  16.44 16.440090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
21282  Revision of eyelid                                A   4.27   6.31NA   6.31    0.51  11.09 11.090090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
21295  Revision of jaw muscle/bone                       A   1.90   3.22NA   3.22    0.27   5.39  5.390090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
21296  Revision of jaw muscle/bone                       A   4.78   6.19NA   6.19    0.64  11.61 11.610090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
21299  Cranio/maxillofacial surgery                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
21310  Closed tx nose fx w/o manj                        A   0.58   2.90     0.11    0.11   3.59  0.800000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
21315  Closed tx nose fx w/o stablj                      A   1.83   5.69     2.20    0.28   7.80  4.310010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
21320  Closed tx nose fx w/ stablj                       A   1.88   5.08     1.67    0.27   7.23  3.820010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
21325  Open tx nose fx uncomplicatd                      A   4.18   7.71NA   7.71    0.56  12.45 12.450090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
21330  Open tx nose fx w/skele fixj                      A   5.79   9.35NA   9.35    0.87  16.01 16.010090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
21335  Open tx nose & septal fx                          A   9.02  10.08NA  10.08    1.25  20.35 20.350090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
21336  Open tx septal fx w/wo stabj                      A   6.77  10.47NA  10.47    0.96  18.20 18.200090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
21337  Closed tx septal&nose fx                          A   3.39   7.82     4.53    0.49  11.70  8.410090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
21338  Open nasoethmoid fx w/o fixj                      A   6.87  10.94NA  10.94    0.93  18.74 18.740090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
21339  Open nasoethmoid fx w/ fixj                       A   8.50  11.64NA  11.64    1.16  21.30 21.300090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21340  Perq tx nasoethmoid fx                            A  11.49   8.27NA   8.27    1.57  21.33 21.330090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
21343  Open tx dprsd front sinus fx                      A  14.32  14.42NA  14.42    1.96  30.70 30.700090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21344  Open tx compl front sinus fx                      A  21.57  15.15NA  15.15    2.95  39.67 39.670090.10.69.2120220             36.0896 090 99      0.00   0.00   0.00
21345  Closed tx nose/jaw fx                             A   9.06  12.06     7.65    1.25  22.37 17.960090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
21346  Opn tx nasomax fx w/fixj                          A  11.45  14.38NA  14.38    1.57  27.40 27.400090.10.69.2120110             36.0896 090 99      0.00   0.00   0.00
21347  Opn tx nasomax fx multple                         A  13.53  13.69NA  13.69    1.85  29.07 29.070090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21348  Opn tx nasomax fx w/graft                         A  17.52  11.17NA  11.17    2.38  31.07 31.070090.10.69.2120220             36.0896 090 99      0.00   0.00   0.00
21355  Perq tx malar fracture                            A   4.45   7.21     4.13    0.60  12.26  9.180010.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
21356  Opn tx dprsd zygomatic arch                       A   4.83   8.75     5.27    0.66  14.24 10.760010.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
21360  Opn tx dprsd malar fracture                       A   7.19   6.48NA   6.48    0.97  14.64 14.640090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
21365  Opn tx complx malar fx                            A  16.77  12.52NA  12.52    2.35  31.64 31.640090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
21366  Opn tx complx malar w/grft                        A  18.60  15.17NA  15.17    3.26  37.03 37.030090.10.69.2121220             36.0896 090 99      0.00   0.00   0.00
21385  Opn tx orbit fx transantral                       A   9.57  10.33NA  10.33    1.68  21.58 21.580090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
21386  Opn tx orbit fx periorbital                       A   9.57   7.86NA   7.86    1.30  18.73 18.730090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
21387  Opn tx orbit fx combined                          A  10.11  10.64NA  10.64    1.78  22.53 22.530090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
21390  Opn tx orbit periorbtl implt                      A  11.23  10.33NA  10.33    1.41  22.97 22.970090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
21395  Opn tx orbit periorbt w/grft                      A  14.70  12.04NA  12.04    2.59  29.33 29.330090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
21400  Closed tx orbit w/o manipulj                      A   1.50   4.00     2.82    0.27   5.77  4.590090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
21401  Closed tx orbit w/manipulj                        A   3.68  10.47     4.99    0.63  14.78  9.300090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
21406  Opn tx orbit fx w/o implant                       A   7.42   8.02NA   8.02    1.30  16.74 16.740090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
21407  Opn tx orbit fx w/implant                         A   9.02   8.30NA   8.30    1.16  18.48 18.480090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
21408  Opn tx orbit fx w/bone grft                       A  12.78  11.14NA  11.14    2.25  26.17 26.170090.10.69.2121220             36.0896 090 99      0.00   0.00   0.00
21421  Treat mouth roof fracture                         A   6.02  12.64     9.64    0.51  19.17 16.170090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
21422  Treat mouth roof fracture                         A   8.73   8.59NA   8.59    1.13  18.45 18.450090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21423  Treat mouth roof fracture                         A  10.85   9.66NA   9.66    1.53  22.04 22.040090.10.69.2120220             36.0896 090 99      0.00   0.00   0.00
21431  Treat craniofacial fracture                       A   7.90  11.37NA  11.37    0.65  19.92 19.920090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21432  Treat craniofacial fracture                       A   8.82  10.38NA  10.38    1.56  20.76 20.760090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21433  Treat craniofacial fracture                       A  26.29  19.59NA  19.59    4.63  50.51 50.510090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21435  Treat craniofacial fracture                       A  20.26  16.95NA  16.95    3.56  40.77 40.770090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21436  Treat craniofacial fracture                       A  30.30  23.59NA  23.59    5.33  59.22 59.220090.10.69.2120220             36.0896 090 99      0.00   0.00   0.00
21440  Treat dental ridge fracture                       A   3.44  14.14    10.66    0.35  17.93 14.450090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
21445  Treat dental ridge fracture                       A   6.26  15.34    11.08    0.60  22.20 17.940090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21450  Treat lower jaw fracture                          A   3.71  12.41     9.37    0.32  16.44 13.400090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
21451  Treat lower jaw fracture                          A   5.65  15.42    11.91    0.48  21.55 18.040090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
21452  Treat lower jaw fracture                          A   2.40  17.49     9.43    0.23  20.12 12.060090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
21453  Treat lower jaw fracture                          A   6.64  21.26    17.07    0.81  28.71 24.520090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
21454  Treat lower jaw fracture                          A   7.36   6.67NA   6.67    0.62  14.65 14.650090.10.69.2120010             36.0896 090 99      0.00   0.00   0.00
21461  Treat lower jaw fracture                          A   9.31  46.94    18.32    1.22  57.47 28.850090.10.69.2120110             36.0896 090 99      0.00   0.00   0.00
21462  Treat lower jaw fracture                          A  11.01  49.13    19.57    1.32  61.46 31.900090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21465  Treat lower jaw fracture                          A  13.12   9.86NA   9.86    1.12  24.10 24.100090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
21470  Treat lower jaw fracture                          A  17.54  14.14NA  14.14    2.17  33.85 33.850090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21480  Reset dislocated jaw                              A   0.61   2.62     0.20    0.11   3.34  0.920000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
21485  Reset dislocated jaw                              A   4.77  20.00    15.40    0.44  25.21 20.610090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
21490  Repair dislocated jaw                             A  12.95   9.71NA   9.71    1.11  23.77 23.770090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
21497  Interdental wiring                                A   4.64  14.56    11.36    0.40  19.60 16.400090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
21499  Head surgery procedure                            C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
21501  Drain neck/chest lesion                           A   3.98   8.67     4.61    0.78  13.43  9.370090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
21502  Drain chest lesion                                A   7.55   5.36NA   5.36    1.70  14.61 14.610090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21510  Drainage of bone lesion                           A   6.20   5.30NA   5.30    1.42  12.92 12.920090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
21550  Biopsy of neck/chest                              A   2.11   5.11     2.08    0.28   7.50  4.470010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
21552  Exc neck les sc 3 cm/>                            A   6.49   4.97NA   4.97    1.43  12.89 12.890090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21554  Exc neck tum deep 5 cm/>                          A  11.13   7.68NA   7.68    2.32  21.13 21.130090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21555  Exc neck les sc < 3 cm                            A   3.96   7.52     4.04    0.79  12.27  8.790090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
21556  Exc neck tum deep < 5 cm                          A   7.66   6.14NA   6.14    1.42  15.22 15.220090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
21557  Resect neck thorax tumor<5cm                      A  14.75   9.93NA   9.93    2.89  27.57 27.570090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21558  Resect neck tumor 5 cm/>                          A  21.58  12.90NA  12.90    4.38  38.86 38.860090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21600  Partial removal of rib                            A   7.26   7.11NA   7.11    1.57  15.94 15.940090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21601  Exc chest wall tumor w/ribs                       A  17.78  12.24NA  12.24    4.15  34.17 34.170090.10.71.1920210             36.0896 090 99      0.00   0.00   0.00
21602  Exc ch wal tum w/o lymphadec                      A  22.19  18.60NA  18.60    5.04  45.83 45.830090.10.71.1920210             36.0896 090 99      0.00   0.00   0.00
21603  Exc ch wal tum w/lymphadec                        A  25.17  19.71NA  19.71    5.84  50.72 50.720090.10.71.1920210             36.0896 090 99      0.00   0.00   0.00
21610  Partial removal of rib                            A  15.91  12.74NA  12.74    5.85  34.50 34.500090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21615  Removal of rib                                    A  10.45   4.96NA   4.96    2.46  17.87 17.870090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
21616  Removal of rib and nerves                         A  12.69   4.96NA   4.96    3.06  20.71 20.710090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
21620  Partial removal of sternum                        A   7.28   5.72NA   5.72    1.61  14.61 14.610090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21627  Sternal debridement                               A   7.30   6.67NA   6.67    1.59  15.56 15.560090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21630  Extensive sternum surgery                         A  19.18  11.98NA  11.98    3.97  35.13 35.130090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21632  Extensive sternum surgery                         A  19.68  10.78NA  10.78    4.49  34.95 34.950090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21685  Hyoid myotomy & suspension                        A  15.26  10.89NA  10.89    2.02  28.17 28.170090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
21700  Revision of neck muscle                           A   6.31   2.54NA   2.54    1.51  10.36 10.360090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
21705  Revision of neck muscle/rib                       A   9.92   3.25NA   3.25    2.37  15.54 15.540090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
21720  Revision of neck muscle                           A   5.80   7.07NA   7.07    2.13  15.00 15.000090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21725  Revision of neck muscle                           A   7.19   6.99NA   6.99    1.42  15.60 15.600090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21740  Reconstruction of sternum                         A  17.57   8.20NA   8.20    4.00  29.77 29.770090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21742  Repair stern/nuss w/o scope                       C   0.00   0.00     0.00    0.00   0.00  0.000090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21743  Repair sternum/nuss w/scope                       C   0.00   0.00     0.00    0.00   0.00  0.000090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21750  Repair of sternum separation                      A  11.40   5.70NA   5.70    2.56  19.66 19.660090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21811  Optx of rib fx w/fixj scope                       A  10.79   4.08NA   4.08    2.37  17.24 17.240000.00.00.0021200             36.0896 090 99      0.00   0.00   0.00
21812  Treatment of rib fracture                         A  13.00   5.15NA   5.15    2.88  21.03 21.030000.00.00.0021200             36.0896 090 99      0.00   0.00   0.00
21813  Treatment of rib fracture                         A  17.61   6.86NA   6.86    4.28  28.75 28.750000.00.00.0021200             36.0896 090 99      0.00   0.00   0.00
21820  Treat sternum fracture                            A   1.36   2.55     2.52    0.27   4.18  4.150090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
21825  Treat sternum fracture                            A   7.76   6.15NA   6.15    1.73  15.64 15.640090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
21899  Neck/chest surgery procedure                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
21920  Biopsy soft tissue of back                        A   2.11   4.93     2.11    0.28   7.32  4.500010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
21925  Biopsy soft tissue of back                        A   4.63   7.83     4.83    0.96  13.42 10.420090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
21930  Exc back les sc < 3 cm                            A   4.94   8.16     4.53    1.01  14.11 10.480090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
21931  Exc back les sc 3 cm/>                            A   6.88   5.17NA   5.17    1.57  13.62 13.620090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21932  Exc back tum deep < 5 cm                          A   9.82   7.19NA   7.19    2.17  19.18 19.180090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21933  Exc back tum deep 5 cm/>                          A  11.13   7.76NA   7.76    2.49  21.38 21.380090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
21935  Resect back tum < 5 cm                            A  15.72  10.62NA  10.62    3.39  29.73 29.730090.10.69.2120110             36.0896 090 99      0.00   0.00   0.00
21936  Resect back tum 5 cm/>                            A  22.55  13.43NA  13.43    5.02  41.00 41.000090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22010  I&d p-spine c/t/cerv-thor                         A  12.75  11.39NA  11.39    3.58  27.72 27.720090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
22015  I&d abscess p-spine l/s/ls                        A  12.64  11.33NA  11.33    3.31  27.28 27.280090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
22100  Remove part of neck vertebra                      A  11.00  10.67NA  10.67    3.01  24.68 24.680090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22101  Remove part thorax vertebra                       A  11.08  10.82NA  10.82    3.24  25.14 25.140090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22102  Remove part lumbar vertebra                       A  11.08  10.01NA  10.01    2.56  23.65 23.650090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22103  Remove extra spine segment                        A   2.34   1.11NA   1.11    0.64   4.09  4.090ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
22110  Remove part of neck vertebra                      A  14.00  11.99NA  11.99    4.11  30.10 30.100090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22112  Remove part thorax vertebra                       A  14.07  13.02NA  13.02    5.21  32.30 32.300090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22114  Remove part lumbar vertebra                       A  14.07  13.02NA  13.02    5.21  32.30 32.300090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22116  Remove extra spine segment                        A   2.32   1.10NA   1.10    0.66   4.08  4.080ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
22206  Incis spine 3 column thorac                       A  37.18  23.32NA  23.32   10.50  71.00 71.000090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22207  Incis spine 3 column lumbar                       A  36.68  23.08NA  23.08    9.70  69.46 69.460090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22208  Incis spine 3 column adl seg                      A   9.66   4.62NA   4.62    2.85  17.13 17.130ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
22210  Incis 1 vertebral seg cerv                        A  25.38  18.96NA  18.96    7.41  51.75 51.750090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22212  Incis 1 vertebral seg thorac                      A  20.99  16.72NA  16.72    5.54  43.25 43.250090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22214  Incis 1 vertebral seg lumbar                      A  21.02  16.75NA  16.75    5.65  43.42 43.420090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22216  Incis addl spine segment                          A   6.03   2.92NA   2.92    1.61  10.56 10.560ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
22220  Incis w/discectomy cervical                       A  22.94  17.54NA  17.54    6.87  47.35 47.350090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22222  Incis w/discectomy thoracic                       A  23.09  18.65NA  18.65    8.52  50.26 50.260090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22224  Incis w/discectomy lumbar                         A  23.09  17.38NA  17.38    5.63  46.10 46.100090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22226  Revise extra spine segment                        A   6.03   2.90NA   2.90    1.63  10.56 10.560ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
22310  Closed tx vert fx w/o manj                        A   3.45   4.52     4.20    0.73   8.70  8.380090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
22315  Closed tx vert fx w/manj                          A  10.11  12.86     9.75    2.35  25.32 22.210090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
22318  Treat odontoid fx w/o graft                       A  22.72  16.58NA  16.58    8.03  47.33 47.330090.10.69.2120220             36.0896 090 99      0.00   0.00   0.00
22319  Treat odontoid fx w/graft                         A  25.33  17.97NA  17.97    9.35  52.65 52.650090.10.69.2120220             36.0896 090 99      0.00   0.00   0.00
22325  Treat spine fracture                              A  19.87  16.21NA  16.21    5.91  41.99 41.990090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22326  Treat neck spine fracture                         A  20.84  15.84NA  15.84    6.62  43.30 43.300090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22327  Treat thorax spine fracture                       A  20.77  16.66NA  16.66    6.30  43.73 43.730090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22328  Treat each add spine fx                           A   4.60   2.20NA   2.20    1.37   8.17  8.170ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
22505  Manipulation of spine                             A   1.87   1.52NA   1.52    0.37   3.76  3.760010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
22510  Perq cervicothoracic inject                       A   7.90  43.10     3.70    0.90  51.90 12.500010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
22511  Perq lumbosacral injection                        A   7.33  43.22     3.54    0.85  51.40 11.720010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
22512  Vertebroplasty addl inject                        A   4.00  19.91     1.42    0.54  24.45  5.960ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
22513  Perq vertebral augmentation                       A   8.65 179.02     4.70    1.48 189.15 14.830010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
22514  Perq vertebral augmentation                       A   7.99 178.97     4.46    1.38 188.34 13.830010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
22515  Perq vertebral augmentation                       A   4.00 100.84     1.66    0.73 105.57  6.390ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
22526  Idet single level                                 N+  5.85  57.12     3.12    0.47  63.44  9.449010.10.80.1099999             36.0896 090 99      0.00   0.00   0.00
22527  Idet 1 or more levels                             N+  3.03  49.86     1.16    0.25  53.14  4.449ZZZ.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
22532  Lat thorax spine fusion                           A  25.99  18.25NA  18.25    7.87  52.11 52.110090.10.69.2120220             36.0896 090 99      0.00   0.00   0.00
22533  Lat lumbar spine fusion                           A  24.79  17.34NA  17.34    5.91  48.04 48.040090.10.69.2120220             36.0896 090 99      0.00   0.00   0.00
22534  Lat thor/lumb addl seg                            A   5.99   2.88NA   2.88    1.61  10.48 10.480ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
22548  Neck spine fusion                                 A  27.06  19.43NA  19.43   10.00  56.49 56.490090.10.69.2120220             36.0896 090 99      0.00   0.00   0.00
22551  Neck spine fuse&remov bel c2                      A  25.00  16.72NA  16.72    7.66  49.38 49.380090.10.69.2120220             36.0896 090 99      0.00   0.00   0.00
22552  Addl neck spine fusion                            A   6.50   3.09NA   3.09    1.96  11.55 11.550ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
22554  Neck spine fusion                                 A  17.69  13.39NA  13.39    5.25  36.33 36.330090.10.69.2120220             36.0896 090 99      0.00   0.00   0.00
22556  Thorax spine fusion                               A  24.70  16.65NA  16.65    6.83  48.18 48.180090.10.69.2120220             36.0896 090 99      0.00   0.00   0.00
22558  Lumbar spine fusion                               A  23.53  14.91NA  14.91    5.95  44.39 44.390090.10.69.2120220             36.0896 090 99      0.00   0.00   0.00
22585  Additional spinal fusion                          A   5.52   2.52NA   2.52    1.47   9.51  9.510ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
22586  Prescrl fuse w/ instr l5-s1                       A  28.12  19.98NA  19.98   10.39  58.49 58.490090.10.69.2120220             36.0896 090 99      0.00   0.00   0.00
22590  Spine & skull spinal fusion                       A  21.76  16.63NA  16.63    7.24  45.63 45.630090.10.69.2120220             36.0896 090 99      0.00   0.00   0.00
22595  Neck spinal fusion                                A  20.64  16.08NA  16.08    6.78  43.50 43.500090.10.69.2120220             36.0896 090 99      0.00   0.00   0.00
22600  Neck spine fusion                                 A  17.40  14.43NA  14.43    5.46  37.29 37.290090.10.69.2120220             36.0896 090 99      0.00   0.00   0.00
22610  Thorax spine fusion                               A  17.28  14.25NA  14.25    5.13  36.66 36.660090.10.69.2120220             36.0896 090 99      0.00   0.00   0.00
22612  Lumbar spine fusion                               A  23.53  16.20NA  16.20    6.27  46.00 46.000090.10.69.2120220             36.0896 090 99      0.00   0.00   0.00
22614  Spine fusion extra segment                        A   6.43   3.09NA   3.09    1.86  11.38 11.380ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
22630  Lumbar spine fusion                               A  22.09  16.38NA  16.38    7.12  45.59 45.590090.10.69.2120220             36.0896 090 99      0.00   0.00   0.00
22632  Spine fusion extra segment                        A   5.22   2.47NA   2.47    1.67   9.36  9.360ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
22633  Lumbar spine fusion combined                      A  27.75  18.02NA  18.02    7.90  53.67 53.670090.10.69.2120220             36.0896 090 99      0.00   0.00   0.00
22634  Spine fusion extra segment                        A   8.16   3.90NA   3.90    2.35  14.41 14.410ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
22800  Post fusion </6 vert seg                          A  19.50  14.82NA  14.82    5.05  39.37 39.370090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22802  Post fusion 7-12 vert seg                         A  32.11  20.94NA  20.94    8.00  61.05 61.050090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22804  Post fusion 13/> vert seg                         A  37.50  23.55NA  23.55    9.28  70.33 70.330090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22808  Ant fusion 2-3 vert seg                           A  27.51  18.23NA  18.23    7.41  53.15 53.150090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22810  Ant fusion 4-7 vert seg                           A  31.50  19.42NA  19.42    8.58  59.50 59.500090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22812  Ant fusion 8/> vert seg                           A  34.25  22.86NA  22.86    6.80  63.91 63.910090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22818  Kyphectomy 1-2 segments                           A  34.33  21.52NA  21.52    6.81  62.66 62.660090.11.76.1320222             36.0896 090 99      0.00   0.00   0.00
22819  Kyphectomy 3 or more                              A  39.38  24.89NA  24.89    7.81  72.08 72.080090.11.76.1320222             36.0896 090 99      0.00   0.00   0.00
22830  Exploration of spinal fusion                      A  11.22   9.36NA   9.36    3.07  23.65 23.650090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22840  Insert spine fixation device                      A  12.52   6.01NA   6.01    3.55  22.08 22.080ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
22841  Insert spine fixation device                      B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
22842  Insert spine fixation device                      A  12.56   6.02NA   6.02    3.60  22.18 22.180ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
22843  Insert spine fixation device                      A  13.44   6.46NA   6.46    3.80  23.70 23.700ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
22844  Insert spine fixation device                      A  16.42   7.99NA   7.99    4.23  28.64 28.640ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
22845  Insert spine fixation device                      A  11.94   5.67NA   5.67    3.56  21.17 21.170ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
22846  Insert spine fixation device                      A  12.40   5.90NA   5.90    3.71  22.01 22.010ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
22847  Insert spine fixation device                      A  13.78   6.91NA   6.91    2.74  23.43 23.430ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
22848  Insert pelv fixation device                       A   5.99   2.92NA   2.92    1.56  10.47 10.470ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
22849  Reinsert spinal fixation                          A  19.17  13.33NA  13.33    5.25  37.75 37.750090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22850  Remove spine fixation device                      A   9.82   8.55NA   8.55    2.72  21.09 21.090090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22852  Remove spine fixation device                      A   9.37   8.32NA   8.32    2.56  20.25 20.250090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22853  Insj biomechanical device                         A   4.25   2.03NA   2.03    1.24   7.52  7.520ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
22854  Insj biomechanical device                         A   5.50   2.63NA   2.63    1.61   9.74  9.740ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
22855  Remove spine fixation device                      A  15.86  11.64NA  11.64    4.62  32.12 32.120090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22856  Cerv artific diskectomy                           A  24.05  16.19NA  16.19    7.14  47.38 47.380090.10.69.2120220             36.0896 090 99      0.00   0.00   0.00
22857  Lumbar artif diskectomy                           R  27.13  18.78NA  18.78    5.39  51.30 51.300090.10.69.2120220             36.0896 090 99      0.00   0.00   0.00
22858  Second level cer diskectomy                       A   8.40   4.03NA   4.03    2.43  14.86 14.860ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
22859  Insj biomechanical device                         A   5.50   2.63NA   2.63    1.61   9.74  9.740ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
22861  Revise cerv artific disc                          A  33.36  21.26NA  21.26   12.37  66.99 66.990090.10.69.2120220             36.0896 090 99      0.00   0.00   0.00
22862  Revise lumbar artif disc                          R  32.63  22.06NA  22.06   12.11  66.80 66.800090.10.71.1920222             36.0896 090 99      0.00   0.00   0.00
22864  Remove cerv artif disc                            A  29.40  19.44NA  19.44   10.90  59.74 59.740090.10.69.2120220             36.0896 090 99      0.00   0.00   0.00
22865  Remove lumb artif disc                            R  31.75  21.65NA  21.65   11.78  65.18 65.180090.10.71.1920222             36.0896 090 99      0.00   0.00   0.00
22867  Insj stablj dev w/dcmprn                          A  13.50  10.90NA  10.90    3.88  28.28 28.280090.10.80.1020200             36.0896 090 99      0.00   0.00   0.00
22868  Insj stablj dev w/dcmprn                          A   4.00   1.90NA   1.90    1.18   7.08  7.080ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
22869  Insj stablj dev w/o dcmprn                        A   7.03   5.03NA   5.03    0.79  12.85 12.850090.10.80.1020200             36.0896 090 99      0.00   0.00   0.00
22870  Insj stablj dev w/o dcmprn                        A   2.34   0.98NA   0.98    0.27   3.59  3.590ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
22899  Spine surgery procedure                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             36.0896 090 99      0.00   0.00   0.00
22900  Exc abdl tum deep < 5 cm                          A   8.32   6.12NA   6.12    1.86  16.30 16.300090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22901  Exc abdl tum deep 5 cm/>                          A  10.11   6.91NA   6.91    2.33  19.35 19.350090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22902  Exc abd les sc < 3 cm                             A   4.42   7.75     4.14    1.01  13.18  9.570090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22903  Exc abd les sc 3 cm/>                             A   6.39   4.86NA   4.86    1.47  12.72 12.720090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
22904  Radical resect abd tumor<5cm                      A  16.69  10.18NA  10.18    3.66  30.53 30.530090.09.81.1020211             36.0896 090 99      0.00   0.00   0.00
22905  Rad resect abd tumor 5 cm/>                       A  21.58  12.26NA  12.26    4.74  38.58 38.580090.09.81.1020211             36.0896 090 99      0.00   0.00   0.00
22999  Abdomen surgery procedure                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
23000  Removal of calcium deposits                       A   4.48  11.16     5.20    0.85  16.49 10.530090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23020  Release shoulder joint                            A   9.36   8.74NA   8.74    1.82  19.92 19.920090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
23030  Drain shoulder lesion                             A   3.47   8.34     3.08    0.63  12.44  7.180010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
23031  Drain shoulder bursa                              A   2.79   8.29     2.75    0.47  11.55  6.010010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
23035  Drain shoulder bone lesion                        A   9.16   8.68NA   8.68    1.80  19.64 19.640090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
23040  Exploratory shoulder surgery                      A   9.75   9.07NA   9.07    1.89  20.71 20.710090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23044  Exploratory shoulder surgery                      A   7.59   7.22NA   7.22    1.52  16.33 16.330090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
23065  Biopsy shoulder tissues                           A   2.30   3.77     2.10    0.31   6.38  4.710010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
23066  Biopsy shoulder tissues                           A   4.30  11.09     5.24    0.86  16.25 10.400090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
23071  Exc shoulder les sc 3 cm/>                        A   5.91   4.92NA   4.92    1.32  12.15 12.150090.10.80.1021200             36.0896 090 99      0.00   0.00   0.00
23073  Exc shoulder tum deep 5 cm/>                      A  10.13   7.82NA   7.82    2.17  20.12 20.120090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
23075  Exc shoulder les sc < 3 cm                        A   4.21   9.30     4.35    0.88  14.39  9.440090.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
23076  Exc shoulder tum deep < 5 cm                      A   7.41   6.66NA   6.66    1.56  15.63 15.630090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
23077  Resect shoulder tumor < 5 cm                      A  17.66  11.12NA  11.12    3.97  32.75 32.750090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23078  Resect shoulder tumor 5 cm/>                      A  22.55  14.26NA  14.26    4.80  41.61 41.610090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23100  Biopsy of shoulder joint                          A   6.20   7.06NA   7.06    1.24  14.50 14.500090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23101  Shoulder joint surgery                            A   5.72   6.30NA   6.30    1.14  13.16 13.160090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
23105  Remove shoulder joint lining                      A   8.48   8.23NA   8.23    1.64  18.35 18.350090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23106  Incision of collarbone joint                      A   6.13   7.03NA   7.03    1.22  14.38 14.380090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
23107  Explore treat shoulder joint                      A   8.87   8.46NA   8.46    1.70  19.03 19.030090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23120  Partial removal collar bone                       A   7.39   8.04NA   8.04    1.43  16.86 16.860090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23125  Removal of collar bone                            A   9.64   8.93NA   8.93    1.91  20.48 20.480090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23130  Remove shoulder bone part                         A   7.77   8.39NA   8.39    1.52  17.68 17.680090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
23140  Removal of bone lesion                            A   7.12   7.42NA   7.42    1.42  15.96 15.960090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
23145  Removal of bone lesion                            A   9.40   8.81NA   8.81    1.86  20.07 20.070090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23146  Removal of bone lesion                            A   8.08   8.25NA   8.25    1.61  17.94 17.940090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
23150  Removal of humerus lesion                         A   8.91   8.56NA   8.56    1.77  19.24 19.240090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23155  Removal of humerus lesion                         A  10.86   9.95NA   9.95    2.16  22.97 22.970090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23156  Removal of humerus lesion                         A   9.11   8.66NA   8.66    1.80  19.57 19.570090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
23170  Remove collar bone lesion                         A   7.21   7.57NA   7.57    1.42  16.20 16.200090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
23172  Remove shoulder blade lesion                      A   7.31   7.62NA   7.62    1.44  16.37 16.370090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
23174  Remove humerus lesion                             A  10.05   9.90NA   9.90    1.98  21.93 21.930090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23180  Remove collar bone lesion                         A   8.99   8.35NA   8.35    1.85  19.19 19.190090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
23182  Remove shoulder blade lesion                      A   8.61   8.72NA   8.72    1.68  19.01 19.010090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
23184  Remove humerus lesion                             A   9.90   9.45NA   9.45    1.94  21.29 21.290090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23190  Partial removal of scapula                        A   7.47   7.60NA   7.60    1.47  16.54 16.540090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23195  Removal of head of humerus                        A  10.36   9.24NA   9.24    1.98  21.58 21.580090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23200  Resect clavicle tumor                             A  22.71  16.44NA  16.44    4.50  43.65 43.650090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23210  Resect scapula tumor                              A  27.21  18.69NA  18.69    5.39  51.29 51.290090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23220  Resect prox humerus tumor                         A  30.21  20.21NA  20.21    5.97  56.39 56.390090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23330  Remove shoulder foreign body                      A   1.90   6.01     2.50    0.38   8.29  4.780010.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
23333  Remove shoulder fb deep                           A   6.00   6.16NA   6.16    1.21  13.37 13.370090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
23334  Shoulder prosthesis removal                       A  15.50  12.38NA  12.38    2.94  30.82 30.820090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
23335  Shoulder prosthesis removal                       A  19.00  14.12NA  14.12    3.63  36.75 36.750090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
23350  Injection for shoulder x-ray                      A   1.00   3.26     0.38    0.09   4.35  1.470000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
23395  Muscle transfer shoulder/arm                      A  18.54  14.95NA  14.95    3.59  37.08 37.080090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
23397  Muscle transfers                                  A  16.76  12.95NA  12.95    3.28  32.99 32.990090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
23400  Fixation of shoulder blade                        A  13.87  11.47NA  11.47    2.74  28.08 28.080090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23405  Incision of tendon & muscle                       A   8.54   7.79NA   7.79    1.55  17.88 17.880090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
23406  Incise tendon(s) & muscle(s)                      A  11.01   9.22NA   9.22    1.97  22.20 22.200090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
23410  Repair rotator cuff acute                         A  11.39  10.08NA  10.08    2.21  23.68 23.680090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23412  Repair rotator cuff chronic                       A  11.93  10.35NA  10.35    2.34  24.62 24.620090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23415  Release of shoulder ligament                      A   9.23   9.07NA   9.07    1.81  20.11 20.110090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
23420  Repair of shoulder                                A  13.54  11.86NA  11.86    2.67  28.07 28.070090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23430  Repair biceps tendon                              A  10.17   9.38NA   9.38    1.94  21.49 21.490090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23440  Remove/transplant tendon                          A  10.64   9.13NA   9.13    2.06  21.83 21.830090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23450  Repair shoulder capsule                           A  13.70  10.96NA  10.96    2.73  27.39 27.390090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23455  Repair shoulder capsule                           A  14.67  11.28NA  11.28    2.77  28.72 28.720090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23460  Repair shoulder capsule                           A  15.82  12.55NA  12.55    3.11  31.48 31.480090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23462  Repair shoulder capsule                           A  15.72  12.08NA  12.08    3.10  30.90 30.900090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23465  Repair shoulder capsule                           A  16.30  12.79NA  12.79    3.24  32.33 32.330090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23466  Repair shoulder capsule                           A  15.80  13.24NA  13.24    3.00  32.04 32.040090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23470  Reconstruct shoulder joint                        A  17.89  13.40NA  13.40    3.43  34.72 34.720090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23472  Reconstruct shoulder joint                        A  22.13  15.62NA  15.62    4.23  41.98 41.980090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23473  Revis reconst shoulder joint                      A  25.00  17.04NA  17.04    4.79  46.83 46.830090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23474  Revis reconst shoulder joint                      A  27.21  18.18NA  18.18    5.21  50.60 50.600090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23480  Revision of collar bone                           A  11.54   9.87NA   9.87    2.29  23.70 23.700090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
23485  Revision of collar bone                           A  13.91  11.03NA  11.03    2.70  27.64 27.640090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23490  Reinforce clavicle                                A  12.16  10.31NA  10.31    2.41  24.88 24.880090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
23491  Reinforce shoulder bones                          A  14.54  11.91NA  11.91    2.89  29.34 29.340090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23500  Treat clavicle fracture                           A   2.21   3.68     3.81    0.43   6.32  6.450090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
23505  Treat clavicle fracture                           A   3.83   5.67     5.02    0.76  10.26  9.610090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
23515  Treat clavicle fracture                           A   9.69   9.20NA   9.20    1.88  20.77 20.770090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23520  Treat clavicle dislocation                        A   2.29   4.05     4.02    0.46   6.80  6.770090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
23525  Treat clavicle dislocation                        A   3.79   6.66     5.77    0.76  11.21 10.320090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
23530  Treat clavicle dislocation                        A   7.48   7.60NA   7.60    1.47  16.55 16.550090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
23532  Treat clavicle dislocation                        A   8.20   8.20NA   8.20    1.63  18.03 18.030090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
23540  Treat clavicle dislocation                        A   2.36   3.85     3.82    0.46   6.67  6.640090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
23545  Treat clavicle dislocation                        A   3.43   5.75     4.81    0.68   9.86  8.920090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
23550  Treat clavicle dislocation                        A   7.59   7.51NA   7.51    1.42  16.52 16.520090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23552  Treat clavicle dislocation                        A   8.82   8.35NA   8.35    1.67  18.84 18.840090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23570  Treat shoulder blade fx                           A   2.36   3.87     4.07    0.46   6.69  6.890090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
23575  Treat shoulder blade fx                           A   4.23   6.59     5.77    0.84  11.66 10.840090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
23585  Treat scapula fracture                            A  14.23  11.33NA  11.33    2.73  28.29 28.290090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23600  Treat humerus fracture                            A   3.00   5.88     5.35    0.57   9.45  8.920090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
23605  Treat humerus fracture                            A   5.06   7.39     6.20    1.00  13.45 12.260090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
23615  Treat humerus fracture                            A  12.30  10.82NA  10.82    2.38  25.50 25.500090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23616  Treat humerus fracture                            A  18.37  13.83NA  13.83    3.56  35.76 35.760090.10.69.2121220             36.0896 090 99      0.00   0.00   0.00
23620  Treat humerus fracture                            A   2.55   4.67     4.36    0.49   7.71  7.400090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
23625  Treat humerus fracture                            A   4.10   6.05     5.22    0.79  10.94 10.110090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
23630  Treat humerus fracture                            A  10.57   9.90NA   9.90    2.02  22.49 22.490090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23650  Treat shoulder dislocation                        A   3.53   4.98     4.16    0.67   9.18  8.360090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
23655  Treat shoulder dislocation                        A   4.76   5.97NA   5.97    0.91  11.64 11.640090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
23660  Treat shoulder dislocation                        A   7.66   7.71NA   7.71    1.48  16.85 16.850090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23665  Treat dislocation/fracture                        A   4.66   6.77     5.85    0.90  12.33 11.410090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
23670  Treat dislocation/fracture                        A  12.28  10.59NA  10.59    2.35  25.22 25.220090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23675  Treat dislocation/fracture                        A   6.27   8.39     6.95    1.24  15.90 14.460090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
23680  Treat dislocation/fracture                        A  13.15  11.14NA  11.14    2.56  26.85 26.850090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23700  Fixation of shoulder                              A   2.57   2.57NA   2.57    0.49   5.63  5.630010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
23800  Fusion of shoulder joint                          A  14.73  12.00NA  12.00    2.93  29.66 29.660090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23802  Fusion of shoulder joint                          A  18.42  14.96NA  14.96    3.65  37.03 37.030090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23900  Amputation of arm & girdle                        A  20.72  15.26NA  15.26    4.11  40.09 40.090090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
23920  Amputation at shoulder joint                      A  16.23  13.02NA  13.02    3.22  32.47 32.470090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
23921  Amputation follow-up surgery                      A   5.72   6.65NA   6.65    1.14  13.51 13.510090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
23929  Shoulder surgery procedure                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             36.0896 090 99      0.00   0.00   0.00
23930  Drainage of arm lesion                            A   2.99   6.67     2.56    0.57  10.23  6.120010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
23931  Drainage of arm bursa                             A   1.84   6.13     2.31    0.32   8.29  4.470010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
23935  Drain arm/elbow bone lesion                       A   6.38   7.12NA   7.12    1.24  14.74 14.740090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
24000  Exploratory elbow surgery                         A   6.08   6.54NA   6.54    1.16  13.78 13.780090.10.69.2121010             36.0896 090 99      0.00   0.00   0.00
24006  Release elbow joint                               A   9.74   8.99NA   8.99    1.80  20.53 20.530090.10.69.2121220             36.0896 090 99      0.00   0.00   0.00
24065  Biopsy arm/elbow soft tissue                      A   2.13   5.00     2.30    0.28   7.41  4.710010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
24066  Biopsy arm/elbow soft tissue                      A   5.35  11.39     5.50    1.12  17.86 11.970090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
24071  Exc arm/elbow les sc 3 cm/>                       A   5.70   4.78NA   4.78    1.25  11.73 11.730090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
24073  Ex arm/elbow tum deep 5 cm/>                      A  10.13   7.83NA   7.83    2.16  20.12 20.120090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
24075  Exc arm/elbow les sc < 3 cm                       A   4.24   9.77     4.36    0.87  14.88  9.470090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
24076  Ex arm/elbow tum deep < 5 cm                      A   7.41   6.78NA   6.78    1.50  15.69 15.690090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
24077  Resect arm/elbow tum < 5 cm                       A  15.72  11.02NA  11.02    3.36  30.10 30.100090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
24079  Resect arm/elbow tum 5 cm/>                       A  20.61  13.36NA  13.36    4.40  38.37 38.370090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24100  Biopsy elbow joint lining                         A   5.07   5.97NA   5.97    1.01  12.05 12.050090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24101  Explore/treat elbow joint                         A   6.30   6.96NA   6.96    1.19  14.45 14.450090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
24102  Remove elbow joint lining                         A   8.26   7.99NA   7.99    1.53  17.78 17.780090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24105  Removal of elbow bursa                            A   3.78   5.67NA   5.67    0.73  10.18 10.180090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
24110  Remove humerus lesion                             A   7.58   7.88NA   7.88    1.47  16.93 16.930090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
24115  Remove/graft bone lesion                          A  10.12   9.17NA   9.17    1.99  21.28 21.280090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24116  Remove/graft bone lesion                          A  12.23  10.22NA  10.22    2.42  24.87 24.870090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
24120  Remove elbow lesion                               A   6.82   7.22NA   7.22    1.30  15.34 15.340090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
24125  Remove/graft bone lesion                          A   8.14   8.17NA   8.17    1.61  17.92 17.920090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24126  Remove/graft bone lesion                          A   8.62   8.41NA   8.41    1.69  18.72 18.720090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
24130  Removal of head of radius                         A   6.42   7.06NA   7.06    1.21  14.69 14.690090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
24134  Removal of arm bone lesion                        A  10.22   9.33NA   9.33    2.02  21.57 21.570090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
24136  Remove radius bone lesion                         A   8.40   8.16NA   8.16    1.67  18.23 18.230090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
24138  Remove elbow bone lesion                          A   8.50   9.44NA   9.44    1.68  19.62 19.620090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
24140  Partial removal of arm bone                       A   9.55   8.91NA   8.91    1.82  20.28 20.280090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
24145  Partial removal of radius                         A   7.81   7.76NA   7.76    1.55  17.12 17.120090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
24147  Partial removal of elbow                          A   7.84   8.67NA   8.67    1.48  17.99 17.990090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
24149  Radical resection of elbow                        A  16.22  14.66NA  14.66    3.00  33.88 33.880090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24150  Resect distal humerus tumor                       A  23.46  16.71NA  16.71    4.64  44.81 44.810090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24152  Resect radius tumor                               A  19.99  14.97NA  14.97    3.96  38.92 38.920090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24155  Removal of elbow joint                            A  12.09  10.14NA  10.14    2.38  24.61 24.610090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24160  Remove elbow joint implant                        A  18.63  14.22NA  14.22    3.49  36.34 36.340090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
24164  Remove radius head implant                        A  10.00   8.97NA   8.97    1.85  20.82 20.820090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
24200  Removal of arm foreign body                       A   1.81   4.08     1.93    0.31   6.20  4.050010.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
24201  Removal of arm foreign body                       A   4.70  10.05     4.75    1.00  15.75 10.450090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
24220  Injection for elbow x-ray                         A   1.31   3.68     0.52    0.12   5.11  1.950000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
24300  Manipulate elbow w/anesth                         A   4.04   7.48NA   7.48    0.73  12.25 12.250090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
24301  Muscle/tendon transfer                            A  10.38   9.26NA   9.26    1.99  21.63 21.630090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
24305  Arm tendon lengthening                            A   7.62   7.70NA   7.70    1.38  16.70 16.700090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
24310  Revision of arm tendon                            A   6.12   6.35NA   6.35    1.12  13.59 13.590090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
24320  Repair of arm tendon                              A  10.86   9.53NA   9.53    2.16  22.55 22.550090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
24330  Revision of arm muscles                           A   9.79   8.99NA   8.99    1.94  20.72 20.720090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
24331  Revision of arm muscles                           A  10.95   9.58NA   9.58    2.17  22.70 22.700090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
24332  Tenolysis triceps                                 A   7.91   8.21NA   8.21    1.57  17.69 17.690090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
24340  Repair of biceps tendon                           A   8.08   8.08NA   8.08    1.56  17.72 17.720090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24341  Repair arm tendon/muscle                          A   9.49  10.18NA  10.18    1.80  21.47 21.470090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24342  Repair of ruptured tendon                         A  10.86   9.50NA   9.50    2.03  22.39 22.390090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24343  Repr elbow lat ligmnt w/tiss                      A   9.16   9.57NA   9.57    1.69  20.42 20.420090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24344  Reconstruct elbow lat ligmnt                      A  15.21  13.53NA  13.53    2.83  31.57 31.570090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24345  Repr elbw med ligmnt w/tissu                      A   9.16   9.39NA   9.39    1.69  20.24 20.240090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24346  Reconstruct elbow med ligmnt                      A  15.21  13.54NA  13.54    3.02  31.77 31.770090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24357  Repair elbow perc                                 A   5.44   5.82NA   5.82    0.72  11.98 11.980090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
24358  Repair elbow w/deb open                           A   6.66   7.26NA   7.26    1.25  15.17 15.170090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
24359  Repair elbow deb/attch open                       A   8.98   8.43NA   8.43    1.68  19.09 19.090090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
24360  Reconstruct elbow joint                           A  12.67  10.84NA  10.84    2.52  26.03 26.030090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24361  Reconstruct elbow joint                           A  14.41  11.83NA  11.83    2.86  29.10 29.100090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24362  Reconstruct elbow joint                           A  15.32  12.28NA  12.28    3.04  30.64 30.640090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
24363  Replace elbow joint                               A  22.00  15.86NA  15.86    4.13  41.99 41.990090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
24365  Reconstruct head of radius                        A   8.62   8.15NA   8.15    1.69  18.46 18.460090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24366  Reconstruct head of radius                        A   9.36   8.55NA   8.55    1.80  19.71 19.710090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24370  Revise reconst elbow joint                        A  23.55  16.67NA  16.67    4.42  44.64 44.640090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
24371  Revise reconst elbow joint                        A  27.50  18.82NA  18.82    5.18  51.50 51.500090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
24400  Revision of humerus                               A  11.33  10.23NA  10.23    2.20  23.76 23.760090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24410  Revision of humerus                               A  15.11  12.43NA  12.43    3.00  30.54 30.540090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24420  Revision of humerus                               A  13.73  13.25NA  13.25    2.61  29.59 29.590090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24430  Repair of humerus                                 A  15.25  12.29NA  12.29    2.96  30.50 30.500090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24435  Repair humerus with graft                         A  14.99  13.14NA  13.14    2.91  31.04 31.040090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24470  Revision of elbow joint                           A   8.93   8.67NA   8.67    1.77  19.37 19.370090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
24495  Decompression of forearm                          A   8.41  13.34NA  13.34    1.67  23.42 23.420090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
24498  Reinforce humerus                                 A  12.28  10.33NA  10.33    2.41  25.02 25.020090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24500  Treat humerus fracture                            A   3.41   6.23     5.41    0.64  10.28  9.460090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
24505  Treat humerus fracture                            A   5.39   7.90     6.50    1.05  14.34 12.940090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
24515  Treat humerus fracture                            A  12.12  10.90NA  10.90    2.35  25.37 25.370090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24516  Treat humerus fracture                            A  12.19  10.24NA  10.24    2.37  24.80 24.800090.10.69.2121220             36.0896 090 99      0.00   0.00   0.00
24530  Treat humerus fracture                            A   3.69   6.51     5.57    0.70  10.90  9.960090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
24535  Treat humerus fracture                            A   7.11   9.25     7.85    1.38  17.74 16.340090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
24538  Treat humerus fracture                            A   9.77  10.30NA  10.30    1.94  22.01 22.010090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
24545  Treat humerus fracture                            A  13.15  11.13NA  11.13    2.56  26.84 26.840090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24546  Treat humerus fracture                            A  14.91  12.19NA  12.19    2.88  29.98 29.980090.10.69.2121220             36.0896 090 99      0.00   0.00   0.00
24560  Treat humerus fracture                            A   2.98   5.88     4.86    0.57   9.43  8.410090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
24565  Treat humerus fracture                            A   5.78   8.52     7.22    1.15  15.45 14.150090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
24566  Treat humerus fracture                            A   9.06   9.85NA   9.85    1.80  20.71 20.710090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
24575  Treat humerus fracture                            A   9.71   9.56NA   9.56    1.86  21.13 21.130090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24576  Treat humerus fracture                            A   3.06   6.28     5.24    0.58   9.92  8.880090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
24577  Treat humerus fracture                            A   6.01   8.69     7.34    1.19  15.89 14.540090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
24579  Treat humerus fracture                            A  11.44  10.39NA  10.39    2.17  24.00 24.000090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24582  Treat humerus fracture                            A  10.14  11.23NA  11.23    1.99  23.36 23.360090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
24586  Treat elbow fracture                              A  15.78  12.59NA  12.59    3.04  31.41 31.410090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24587  Treat elbow fracture                              A  15.79  12.53NA  12.53    3.11  31.43 31.430090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24600  Treat elbow dislocation                           A   4.37   5.44     4.49    0.85  10.66  9.710090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
24605  Treat elbow dislocation                           A   5.64   6.91NA   6.91    1.09  13.64 13.640090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
24615  Treat elbow dislocation                           A   9.83   8.89NA   8.89    1.88  20.60 20.600090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24620  Treat elbow fracture                              A   7.22   7.38NA   7.38    1.39  15.99 15.990090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
24635  Treat elbow fracture                              A   8.80   8.94NA   8.94    1.69  19.43 19.430090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24640  Treat elbow dislocation                           A   1.25   1.55     0.92    0.09   2.89  2.260010.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
24650  Treat radius fracture                             A   2.31   4.76     4.21    0.44   7.51  6.960090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
24655  Treat radius fracture                             A   4.62   7.17     5.97    0.89  12.68 11.480090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
24665  Treat radius fracture                             A   8.36   8.93NA   8.93    1.58  18.87 18.870090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24666  Treat radius fracture                             A   9.86   9.41NA   9.41    1.88  21.15 21.150090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24670  Treat ulnar fracture                              A   2.69   5.15     4.41    0.52   8.36  7.620090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
24675  Treat ulnar fracture                              A   4.91   7.32     6.12    0.96  13.19 11.990090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
24685  Treat ulnar fracture                              A   8.37   8.86NA   8.86    1.61  18.84 18.840090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24800  Fusion of elbow joint                             A  11.41  10.33NA  10.33    2.25  23.99 23.990090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24802  Fusion/graft of elbow joint                       A  14.32  11.79NA  11.79    2.84  28.95 28.950090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
24900  Amputation of upper arm                           A  10.18   9.14NA   9.14    1.98  21.30 21.300090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24920  Amputation of upper arm                           A  10.13   9.03NA   9.03    1.99  21.15 21.150090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
24925  Amputation follow-up surgery                      A   7.30   7.61NA   7.61    1.44  16.35 16.350090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
24930  Amputation follow-up surgery                      A  10.83   9.38NA   9.38    2.15  22.36 22.360090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
24931  Amputate upper arm & implant                      A  13.44  10.82NA  10.82    2.67  26.93 26.930090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
24935  Revision of amputation                            A  16.45  14.58NA  14.58    3.26  34.29 34.290090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
24940  Revision of upper arm                             C   0.00   0.00     0.00    0.00   0.00  0.000090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
24999  Upper arm/elbow surgery                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             36.0896 090 99      0.00   0.00   0.00
25000  Incision of tendon sheath                         A   3.55   5.56NA   5.56    0.63   9.74  9.740090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25001  Incise flexor carpi radialis                      A   3.79   5.43NA   5.43    0.66   9.88  9.880090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25020  Decompress forearm 1 space                        A   6.06  11.21NA  11.21    1.09  18.36 18.360090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25023  Decompress forearm 1 space                        A  13.83  18.02NA  18.02    2.64  34.49 34.490090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
25024  Decompress forearm 2 spaces                       A  10.79   9.73NA   9.73    2.05  22.57 22.570090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25025  Decompress forearm 2 spaces                       A  17.94  13.40NA  13.40    3.43  34.77 34.770090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
25028  Drainage of forearm lesion                        A   5.39  10.64NA  10.64    1.04  17.07 17.070090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25031  Drainage of forearm bursa                         A   4.26   5.07NA   5.07    0.76  10.09 10.090090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
25035  Treat forearm bone lesion                         A   7.65   7.73NA   7.73    1.44  16.82 16.820090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
25040  Explore/treat wrist joint                         A   7.50   7.31NA   7.31    1.37  16.18 16.180090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
25065  Biopsy forearm soft tissues                       A   2.04   5.06     2.28    0.27   7.37  4.590010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
25066  Biopsy forearm soft tissues                       A   4.27   5.24NA   5.24    0.79  10.30 10.300090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25071  Exc forearm les sc 3 cm/>                         A   5.91   5.09NA   5.09    1.25  12.25 12.250090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25073  Exc forearm tum deep 3 cm/>                       A   7.13   6.89NA   6.89    1.41  15.43 15.430090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25075  Exc forearm les sc < 3 cm                         A   3.96   9.77     4.34    0.79  14.52  9.090090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25076  Exc forearm tum deep < 3 cm                       A   6.74   6.92NA   6.92    1.25  14.91 14.910090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25077  Resect forearm/wrist tum<3cm                      A  12.93  10.11NA  10.11    2.61  25.65 25.650090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25078  Resect forarm/wrist tum 3cm>                      A  17.69  12.24NA  12.24    3.71  33.64 33.640090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25085  Incision of wrist capsule                         A   5.64   6.26NA   6.26    1.03  12.93 12.930090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25100  Biopsy of wrist joint                             A   4.02   5.19NA   5.19    0.79  10.00 10.000090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
25101  Explore/treat wrist joint                         A   4.83   5.90NA   5.90    0.90  11.63 11.630090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
25105  Remove wrist joint lining                         A   6.02   6.87NA   6.87    1.08  13.97 13.970090.10.69.2121010             36.0896 090 99      0.00   0.00   0.00
25107  Remove wrist joint cartilage                      A   7.70   8.63NA   8.63    1.39  17.72 17.720090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25109  Excise tendon forearm/wrist                       A   6.94   7.30NA   7.30    1.24  15.48 15.480090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25110  Remove wrist tendon lesion                        A   4.04   5.04NA   5.04    0.76   9.84  9.840090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25111  Remove wrist tendon lesion                        A   3.53   5.07NA   5.07    0.64   9.24  9.240090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25112  Reremove wrist tendon lesion                      A   4.67   5.61NA   5.61    0.87  11.15 11.150090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25115  Remove wrist/forearm lesion                       A  10.09   9.92NA   9.92    1.80  21.81 21.810090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25116  Remove wrist/forearm lesion                       A   7.56   8.40NA   8.40    1.34  17.30 17.300090.10.69.2121010             36.0896 090 99      0.00   0.00   0.00
25118  Excise wrist tendon sheath                        A   4.51   5.66NA   5.66    0.79  10.96 10.960090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25119  Partial removal of ulna                           A   6.21   6.99NA   6.99    1.09  14.29 14.290090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25120  Removal of forearm lesion                         A   6.27   7.00NA   7.00    1.15  14.42 14.420090.10.69.2121010             36.0896 090 99      0.00   0.00   0.00
25125  Remove/graft forearm lesion                       A   7.67   7.93NA   7.93    1.51  17.11 17.110090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
25126  Remove/graft forearm lesion                       A   7.74   7.97NA   7.97    1.53  17.24 17.240090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25130  Removal of wrist lesion                           A   5.43   6.53NA   6.53    0.95  12.91 12.910090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
25135  Remove & graft wrist lesion                       A   7.08   7.63NA   7.63    1.41  16.12 16.120090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25136  Remove & graft wrist lesion                       A   6.14   6.92NA   6.92    1.24  14.30 14.300090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25145  Remove forearm bone lesion                        A   6.54   7.13NA   7.13    1.29  14.96 14.960090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25150  Partial removal of ulna                           A   7.38   7.56NA   7.56    1.34  16.28 16.280090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
25151  Partial removal of radius                         A   7.68   7.74NA   7.74    1.39  16.81 16.810090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25170  Resect radius/ulnar tumor                         A  22.21  15.98NA  15.98    4.40  42.59 42.590090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25210  Removal of wrist bone                             A   6.12   6.92NA   6.92    1.08  14.12 14.120090.10.69.2120010             36.0896 090 99      0.00   0.00   0.00
25215  Removal of wrist bones                            A   8.14   8.22NA   8.22    1.45  17.81 17.810090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25230  Partial removal of radius                         A   5.37   6.11NA   6.11    0.96  12.44 12.440090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
25240  Partial removal of ulna                           A   5.31   6.09NA   6.09    0.95  12.35 12.350090.10.69.2121010             36.0896 090 99      0.00   0.00   0.00
25246  Injection for wrist x-ray                         A   1.45   3.68     0.57    0.12   5.25  2.140000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
25248  Remove forearm foreign body                       A   5.31   5.61NA   5.61    1.05  11.97 11.970090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25250  Removal of wrist prosthesis                       A   6.77   7.23NA   7.23    1.33  15.33 15.330090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25251  Removal of wrist prosthesis                       A   9.82   9.00NA   9.00    1.95  20.77 20.770090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25259  Manipulate wrist w/anesthes                       A   4.04   7.46NA   7.46    0.66  12.16 12.160090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25260  Repair forearm tendon/muscle                      A   8.04   8.70NA   8.70    1.44  18.18 18.180090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
25263  Repair forearm tendon/muscle                      A   8.04   8.54NA   8.54    1.61  18.19 18.190090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
25265  Repair forearm tendon/muscle                      A  10.10   9.68NA   9.68    1.81  21.59 21.590090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
25270  Repair forearm tendon/muscle                      A   6.17   6.89NA   6.89    1.13  14.19 14.190090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
25272  Repair forearm tendon/muscle                      A   7.21   7.46NA   7.46    1.42  16.09 16.090090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
25274  Repair forearm tendon/muscle                      A   8.94   8.64NA   8.64    1.61  19.19 19.190090.10.69.2120010             36.0896 090 99      0.00   0.00   0.00
25275  Repair forearm tendon sheath                      A   8.96   8.80NA   8.80    1.61  19.37 19.370090.10.69.2121010             36.0896 090 99      0.00   0.00   0.00
25280  Revise wrist/forearm tendon                       A   7.39   7.60NA   7.60    1.31  16.30 16.300090.10.69.2120010             36.0896 090 99      0.00   0.00   0.00
25290  Incise wrist/forearm tendon                       A   5.43   6.16NA   6.16    0.95  12.54 12.540090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
25295  Release wrist/forearm tendon                      A   6.72   7.22NA   7.22    1.21  15.15 15.150090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
25300  Fusion of tendons at wrist                        A   9.02   9.08NA   9.08    1.61  19.71 19.710090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25301  Fusion of tendons at wrist                        A   8.59   8.39NA   8.39    1.56  18.54 18.540090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25310  Transplant forearm tendon                         A   8.08   8.34NA   8.34    1.43  17.85 17.850090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
25312  Transplant forearm tendon                         A   9.82   9.13NA   9.13    1.76  20.71 20.710090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
25315  Revise palsy hand tendon(s)                       A  10.68   9.44NA   9.44    2.12  22.24 22.240090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25316  Revise palsy hand tendon(s)                       A  12.90  10.97NA  10.97    2.56  26.43 26.430090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25320  Repair/revise wrist joint                         A  12.75  13.29NA  13.29    2.30  28.34 28.340090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25332  Revise wrist joint                                A  11.74  10.42NA  10.42    2.15  24.31 24.310090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25335  Realignment of hand                               A  13.39  11.22NA  11.22    2.65  27.26 27.260090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25337  Reconstruct ulna/radioulnar                       A  11.73  11.71NA  11.71    2.08  25.52 25.520090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25350  Revision of radius                                A   9.09   8.73NA   8.73    1.65  19.47 19.470090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25355  Revision of radius                                A  10.53   9.48NA   9.48    2.07  22.08 22.080090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25360  Revision of ulna                                  A   8.74   8.51NA   8.51    1.61  18.86 18.860090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25365  Revise radius & ulna                              A  12.91  10.98NA  10.98    2.56  26.45 26.450090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25370  Revise radius or ulna                             A  14.10  12.24NA  12.24    2.81  29.15 29.150090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25375  Revise radius & ulna                              A  13.55  11.31NA  11.31    2.71  27.57 27.570090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25390  Shorten radius or ulna                            A  10.70   9.58NA   9.58    1.90  22.18 22.180090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25391  Lengthen radius or ulna                           A  14.28  11.67NA  11.67    2.84  28.79 28.790090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25392  Shorten radius & ulna                             A  14.58  11.82NA  11.82    2.91  29.31 29.310090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25393  Lengthen radius & ulna                            A  16.56  12.81NA  12.81    3.28  32.65 32.650090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25394  Repair carpal bone shorten                        A  10.85   9.64NA   9.64    2.16  22.65 22.650090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25400  Repair radius or ulna                             A  11.28   9.81NA   9.81    2.08  23.17 23.170090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25405  Repair/graft radius or ulna                       A  15.01  12.16NA  12.16    2.78  29.95 29.950090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25415  Repair radius & ulna                              A  13.80  11.43NA  11.43    2.74  27.97 27.970090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25420  Repair/graft radius & ulna                        A  17.04  13.30NA  13.30    3.37  33.71 33.710090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25425  Repair/graft radius or ulna                       A  13.72  11.39NA  11.39    2.73  27.84 27.840090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25426  Repair/graft radius & ulna                        A  16.45  12.76NA  12.76    3.26  32.47 32.470090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25430  Vasc graft into carpal bone                       A   9.71   9.44NA   9.44    1.92  21.07 21.070090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25431  Repair nonunion carpal bone                       A  10.89   9.71NA   9.71    2.17  22.77 22.770090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25440  Repair/graft wrist bone                           A  10.68   9.56NA   9.56    1.89  22.13 22.130090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25441  Reconstruct wrist joint                           A  13.29  11.16NA  11.16    2.62  27.07 27.070090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25442  Reconstruct wrist joint                           A  11.12  10.19NA  10.19    1.97  23.28 23.280090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25443  Reconstruct wrist joint                           A  10.66   9.83NA   9.83    2.12  22.61 22.610090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25444  Reconstruct wrist joint                           A  11.42  10.21NA  10.21    2.27  23.90 23.900090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25445  Reconstruct wrist joint                           A   9.88   9.12NA   9.12    1.82  20.82 20.820090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
25446  Wrist replacement                                 A  17.30  13.43NA  13.43    3.13  33.86 33.860090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25447  Repair wrist joints                               A  11.14  10.76NA  10.76    1.98  23.88 23.880090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25449  Remove wrist joint implant                        A  14.94  12.20NA  12.20    2.73  29.87 29.870090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25450  Revision of wrist joint                           A   8.06   8.12NA   8.12    1.61  17.79 17.790090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25455  Revision of wrist joint                           A   9.71   9.37NA   9.37    1.92  21.00 21.000090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25490  Reinforce radius                                  A   9.73   9.08NA   9.08    1.93  20.74 20.740090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25491  Reinforce ulna                                    A  10.15   9.18NA   9.18    1.99  21.32 21.320090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25492  Reinforce radius and ulna                         A  12.66  10.97NA  10.97    2.52  26.15 26.150090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25500  Treat fracture of radius                          A   2.60   4.90     4.17    0.48   7.98  7.250090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25505  Treat fracture of radius                          A   5.45   7.99     6.71    1.05  14.49 13.210090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25515  Treat fracture of radius                          A   8.80   8.82NA   8.82    1.68  19.30 19.300090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25520  Treat fracture of radius                          A   6.50   8.70     7.79    1.28  16.48 15.570090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25525  Treat fracture of radius                          A  10.55  10.17NA  10.17    2.02  22.74 22.740090.10.69.2121220             36.0896 090 99      0.00   0.00   0.00
25526  Treat fracture of radius                          A  13.15  11.81NA  11.81    2.60  27.56 27.560090.10.69.2121220             36.0896 090 99      0.00   0.00   0.00
25530  Treat fracture of ulna                            A   2.24   4.85     4.21    0.43   7.52  6.880090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25535  Treat fracture of ulna                            A   5.36   7.72     6.67    1.01  14.09 13.040090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25545  Treat fracture of ulna                            A   7.94   8.50NA   8.50    1.50  17.94 17.940090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25560  Treat fracture radius & ulna                      A   2.59   5.08     4.24    0.48   8.15  7.310090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25565  Treat fracture radius & ulna                      A   5.85   7.87     6.40    1.13  14.85 13.380090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25574  Treat fracture radius & ulna                      A   8.80   8.93NA   8.93    1.69  19.42 19.420090.10.69.2121220             36.0896 090 99      0.00   0.00   0.00
25575  Treat fracture radius/ulna                        A  12.29  11.36NA  11.36    2.35  26.00 26.000090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25600  Treat fracture radius/ulna                        A   2.78   6.21     5.76    0.52   9.51  9.060090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25605  Treat fracture radius/ulna                        A   6.25   8.09     7.24    1.24  15.58 14.730090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25606  Treat fx distal radial                            A   8.31   9.19NA   9.19    1.61  19.11 19.110090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25607  Treat fx rad extra-articul                        A   9.56   9.84NA   9.84    1.80  21.20 21.200090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25608  Treat fx rad intra-articul                        A  11.07  10.63NA  10.63    2.08  23.78 23.780090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25609  Treat fx radial 3+ frag                           A  14.38  13.19NA  13.19    2.69  30.26 30.260090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25622  Treat wrist bone fracture                         A   2.79   5.45     4.76    0.52   8.76  8.070090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25624  Treat wrist bone fracture                         A   4.77   8.19     6.93    0.93  13.89 12.630090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
25628  Treat wrist bone fracture                         A   9.67   9.33NA   9.33    1.73  20.73 20.730090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25630  Treat wrist bone fracture                         A   3.03   5.18     4.54    0.56   8.77  8.130090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25635  Treat wrist bone fracture                         A   4.61   7.71     6.52    0.90  13.22 12.030090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
25645  Treat wrist bone fracture                         A   7.42   7.56NA   7.56    1.46  16.44 16.440090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25650  Treat wrist bone fracture                         A   3.23   5.52     4.87    0.60   9.35  8.700090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25651  Pin ulnar styloid fracture                        A   5.82   7.14NA   7.14    1.09  14.05 14.050090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
25652  Treat fracture ulnar styloid                      A   8.06   8.36NA   8.36    1.51  17.93 17.930090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
25660  Treat wrist dislocation                           A   4.98   6.01NA   6.01    0.95  11.94 11.940090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
25670  Treat wrist dislocation                           A   8.09   7.88NA   7.88    1.56  17.53 17.530090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25671  Pin radioulnar dislocation                        A   6.46   7.60NA   7.60    1.24  15.30 15.300090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25675  Treat wrist dislocation                           A   4.89   6.89     5.70    0.95  12.73 11.540090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
25676  Treat wrist dislocation                           A   8.29   8.34NA   8.34    1.58  18.21 18.210090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25680  Treat wrist fracture                              A   6.23   7.63NA   7.63    1.25  15.11 15.110090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
25685  Treat wrist fracture                              A  10.09   9.15NA   9.15    1.98  21.22 21.220090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25690  Treat wrist dislocation                           A   5.72   7.14NA   7.14    1.14  14.00 14.000090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
25695  Treat wrist dislocation                           A   8.51   8.10NA   8.10    1.69  18.30 18.300090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25800  Fusion of wrist joint                             A  10.07   9.22NA   9.22    1.81  21.10 21.100090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25805  Fusion/graft of wrist joint                       A  11.73  10.38NA  10.38    2.34  24.45 24.450090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25810  Fusion/graft of wrist joint                       A  11.95  10.89NA  10.89    2.15  24.99 24.990090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25820  Fusion of hand bones                              A   7.64   9.18NA   9.18    1.37  18.19 18.190090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25825  Fuse hand bones with graft                        A   9.69  10.93NA  10.93    1.70  22.32 22.320090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25830  Fusion radioulnar jnt/ulna                        A  10.88  15.28NA  15.28    1.98  28.14 28.140090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
25900  Amputation of forearm                             A   9.61   9.05NA   9.05    1.86  20.52 20.520090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
25905  Amputation of forearm                             A   9.59   8.76NA   8.76    1.90  20.25 20.250090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25907  Amputation follow-up surgery                      A   8.09   8.01NA   8.01    1.61  17.71 17.710090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25909  Amputation follow-up surgery                      A   9.31   8.62NA   8.62    1.85  19.78 19.780090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25915  Amputation of forearm                             A  17.52  12.81NA  12.81    3.46  33.79 33.790090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25920  Amputate hand at wrist                            A   9.03   9.76NA   9.76    1.80  20.59 20.590090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
25922  Amputate hand at wrist                            A   7.65   8.96NA   8.96    1.51  18.12 18.120090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25924  Amputation follow-up surgery                      A   8.81   9.54NA   9.54    1.74  20.09 20.090090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25927  Amputation of hand                                A   9.09  13.11NA  13.11    1.80  24.00 24.000090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
25929  Amputation follow-up surgery                      A   7.82   7.86NA   7.86    1.55  17.23 17.230090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
25931  Amputation follow-up surgery                      A   8.04  12.47NA  12.47    1.61  22.12 22.120090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
25999  Forearm or wrist surgery                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             36.0896 090 99      0.00   0.00   0.00
26010  Drainage of finger abscess                        A   1.59   6.76     2.11    0.27   8.62  3.970010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
26011  Drainage of finger abscess                        A   2.24   9.82     2.67    0.41  12.47  5.320010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
26020  Drain hand tendon sheath                          A   6.84   7.87NA   7.87    1.25  15.96 15.960090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26025  Drainage of palm bursa                            A   5.08   6.09NA   6.09    0.95  12.12 12.120090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
26030  Drainage of palm bursas                           A   6.25   6.73NA   6.73    1.17  14.15 14.150090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
26034  Treat hand bone lesion                            A   6.63   7.87NA   7.87    1.22  15.72 15.720090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26035  Decompress fingers/hand                           A  11.37  11.13NA  11.13    2.25  24.75 24.750090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26037  Decompress fingers/hand                           A   7.57   7.36NA   7.36    1.39  16.32 16.320090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
26040  Release palm contracture                          A   3.46   4.94NA   4.94    0.60   9.00  9.000090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
26045  Release palm contracture                          A   5.73   6.74NA   6.74    1.05  13.52 13.520090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
26055  Incise finger tendon sheath                       A   3.11  11.95     4.64    0.56  15.62  8.310090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26060  Incision of finger tendon                         A   2.91   4.04NA   4.04    0.46   7.41  7.410090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26070  Explore/treat hand joint                          A   3.81   4.78NA   4.78    0.64   9.23  9.230090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
26075  Explore/treat finger joint                        A   3.91   5.05NA   5.05    0.68   9.64  9.640090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
26080  Explore/treat finger joint                        A   4.47   6.05NA   6.05    0.79  11.31 11.310090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26100  Biopsy hand joint lining                          A   3.79   5.16NA   5.16    0.76   9.71  9.710090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
26105  Biopsy finger joint lining                        A   3.83   5.18NA   5.18    0.77   9.78  9.780090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
26110  Biopsy finger joint lining                        A   3.65   4.99NA   4.99    0.64   9.28  9.280090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26111  Exc hand les sc 1.5 cm/>                          A   5.42   5.57NA   5.57    1.00  11.99 11.990090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
26113  Exc hand tum deep 1.5 cm/>                        A   7.13   7.36NA   7.36    1.27  15.76 15.760090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
26115  Exc hand les sc < 1.5 cm                          A   3.96  10.58     4.85    0.70  15.24  9.510090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26116  Exc hand tum deep < 1.5 cm                        A   6.74   7.18NA   7.18    1.21  15.13 15.130090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26117  Rad resect hand tumor < 3 cm                      A  10.13   9.41NA   9.41    1.91  21.45 21.450090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26118  Rad resect hand tumor 3 cm/>                      A  14.81  12.78NA  12.78    2.80  30.39 30.390090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
26121  Release palm contracture                          A   7.73   8.11NA   8.11    1.39  17.23 17.230090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
26123  Release palm contracture                          A  10.88  11.21NA  11.21    1.95  24.04 24.040090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
26125  Release palm contracture                          A   4.60   2.45NA   2.45    0.82   7.87  7.870ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
26130  Remove wrist joint lining                         A   5.59   6.71NA   6.71    1.11  13.41 13.410090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
26135  Revise finger joint each                          A   7.13   7.52NA   7.52    1.27  15.92 15.920090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26140  Revise finger joint each                          A   6.34   7.10NA   7.10    1.13  14.57 14.570090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26145  Tendon excision palm/finger                       A   6.49   7.15NA   7.15    1.17  14.81 14.810090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26160  Remove tendon sheath lesion                       A   3.57  12.14     4.84    0.63  16.34  9.040090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26170  Removal of palm tendon each                       A   4.91   5.94NA   5.94    0.86  11.71 11.710090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26180  Removal of finger tendon                          A   5.35   6.58NA   6.58    0.92  12.85 12.850090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26185  Remove finger bone                                A   6.52   8.08NA   8.08    1.28  15.88 15.880090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
26200  Remove hand bone lesion                           A   5.65   6.32NA   6.32    1.04  13.01 13.010090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26205  Remove/graft bone lesion                          A   7.93   7.92NA   7.92    1.58  17.43 17.430090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26210  Removal of finger lesion                          A   5.32   6.53NA   6.53    0.93  12.78 12.780090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26215  Remove/graft finger lesion                        A   7.27   7.59NA   7.59    1.43  16.29 16.290090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26230  Partial removal of hand bone                      A   6.47   6.78NA   6.78    1.15  14.40 14.400090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26235  Partial removal finger bone                       A   6.33   6.73NA   6.73    1.14  14.20 14.200090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26236  Partial removal finger bone                       A   5.46   6.25NA   6.25    0.99  12.70 12.700090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26250  Extensive hand surgery                            A  15.21  12.57NA  12.57    3.02  30.80 30.800090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26260  Resect prox finger tumor                          A  11.16   9.71NA   9.71    2.20  23.07 23.070090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
26262  Resect distal finger tumor                        A   8.29   8.26NA   8.26    1.64  18.19 18.190090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
26320  Removal of implant from hand                      A   4.10   5.18NA   5.18    0.73  10.01 10.010090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26340  Manipulate finger w/anesth                        A   2.80   6.51NA   6.51    0.48   9.79  9.790090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
26341  Manipulat palm cord post inj                      A   0.91   1.98     1.12    0.16   3.05  2.190010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
26350  Repair finger/hand tendon                         A   6.21  13.46NA  13.46    1.14  20.81 20.810090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26352  Repair/graft hand tendon                          A   7.87  14.04NA  14.04    1.41  23.32 23.320090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
26356  Repair finger/hand tendon                         A   9.56  11.60NA  11.60    1.70  22.86 22.860090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26357  Repair finger/hand tendon                         A  11.00  12.45NA  12.45    2.17  25.62 25.620090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
26358  Repair/graft hand tendon                          A  12.60  13.26NA  13.26    2.50  28.36 28.360090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
26370  Repair finger/hand tendon                         A   7.28  13.39NA  13.39    1.31  21.98 21.980090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26372  Repair/graft hand tendon                          A   9.01  14.93NA  14.93    1.80  25.74 25.740090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
26373  Repair finger/hand tendon                         A   8.41  14.63NA  14.63    1.67  24.71 24.710090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
26390  Revise hand/finger tendon                         A   9.43  13.17NA  13.17    1.88  24.48 24.480090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
26392  Repair/graft hand tendon                          A  10.50  15.68NA  15.68    2.07  28.25 28.250090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
26410  Repair hand tendon                                A   4.77  10.93NA  10.93    0.86  16.56 16.560090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26412  Repair/graft hand tendon                          A   6.48  12.11NA  12.11    1.16  19.75 19.750090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26415  Excision hand/finger tendon                       A   8.51  13.58NA  13.58    1.69  23.78 23.780090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26416  Graft hand or finger tendon                       A   9.56  14.34NA  14.34    1.89  25.79 25.790090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26418  Repair finger tendon                              A   4.47  11.75NA  11.75    0.81  17.03 17.030090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26420  Repair/graft finger tendon                        A   6.94  12.48NA  12.48    1.25  20.67 20.670090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
26426  Repair finger/hand tendon                         A   6.32   6.99NA   6.99    1.15  14.46 14.460090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26428  Repair/graft finger tendon                        A   7.40  13.27NA  13.27    1.46  22.13 22.130090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26432  Repair finger tendon                              A   4.16   9.80NA   9.80    0.74  14.70 14.700090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26433  Repair finger tendon                              A   4.70  10.07NA  10.07    0.85  15.62 15.620090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26434  Repair/graft finger tendon                        A   6.26  11.59NA  11.59    1.25  19.10 19.100090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
26437  Realignment of tendons                            A   5.99  11.24NA  11.24    1.07  18.30 18.300090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26440  Release palm/finger tendon                        A   5.16  11.98NA  11.98    0.90  18.04 18.040090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26442  Release palm & finger tendon                      A   9.75  16.32NA  16.32    1.70  27.77 27.770090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26445  Release hand/finger tendon                        A   4.45  11.57NA  11.57    0.79  16.81 16.810090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26449  Release forearm/hand tendon                       A   8.59   9.83NA   9.83    1.55  19.97 19.970090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26450  Incision of palm tendon                           A   3.79   7.79NA   7.79    0.64  12.22 12.220090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26455  Incision of finger tendon                         A   3.76   7.73NA   7.73    0.64  12.13 12.130090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26460  Incise hand/finger tendon                         A   3.58   7.65NA   7.65    0.62  11.85 11.850090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26471  Fusion of finger tendons                          A   5.90  11.15NA  11.15    1.04  18.09 18.090090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26474  Fusion of finger tendons                          A   5.49  11.20NA  11.20    1.08  17.77 17.770090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
26476  Tendon lengthening                                A   5.35  11.13NA  11.13    1.05  17.53 17.530090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26477  Tendon shortening                                 A   5.32  10.84NA  10.84    0.92  17.08 17.080090.10.69.2120110             36.0896 090 99      0.00   0.00   0.00
26478  Lengthening of hand tendon                        A   5.97  11.23NA  11.23    1.05  18.25 18.250090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26479  Shortening of hand tendon                         A   5.91  11.41NA  11.41    1.17  18.49 18.490090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
26480  Transplant hand tendon                            A   6.90  13.77NA  13.77    1.24  21.91 21.910090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26483  Transplant/graft hand tendon                      A   8.48  14.47NA  14.47    1.50  24.45 24.450090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
26485  Transplant palm tendon                            A   7.89  14.14NA  14.14    1.41  23.44 23.440090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
26489  Transplant/graft palm tendon                      A   9.86  15.36NA  15.36    1.95  27.17 27.170090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26490  Revise thumb tendon                               A   8.60  13.00NA  13.00    1.69  23.29 23.290090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26492  Tendon transfer with graft                        A   9.84  14.05NA  14.05    1.95  25.84 25.840090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
26494  Hand tendon/muscle transfer                       A   8.66  13.03NA  13.03    1.70  23.39 23.390090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
26496  Revise thumb tendon                               A   9.78  13.46NA  13.46    1.70  24.94 24.940090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26497  Finger tendon transfer                            A   9.76  13.59NA  13.59    1.93  25.28 25.280090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
26498  Finger tendon transfer                            A  14.21  16.24NA  16.24    2.82  33.27 33.270090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
26499  Revision of finger                                A   9.17  13.29NA  13.29    1.81  24.27 24.270090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
26500  Hand tendon reconstruction                        A   6.13  11.05NA  11.05    1.08  18.26 18.260090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26502  Hand tendon reconstruction                        A   7.31  12.11NA  12.11    1.44  20.86 20.860090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
26508  Release thumb contracture                         A   6.18  11.30NA  11.30    1.13  18.61 18.610090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
26510  Thumb tendon transfer                             A   5.60  11.04NA  11.04    1.01  17.65 17.650090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26516  Fusion of knuckle joint                           A   7.32  11.97NA  11.97    1.30  20.59 20.590090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
26517  Fusion of knuckle joints                          A   9.08  13.25NA  13.25    1.80  24.13 24.130090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
26518  Fusion of knuckle joints                          A   9.27  13.34NA  13.34    1.84  24.45 24.450090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
26520  Release knuckle contracture                       A   5.47  12.51NA  12.51    0.96  18.94 18.940090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26525  Release finger contracture                        A   5.50  12.52NA  12.52    0.97  18.99 18.990090.10.69.2120110             36.0896 090 99      0.00   0.00   0.00
26530  Revise knuckle joint                              A   6.88   7.39NA   7.39    1.25  15.52 15.520090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
26531  Revise knuckle with implant                       A   8.13   8.50NA   8.50    1.44  18.07 18.070090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
26535  Revise finger joint                               A   5.41   6.16NA   6.16    0.91  12.48 12.480090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26536  Revise/implant finger joint                       A   6.56  13.10NA  13.10    1.17  20.83 20.830090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26540  Repair hand joint                                 A   6.60  11.53NA  11.53    1.19  19.32 19.320090.10.69.2120010             36.0896 090 99      0.00   0.00   0.00
26541  Repair hand joint with graft                      A   8.81  12.94NA  12.94    1.61  23.36 23.360090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
26542  Repair hand joint with graft                      A   6.95  11.73NA  11.73    1.25  19.93 19.930090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26545  Reconstruct finger joint                          A   7.11  12.25NA  12.25    1.42  20.78 20.780090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26546  Repair nonunion hand                              A  10.83  16.16NA  16.16    1.95  28.94 28.940090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
26548  Reconstruct finger joint                          A   8.22  12.54NA  12.54    1.46  22.22 22.220090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26550  Construct thumb replacement                       A  21.68  21.46NA  21.46    4.29  47.43 47.430090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
26551  Great toe-hand transfer                           A  48.48  37.07NA  37.07    9.63  95.18 95.180090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
26553  Single transfer toe-hand                          A  48.17  36.81NA  36.81    9.58  94.56 94.560090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
26554  Double transfer toe-hand                          A  57.01  41.91NA  41.91   11.36 110.28110.280090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
26555  Positional change of finger                       A  17.08  19.15NA  19.15    3.38  39.61 39.610090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
26556  Toe joint transfer                                A  49.75  38.60NA  38.60    9.88  98.23 98.230090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
26560  Repair of web finger                              A   5.52  10.80NA  10.80    1.09  17.41 17.410090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
26561  Repair of web finger                              A  11.10  14.25NA  14.25    2.20  27.55 27.550090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
26562  Repair of web finger                              A  16.68  18.90NA  18.90    3.29  38.87 38.870090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
26565  Correct metacarpal flaw                           A   6.91  11.69NA  11.69    1.25  19.85 19.850090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
26567  Correct finger deformity                          A   6.99  11.73NA  11.73    1.25  19.97 19.970090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26568  Lengthen metacarpal/finger                        A   9.27  15.07NA  15.07    1.84  26.18 26.180090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
26580  Repair hand deformity                             A  19.75  20.12NA  20.12    3.91  43.78 43.780090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
26587  Reconstruct extra finger                          A  14.50  12.67NA  12.67    2.88  30.05 30.050090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
26590  Repair finger deformity                           A  18.67  18.40NA  18.40    3.71  40.78 40.780090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
26591  Repair muscles of hand                            A   3.38   9.06NA   9.06    0.60  13.04 13.040090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26593  Release muscles of hand                           A   5.50  11.19NA  11.19    0.96  17.65 17.650090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26596  Excision constricting tissue                      A   9.14  11.55NA  11.55    1.81  22.50 22.500090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
26600  Treat metacarpal fracture                         A   2.60   5.42     4.98    0.48   8.50  8.060090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26605  Treat metacarpal fracture                         A   3.03   5.74     4.86    0.56   9.33  8.450090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26607  Treat metacarpal fracture                         A   5.48   7.41NA   7.41    1.08  13.97 13.970090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26608  Treat metacarpal fracture                         A   5.55   7.23NA   7.23    1.02  13.80 13.800090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26615  Treat metacarpal fracture                         A   7.07   8.19NA   8.19    1.29  16.55 16.550090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26641  Treat thumb dislocation                           A   4.13   6.08     5.05    0.79  11.00  9.970090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
26645  Treat thumb fracture                              A   4.58   6.90     5.84    0.90  12.38 11.320090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
26650  Treat thumb fracture                              A   5.35   7.43NA   7.43    0.99  13.77 13.770090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
26665  Treat thumb fracture                              A   7.94   8.63NA   8.63    1.44  18.01 18.010090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
26670  Treat hand dislocation                            A   3.83   5.33     4.34    0.70   9.86  8.870090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26675  Treat hand dislocation                            A   4.83   7.40     6.29    0.96  13.19 12.080090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26676  Pin hand dislocation                              A   5.74   7.76NA   7.76    1.04  14.54 14.540090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26685  Treat hand dislocation                            A   7.07   8.20NA   8.20    1.28  16.55 16.550090.10.69.2120110             36.0896 090 99      0.00   0.00   0.00
26686  Treat hand dislocation                            A   8.17   8.20NA   8.20    1.63  18.00 18.000090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
26700  Treat knuckle dislocation                         A   3.83   4.99     4.30    0.73   9.55  8.860090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26705  Treat knuckle dislocation                         A   4.38   6.93     5.85    0.79  12.10 11.020090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26706  Pin knuckle dislocation                           A   5.31   6.44NA   6.44    0.96  12.71 12.710090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26715  Treat knuckle dislocation                         A   7.03   8.18NA   8.18    1.26  16.47 16.470090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26720  Treat finger fracture each                        A   1.76   3.58     3.24    0.32   5.66  5.320090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26725  Treat finger fracture each                        A   3.48   5.63     4.61    0.64   9.75  8.730090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26727  Treat finger fracture each                        A   5.42   7.17NA   7.17    0.97  13.56 13.560090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26735  Treat finger fracture each                        A   7.42   8.35NA   8.35    1.34  17.11 17.110090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26740  Treat finger fracture each                        A   2.07   4.15     3.80    0.38   6.60  6.250090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26742  Treat finger fracture each                        A   3.99   5.97     4.92    0.73  10.69  9.640090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26746  Treat finger fracture each                        A   9.80   9.82NA   9.82    1.76  21.38 21.380090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26750  Treat finger fracture each                        A   1.80   3.18     3.21    0.34   5.32  5.350090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26755  Treat finger fracture each                        A   3.23   5.29     4.04    0.60   9.12  7.870090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26756  Pin finger fracture each                          A   4.58   6.72NA   6.72    0.82  12.12 12.120090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26765  Treat finger fracture each                        A   5.86   7.51NA   7.51    1.05  14.42 14.420090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26770  Treat finger dislocation                          A   3.15   4.33     3.66    0.60   8.08  7.410090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26775  Treat finger dislocation                          A   3.90   6.47     5.39    0.67  11.04  9.960090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26776  Pin finger dislocation                            A   4.99   6.95NA   6.95    0.90  12.84 12.840090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26785  Treat finger dislocation                          A   6.60   7.90NA   7.90    1.21  15.71 15.710090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26820  Thumb fusion with graft                           A   8.45  12.93NA  12.93    1.68  23.06 23.060090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
26841  Fusion of thumb                                   A   7.35  12.58NA  12.58    1.33  21.26 21.260090.10.69.2121010             36.0896 090 99      0.00   0.00   0.00
26842  Thumb fusion with graft                           A   8.49  12.84NA  12.84    1.53  22.86 22.860090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
26843  Fusion of hand joint                              A   7.78  12.34NA  12.34    1.53  21.65 21.650090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
26844  Fusion/graft of hand joint                        A   8.98  13.20NA  13.20    1.78  23.96 23.960090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
26850  Fusion of knuckle                                 A   7.14  11.87NA  11.87    1.27  20.28 20.280090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26852  Fusion of knuckle with graft                      A   8.71  12.95NA  12.95    1.55  23.21 23.210090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
26860  Fusion of finger joint                            A   4.88  10.89NA  10.89    0.87  16.64 16.640090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26861  Fusion of finger jnt add-on                       A   1.74   0.93NA   0.93    0.31   2.98  2.980ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
26862  Fusion/graft of finger joint                      A   7.56  12.31NA  12.31    1.32  21.19 21.190090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
26863  Fuse/graft added joint                            A   3.89   1.95NA   1.95    0.78   6.62  6.620ZZZ.00.00.0000200             36.0896 090 99      0.00   0.00   0.00
26910  Amputate metacarpal bone                          A   7.79  11.90NA  11.90    1.45  21.14 21.140090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26951  Amputation of finger/thumb                        A   6.04  11.97NA  11.97    1.14  19.15 19.150090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26952  Amputation of finger/thumb                        A   6.48  11.26NA  11.26    1.17  18.91 18.910090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26989  Hand/finger surgery                               C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020111             36.0896 090 99      0.00   0.00   0.00
26990  Drainage of pelvis lesion                         A   7.95   9.31NA   9.31    1.61  18.87 18.870090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
26991  Drainage of pelvis bursa                          A   7.06  11.98     6.69    1.41  20.45 15.160090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
26992  Drainage of bone lesion                           A  13.48  12.37NA  12.37    2.70  28.55 28.550090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
27000  Incision of hip tendon                            A   5.74   5.24NA   5.24    0.67  11.65 11.650090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
27001  Incision of hip tendon                            A   7.14   7.06NA   7.06    1.42  15.62 15.620090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27003  Incision of hip tendon                            A   7.81   7.87NA   7.87    1.55  17.23 17.230090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27005  Incision of hip tendon                            A  10.07   8.90NA   8.90    1.90  20.87 20.870090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27006  Incision of hip tendons                           A  10.11   8.96NA   8.96    1.63  20.70 20.700090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27025  Incision of hip/thigh fascia                      A  12.89  11.04NA  11.04    2.59  26.52 26.520090.10.69.2121010             36.0896 090 99      0.00   0.00   0.00
27027  Buttock fasciotomy                                A  13.04  10.36NA  10.36    2.42  25.82 25.820090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
27030  Drainage of hip joint                             A  13.65  10.76NA  10.76    2.71  27.12 27.120090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27033  Exploration of hip joint                          A  14.11  11.23NA  11.23    2.78  28.12 28.120090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27035  Denervation of hip joint                          A  17.37  14.80NA  14.80    0.85  33.02 33.020090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27036  Excision of hip joint/muscle                      A  14.38  12.02NA  12.02    2.82  29.22 29.220090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27040  Biopsy of soft tissues                            A   2.92   6.53     2.36    0.44   9.89  5.720010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
27041  Biopsy of soft tissues                            A  10.18   8.10NA   8.10    1.88  20.16 20.160090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27043  Exc hip pelvis les sc 3 cm/>                      A   6.88   5.12NA   5.12    1.57  13.57 13.570090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27045  Exc hip/pelv tum deep 5 cm/>                      A  11.13   7.94NA   7.94    2.30  21.37 21.370090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27047  Exc hip/pelvis les sc < 3 cm                      A   4.94   7.92     4.42    1.04  13.90 10.400090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27048  Exc hip/pelv tum deep < 5 cm                      A   8.85   6.88NA   6.88    1.89  17.62 17.620090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27049  Resect hip/pelv tum < 5 cm                        A  21.55  12.47NA  12.47    4.66  38.68 38.680090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27050  Biopsy of sacroiliac joint                        A   4.74   5.91NA   5.91    0.93  11.58 11.580090.10.69.2121010             36.0896 090 99      0.00   0.00   0.00
27052  Biopsy of hip joint                               A   7.42   7.77NA   7.77    1.46  16.65 16.650090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27054  Removal of hip joint lining                       A   9.21   8.79NA   8.79    1.81  19.81 19.810090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27057  Buttock fasciotomy w/dbrdmt                       A  14.91  11.41NA  11.41    2.96  29.28 29.280090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
27059  Resect hip/pelv tum 5 cm/>                        A  29.35  17.40NA  17.40    5.70  52.45 52.450090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27060  Removal of ischial bursa                          A   5.87   6.37NA   6.37    1.16  13.40 13.400090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27062  Remove femur lesion/bursa                         A   5.75   6.22NA   6.22    1.12  13.09 13.090090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
27065  Remove hip bone les super                         A   6.55   7.17NA   7.17    1.28  15.00 15.000090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27066  Remove hip bone les deep                          A  11.20  10.02NA  10.02    2.17  23.39 23.390090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27067  Remove/graft hip bone lesion                      A  14.72  12.24NA  12.24    2.93  29.89 29.890090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
27070  Part remove hip bone super                        A  11.56  11.49NA  11.49    2.27  25.32 25.320090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27071  Part removal hip bone deep                        A  12.39  12.44NA  12.44    2.45  27.28 27.280090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27075  Resect hip tumor                                  A  32.71  21.35NA  21.35    6.49  60.55 60.550090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
27076  Resect hip tum incl acetabul                      A  40.21  25.10NA  25.10    7.99  73.30 73.300090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
27077  Resect hip tum w/innom bone                       A  45.21  27.61NA  27.61    8.98  81.80 81.800090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
27078  Rsect hip tum incl femur                          A  32.21  21.09NA  21.09    6.38  59.68 59.680090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27080  Removal of tail bone                              A   6.89   6.33NA   6.33    1.57  14.79 14.790090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
27086  Remove hip foreign body                           A   1.92   6.47     2.51    0.39   8.78  4.820010.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
27087  Remove hip foreign body                           A   8.83   7.15NA   7.15    1.81  17.79 17.790090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27090  Removal of hip prosthesis                         A  11.69  10.00NA  10.00    2.32  24.01 24.010090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27091  Removal of hip prosthesis                         A  24.35  17.00NA  17.00    4.82  46.17 46.170090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27093  Injection for hip x-ray                           A   1.30   4.79     0.57    0.13   6.22  2.000000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
27095  Injection for hip x-ray                           A   1.50   6.63     0.70    0.23   8.36  2.430000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
27096  Inject sacroiliac joint                           A   1.48   3.00     0.78    0.13   4.61  2.390000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
27097  Revision of hip tendon                            A   9.27   8.59NA   8.59    1.84  19.70 19.700090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
27098  Transfer tendon to pelvis                         A   9.32   8.87NA   8.87    1.85  20.04 20.040090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
27100  Transfer of abdominal muscle                      A  11.35  10.30NA  10.30    2.25  23.90 23.900090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27105  Transfer of spinal muscle                         A  12.04  10.65NA  10.65    2.37  25.06 25.060090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
27110  Transfer of iliopsoas muscle                      A  13.77  11.52NA  11.52    2.74  28.03 28.030090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27111  Transfer of iliopsoas muscle                      A  12.60  10.93NA  10.93    2.50  26.03 26.030090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27120  Reconstruction of hip socket                      A  19.25  14.49NA  14.49    3.82  37.56 37.560090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27122  Reconstruction of hip socket                      A  16.09  12.57NA  12.57    3.16  31.82 31.820090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27125  Partial hip replacement                           A  16.64  12.82NA  12.82    3.26  32.72 32.720090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27130  Total hip arthroplasty                            A  20.72  14.38NA  14.38    4.11  39.21 39.210090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27132  Total hip arthroplasty                            A  25.69  17.69NA  17.69    5.07  48.45 48.450090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27134  Revise hip joint replacement                      A  30.28  19.15NA  19.15    5.96  55.39 55.390090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27137  Revise hip joint replacement                      A  22.70  15.38NA  15.38    4.49  42.57 42.570090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27138  Revise hip joint replacement                      A  23.70  15.88NA  15.88    4.67  44.25 44.250090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27140  Transplant femur ridge                            A  12.78  10.55NA  10.55    2.52  25.85 25.850090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27146  Incision of hip bone                              A  18.92  14.25NA  14.25    3.77  36.94 36.940090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27147  Revision of hip bone                              A  22.07  15.95NA  15.95    4.38  42.40 42.400090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27151  Incision of hip bones                             A  24.12  16.97NA  16.97    4.79  45.88 45.880090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27156  Revision of hip bones                             A  26.23  18.03NA  18.03    5.21  49.47 49.470090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27158  Revision of pelvis                                A  21.04  15.30NA  15.30    4.17  40.51 40.510090.10.69.2122200             36.0896 090 99      0.00   0.00   0.00
27161  Incision of neck of femur                         A  17.89  13.83NA  13.83    3.54  35.26 35.260090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27165  Incision/fixation of femur                        A  20.29  15.43NA  15.43    3.96  39.68 39.680090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27170  Repair/graft femur head/neck                      A  17.61  12.87NA  12.87    3.49  33.97 33.970090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27175  Treat slipped epiphysis                           A   9.38   8.00NA   8.00    1.86  19.24 19.240090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
27176  Treat slipped epiphysis                           A  12.92  11.09NA  11.09    2.56  26.57 26.570090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27177  Treat slipped epiphysis                           A  16.09  12.92NA  12.92    3.18  32.19 32.190090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27178  Treat slipped epiphysis                           A  12.92  11.09NA  11.09    2.56  26.57 26.570090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27179  Revise head/neck of femur                         A  13.97  11.51NA  11.51    2.77  28.25 28.250090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
27181  Treat slipped epiphysis                           A  16.18  12.99NA  12.99    3.20  32.37 32.370090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
27185  Revision of femur epiphysis                       A   9.79   8.99NA   8.99    1.94  20.72 20.720090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
27187  Reinforce hip bones                               A  14.23  11.71NA  11.71    2.82  28.76 28.760090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27197  Clsd tx pelvic ring fx                            A   1.53   1.85NA   1.85    0.30   3.68  3.680000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
27198  Clsd tx pelvic ring fx                            A   4.75   3.30NA   3.30    0.79   8.84  8.840000.00.00.0020020             36.0896 090 99      0.00   0.00   0.00
27200  Treat tail bone fracture                          A   1.92   3.03     3.11    0.37   5.32  5.400090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
27202  Treat tail bone fracture                          A   7.31   6.54NA   6.54    1.44  15.29 15.290090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
27215  Treat pelvic fracture(s)                          I+ 10.45   6.17NA   6.17    0.82  17.44 17.449090.10.69.2199999             36.0896 090 99      0.00   0.00   0.00
27216  Treat pelvic ring fracture                        I+ 15.73   8.88NA   8.88    1.25  25.86 25.869090.10.69.2199999             36.0896 090 99      0.00   0.00   0.00
27217  Treat pelvic ring fracture                        I+ 14.65   8.46NA   8.46    1.16  24.27 24.279090.10.69.2199999             36.0896 090 99      0.00   0.00   0.00
27218  Treat pelvic ring fracture                        I+ 20.93  10.87NA  10.87    1.67  33.47 33.479090.10.69.2199999             36.0896 090 99      0.00   0.00   0.00
27220  Treat hip socket fracture                         A   5.50   5.83     5.66    1.07  12.40 12.230090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27222  Treat hip socket fracture                         A  14.11  11.28NA  11.28    2.74  28.13 28.130090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27226  Treat hip wall fracture                           A  15.57  11.88NA  11.88    3.08  30.53 30.530090.10.69.2121220             36.0896 090 99      0.00   0.00   0.00
27227  Treat hip fracture(s)                             A  25.41  17.44NA  17.44    5.00  47.85 47.850090.10.69.2121220             36.0896 090 99      0.00   0.00   0.00
27228  Treat hip fracture(s)                             A  29.33  19.29NA  19.29    5.74  54.36 54.360090.10.69.2121220             36.0896 090 99      0.00   0.00   0.00
27230  Treat thigh fracture                              A   5.81   6.95     6.74    1.13  13.89 13.680090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27232  Treat thigh fracture                              A  11.72   7.57NA   7.57    2.33  21.62 21.620090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27235  Treat thigh fracture                              A  13.00  10.67NA  10.67    2.56  26.23 26.230090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
27236  Treat thigh fracture                              A  17.61  13.47NA  13.47    3.45  34.53 34.530090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27238  Treat thigh fracture                              A   5.75   6.50NA   6.50    1.13  13.38 13.380090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27240  Treat thigh fracture                              A  13.81  11.02NA  11.02    2.71  27.54 27.540090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27244  Treat thigh fracture                              A  18.18  13.78NA  13.78    3.58  35.54 35.540090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27245  Treat thigh fracture                              A  18.18  13.77NA  13.77    3.55  35.50 35.500090.10.69.2121220             36.0896 090 99      0.00   0.00   0.00
27246  Treat thigh fracture                              A   4.83   5.43     5.36    0.93  11.19 11.120090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27248  Treat thigh fracture                              A  10.78   8.66NA   8.66    2.13  21.57 21.570090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27250  Treat hip dislocation                             A   3.82   0.74NA   0.74    0.77   5.33  5.330000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
27252  Treat hip dislocation                             A  11.03   8.62NA   8.62    2.17  21.82 21.820090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27253  Treat hip dislocation                             A  13.58  10.93NA  10.93    2.71  27.22 27.220090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27254  Treat hip dislocation                             A  18.94  14.11NA  14.11    3.76  36.81 36.810090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27256  Treat hip dislocation                             A   4.28   3.62     1.75    0.87   8.77  6.900010.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
27257  Treat hip dislocation                             A   5.38   4.01NA   4.01    1.05  10.44 10.440010.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
27258  Treat hip dislocation                             A  16.18  12.72NA  12.72    3.20  32.10 32.100090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27259  Treat hip dislocation                             A  23.26  16.86NA  16.86    4.62  44.74 44.740090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
27265  Treat hip dislocation                             A   5.24   5.38NA   5.38    1.04  11.66 11.660090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27266  Treat hip dislocation                             A   7.78   7.51NA   7.51    1.51  16.80 16.800090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27267  Cltx thigh fx                                     A   5.50   6.05NA   6.05    1.04  12.59 12.590090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27268  Cltx thigh fx w/mnpj                              A   7.12   7.08NA   7.08    1.42  15.62 15.620090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27269  Optx thigh fx                                     A  18.89  13.37NA  13.37    3.73  35.99 35.990090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27275  Manipulation of hip joint                         A   2.32   2.52NA   2.52    0.42   5.26  5.260010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
27279  Arthrodesis sacroiliac joint                      A  12.13   9.96NA   9.96    3.25  25.34 25.340090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27280  Fusion of sacroiliac joint                        A  20.00  13.95NA  13.95    5.27  39.22 39.220090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27282  Fusion of pubic bones                             A  11.85  10.55NA  10.55    2.35  24.75 24.750090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
27284  Fusion of hip joint                               A  25.06  16.60NA  16.60    4.96  46.62 46.620090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27286  Fusion of hip joint                               A  25.17  17.50NA  17.50    5.00  47.67 47.670090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27290  Amputation of leg at hip                          A  24.55  17.59NA  17.59    4.85  46.99 46.990090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
27295  Amputation of leg at hip                          A  19.66  12.77NA  12.77    4.00  36.43 36.430090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27299  Pelvis/hip joint surgery                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             36.0896 090 99      0.00   0.00   0.00
27301  Drain thigh/knee lesion                           A   6.78  11.27     6.39    1.38  19.43 14.550090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27303  Drainage of bone lesion                           A   8.63   8.18NA   8.18    1.70  18.51 18.510090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27305  Incise thigh tendon & fascia                      A   6.18   6.48NA   6.48    1.21  13.87 13.870090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27306  Incision of thigh tendon                          A   4.74   4.62NA   4.62    0.51   9.87  9.870090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
27307  Incision of thigh tendons                         A   6.06   6.57NA   6.57    1.21  13.84 13.840090.10.69.2121010             36.0896 090 99      0.00   0.00   0.00
27310  Exploration of knee joint                         A  10.00   9.15NA   9.15    1.96  21.11 21.110090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27323  Biopsy thigh soft tissues                         A   2.33   5.23     2.40    0.35   7.91  5.080010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
27324  Biopsy thigh soft tissues                         A   5.04   5.50NA   5.50    1.11  11.65 11.650090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27325  Neurectomy hamstring                              A   7.20   7.56NA   7.56    1.42  16.18 16.180090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
27326  Neurectomy popliteal                              A   6.47   7.19NA   7.19    1.27  14.93 14.930090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27327  Exc thigh/knee les sc < 3 cm                      A   3.96   9.14     4.21    0.84  13.94  9.010090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27328  Exc thigh/knee tum deep <5cm                      A   8.85   7.32NA   7.32    1.85  18.02 18.020090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27329  Resect thigh/knee tum < 5 cm                      A  15.72  11.05NA  11.05    3.36  30.13 30.130090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27330  Biopsy knee joint lining                          A   5.11   5.79NA   5.79    0.96  11.86 11.860090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
27331  Explore/treat knee joint                          A   6.02   6.49NA   6.49    1.17  13.68 13.680090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27332  Removal of knee cartilage                         A   8.46   8.44NA   8.44    1.68  18.58 18.580090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27333  Removal of knee cartilage                         A   7.55   7.87NA   7.87    1.50  16.92 16.920090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27334  Remove knee joint lining                          A   9.19   8.77NA   8.77    1.80  19.76 19.760090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27335  Remove knee joint lining                          A  10.55   9.47NA   9.47    2.07  22.09 22.090090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27337  Exc thigh/knee les sc 3 cm/>                      A   5.91   4.88NA   4.88    1.32  12.11 12.110090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
27339  Exc thigh/knee tum dep 5cm/>                      A  11.13   8.31NA   8.31    2.40  21.84 21.840090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
27340  Removal of kneecap bursa                          A   4.32   5.53NA   5.53    0.85  10.70 10.700090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27345  Removal of knee cyst                              A   6.09   6.66NA   6.66    1.19  13.94 13.940090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27347  Remove knee cyst                                  A   6.73   7.16NA   7.16    1.30  15.19 15.190090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27350  Removal of kneecap                                A   8.66   8.48NA   8.48    1.69  18.83 18.830090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27355  Remove femur lesion                               A   8.00   7.88NA   7.88    1.57  17.45 17.450090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27356  Remove femur lesion/graft                         A  10.09   9.26NA   9.26    1.98  21.33 21.330090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27357  Remove femur lesion/graft                         A  11.16  10.19NA  10.19    2.20  23.55 23.550090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27358  Remove femur lesion/fixation                      A   4.73   2.37NA   2.37    0.93   8.03  8.030ZZZ.00.00.0000200             36.0896 090 99      0.00   0.00   0.00
27360  Partial removal leg bone(s)                       A  11.46  11.62NA  11.62    2.25  25.33 25.330090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27364  Resect thigh/knee tum 5 cm/>                      A  24.49  15.63NA  15.63    5.10  45.22 45.220090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27365  Resect femur/knee tumor                           A  32.21  21.06NA  21.06    6.39  59.66 59.660090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27369  Njx cntrst kne arthg/ct/mri                       A   0.77   3.62     0.32    0.09   4.48  1.180000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
27372  Removal of foreign body                           A   5.21  11.01     5.35    1.03  17.25 11.590090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
27380  Repair of kneecap tendon                          A   7.45   8.64NA   8.64    1.44  17.53 17.530090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27381  Repair/graft kneecap tendon                       A  10.76  10.52NA  10.52    2.07  23.35 23.350090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27385  Repair of thigh muscle                            A   6.93   8.73NA   8.73    1.32  16.98 16.980090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27386  Repair/graft of thigh muscle                      A  11.13  11.10NA  11.10    2.16  24.39 24.390090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27390  Incision of thigh tendon                          A   5.53   6.30NA   6.30    1.09  12.92 12.920090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
27391  Incision of thigh tendons                         A   7.49   7.40NA   7.40    1.39  16.28 16.280090.10.69.2120010             36.0896 090 99      0.00   0.00   0.00
27392  Incision of thigh tendons                         A   9.63   9.02NA   9.02    1.91  20.56 20.560090.10.69.2122210             36.0896 090 99      0.00   0.00   0.00
27393  Lengthening of thigh tendon                       A   6.59   6.80NA   6.80    1.30  14.69 14.690090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27394  Lengthening of thigh tendons                      A   8.79   8.36NA   8.36    1.73  18.88 18.880090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
27395  Lengthening of thigh tendons                      A  12.24  10.75NA  10.75    2.42  25.41 25.410090.10.69.2122210             36.0896 090 99      0.00   0.00   0.00
27396  Transplant of thigh tendon                        A   8.15   8.03NA   8.03    1.61  17.79 17.790090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27397  Transplants of thigh tendons                      A  12.66  11.23NA  11.23    2.52  26.41 26.410090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
27400  Revise thigh muscles/tendons                      A   9.33   8.87NA   8.87    1.85  20.05 20.050090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27403  Repair of knee cartilage                          A   8.62   8.25NA   8.25    1.69  18.56 18.560090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27405  Repair of knee ligament                           A   9.08   8.66NA   8.66    1.76  19.50 19.500090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27407  Repair of knee ligament                           A  10.85   9.94NA   9.94    2.16  22.95 22.950090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27409  Repair of knee ligaments                          A  13.71  11.49NA  11.49    2.73  27.93 27.930090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27412  Autochondrocyte implant knee                      A  24.74  18.08NA  18.08    4.88  47.70 47.700090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27415  Osteochondral knee allograft                      A  20.00  15.70NA  15.70    3.97  39.67 39.670090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27416  Osteochondral knee autograft                      A  14.16  11.35NA  11.35    2.82  28.33 28.330090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
27418  Repair degenerated kneecap                        A  11.60  10.13NA  10.13    2.19  23.92 23.920090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27420  Revision of unstable kneecap                      A  10.26   9.23NA   9.23    1.98  21.47 21.470090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27422  Revision of unstable kneecap                      A  10.21   9.28NA   9.28    1.99  21.48 21.480090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27424  Revision/removal of kneecap                       A  10.24   9.33NA   9.33    2.02  21.59 21.590090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27425  Lat retinacular release open                      A   5.39   6.52NA   6.52    1.05  12.96 12.960090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
27427  Reconstruction knee                               A   9.79   8.88NA   8.88    1.86  20.53 20.530090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27428  Reconstruction knee                               A  15.58  13.53NA  13.53    3.09  32.20 32.200090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27429  Reconstruction knee                               A  17.54  15.20NA  15.20    3.48  36.22 36.220090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27430  Revision of thigh muscles                         A  10.16   9.27NA   9.27    1.98  21.41 21.410090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27435  Incision of knee joint                            A  10.88  10.31NA  10.31    2.17  23.36 23.360090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27437  Revise kneecap                                    A   8.93   8.35NA   8.35    1.74  19.02 19.020090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
27438  Revise kneecap with implant                       A  11.89  10.08NA  10.08    2.34  24.31 24.310090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27440  Revision of knee joint                            A  11.09   9.75NA   9.75    2.20  23.04 23.040090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27441  Revision of knee joint                            A  11.54   9.97NA   9.97    2.29  23.80 23.800090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27442  Revision of knee joint                            A  12.37  10.39NA  10.39    2.44  25.20 25.200090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27443  Revision of knee joint                            A  11.41   9.83NA   9.83    2.23  23.47 23.470090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27445  Revision of knee joint                            A  18.66  13.93NA  13.93    3.70  36.29 36.290090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27446  Revision of knee joint                            A  17.48  12.57NA  12.57    3.44  33.49 33.490090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27447  Total knee arthroplasty                           A  20.72  14.35NA  14.35    4.09  39.16 39.160090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27448  Incision of thigh                                 A  11.60   9.84NA   9.84    2.28  23.72 23.720090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27450  Incision of thigh                                 A  14.61  11.87NA  11.87    2.85  29.33 29.330090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27454  Realignment of thigh bone                         A  19.17  14.49NA  14.49    3.80  37.46 37.460090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27455  Realignment of knee                               A  13.36  11.49NA  11.49    2.65  27.50 27.500090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27457  Realignment of knee                               A  14.03  10.99NA  10.99    2.78  27.80 27.800090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27465  Shortening of thigh bone                          A  18.60  13.87NA  13.87    3.70  36.17 36.170090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27466  Lengthening of thigh bone                         A  17.28  13.52NA  13.52    3.43  34.23 34.230090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27468  Shorten/lengthen thighs                           A  19.97  14.87NA  14.87    3.96  38.80 38.800090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27470  Repair of thigh                                   A  17.14  13.52NA  13.52    3.38  34.04 34.040090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27472  Repair/graft of thigh                             A  18.72  14.14NA  14.14    3.66  36.52 36.520090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27475  Surgery to stop leg growth                        A   8.93   8.42NA   8.42    1.77  19.12 19.120090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
27477  Surgery to stop leg growth                        A  10.14   9.03NA   9.03    1.99  21.16 21.160090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
27479  Surgery to stop leg growth                        A  13.16  10.79NA  10.79    2.60  26.55 26.550090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
27485  Surgery to stop leg growth                        A   9.13   8.44NA   8.44    1.80  19.37 19.370090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27486  Revise/replace knee joint                         A  21.12  15.40NA  15.40    4.16  40.68 40.680090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27487  Revise/replace knee joint                         A  27.11  18.42NA  18.42    5.35  50.88 50.880090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27488  Removal of knee prosthesis                        A  17.60  13.64NA  13.64    3.46  34.70 34.700090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27495  Reinforce thigh                                   A  16.54  12.80NA  12.80    3.26  32.60 32.600090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27496  Decompression of thigh/knee                       A   6.78   7.60NA   7.60    1.33  15.71 15.710090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27497  Decompression of thigh/knee                       A   7.79   7.44NA   7.44    1.55  16.78 16.780090.10.69.2121020             36.0896 090 99      0.00   0.00   0.00
27498  Decompression of thigh/knee                       A   8.66   8.53NA   8.53    1.70  18.89 18.890090.10.69.2121220             36.0896 090 99      0.00   0.00   0.00
27499  Decompression of thigh/knee                       A   9.43   8.92NA   8.92    1.88  20.23 20.230090.10.69.2121220             36.0896 090 99      0.00   0.00   0.00
27500  Treatment of thigh fracture                       A   6.30   7.46     6.31    1.24  15.00 13.850090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27501  Treatment of thigh fracture                       A   6.45   6.87     6.64    1.25  14.57 14.340090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
27502  Treatment of thigh fracture                       A  11.36   8.35NA   8.35    2.23  21.94 21.940090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27503  Treatment of thigh fracture                       A  11.27   9.64NA   9.64    2.21  23.12 23.120090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
27506  Treatment of thigh fracture                       A  19.65  15.14NA  15.14    3.85  38.64 38.640090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27507  Treatment of thigh fracture                       A  14.48  10.74NA  10.74    2.85  28.07 28.070090.10.69.2121220             36.0896 090 99      0.00   0.00   0.00
27508  Treatment of thigh fracture                       A   6.20   7.70     6.91    1.19  15.09 14.300090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27509  Treatment of thigh fracture                       A   8.14   9.32NA   9.32    1.61  19.07 19.070090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
27510  Treatment of thigh fracture                       A   9.80   7.93NA   7.93    1.91  19.64 19.640090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27511  Treatment of thigh fracture                       A  15.11  10.80NA  10.80    2.98  28.89 28.890090.10.69.2121220             36.0896 090 99      0.00   0.00   0.00
27513  Treatment of thigh fracture                       A  19.25  12.86NA  12.86    3.80  35.91 35.910090.10.69.2121220             36.0896 090 99      0.00   0.00   0.00
27514  Treatment of thigh fracture                       A  14.60  10.53NA  10.53    2.86  27.99 27.990090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27516  Treat thigh fx growth plate                       A   5.59   8.04     7.13    1.11  14.74 13.830090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27517  Treat thigh fx growth plate                       A   9.12   8.90NA   8.90    1.80  19.82 19.820090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
27519  Treat thigh fx growth plate                       A  13.25   9.92NA   9.92    2.62  25.79 25.790090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27520  Treat kneecap fracture                            A   3.04   5.64     4.93    0.57   9.25  8.540090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27524  Treat kneecap fracture                            A  10.37   9.34NA   9.34    2.02  21.73 21.730090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27530  Treat knee fracture                               A   2.65   5.54     4.99    0.51   8.70  8.150090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27532  Treat knee fracture                               A   7.55   8.74     7.61    1.47  17.76 16.630090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27535  Treat knee fracture                               A  13.41   9.93NA   9.93    2.62  25.96 25.960090.10.69.2121220             36.0896 090 99      0.00   0.00   0.00
27536  Treat knee fracture                               A  17.39  13.52NA  13.52    3.43  34.34 34.340090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27538  Treat knee fracture(s)                            A   5.09   7.66     6.73    0.97  13.72 12.790090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
27540  Treat knee fracture                               A  11.30   9.89NA   9.89    2.20  23.39 23.390090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27550  Treat knee dislocation                            A   5.98   7.89     6.80    1.18  15.05 13.960090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
27552  Treat knee dislocation                            A   8.18   8.35NA   8.35    1.61  18.14 18.140090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
27556  Treat knee dislocation                            A  13.00   9.80NA   9.80    2.58  25.38 25.380090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27557  Treat knee dislocation                            A  15.90  11.26NA  11.26    3.13  30.29 30.290090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27558  Treat knee dislocation                            A  18.39  12.50NA  12.50    3.64  34.53 34.530090.10.69.2121220             36.0896 090 99      0.00   0.00   0.00
27560  Treat kneecap dislocation                         A   3.99   5.96     5.10    0.79  10.74  9.880090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27562  Treat kneecap dislocation                         A   5.98   6.85NA   6.85    1.18  14.01 14.010090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
27566  Treat kneecap dislocation                         A  12.71  10.57NA  10.57    2.54  25.82 25.820090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27570  Fixation of knee joint                            A   1.79   2.20NA   2.20    0.35   4.34  4.340010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
27580  Fusion of knee                                    A  21.10  16.95NA  16.95    4.13  42.18 42.180090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27590  Amputate leg at thigh                             A  13.47   6.45NA   6.45    3.10  23.02 23.020090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27591  Amputate leg at thigh                             A  13.94  11.19NA  11.19    2.77  27.90 27.900090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27592  Amputate leg at thigh                             A  10.98   6.11NA   6.11    2.49  19.58 19.580090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27594  Amputation follow-up surgery                      A   7.29   5.89NA   5.89    1.61  14.79 14.790090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27596  Amputation follow-up surgery                      A  11.29   6.85NA   6.85    2.55  20.69 20.690090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
27598  Amputate lower leg at knee                        A  11.22   6.86NA   6.86    2.52  20.60 20.600090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27599  Leg surgery procedure                             C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             36.0896 090 99      0.00   0.00   0.00
27600  Decompression of lower leg                        A   6.03   4.44NA   4.44    1.24  11.71 11.710090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
27601  Decompression of lower leg                        A   6.05   5.66NA   5.66    1.17  12.88 12.880090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27602  Decompression of lower leg                        A   7.82   4.43NA   4.43    1.78  14.03 14.030090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27603  Drain lower leg lesion                            A   5.23   9.13     5.03    0.97  15.33 11.230090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27604  Drain lower leg bursa                             A   4.59   8.39     4.34    0.68  13.66  9.610090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
27605  Incision of achilles tendon                       A   2.92   6.61     2.12    0.30   9.83  5.340010.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
27606  Incision of achilles tendon                       A   4.18   3.17NA   3.17    0.64   7.99  7.990010.10.80.1021110             36.0896 090 99      0.00   0.00   0.00
27607  Treat lower leg bone lesion                       A   8.62   7.38NA   7.38    1.46  17.46 17.460090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27610  Explore/treat ankle joint                         A   9.13   8.00NA   8.00    1.58  18.71 18.710090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27612  Exploration of ankle joint                        A   8.15   6.79NA   6.79    1.14  16.08 16.080090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27613  Biopsy lower leg soft tissue                      A   2.22   4.72     2.10    0.28   7.22  4.600010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
27614  Biopsy lower leg soft tissue                      A   5.80   9.93     4.99    0.91  16.64 11.700090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27615  Resect leg/ankle tum < 5 cm                       A  15.72  10.77NA  10.77    3.16  29.65 29.650090.10.69.2121010             36.0896 090 99      0.00   0.00   0.00
27616  Resect leg/ankle tum 5 cm/>                       A  19.63  13.09NA  13.09    4.11  36.83 36.830090.10.69.2121010             36.0896 090 99      0.00   0.00   0.00
27618  Exc leg/ankle tum < 3 cm                          A   3.96   8.83     4.06    0.76  13.55  8.780090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27619  Exc leg/ankle tum deep <5 cm                      A   6.91   5.35NA   5.35    1.05  13.31 13.310090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27620  Explore/treat ankle joint                         A   6.15   5.83NA   5.83    0.92  12.90 12.900090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27625  Remove ankle joint lining                         A   8.49   6.89NA   6.89    1.26  16.64 16.640090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27626  Remove ankle joint lining                         A   9.10   7.03NA   7.03    1.31  17.44 17.440090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
27630  Removal of tendon lesion                          A   4.94  10.17     4.72    0.70  15.81 10.360090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27632  Exc leg/ankle les sc 3 cm/>                       A   5.91   4.81NA   4.81    1.22  11.94 11.940090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
27634  Exc leg/ankle tum dep 5 cm/>                      A  10.13   7.61NA   7.61    1.99  19.73 19.730090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
27635  Remove lower leg bone lesion                      A   8.03   7.36NA   7.36    1.38  16.77 16.770090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
27637  Remove/graft leg bone lesion                      A  10.31   9.38NA   9.38    1.90  21.59 21.590090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27638  Remove/graft leg bone lesion                      A  10.99   9.13NA   9.13    1.98  22.10 22.100090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27640  Partial removal of tibia                          A  12.24   9.59NA   9.59    2.16  23.99 23.990090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
27641  Partial removal of fibula                         A   9.84   7.66NA   7.66    1.59  19.09 19.090090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
27645  Resect tibia tumor                                A  27.21  18.69NA  18.69    5.39  51.29 51.290090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27646  Resect fibula tumor                               A  23.21  16.69NA  16.69    4.61  44.51 44.510090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27647  Resect talus/calcaneus tum                        A  20.26   7.51NA   7.51    1.56  29.33 29.330090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
27648  Injection for ankle x-ray                         A   0.96   4.64     0.43    0.13   5.73  1.520000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
27650  Repair achilles tendon                            A   9.21   8.33NA   8.33    1.41  18.95 18.950090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27652  Repair/graft achilles tendon                      A  10.78   7.09NA   7.09    1.29  19.16 19.160090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
27654  Repair of achilles tendon                         A  10.53   8.51NA   8.51    1.50  20.54 20.540090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27656  Repair leg fascia defect                          A   4.71  12.62     5.79    0.92  18.25 11.420090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
27658  Repair of leg tendon each                         A   5.12   4.81NA   4.81    0.70  10.63 10.630090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
27659  Repair of leg tendon each                         A   7.10   5.54NA   5.54    0.90  13.54 13.540090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
27664  Repair of leg tendon each                         A   4.73   4.93NA   4.93    0.72  10.38 10.380090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
27665  Repair of leg tendon each                         A   5.57   5.53NA   5.53    0.84  11.94 11.940090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
27675  Repair lower leg tendons                          A   7.35   5.82NA   5.82    0.97  14.14 14.140090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27676  Repair lower leg tendons                          A   8.73   7.18NA   7.18    1.34  17.25 17.250090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
27680  Release of lower leg tendon                       A   5.88   5.44NA   5.44    0.90  12.22 12.220090.10.69.2120110             36.0896 090 99      0.00   0.00   0.00
27681  Release of lower leg tendons                      A   7.05   6.68NA   6.68    1.18  14.91 14.910090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
27685  Revision of lower leg tendon                      A   6.69  11.44     5.78    0.89  19.02 13.360090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27686  Revise lower leg tendons                          A   7.75   6.62NA   6.62    1.24  15.61 15.610090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
27687  Revision of calf tendon                           A   6.41   5.76NA   5.76    0.92  13.09 13.090090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27690  Revise lower leg tendon                           A   9.17   7.95NA   7.95    1.29  18.41 18.410090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27691  Revise lower leg tendon                           A  10.49   9.27NA   9.27    1.70  21.46 21.460090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27692  Revise additional leg tendon                      A   1.87   0.82NA   0.82    0.32   3.01  3.010ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
27695  Repair of ankle ligament                          A   6.70   6.01NA   6.01    0.95  13.66 13.660090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
27696  Repair of ankle ligaments                         A   8.58   6.39NA   6.39    1.12  16.09 16.090090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
27698  Repair of ankle ligament                          A   9.61   7.36NA   7.36    1.42  18.39 18.390090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27700  Revision of ankle joint                           A   9.66   6.76NA   6.76    1.27  17.69 17.690090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27702  Reconstruct ankle joint                           A  14.42  10.87NA  10.87    2.56  27.85 27.850090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27703  Reconstruction ankle joint                        A  16.94  12.29NA  12.29    3.01  32.24 32.240090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
27704  Removal of ankle implant                          A   7.81   7.36NA   7.36    1.36  16.53 16.530090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
27705  Incision of tibia                                 A  10.86   9.04NA   9.04    1.97  21.87 21.870090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27707  Incision of fibula                                A   4.78   5.86NA   5.86    0.85  11.49 11.490090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
27709  Incision of tibia & fibula                        A  17.48  12.91NA  12.91    3.32  33.71 33.710090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27712  Realignment of lower leg                          A  15.87  12.84NA  12.84    3.12  31.83 31.830090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27715  Revision of lower leg                             A  15.50  12.39NA  12.39    3.08  30.97 30.970090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27720  Repair of tibia                                   A  12.36  10.56NA  10.56    2.36  25.28 25.280090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27722  Repair/graft of tibia                             A  12.45  10.86NA  10.86    2.47  25.78 25.780090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27724  Repair/graft of tibia                             A  19.31  13.36NA  13.36    3.76  36.43 36.430090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27725  Repair of lower leg                               A  17.41  14.26NA  14.26    3.45  35.12 35.120090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27726  Repair fibula nonunion                            A  14.34  10.67NA  10.67    2.65  27.66 27.660090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
27727  Repair of lower leg                               A  14.84  12.19NA  12.19    2.94  29.97 29.970090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27730  Repair of tibia epiphysis                         A   7.70   7.71NA   7.71    1.52  16.93 16.930090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
27732  Repair of fibula epiphysis                        A   5.46   6.43NA   6.43    1.08  12.97 12.970090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27734  Repair lower leg epiphyses                        A   8.83   8.38NA   8.38    1.74  18.95 18.950090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27740  Repair of leg epiphyses                           A   9.61   8.92NA   8.92    1.90  20.43 20.430090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
27742  Repair of leg epiphyses                           A  10.63   9.71NA   9.71    2.10  22.44 22.440090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27745  Reinforce tibia                                   A  10.49   9.42NA   9.42    2.05  21.96 21.960090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27750  Treatment of tibia fracture                       A   3.37   5.91     5.18    0.63   9.91  9.180090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27752  Treatment of tibia fracture                       A   6.27   7.91     6.68    1.24  15.42 14.190090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27756  Treatment of tibia fracture                       A   7.45   7.70NA   7.70    1.42  16.57 16.570090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27758  Treatment of tibia fracture                       A  12.54  10.83NA  10.83    2.46  25.83 25.830090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27759  Treatment of tibia fracture                       A  14.45  11.56NA  11.56    2.84  28.85 28.850090.10.69.2121220             36.0896 090 99      0.00   0.00   0.00
27760  Cltx medial ankle fx                              A   3.21   5.79     5.04    0.56   9.56  8.810090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27762  Cltx med ankle fx w/mnpj                          A   5.47   7.25     5.98    1.04  13.76 12.490090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27766  Optx medial ankle fx                              A   7.89   8.08NA   8.08    1.44  17.41 17.410090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
27767  Cltx post ankle fx                                A   2.64   5.12     5.08    0.48   8.24  8.200090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27768  Cltx post ankle fx w/mnpj                         A   5.14   6.60NA   6.60    1.02  12.76 12.760090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27769  Optx post ankle fx                                A  10.14   8.97NA   8.97    1.94  21.05 21.050090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27780  Treatment of fibula fracture                      A   2.83   5.44     4.72    0.53   8.80  8.080090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27781  Treatment of fibula fracture                      A   4.59   6.95     5.99    0.89  12.43 11.470090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27784  Treatment of fibula fracture                      A   9.67   9.04NA   9.04    1.80  20.51 20.510090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
27786  Treatment of ankle fracture                       A   3.02   5.45     4.69    0.54   9.01  8.250090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27788  Treatment of ankle fracture                       A   4.64   6.70     5.59    0.87  12.21 11.100090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27792  Treatment of ankle fracture                       A   8.75   8.32NA   8.32    1.59  18.66 18.660090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
27808  Treatment of ankle fracture                       A   3.03   5.98     5.11    0.56   9.57  8.700090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27810  Treatment of ankle fracture                       A   5.32   7.13     5.85    1.03  13.48 12.200090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27814  Treatment of ankle fracture                       A  10.62   9.53NA   9.53    1.98  22.13 22.130090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27816  Treatment of ankle fracture                       A   3.07   5.73     4.73    0.56   9.36  8.360090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27818  Treatment of ankle fracture                       A   5.69   7.21     5.76    1.09  13.99 12.540090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27822  Treatment of ankle fracture                       A  11.21  11.69NA  11.69    2.08  24.98 24.980090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27823  Treatment of ankle fracture                       A  13.16  12.63NA  12.63    2.47  28.26 28.260090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27824  Treat lower leg fracture                          A   3.31   5.20     4.84    0.60   9.11  8.750090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27825  Treat lower leg fracture                          A   6.69   7.76     6.29    1.27  15.72 14.250090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
27826  Treat lower leg fracture                          A  11.10  11.45NA  11.45    2.00  24.55 24.550090.10.69.2121220             36.0896 090 99      0.00   0.00   0.00
27827  Treat lower leg fracture                          A  14.79  14.42NA  14.42    2.84  32.05 32.050090.10.69.2121220             36.0896 090 99      0.00   0.00   0.00
27828  Treat lower leg fracture                          A  18.43  16.16NA  16.16    3.51  38.10 38.100090.10.69.2121220             36.0896 090 99      0.00   0.00   0.00
27829  Treat lower leg joint                             A   8.80   9.79NA   9.79    1.61  20.20 20.200090.10.69.2121220             36.0896 090 99      0.00   0.00   0.00
27830  Treat lower leg dislocation                       A   3.96   6.36     5.53    0.79  11.11 10.280090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
27831  Treat lower leg dislocation                       A   4.73   5.97NA   5.97    0.93  11.63 11.630090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
27832  Treat lower leg dislocation                       A  10.17   9.65NA   9.65    2.00  21.82 21.820090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27840  Treat ankle dislocation                           A   4.77   5.16NA   5.16    0.91  10.84 10.840090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27842  Treat ankle dislocation                           A   6.46   6.53NA   6.53    1.21  14.20 14.200090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27846  Treat ankle dislocation                           A  10.28   8.53NA   8.53    1.80  20.61 20.610090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27848  Treat ankle dislocation                           A  11.68   9.33NA   9.33    2.06  23.07 23.070090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27860  Fixation of ankle joint                           A   2.39   2.14NA   2.14    0.38   4.91  4.910010.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
27870  Fusion of ankle joint open                        A  15.41  11.43NA  11.43    2.67  29.51 29.510090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27871  Fusion of tibiofibular joint                      A   9.54   8.57NA   8.57    1.77  19.88 19.880090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27880  Amputation of lower leg                           A  15.37   7.49NA   7.49    3.49  26.35 26.350090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27881  Amputation of lower leg                           A  13.47   8.44NA   8.44    2.93  24.84 24.840090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27882  Amputation of lower leg                           A   9.79   5.24NA   5.24    2.28  17.31 17.310090.10.69.2121010             36.0896 090 99      0.00   0.00   0.00
27884  Amputation follow-up surgery                      A   8.76   5.86NA   5.86    1.95  16.57 16.570090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
27886  Amputation follow-up surgery                      A  10.02   6.72NA   6.72    2.22  18.96 18.960090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
27888  Amputation of foot at ankle                       A  10.37   6.60NA   6.60    1.98  18.95 18.950090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
27889  Amputation of foot at ankle                       A  10.86   5.34NA   5.34    2.41  18.61 18.610090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
27892  Decompression of leg                              A   7.94   6.38NA   6.38    1.57  15.89 15.890090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
27893  Decompression of leg                              A   7.90   8.15NA   8.15    1.57  17.62 17.620090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
27894  Decompression of leg                              A  12.67   9.07NA   9.07    2.58  24.32 24.320090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
27899  Leg/ankle surgery procedure                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             36.0896 090 99      0.00   0.00   0.00
28001  Drainage of bursa of foot                         A   2.78   5.01     1.89    0.27   8.06  4.940010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
28002  Treatment of foot infection                       A   5.34   6.86     3.31    0.56  12.76  9.210010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
28003  Treatment of foot infection                       A   9.06  10.19     6.15    0.93  20.18 16.140090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28005  Treat foot bone lesion                            A   9.44   6.30NA   6.30    0.90  16.64 16.640090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28008  Incision of foot fascia                           A   4.59   7.49     3.48    0.42  12.50  8.490090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
28010  Incision of toe tendon                            A   2.97   3.45     2.75    0.27   6.69  5.990090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28011  Incision of toe tendons                           A   4.28   4.41     3.42    0.40   9.09  8.100090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28020  Exploration of foot joint                         A   5.15   9.71     4.57    0.64  15.50 10.360090.10.69.2120110             36.0896 090 99      0.00   0.00   0.00
28022  Exploration of foot joint                         A   4.81   8.73     4.03    0.52  14.06  9.360090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28024  Exploration of toe joint                          A   4.52   8.22     3.75    0.44  13.18  8.710090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28035  Decompression of tibia nerve                      A   5.23   9.35     4.38    0.60  15.18 10.210090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
28039  Exc foot/toe tum sc 1.5 cm/>                      A   5.42   8.24     3.88    0.64  14.30  9.940090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
28041  Exc foot/toe tum dep 1.5cm/>                      A   7.13   5.13NA   5.13    0.81  13.07 13.070090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
28043  Exc foot/toe tum sc < 1.5 cm                      A   3.96   6.99     3.18    0.38  11.33  7.520090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
28045  Exc foot/toe tum deep <1.5cm                      A   5.45   8.09     4.01    0.51  14.05  9.970090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
28046  Resect foot/toe tumor < 3 cm                      A  12.38   6.97NA   6.97    1.32  20.67 20.670090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
28047  Resect foot/toe tumor 3 cm/>                      A  17.45  10.10NA  10.10    2.52  30.07 30.070090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28050  Biopsy of foot joint lining                       A   4.39   7.45     3.30    0.34  12.18  8.030090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
28052  Biopsy of foot joint lining                       A   4.06   8.32     3.65    0.47  12.85  8.180090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
28054  Biopsy of toe joint lining                        A   3.57   6.91     2.90    0.28  10.76  6.750090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
28055  Neurectomy foot                                   A   6.29   4.25NA   4.25    0.60  11.14 11.140090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
28060  Partial removal foot fascia                       A   5.40   9.10     4.39    0.57  15.07 10.360090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
28062  Removal of foot fascia                            A   6.69   9.50     4.41    0.60  16.79 11.700090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
28070  Removal of foot joint lining                      A   5.24   9.42     4.35    0.60  15.26 10.190090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28072  Removal of foot joint lining                      A   4.72   8.83     4.00    0.51  14.06  9.230090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28080  Removal of foot lesion                            A   4.86   9.83     5.27    0.49  15.18 10.620090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
28086  Excise foot tendon sheath                         A   4.92   9.91     4.64    0.65  15.48 10.210090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28088  Excise foot tendon sheath                         A   3.98   8.08     3.50    0.44  12.50  7.920090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
28090  Removal of foot lesion                            A   4.55   8.46     3.81    0.47  13.48  8.830090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
28092  Removal of toe lesions                            A   3.78   8.05     3.59    0.38  12.21  7.750090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28100  Removal of ankle/heel lesion                      A   5.83  11.00     5.36    0.79  17.62 11.980090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28102  Remove/graft foot lesion                          A   7.92   8.05NA   8.05    1.57  17.54 17.540090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
28103  Remove/graft foot lesion                          A   6.67   4.06NA   4.06    0.51  11.24 11.240090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
28104  Removal of foot lesion                            A   5.26   9.40     4.34    0.60  15.26 10.200090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
28106  Remove/graft foot lesion                          A   7.35   4.43NA   4.43    0.56  12.34 12.340090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
28107  Remove/graft foot lesion                          A   5.73   8.59     3.84    0.44  14.76 10.010090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
28108  Removal of toe lesions                            A   4.30   7.96     3.59    0.40  12.66  8.290090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28110  Part removal of metatarsal                        A   4.22   8.71     3.70    0.43  13.36  8.350090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
28111  Part removal of metatarsal                        A   5.15   8.38     3.62    0.56  14.09  9.330090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
28112  Part removal of metatarsal                        A   4.63   8.93     3.86    0.51  14.07  9.000090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
28113  Part removal of metatarsal                        A   6.11  10.23     5.47    0.60  16.94 12.180090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
28114  Removal of metatarsal heads                       A  12.00  16.93    10.27    1.56  30.49 23.830090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28116  Revision of foot                                  A   9.14  11.83     6.44    1.04  22.01 16.620090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
28118  Removal of heel bone                              A   6.13  10.40     5.12    0.79  17.32 12.040090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28119  Removal of heel spur                              A   5.56   9.01     4.29    0.54  15.11 10.390090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
28120  Part removal of ankle/heel                        A   7.31  11.27     6.07    0.95  19.53 14.330090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
28122  Partial removal of foot bone                      A   6.76   9.71     5.16    0.70  17.17 12.620090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28124  Partial removal of toe                            A   5.00   8.36     4.11    0.44  13.80  9.550090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
28126  Partial removal of toe                            A   3.64   7.34     3.13    0.34  11.32  7.110090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28130  Removal of ankle bone                             A   9.50   7.45NA   7.45    1.26  18.21 18.210090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28140  Removal of metatarsal                             A   7.14   8.93     4.51    0.91  16.98 12.560090.10.69.2120110             36.0896 090 99      0.00   0.00   0.00
28150  Removal of toe                                    A   4.23   7.49     3.35    0.43  12.15  8.010090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28153  Partial removal of toe                            A   3.80   7.75     3.47    0.37  11.92  7.640090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28160  Partial removal of toe                            A   3.88   7.73     3.44    0.37  11.98  7.690090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28171  Resect tarsal tumor                               A  16.41  12.44NA  12.44    3.26  32.11 32.110090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
28173  Resect metatarsal tumor                           A  14.16   6.01NA   6.01    1.08  21.25 21.250090.10.69.2120110             36.0896 090 99      0.00   0.00   0.00
28175  Resect phalanx of toe tumor                       A   8.29   4.73NA   4.73    0.62  13.64 13.640090.10.69.2120110             36.0896 090 99      0.00   0.00   0.00
28190  Removal of foot foreign body                      A   2.01   5.05     1.63    0.21   7.27  3.850010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
28192  Removal of foot foreign body                      A   4.78   8.24     3.75    0.48  13.50  9.010090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
28193  Removal of foot foreign body                      A   5.90   8.84     4.19    0.54  15.28 10.630090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
28200  Repair of foot tendon                             A   4.74   8.98     4.07    0.52  14.24  9.330090.10.69.2120110             36.0896 090 99      0.00   0.00   0.00
28202  Repair/graft of foot tendon                       A   7.07   9.70     4.70    0.67  17.44 12.440090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
28208  Repair of foot tendon                             A   4.51   8.87     4.08    0.52  13.90  9.110090.10.69.2120110             36.0896 090 99      0.00   0.00   0.00
28210  Repair/graft of foot tendon                       A   6.52   9.77     4.85    0.70  16.99 12.070090.10.69.2120200             36.0896 090 99      0.00   0.00   0.00
28220  Release of foot tendon                            A   4.67   7.90     3.61    0.44  13.01  8.720090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
28222  Release of foot tendons                           A   5.76   8.67     3.99    0.54  14.97 10.290090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
28225  Release of foot tendon                            A   3.78   7.87     3.41    0.40  12.05  7.590090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
28226  Release of foot tendons                           A   4.67  12.11     5.77    0.91  17.69 11.350090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
28230  Incision of foot tendon(s)                        A   4.36   7.79     3.39    0.41  12.56  8.160090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
28232  Incision of toe tendon                            A   3.51   7.27     3.12    0.32  11.10  6.950090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28234  Incision of foot tendon                           A   3.54   7.92     3.73    0.35  11.81  7.620090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28238  Revision of foot tendon                           A   7.96  10.40     5.17    0.84  19.20 13.970090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28240  Release of big toe                                A   4.48   8.01     3.54    0.44  12.93  8.460090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
28250  Revision of foot fascia                           A   6.06   9.92     4.83    0.77  16.75 11.660090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28260  Release of midfoot joint                          A   8.19  10.99     5.76    1.02  20.20 14.970090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28261  Revision of foot tendon                           A  13.11  18.94    11.37    2.59  34.64 27.070090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
28262  Revision of foot and ankle                        A  17.21  20.16    12.39    3.04  40.41 32.640090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28264  Release of midfoot joint                          A  10.65  16.40     9.45    2.12  29.17 22.220090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
28270  Release of foot contracture                       A   4.93   8.77     4.20    0.51  14.21  9.640090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
28272  Release of toe joint each                         A   3.92   7.02     3.02    0.31  11.25  7.250090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
28280  Fusion of toes                                    A   5.33   8.94     4.14    0.56  14.83 10.030090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
28285  Repair of hammertoe                               A   5.62   9.30     4.76    0.56  15.48 10.940090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
28286  Repair of hammertoe                               A   4.70   7.80     3.47    0.39  12.89  8.560090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
28288  Partial removal of foot bone                      A   6.02  10.91     5.80    0.64  17.57 12.460090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28289  Corrj halux rigdus w/o implt                      A   6.90  12.91     5.54    0.78  20.59 13.220090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28291  Corrj halux rigdus w/implt                        A   8.01  12.29     5.34    0.76  21.06 14.110090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28292  Correction hallux valgus                          A   7.44  12.73     5.77    0.72  20.89 13.930090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28295  Correction hallux valgus                          A   8.57  19.00     6.63    0.96  28.53 16.160090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28296  Correction hallux valgus                          A   8.25  17.17     5.80    0.76  26.18 14.810090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28297  Correction hallux valgus                          A   9.29  19.90     7.02    1.09  30.28 17.400090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28298  Correction hallux valgus                          A   7.75  15.71     5.74    0.85  24.31 14.340090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28299  Correction hallux valgus                          A   9.29  18.85     6.55    0.96  29.10 16.800090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28300  Incision of heel bone                             A   9.73   7.55NA   7.55    1.50  18.78 18.780090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28302  Incision of ankle bone                            A   9.74   8.99NA   8.99    1.93  20.66 20.660090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28304  Incision of midfoot bones                         A   9.41  12.95     6.74    1.25  23.61 17.400090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28305  Incise/graft midfoot bones                        A  10.77   7.21NA   7.21    1.32  19.30 19.300090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28306  Incision of metatarsal                            A   6.00  10.73     4.79    0.76  17.49 11.550090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28307  Incision of metatarsal                            A   6.50  10.73     4.80    0.67  17.90 11.970090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
28308  Incision of metatarsal                            A   5.48  10.33     4.87    0.62  16.43 10.970090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28309  Incision of metatarsals                           A  14.16   9.34NA   9.34    1.98  25.48 25.480090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
28310  Revision of big toe                               A   5.57   9.63     4.20    0.58  15.78 10.350090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
28312  Revision of toe                                   A   4.69   9.31     3.94    0.49  14.49  9.120090.10.69.2120110             36.0896 090 99      0.00   0.00   0.00
28313  Repair deformity of toe                           A   5.15   9.36     4.46    0.62  15.13 10.230090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28315  Removal of sesamoid bone                          A   5.00   8.39     3.87    0.51  13.90  9.380090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
28320  Repair of foot bones                              A   9.37   6.98NA   6.98    1.31  17.66 17.660090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28322  Repair of metatarsals                             A   8.53  12.80     6.79    1.24  22.57 16.560090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
28340  Resect enlarged toe tissue                        A   7.15   8.88     4.17    0.54  16.57 11.860090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28341  Resect enlarged toe                               A   8.72   9.83     4.76    0.65  19.20 14.130090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28344  Repair extra toe(s)                               A   4.40   7.52     3.30    0.34  12.26  8.040090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
28345  Repair webbed toe(s)                              A   6.09   8.42     3.93    0.48  14.99 10.500090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
28360  Reconstruct cleft foot                            A  14.92  13.65NA  13.65    2.96  31.53 31.530090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
28400  Treatment of heel fracture                        A   2.31   4.41     3.87    0.37   7.09  6.550090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
28405  Treatment of heel fracture                        A   4.74   5.74     4.70    0.64  11.12 10.080090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
28406  Treatment of heel fracture                        A   6.56   7.86NA   7.86    1.16  15.58 15.580090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
28415  Treat heel fracture                               A  16.19  13.47NA  13.47    2.62  32.28 32.280090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28420  Treat/graft heel fracture                         A  17.52  16.12NA  16.12    3.46  37.10 37.100090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28430  Treatment of ankle fracture                       A   2.22   4.28     3.46    0.35   6.85  6.030090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
28435  Treatment of ankle fracture                       A   3.54   6.24     5.09    0.68  10.46  9.310090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
28436  Treatment of ankle fracture                       A   4.90   7.59NA   7.59    0.96  13.45 13.450090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
28445  Treat ankle fracture                              A  15.76  11.60NA  11.60    2.55  29.91 29.910090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28446  Osteochondral talus autogrft                      A  17.71  14.14NA  14.14    3.49  35.34 35.340090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28450  Treat midfoot fracture each                       A   2.03   3.76     3.16    0.28   6.07  5.470090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28455  Treat midfoot fracture each                       A   3.24   4.65     3.78    0.38   8.27  7.400090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
28456  Treat midfoot fracture                            A   2.86   6.32NA   6.32    0.56   9.74  9.740090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28465  Treat midfoot fracture each                       A   8.80   8.14NA   8.14    1.24  18.18 18.180090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28470  Treat metatarsal fracture                         A   2.03   3.93     3.52    0.30   6.26  5.850090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28475  Treat metatarsal fracture                         A   3.01   3.99     3.14    0.37   7.37  6.520090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28476  Treat metatarsal fracture                         A   3.60   6.39NA   6.39    0.57  10.56 10.560090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
28485  Treat metatarsal fracture                         A   7.44   7.53NA   7.53    0.92  15.89 15.890090.10.69.2120110             36.0896 090 99      0.00   0.00   0.00
28490  Treat big toe fracture                            A   1.17   2.74     2.22    0.16   4.07  3.550090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
28495  Treat big toe fracture                            A   1.68   3.23     2.38    0.19   5.10  4.250090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
28496  Treat big toe fracture                            A   2.48  10.11     4.06    0.39  12.98  6.930090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
28505  Treat big toe fracture                            A   7.44  10.78     5.98    0.90  19.12 14.320090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
28510  Treatment of toe fracture                         A   1.17   2.17     2.11    0.13   3.47  3.410090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28515  Treatment of toe fracture                         A   1.56   2.93     2.34    0.18   4.67  4.080090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28525  Treat toe fracture                                A   5.62  10.22     5.33    0.66  16.50 11.610090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
28530  Treat sesamoid bone fracture                      A   1.11   2.08     1.66    0.11   3.30  2.880090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
28531  Treat sesamoid bone fracture                      A   2.57   6.95     2.44    0.21   9.73  5.220090.10.69.2121120             36.0896 090 99      0.00   0.00   0.00
28540  Treat foot dislocation                            A   2.19   3.20     2.64    0.18   5.57  5.010090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
28545  Treat foot dislocation                            A   2.60   5.55     4.50    0.52   8.67  7.620090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
28546  Treat foot dislocation                            A   3.40  12.69     5.80    0.65  16.74  9.850090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
28555  Repair foot dislocation                           A   9.65  13.53     7.68    1.42  24.60 18.750090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28570  Treat foot dislocation                            A   1.76   4.46     3.41    0.35   6.57  5.520090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
28575  Treat foot dislocation                            A   3.49   6.48     5.41    0.67  10.64  9.570090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
28576  Treat foot dislocation                            A   4.60   5.64NA   5.64    0.90  11.14 11.140090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
28585  Repair foot dislocation                           A  11.13  12.60     7.28    1.21  24.94 19.620090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28600  Treat foot dislocation                            A   2.02   3.90     3.01    0.27   6.19  5.300090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
28605  Treat foot dislocation                            A   2.89   6.12     5.11    0.57   9.58  8.570090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
28606  Treat foot dislocation                            A   5.09   5.26NA   5.26    0.84  11.19 11.190090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28615  Repair foot dislocation                           A  10.70  11.01NA  11.01    1.72  23.43 23.430090.10.69.2120210             36.0896 090 99      0.00   0.00   0.00
28630  Treat toe dislocation                             A   1.75   2.47     1.18    0.27   4.49  3.200010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
28635  Treat toe dislocation                             A   1.96   2.85     1.62    0.23   5.04  3.810010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
28636  Treat toe dislocation                             A   2.77   5.80     2.56    0.41   8.98  5.740010.10.80.1020120             36.0896 090 99      0.00   0.00   0.00
28645  Repair toe dislocation                            A   7.44  10.65     5.72    0.84  18.93 14.000090.10.69.2120110             36.0896 090 99      0.00   0.00   0.00
28660  Treat toe dislocation                             A   1.28   1.91     1.11    0.23   3.42  2.620010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
28665  Treat toe dislocation                             A   1.97   2.23     1.54    0.21   4.41  3.720010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
28666  Treat toe dislocation                             A   2.66   1.92NA   1.92    0.21   4.79  4.790010.10.80.1020120             36.0896 090 99      0.00   0.00   0.00
28675  Repair of toe dislocation                         A   5.62  10.15     5.35    0.65  16.42 11.620090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28705  Fusion of foot bones                              A  20.33  12.19NA  12.19    2.95  35.47 35.470090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28715  Fusion of foot bones                              A  13.42  11.45NA  11.45    2.25  27.12 27.120090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28725  Fusion of foot bones                              A  11.22   9.45NA   9.45    1.80  22.47 22.470090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28730  Fusion of foot bones                              A  10.70   8.88NA   8.88    1.63  21.21 21.210090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28735  Fusion of foot bones                              A  12.23   8.47NA   8.47    1.68  22.38 22.380090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28737  Revision of foot bones                            A  11.03   7.52NA   7.52    1.34  19.89 19.890090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28740  Fusion of foot bones                              A   9.29  13.66     7.36    1.25  24.20 17.900090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28750  Fusion of big toe joint                           A   8.57  13.27     7.09    1.15  22.99 16.810090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
28755  Fusion of big toe joint                           A   4.88   9.28     4.16    0.54  14.70  9.580090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
28760  Fusion of big toe joint                           A   9.14  12.40     6.45    1.01  22.55 16.600090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28800  Amputation of midfoot                             A   8.79   5.51NA   5.51    1.12  15.42 15.420090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
28805  Amputation thru metatarsal                        A  12.71   6.42NA   6.42    1.73  20.86 20.860090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
28810  Amputation toe & metatarsal                       A   6.64   4.65NA   4.65    1.08  12.37 12.370090.10.69.2120000             36.0896 090 99      0.00   0.00   0.00
28820  Amputation of toe                                 A   5.82   9.55     4.75    0.74  16.11 11.310090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28825  Partial amputation of toe                         A   5.37   9.39     4.59    0.64  15.40 10.600090.10.69.2120100             36.0896 090 99      0.00   0.00   0.00
28890  Hi enrgy eswt plantar fascia                      A   3.45   5.43     2.63    0.30   9.18  6.380090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
28899  Foot/toes surgery procedure                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
29000  Application of body cast                          A   2.25   6.62     2.50    0.82   9.69  5.570000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
29010  Application of body cast                          A   2.06   5.16     2.11    0.41   7.63  4.580000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
29015  Application of body cast                          A   2.41   5.33     2.29    0.48   8.22  5.180000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
29035  Application of body cast                          A   1.77   5.01     1.96    0.35   7.13  4.080000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
29040  Application of body cast                          A   2.22   5.51     2.29    0.44   8.17  4.950000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
29044  Application of body cast                          A   2.12   5.46     2.23    0.43   8.01  4.780000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
29046  Application of body cast                          A   2.41   5.89     2.48    0.48   8.78  5.370000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
29049  Application of figure eight                       A   0.89   1.72     0.93    0.18   2.79  2.000000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
29055  Application of shoulder cast                      A   1.78   4.09     1.80    0.35   6.22  3.930000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
29058  Application of shoulder cast                      A   1.31   1.93     1.13    0.27   3.51  2.710000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
29065  Application of long arm cast                      A   0.87   1.67     0.92    0.16   2.70  1.950000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
29075  Application of forearm cast                       A   0.77   1.53     0.86    0.13   2.43  1.760000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
29085  Apply hand/wrist cast                             A   0.87   1.66     0.90    0.15   2.68  1.920000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
29086  Apply finger cast                                 A   0.62   1.51     0.76    0.09   2.22  1.470000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
29105  Apply long arm splint                             A   0.80   1.38     0.28    0.13   2.31  1.210000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
29125  Apply forearm splint                              A   0.50   1.23     0.54    0.09   1.82  1.130000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
29126  Apply forearm splint                              A   0.68   1.41     0.63    0.09   2.18  1.400000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
29130  Application of finger splint                      A   0.50   0.59     0.26    0.09   1.18  0.850000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
29131  Application of finger splint                      A   0.55   0.84     0.34    0.09   1.48  0.980000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
29200  Strapping of chest                                A   0.39   0.52     0.13    0.02   0.93  0.540000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
29240  Strapping of shoulder                             A   0.39   0.47     0.13    0.02   0.88  0.540000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
29260  Strapping of elbow or wrist                       A   0.39   0.44     0.14    0.03   0.86  0.560000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
29280  Strapping of hand or finger                       A   0.39   0.44     0.16    0.05   0.88  0.600000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
29305  Application of hip cast                           A   2.03   4.49     2.09    0.41   6.93  4.530000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
29325  Application of hip casts                          A   2.32   4.89     2.30    0.47   7.68  5.090000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
29345  Application of long leg cast                      A   1.40   2.18     1.20    0.27   3.85  2.870000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
29355  Application of long leg cast                      A   1.53   2.22     1.26    0.28   4.03  3.070000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
29358  Apply long leg cast brace                         A   1.43   2.80     1.25    0.28   4.51  2.960000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
29365  Application of long leg cast                      A   1.18   2.06     1.09    0.23   3.47  2.500000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
29405  Apply short leg cast                              A   0.80   1.34     0.77    0.12   2.26  1.690000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
29425  Apply short leg cast                              A   0.80   1.26     0.68    0.11   2.17  1.590000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
29435  Apply short leg cast                              A   1.18   1.86     0.96    0.21   3.25  2.350000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
29440  Addition of walker to cast                        A   0.57   0.61     0.21    0.05   1.23  0.830000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
29445  Apply rigid leg cast                              A   1.78   1.72     0.94    0.22   3.72  2.940000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
29450  Application of leg cast                           A   2.08   1.81     0.96    0.22   4.11  3.260000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
29505  Application long leg splint                       A   0.69   1.61     0.65    0.11   2.41  1.450000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
29515  Application lower leg splint                      A   0.73   1.17     0.58    0.11   2.01  1.420000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
29520  Strapping of hip                                  A   0.39   0.59     0.14    0.02   1.00  0.550000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
29530  Strapping of knee                                 A   0.39   0.46     0.13    0.02   0.87  0.540000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
29540  Strapping of ankle and/or ft                      A   0.39   0.39     0.09    0.03   0.81  0.510000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
29550  Strapping of toes                                 A   0.25   0.27     0.06    0.02   0.54  0.330000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
29580  Application of paste boot                         A   0.55   1.17     0.16    0.08   1.80  0.790000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
29581  Apply multlay comprs lwr leg                      A   0.60   1.92     0.18    0.02   2.54  0.800000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
29584  Appl multlay comprs arm/hand                      A   0.35   2.01     0.11    0.01   2.37  0.470000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
29700  Removal/revision of cast                          A   0.57   1.12     0.30    0.09   1.78  0.960000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
29705  Removal/revision of cast                          A   0.76   0.95     0.44    0.11   1.82  1.310000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
29710  Removal/revision of cast                          A   1.34   1.87     0.80    0.27   3.48  2.410000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
29720  Repair of body cast                               A   0.68   1.57     0.45    0.13   2.38  1.260000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
29730  Windowing of cast                                 A   0.75   0.90     0.39    0.11   1.76  1.250000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
29740  Wedging of cast                                   A   1.12   1.47     0.67    0.23   2.82  2.020000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
29750  Wedging of clubfoot cast                          A   1.26   1.54     0.74    0.26   3.06  2.260000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
29799  Casting/strapping procedure                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
29800  Jaw arthroscopy/surgery                           A   6.84   7.05NA   7.05    1.34  15.23 15.230090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
29804  Jaw arthroscopy/surgery                           A   8.87   8.08NA   8.08    0.81  17.76 17.760090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
29805  Shoulder arthroscopy dx                           A   6.03   6.36NA   6.36    1.16  13.55 13.550090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
29806  Shoulder arthroscopy/surgery                      A  15.14  12.49NA  12.49    2.91  30.54 30.540090.10.69.2131110       29805 36.0896 090 99      0.00   0.00   0.00
29807  Shoulder arthroscopy/surgery                      A  14.67  12.36NA  12.36    2.84  29.87 29.870090.10.69.2131110       29805 36.0896 090 99      0.00   0.00   0.00
29819  Shoulder arthroscopy/surgery                      A   7.79   7.62NA   7.62    1.50  16.91 16.910090.10.69.2131110       29805 36.0896 090 99      0.00   0.00   0.00
29820  Shoulder arthroscopy/surgery                      A   7.21   6.90NA   6.90    1.37  15.48 15.480090.10.69.2131210       29805 36.0896 090 99      0.00   0.00   0.00
29821  Shoulder arthroscopy/surgery                      A   7.89   7.70NA   7.70    1.51  17.10 17.100090.10.69.2131210       29805 36.0896 090 99      0.00   0.00   0.00
29822  Shoulder arthroscopy/surgery                      A   7.60   7.57NA   7.57    1.46  16.63 16.630090.10.69.2131200       29805 36.0896 090 99      0.00   0.00   0.00
29823  Shoulder arthroscopy/surgery                      A   8.36   8.13NA   8.13    1.61  18.10 18.100090.10.69.2131210       29805 36.0896 090 99      0.00   0.00   0.00
29824  Shoulder arthroscopy/surgery                      A   8.98   8.78NA   8.78    1.70  19.46 19.460090.10.69.2131210       29805 36.0896 090 99      0.00   0.00   0.00
29825  Shoulder arthroscopy/surgery                      A   7.79   7.62NA   7.62    1.50  16.91 16.910090.10.69.2131210       29805 36.0896 090 99      0.00   0.00   0.00
29826  Shoulder arthroscopy/surgery                      A   3.00   1.48NA   1.48    0.57   5.05  5.050ZZZ.00.00.0001210             36.0896 090 99      0.00   0.00   0.00
29827  Arthroscop rotator cuff repr                      A  15.59  12.34NA  12.34    2.98  30.91 30.910090.10.69.2131210       29805 36.0896 090 99      0.00   0.00   0.00
29828  Arthroscopy biceps tenodesis                      A  13.16  10.84NA  10.84    2.52  26.52 26.520090.10.69.2131210       29805 36.0896 090 99      0.00   0.00   0.00
29830  Elbow arthroscopy                                 A   5.88   6.12NA   6.12    1.16  13.16 13.160090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
29834  Elbow arthroscopy/surgery                         A   6.42   6.55NA   6.55    1.22  14.19 14.190090.10.69.2131210       29830 36.0896 090 99      0.00   0.00   0.00
29835  Elbow arthroscopy/surgery                         A   6.62   6.74NA   6.74    1.31  14.67 14.670090.10.69.2131210       29830 36.0896 090 99      0.00   0.00   0.00
29836  Elbow arthroscopy/surgery                         A   7.72   7.66NA   7.66    1.46  16.84 16.840090.10.69.2131210       29830 36.0896 090 99      0.00   0.00   0.00
29837  Elbow arthroscopy/surgery                         A   7.01   6.88NA   6.88    1.31  15.20 15.200090.10.69.2131210       29830 36.0896 090 99      0.00   0.00   0.00
29838  Elbow arthroscopy/surgery                         A   7.88   7.73NA   7.73    1.46  17.07 17.070090.10.69.2131000       29830 36.0896 090 99      0.00   0.00   0.00
29840  Wrist arthroscopy                                 A   5.68   6.29NA   6.29    1.02  12.99 12.990090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
29843  Wrist arthroscopy/surgery                         A   6.15   6.61NA   6.61    1.24  14.00 14.000090.10.69.2131210       29840 36.0896 090 99      0.00   0.00   0.00
29844  Wrist arthroscopy/surgery                         A   6.51   6.73NA   6.73    1.16  14.40 14.400090.10.69.2131200       29840 36.0896 090 99      0.00   0.00   0.00
29845  Wrist arthroscopy/surgery                         A   7.69   7.73NA   7.73    1.39  16.81 16.810090.10.69.2131210       29840 36.0896 090 99      0.00   0.00   0.00
29846  Wrist arthroscopy/surgery                         A   6.89   6.93NA   6.93    1.24  15.06 15.060090.10.69.2131000       29840 36.0896 090 99      0.00   0.00   0.00
29847  Wrist arthroscopy/surgery                         A   7.22   7.04NA   7.04    1.42  15.68 15.680090.10.69.2131200       29840 36.0896 090 99      0.00   0.00   0.00
29848  Wrist endoscopy/surgery                           A   6.39   7.14NA   7.14    1.16  14.69 14.690090.10.69.2121100             36.0896 090 99      0.00   0.00   0.00
29850  Knee arthroscopy/surgery                          A   8.27   8.07NA   8.07    1.64  17.98 17.980090.10.69.2121020             36.0896 090 99      0.00   0.00   0.00
29851  Knee arthroscopy/surgery                          A  13.26  10.99NA  10.99    2.62  26.87 26.870090.10.69.2121220             36.0896 090 99      0.00   0.00   0.00
29855  Tibial arthroscopy/surgery                        A  10.76   9.74NA   9.74    2.07  22.57 22.570090.10.69.2121220             36.0896 090 99      0.00   0.00   0.00
29856  Tibial arthroscopy/surgery                        A  14.28  11.52NA  11.52    2.80  28.60 28.600090.10.69.2121220             36.0896 090 99      0.00   0.00   0.00
29860  Hip arthroscopy dx                                A   9.00   8.44NA   8.44    1.80  19.24 19.240090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
29861  Hip arthro w/fb removal                           A  10.10   8.79NA   8.79    1.93  20.82 20.820090.10.69.2131210       29860 36.0896 090 99      0.00   0.00   0.00
29862  Hip arthr0 w/debridement                          A  11.17  10.15NA  10.15    2.13  23.45 23.450090.10.69.2131210       29860 36.0896 090 99      0.00   0.00   0.00
29863  Hip arthr0 w/synovectomy                          A  11.17  10.19NA  10.19    2.16  23.52 23.520090.10.69.2131210       29860 36.0896 090 99      0.00   0.00   0.00
29866  Autgrft implnt knee w/scope                       A  14.67  12.74NA  12.74    2.92  30.33 30.330090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
29867  Allgrft implnt knee w/scope                       A  18.39  14.89NA  14.89    3.64  36.92 36.920090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
29868  Meniscal trnspl knee w/scpe                       A  25.10  18.26NA  18.26    4.98  48.34 48.340090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
29870  Knee arthroscopy dx                               A   5.19  10.26     5.65    0.97  16.42 11.810090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
29871  Knee arthroscopy/drainage                         A   6.69   6.82NA   6.82    1.30  14.81 14.810090.10.69.2131100       29870 36.0896 090 99      0.00   0.00   0.00
29873  Knee arthroscopy/surgery                          A   6.24   7.78NA   7.78    1.22  15.24 15.240090.10.69.2131110       29870 36.0896 090 99      0.00   0.00   0.00
29874  Knee arthroscopy/surgery                          A   7.19   6.93NA   6.93    1.39  15.51 15.510090.10.69.2131000       29870 36.0896 090 99      0.00   0.00   0.00
29875  Knee arthroscopy/surgery                          A   6.45   6.61NA   6.61    1.25  14.31 14.310090.10.69.2131000       29870 36.0896 090 99      0.00   0.00   0.00
29876  Knee arthroscopy/surgery                          A   8.87   8.28NA   8.28    1.70  18.85 18.850090.10.69.2131100       29870 36.0896 090 99      0.00   0.00   0.00
29877  Knee arthroscopy/surgery                          A   8.30   8.00NA   8.00    1.61  17.91 17.910090.10.69.2131000       29870 36.0896 090 99      0.00   0.00   0.00
29879  Knee arthroscopy/surgery                          A   8.99   8.36NA   8.36    1.74  19.09 19.090090.10.69.2131000       29870 36.0896 090 99      0.00   0.00   0.00
29880  Knee arthroscopy/surgery                          A   7.39   7.38NA   7.38    1.42  16.19 16.190090.10.69.2131010       29870 36.0896 090 99      0.00   0.00   0.00
29881  Knee arthroscopy/surgery                          A   7.03   7.21NA   7.21    1.36  15.60 15.600090.10.69.2131000       29870 36.0896 090 99      0.00   0.00   0.00
29882  Knee arthroscopy/surgery                          A   9.60   8.54NA   8.54    1.84  19.98 19.980090.10.69.2131100       29870 36.0896 090 99      0.00   0.00   0.00
29883  Knee arthroscopy/surgery                          A  11.77  10.22NA  10.22    2.29  24.28 24.280090.10.69.2131000       29870 36.0896 090 99      0.00   0.00   0.00
29884  Knee arthroscopy/surgery                          A   8.28   7.96NA   7.96    1.61  17.85 17.850090.10.69.2131210       29870 36.0896 090 99      0.00   0.00   0.00
29885  Knee arthroscopy/surgery                          A  10.21   9.54NA   9.54    2.02  21.77 21.770090.10.69.2131210       29870 36.0896 090 99      0.00   0.00   0.00
29886  Knee arthroscopy/surgery                          A   8.49   8.18NA   8.18    1.68  18.35 18.350090.10.69.2131100       29870 36.0896 090 99      0.00   0.00   0.00
29887  Knee arthroscopy/surgery                          A  10.16   9.51NA   9.51    2.00  21.67 21.670090.10.69.2131210       29870 36.0896 090 99      0.00   0.00   0.00
29888  Knee arthroscopy/surgery                          A  14.30  11.30NA  11.30    2.72  28.32 28.320090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
29889  Knee arthroscopy/surgery                          A  17.41  14.46NA  14.46    3.45  35.32 35.320090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
29891  Ankle arthroscopy/surgery                         A   9.67   8.15NA   8.15    1.50  19.32 19.320090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
29892  Ankle arthroscopy/surgery                         A  10.27   7.26NA   7.26    1.25  18.78 18.780090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
29893  Scope plantar fasciotomy                          A   6.32  11.47     5.54    0.52  18.31 12.380090.10.69.2121110             36.0896 090 99      0.00   0.00   0.00
29894  Ankle arthroscopy/surgery                         A   7.35   5.92NA   5.92    1.12  14.39 14.390090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
29895  Ankle arthroscopy/surgery                         A   7.13   5.34NA   5.34    0.93  13.40 13.400090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
29897  Ankle arthroscopy/surgery                         A   7.32   5.96NA   5.96    1.13  14.41 14.410090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
29898  Ankle arthroscopy/surgery                         A   8.49   6.51NA   6.51    1.24  16.24 16.240090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
29899  Ankle arthroscopy/surgery                         A  15.41  11.61NA  11.61    2.75  29.77 29.770090.10.69.2121210             36.0896 090 99      0.00   0.00   0.00
29900  Mcp joint arthroscopy dx                          A   5.88   7.31NA   7.31    1.16  14.35 14.350090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
29901  Mcp joint arthroscopy surg                        A   6.59   7.56NA   7.56    1.30  15.45 15.450090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
29902  Mcp joint arthroscopy surg                        A   7.16   7.83NA   7.83    1.42  16.41 16.410090.10.69.2121000             36.0896 090 99      0.00   0.00   0.00
29904  Subtalar arthro w/fb rmvl                         A   8.65   8.04NA   8.04    1.69  18.38 18.380090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
29905  Subtalar arthro w/exc                             A   9.18   5.04NA   5.04    0.70  14.92 14.920090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
29906  Subtalar arthro w/deb                             A   9.65   7.99NA   7.99    1.50  19.14 19.140090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
29907  Subtalar arthro w/fusion                          A  12.18  10.71NA  10.71    2.41  25.30 25.300090.10.69.2121200             36.0896 090 99      0.00   0.00   0.00
29914  Hip arthro w/femoroplasty                         A  14.67  11.31NA  11.31    2.74  28.72 28.720090.10.69.2131210       29860 36.0896 090 99      0.00   0.00   0.00
29915  Hip arthro acetabuloplasty                        A  15.00  11.69NA  11.69    2.88  29.57 29.570090.10.69.2131210       29860 36.0896 090 99      0.00   0.00   0.00
29916  Hip arthro w/labral repair                        A  15.00  11.72NA  11.72    2.86  29.58 29.580090.10.69.2131210       29860 36.0896 090 99      0.00   0.00   0.00
29999  Arthroscopy of joint                              C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             36.0896 090 99      0.00   0.00   0.00
30000  Drainage of nose lesion                           A   1.48   5.48     1.68    0.22   7.18  3.380010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
30020  Drainage of nose lesion                           A   1.48   5.55     1.70    0.22   7.25  3.400010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
3006F  Cxr doc rev                                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3008F  Body mass index docd                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
30100  Intranasal biopsy                                 A   0.94   2.97     0.85    0.12   4.03  1.910000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
3011F  Lipid panel doc rev                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
30110  Removal of nose polyp(s)                          A   1.68   4.90     1.78    0.24   6.82  3.700010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
30115  Removal of nose polyp(s)                          A   4.44   7.66NA   7.66    0.60  12.70 12.700090.10.76.1421100             36.0896 090 99      0.00   0.00   0.00
30117  Removal of intranasal lesion                      A   3.26  22.77     5.77    0.44  26.47  9.470090.10.76.1420100             36.0896 090 99      0.00   0.00   0.00
30118  Removal of intranasal lesion                      A   9.92  10.83NA  10.83    1.34  22.09 22.090090.10.76.1420110             36.0896 090 99      0.00   0.00   0.00
30120  Revision of nose                                  A   5.39   8.46     6.05    0.76  14.61 12.200090.10.76.1420100             36.0896 090 99      0.00   0.00   0.00
30124  Removal of nose lesion                            A   3.20   4.69NA   4.69    0.44   8.33  8.330090.10.76.1420100             36.0896 090 99      0.00   0.00   0.00
30125  Removal of nose lesion                            A   7.30   9.66NA   9.66    1.00  17.96 17.960090.10.76.1420200             36.0896 090 99      0.00   0.00   0.00
30130  Excise inferior turbinate                         A   3.47   7.34NA   7.34    0.47  11.28 11.280090.10.76.1421100             36.0896 090 99      0.00   0.00   0.00
3014F  Screen mammo doc rev                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
30140  Resect inferior turbinate                         A   3.00   4.66     1.69    0.42   8.08  5.110000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
3015F  Cerv cancer screen docd                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
30150  Partial removal of nose                           A   9.55  11.51NA  11.51    1.41  22.47 22.470090.10.76.1420110             36.0896 090 99      0.00   0.00   0.00
3016F  Pt scrnd unhlthy oh use                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
30160  Removal of nose                                   A   9.99  11.26NA  11.26    1.36  22.61 22.610090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
3017F  Colorectal ca screen doc rev                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3018F  Pre-prxd rsk et al docd                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3019F  Lvef assess planpost dschrge                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3020F  Lvf assess                                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
30200  Injection treatment of nose                       A   0.78   2.29     0.77    0.11   3.18  1.660000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
3021F  Lvef mod/sever deprs syst                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
30210  Nasal sinus therapy                               A   1.13   2.96     1.54    0.15   4.24  2.820010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
3022F  Lvef >/=40% systolic                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
30220  Insert nasal septal button                        A   1.59   6.88     1.75    0.23   8.70  3.570010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
3023F  Spirom doc rev                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3025F  Spirom fev/fvc <70% w/copd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3027F  Spirom fev/fvc>/=70%/w/ocopd                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3028F  O2 saturation doc rev                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
30300  Remove nasal foreign body                         A   1.09   4.18     2.01    0.13   5.40  3.230010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
30310  Remove nasal foreign body                         A   2.01   3.51NA   3.51    0.28   5.80  5.800010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
30320  Remove nasal foreign body                         A   4.64   8.01NA   8.01    0.62  13.27 13.270090.10.76.1420000             36.0896 090 99      0.00   0.00   0.00
3035F  O2 saturation</=88%/pao</=55                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3037F  O2 saturation >88%/pao>55 hg                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3038F  Pulm fx w/in 12 mon b/4 surg                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3040F  Fev <40% predicted value                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
30400  Reconstruction of nose                            R  10.86  21.57NA  21.57    1.91  34.34 34.340090.10.76.1420000             36.0896 090 99      0.00   0.00   0.00
30410  Reconstruction of nose                            R  14.00  23.40NA  23.40    2.46  39.86 39.860090.10.76.1420200             36.0896 090 99      0.00   0.00   0.00
3042F  Fev >/=40% predicted value                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
30420  Reconstruction of nose                            R  16.90  21.05NA  21.05    2.38  40.33 40.330090.10.76.1420100             36.0896 090 99      0.00   0.00   0.00
30430  Revision of nose                                  R   8.24  20.05NA  20.05    1.44  29.73 29.730090.10.76.1420200             36.0896 090 99      0.00   0.00   0.00
30435  Revision of nose                                  R  12.73  22.67NA  22.67    2.23  37.63 37.630090.10.76.1420200             36.0896 090 99      0.00   0.00   0.00
3044F  Hg a1c level lt 7.0%                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
30450  Revision of nose                                  R  19.66  26.70NA  26.70    3.45  49.81 49.810090.10.76.1420200             36.0896 090 99      0.00   0.00   0.00
3046F  Hemoglobin a1c level >9.0%                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
30460  Revision of nose                                  A  10.32  11.75NA  11.75    1.81  23.88 23.880090.10.76.1420220             36.0896 090 99      0.00   0.00   0.00
30462  Revision of nose                                  A  20.28  22.09NA  22.09    3.56  45.93 45.930090.10.76.1420220             36.0896 090 99      0.00   0.00   0.00
30465  Repair nasal stenosis                             A  12.36  14.48NA  14.48    1.70  28.54 28.540090.10.76.1420000             36.0896 090 99      0.00   0.00   0.00
3048F  Ldl-c <100 mg/dl                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3049F  Ldl-c 100-129 mg/dl                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3050F  Ldl-c >/= 130 mg/dl                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3051F  Hg a1c>equal 7.0%<8.0%                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3052F  Hg a1c>equal 8.0%<equal 9.0%                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
30520  Repair of nasal septum                            A   7.01  10.47NA  10.47    0.96  18.44 18.440090.10.76.1420100             36.0896 090 99      0.00   0.00   0.00
30540  Repair nasal defect                               A   7.92  11.24NA  11.24    1.08  20.24 20.240090.10.76.1420200             36.0896 090 99      0.00   0.00   0.00
30545  Repair nasal defect                               A  11.62  14.44NA  14.44    1.59  27.65 27.650090.10.76.1420200             36.0896 090 99      0.00   0.00   0.00
3055F  Lvef less than/equal to 35%                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3056F  Lvef greater than 35%                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
30560  Release of nasal adhesions                        A   1.31   6.85     2.53    0.18   8.34  4.020010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
30580  Repair upper jaw fistula                          A   6.88  10.29     6.11    0.64  17.81 13.630090.10.76.1420100             36.0896 090 99      0.00   0.00   0.00
3060F  Pos microalbuminuria rev                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
30600  Repair mouth/nose fistula                         A   6.16   9.98     5.45    0.73  16.87 12.340090.10.76.1420000             36.0896 090 99      0.00   0.00   0.00
3061F  Neg microalbuminuria rev                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3062F  Pos macroalbuminuria rev                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
30620  Intranasal reconstruction                         A   6.16  11.24NA  11.24    0.85  18.25 18.250090.10.76.1420100             36.0896 090 99      0.00   0.00   0.00
30630  Repair nasal septum defect                        A   7.29  10.15NA  10.15    1.01  18.45 18.450090.10.76.1420000             36.0896 090 99      0.00   0.00   0.00
3066F  Nephropathy doc tx                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3072F  Low risk for retinopathy                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3073F  Pre-surg eye measures docd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3074F  Syst bp lt 130 mm hg                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3075F  Syst bp ge 130 - 139mm hg                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3077F  Syst bp >/= 140 mm hg                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3078F  Diast bp <80 mm hg                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3079F  Diast bp 80-89 mm hg                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3080F  Diast bp >/= 90 mm hg                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
30801  Ablate inf turbinate superf                       A   1.14   4.89     2.81    0.15   6.18  4.100010.10.80.1022100             36.0896 090 99      0.00   0.00   0.00
30802  Ablate inf turbinate submuc                       A   2.08   5.50     3.22    0.28   7.86  5.580010.10.80.1022100             36.0896 090 99      0.00   0.00   0.00
3082F  Kt/v <1.2                                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3083F  Kt/v =/> 1.2 & <1.7                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3084F  Kt/v >= 1.7                                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3085F  Suicide risk assessed                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3088F  Mdd mild                                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3089F  Mdd moderate                                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3090F  Mdd severe w/o psych                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
30901  Control of nosebleed                              A   1.10   2.81     0.36    0.18   4.09  1.640000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
30903  Control of nosebleed                              A   1.54   4.68     0.47    0.27   6.49  2.280000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
30905  Control of nosebleed                              A   1.97   7.33     0.76    0.34   9.64  3.070000.00.00.0022100             36.0896 090 99      0.00   0.00   0.00
30906  Repeat control of nosebleed                       A   2.45   7.22     1.10    0.37  10.04  3.920000.00.00.0022100             36.0896 090 99      0.00   0.00   0.00
3091F  Mdd severe w/psych                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
30915  Ligation nasal sinus artery                       A   7.44   8.31NA   8.31    1.02  16.77 16.770090.10.76.1420100             36.0896 090 99      0.00   0.00   0.00
3092F  Mdd in remission                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
30920  Ligation upper jaw artery                         A  11.14  11.66NA  11.66    1.52  24.32 24.320090.10.76.1420100             36.0896 090 99      0.00   0.00   0.00
3093F  Doc new diag 1st/addl mdd                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
30930  Ther fx nasal inf turbinate                       A   1.31   1.88NA   1.88    0.18   3.37  3.370010.10.80.1022100             36.0896 090 99      0.00   0.00   0.00
3095F  Central dexa results docd                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3096F  Central dexa ordered                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
30999  Nasal surgery procedure                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
3100F  Image test ref carot diam                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
31000  Irrigation maxillary sinus                        A   1.20   3.81     1.66    0.16   5.17  3.020010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
31002  Irrigation sphenoid sinus                         A   1.96   3.24NA   3.24    0.19   5.39  5.390010.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
31020  Exploration maxillary sinus                       A   3.07  10.04     7.12    0.41  13.52 10.600090.10.76.1421100             36.0896 090 99      0.00   0.00   0.00
31030  Exploration maxillary sinus                       A   6.01  11.81     8.05    0.64  18.46 14.700090.10.76.1421100             36.0896 090 99      0.00   0.00   0.00
31032  Explore sinus remove polyps                       A   6.69   9.00NA   9.00    0.84  16.53 16.530090.10.76.1421100             36.0896 090 99      0.00   0.00   0.00
31040  Exploration behind upper jaw                      A   9.77  11.31NA  11.31    1.38  22.46 22.460090.10.76.1421110             36.0896 090 99      0.00   0.00   0.00
31050  Exploration sphenoid sinus                        A   5.37   8.08NA   8.08    0.73  14.18 14.180090.10.76.1421100             36.0896 090 99      0.00   0.00   0.00
31051  Sphenoid sinus surgery                            A   7.25  10.76NA  10.76    0.99  19.00 19.000090.10.76.1421100             36.0896 090 99      0.00   0.00   0.00
31070  Exploration of frontal sinus                      A   4.40   7.92NA   7.92    0.60  12.92 12.920090.10.76.1421100             36.0896 090 99      0.00   0.00   0.00
31075  Exploration of frontal sinus                      A   9.51  12.04NA  12.04    1.29  22.84 22.840090.10.76.1421210             36.0896 090 99      0.00   0.00   0.00
31080  Removal of frontal sinus                          A  12.74  15.62NA  15.62    1.73  30.09 30.090090.10.76.1421200             36.0896 090 99      0.00   0.00   0.00
31081  Removal of frontal sinus                          A  14.19  16.24NA  16.24    1.94  32.37 32.370090.10.76.1421210             36.0896 090 99      0.00   0.00   0.00
31084  Removal of frontal sinus                          A  14.95  16.56NA  16.56    2.02  33.53 33.530090.10.76.1421210             36.0896 090 99      0.00   0.00   0.00
31085  Removal of frontal sinus                          A  15.64  16.86NA  16.86    2.13  34.63 34.630090.10.76.1421210             36.0896 090 99      0.00   0.00   0.00
31086  Removal of frontal sinus                          A  14.36  16.32NA  16.32    1.96  32.64 32.640090.10.76.1421200             36.0896 090 99      0.00   0.00   0.00
31087  Removal of frontal sinus                          A  14.57  14.71NA  14.71    1.98  31.26 31.260090.10.76.1421210             36.0896 090 99      0.00   0.00   0.00
31090  Exploration of sinuses                            A  11.17  17.69NA  17.69    1.48  30.34 30.340090.10.76.1421100             36.0896 090 99      0.00   0.00   0.00
3110F  Pres/absn hmrhg/lesion docd                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3111F  Ct/mri brain done w/in 24hrs                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3112F  Ct/mri brain done 24 hrs                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3115F  Quant results activity &symp                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3117F  Hf assessment tool completed                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3118F  Ny heart assoc class docd                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3119F  No eval activity clin symp                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3120F  12-lead ecg performed                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
31200  Removal of ethmoid sinus                          A   5.14  11.44NA  11.44    0.47  17.05 17.050090.10.76.1421100             36.0896 090 99      0.00   0.00   0.00
31201  Removal of ethmoid sinus                          A   8.60  12.15NA  12.15    1.24  21.99 21.990090.10.76.1421100             36.0896 090 99      0.00   0.00   0.00
31205  Removal of ethmoid sinus                          A  10.58  14.84NA  14.84    0.92  26.34 26.340090.10.76.1421210             36.0896 090 99      0.00   0.00   0.00
31225  Removal of upper jaw                              A  26.70  21.84NA  21.84    3.62  52.16 52.160090.10.76.1421210             36.0896 090 99      0.00   0.00   0.00
31230  Removal of upper jaw                              A  30.82  22.87NA  22.87    4.20  57.89 57.890090.10.76.1421210             36.0896 090 99      0.00   0.00   0.00
31231  Nasal endoscopy dx                                A   1.10   4.25     0.59    0.13   5.48  1.820000.00.00.0022100             36.0896 090 99      0.00   0.00   0.00
31233  Nsl/sins ndsc dx max sinusc                       A   2.18   4.97     1.36    0.30   7.45  3.840000.00.00.0031000       31231 36.0896 090 99      0.00   0.00   0.00
31235  Nsl/sins ndsc dx sphn sinusc                      A   2.64   5.53     1.58    0.32   8.49  4.540000.00.00.0031000       31231 36.0896 090 99      0.00   0.00   0.00
31237  Nasal/sinus endoscopy surg                        A   2.60   4.26     1.59    0.35   7.21  4.540000.00.00.0031100       31231 36.0896 090 99      0.00   0.00   0.00
31238  Nasal/sinus endoscopy surg                        A   2.74   3.99     1.65    0.38   7.11  4.770000.00.00.0031000       31231 36.0896 090 99      0.00   0.00   0.00
31239  Nasal/sinus endoscopy surg                        A   9.04   7.46NA   7.46    0.91  17.41 17.410010.10.80.1031000       31231 36.0896 090 99      0.00   0.00   0.00
31240  Nasal/sinus endoscopy surg                        A   2.61   1.56NA   1.56    0.35   4.52  4.520000.00.00.0031000       31231 36.0896 090 99      0.00   0.00   0.00
31241  Nsl/sins ndsc w/artery lig                        A   8.00   3.68NA   3.68    1.09  12.77 12.770000.00.00.0031000       31231 36.0896 090 99      0.00   0.00   0.00
31253  Nsl/sins ndsc total                               A   9.00   4.16NA   4.16    1.24  14.40 14.400000.00.00.0031100       31231 36.0896 090 99      0.00   0.00   0.00
31254  Nsl/sins ndsc w/prtl ethmdct                      A   4.27   7.14     2.13    0.58  11.99  6.980000.00.00.0031100       31231 36.0896 090 99      0.00   0.00   0.00
31255  Nsl/sins ndsc w/tot ethmdct                       A   5.75   2.77NA   2.77    0.79   9.31  9.310000.00.00.0031100       31231 36.0896 090 99      0.00   0.00   0.00
31256  Exploration maxillary sinus                       A   3.11   1.63NA   1.63    0.43   5.17  5.170000.00.00.0031100       31231 36.0896 090 99      0.00   0.00   0.00
31257  Nsl/sins ndsc tot w/sphendt                       A   8.00   3.73NA   3.73    1.09  12.82 12.820000.00.00.0031100       31231 36.0896 090 99      0.00   0.00   0.00
31259  Nsl/sins ndsc sphn tiss rmvl                      A   8.48   3.93NA   3.93    1.16  13.57 13.570000.00.00.0031100       31231 36.0896 090 99      0.00   0.00   0.00
3126F  Esoph bx rprt w/dyspl info                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
31267  Endoscopy maxillary sinus                         A   4.68   2.30NA   2.30    0.63   7.61  7.610000.00.00.0031100       31231 36.0896 090 99      0.00   0.00   0.00
31276  Nsl/sins ndsc frnt tiss rmvl                      A   6.75   3.20NA   3.20    0.91  10.86 10.860000.00.00.0031100       31231 36.0896 090 99      0.00   0.00   0.00
31287  Nasal/sinus endoscopy surg                        A   3.50   1.80NA   1.80    0.48   5.78  5.780000.00.00.0031000       31231 36.0896 090 99      0.00   0.00   0.00
31288  Nasal/sinus endoscopy surg                        A   4.10   2.05NA   2.05    0.56   6.71  6.710000.00.00.0031000       31231 36.0896 090 99      0.00   0.00   0.00
31290  Nasal/sinus endoscopy surg                        A  18.61  11.46NA  11.46    2.64  32.71 32.710010.10.80.1031000       31231 36.0896 090 99      0.00   0.00   0.00
31291  Nasal/sinus endoscopy surg                        A  19.56  12.17NA  12.17    3.22  34.95 34.950010.10.80.1031000       31231 36.0896 090 99      0.00   0.00   0.00
31292  Nsl/sins ndsc med/inf dcmprn                      A  15.90  10.36NA  10.36    2.16  28.42 28.420010.10.80.1031000       31231 36.0896 090 99      0.00   0.00   0.00
31293  Nsl/sins ndsc med&inf dcmprn                      A  17.47  10.87NA  10.87    2.37  30.71 30.710010.10.80.1031000       31231 36.0896 090 99      0.00   0.00   0.00
31294  Nsl/sins ndsc surg on dcmprn                      A  20.31  12.08NA  12.08    2.78  35.17 35.170010.10.80.1031000       31231 36.0896 090 99      0.00   0.00   0.00
31295  Nsl/sins ndsc surg max sins                       A   2.70  50.47     1.45    0.37  53.54  4.520000.00.00.0031200       31231 36.0896 090 99      0.00   0.00   0.00
31296  Nsl/sins ndsc surg frnt sins                      A   3.10  50.74     1.62    0.43  54.27  5.150000.00.00.0031200       31231 36.0896 090 99      0.00   0.00   0.00
31297  Nsl/sins ndsc surg sphn sins                      A   2.44  50.34     1.34    0.34  53.12  4.120000.00.00.0031000       31231 36.0896 090 99      0.00   0.00   0.00
31298  Nsl/sins ndsc surg frnt&sphn                      A   4.50  96.99     2.22    0.62 102.11  7.340000.00.00.0031000       31231 36.0896 090 99      0.00   0.00   0.00
31299  Sinus surgery procedure                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
3130F  Upper gi endoscopy performed                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
31300  Removal of larynx lesion                          A  15.91  18.05NA  18.05    2.17  36.13 36.130090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
3132F  Doc ref upper gi endoscopy                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
31360  Removal of larynx                                 A  29.91  25.16NA  25.16    4.16  59.23 59.230090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
31365  Removal of larynx                                 A  38.81  29.09NA  29.09    5.39  73.29 73.290090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
31367  Partial removal of larynx                         A  30.57  27.88NA  27.88    4.17  62.62 62.620090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
31368  Partial removal of larynx                         A  34.19  30.61NA  30.61    4.66  69.46 69.460090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
31370  Partial removal of larynx                         A  27.57  27.49NA  27.49    3.77  58.83 58.830090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
31375  Partial removal of larynx                         A  26.07  26.21NA  26.21    3.56  55.84 55.840090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
31380  Partial removal of larynx                         A  25.57  26.00NA  26.00    3.49  55.06 55.060090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
31382  Partial removal of larynx                         A  28.57  27.92NA  27.92    3.90  60.39 60.390090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
31390  Removal of larynx & pharynx                       A  42.51  32.78NA  32.78    5.79  81.08 81.080090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
31395  Reconstruct larynx & pharynx                      A  43.80  35.68NA  35.68    5.97  85.45 85.450090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
3140F  Upper gi endo shows barrtts                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
31400  Revision of larynx                                A  11.60  14.83NA  14.83    1.59  28.02 28.020090.10.76.1420200             36.0896 090 99      0.00   0.00   0.00
3141F  Upper gi endo not barrtts                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3142F  Barium swallow test ordered                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
31420  Removal of epiglottis                             A  11.43  10.50NA  10.50    1.56  23.49 23.490090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
3150F  Forceps esoph biopsy done                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
31500  Insert emergency airway                           A   3.00   0.71NA   0.71    0.43   4.14  4.140000.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
31502  Change of windpipe airway                         A   0.65   0.27NA   0.27    0.09   1.01  1.010000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
31505  Diagnostic laryngoscopy                           A   0.61   1.78     0.69    0.09   2.48  1.390000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
31510  Laryngoscopy with biopsy                          A   1.92   3.87     1.26    0.27   6.06  3.450000.00.00.0030000       31505 36.0896 090 99      0.00   0.00   0.00
31511  Remove foreign body larynx                        A   2.16   3.56     1.31    0.32   6.04  3.790000.00.00.0030100       31505 36.0896 090 99      0.00   0.00   0.00
31512  Removal of larynx lesion                          A   2.07   3.64     1.32    0.28   5.99  3.670000.00.00.0030000       31505 36.0896 090 99      0.00   0.00   0.00
31513  Injection into vocal cord                         A   2.10   1.34NA   1.34    0.28   3.72  3.720000.00.00.0030000       31505 36.0896 090 99      0.00   0.00   0.00
31515  Laryngoscopy for aspiration                       A   1.80   3.86     1.10    0.24   5.90  3.140000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
31520  Dx laryngoscopy newborn                           A   2.56   1.53NA   1.53    0.35   4.44  4.440000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
31525  Dx laryngoscopy excl nb                           A   2.63   4.15     1.56    0.37   7.15  4.560000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
31526  Dx laryngoscopy w/oper scope                      A   2.57   1.54NA   1.54    0.35   4.46  4.460000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
31527  Laryngoscopy for treatment                        A   3.27   1.84NA   1.84    0.44   5.55  5.550000.00.00.0030000       31525 36.0896 090 99      0.00   0.00   0.00
31528  Laryngoscopy and dilation                         A   2.37   1.40NA   1.40    0.32   4.09  4.090000.00.00.0030000       31525 36.0896 090 99      0.00   0.00   0.00
31529  Laryngoscopy and dilation                         A   2.68   1.54NA   1.54    0.37   4.59  4.590000.00.00.0030000       31525 36.0896 090 99      0.00   0.00   0.00
31530  Laryngoscopy w/fb removal                         A   3.38   1.84NA   1.84    0.48   5.70  5.700000.00.00.0030100       31525 36.0896 090 99      0.00   0.00   0.00
31531  Laryngoscopy w/fb & op scope                      A   3.58   1.97NA   1.97    0.49   6.04  6.040000.00.00.0030000       31526 36.0896 090 99      0.00   0.00   0.00
31535  Laryngoscopy w/biopsy                             A   3.16   1.79NA   1.79    0.44   5.39  5.390000.00.00.0030100       31525 36.0896 090 99      0.00   0.00   0.00
31536  Laryngoscopy w/bx & op scope                      A   3.55   1.96NA   1.96    0.49   6.00  6.000000.00.00.0030100       31526 36.0896 090 99      0.00   0.00   0.00
31540  Laryngoscopy w/exc of tumor                       A   4.12   2.21NA   2.21    0.56   6.89  6.890000.00.00.0030100       31525 36.0896 090 99      0.00   0.00   0.00
31541  Larynscop w/tumr exc + scope                      A   4.52   2.38NA   2.38    0.62   7.52  7.520000.00.00.0030100       31526 36.0896 090 99      0.00   0.00   0.00
31545  Remove vc lesion w/scope                          A   6.30   3.18NA   3.18    0.85  10.33 10.330000.00.00.0031100       31526 36.0896 090 99      0.00   0.00   0.00
31546  Remove vc lesion scope/graft                      A   9.73   4.65NA   4.65    1.32  15.70 15.700000.00.00.0031100       31526 36.0896 090 99      0.00   0.00   0.00
3155F  Cytogen test marrow b/4 tx                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
31551  Laryngoplasty laryngeal sten                      A  21.50  19.15NA  19.15    2.94  43.59 43.590090.10.76.1420010             36.0896 090 99      0.00   0.00   0.00
31552  Laryngoplasty laryngeal sten                      A  20.50  18.74NA  18.74    2.81  42.05 42.050090.10.76.1420010             36.0896 090 99      0.00   0.00   0.00
31553  Laryngoplasty laryngeal sten                      A  22.00  22.85NA  22.85    3.01  47.86 47.860090.10.76.1420010             36.0896 090 99      0.00   0.00   0.00
31554  Laryngoplasty laryngeal sten                      A  22.00  22.86NA  22.86    3.01  47.87 47.870090.10.76.1420010             36.0896 090 99      0.00   0.00   0.00
31560  Laryngoscop w/arytenoidectom                      A   5.45   2.74NA   2.74    0.74   8.93  8.930000.00.00.0030000       31525 36.0896 090 99      0.00   0.00   0.00
31561  Larynscop remve cart + scop                       A   5.99   2.96NA   2.96    0.79   9.74  9.740000.00.00.0030000       31526 36.0896 090 99      0.00   0.00   0.00
31570  Laryngoscope w/vc inj                             A   3.86   5.26     2.11    0.56   9.68  6.530000.00.00.0030100       31525 36.0896 090 99      0.00   0.00   0.00
31571  Laryngoscop w/vc inj + scope                      A   4.26   2.26NA   2.26    0.58   7.10  7.100000.00.00.0030100       31526 36.0896 090 99      0.00   0.00   0.00
31572  Largsc w/laser dstrj les                          A   3.01  11.33     1.72    0.42  14.76  5.150000.00.00.0031000       31575 36.0896 090 99      0.00   0.00   0.00
31573  Largsc w/ther injection                           A   2.43   5.07     1.47    0.32   7.82  4.220000.00.00.0031000       31575 36.0896 090 99      0.00   0.00   0.00
31574  Largsc w/njx augmentation                         A   2.43  25.78     1.47    0.32  28.53  4.220000.00.00.0031000       31575 36.0896 090 99      0.00   0.00   0.00
31575  Diagnostic laryngoscopy                           A   0.94   2.43     0.84    0.12   3.49  1.900000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
31576  Laryngoscopy with biopsy                          A   1.89   5.48     1.23    0.26   7.63  3.380000.00.00.0030100       31575 36.0896 090 99      0.00   0.00   0.00
31577  Largsc w/rmvl foreign bdy(s)                      A   2.19   5.42     1.31    0.32   7.93  3.820000.00.00.0030000       31575 36.0896 090 99      0.00   0.00   0.00
31578  Largsc w/removal lesion                           A   2.43   5.85     1.46    0.32   8.60  4.210000.00.00.0030000       31575 36.0896 090 99      0.00   0.00   0.00
31579  Laryngoscopy telescopic                           A   1.88   3.32     1.27    0.26   5.46  3.410000.00.00.0030100       31575 36.0896 090 99      0.00   0.00   0.00
31580  Laryngoplasty laryngeal web                       A  14.60  19.69NA  19.69    1.98  36.27 36.270090.10.76.1420010             36.0896 090 99      0.00   0.00   0.00
31584  Laryngoplasty fx rdctj fixj                       A  17.58  20.18NA  20.18    2.40  40.16 40.160090.10.76.1420010             36.0896 090 99      0.00   0.00   0.00
31587  Laryngoplasty cricoid split                       A  15.27  16.50NA  16.50    2.07  33.84 33.840090.10.76.1420010             36.0896 090 99      0.00   0.00   0.00
31590  Reinnervate larynx                                A   7.85  16.03NA  16.03    1.07  24.95 24.950090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
31591  Laryngoplasty medialization                       A  13.56  15.34NA  15.34    1.86  30.76 30.760090.10.76.1420010             36.0896 090 99      0.00   0.00   0.00
31592  Cricotracheal resection                           A  25.00  20.67NA  20.67    3.41  49.08 49.080090.10.76.1420010             36.0896 090 99      0.00   0.00   0.00
31599  Larynx surgery procedure                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
3160F  Doc fe+ stores b/4 epo thx                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
31600  Incision of windpipe                              A   5.56   2.32NA   2.32    1.01   8.89  8.890000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
31601  Incision of windpipe                              A   8.00   3.83NA   3.83    1.09  12.92 12.920000.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
31603  Incision of windpipe                              A   6.00   2.29NA   2.29    1.01   9.30  9.300000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
31605  Incision of windpipe                              A   6.45   2.01NA   2.01    1.24   9.70  9.700000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
31610  Incision of windpipe                              A  12.00  13.52NA  13.52    1.76  27.28 27.280090.10.76.1420100             36.0896 090 99      0.00   0.00   0.00
31611  Surgery/speech prosthesis                         A   6.00   8.28NA   8.28    0.84  15.12 15.120090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
31612  Puncture/clear windpipe                           A   0.91   1.43     0.34    0.12   2.46  1.370000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
31613  Repair windpipe opening                           A   4.71   7.01NA   7.01    0.73  12.45 12.450090.10.76.1420100             36.0896 090 99      0.00   0.00   0.00
31614  Repair windpipe opening                           A   8.63  10.86NA  10.86    1.25  20.74 20.740090.10.76.1420100             36.0896 090 99      0.00   0.00   0.00
31615  Visualization of windpipe                         A   1.84   2.79     1.19    0.25   4.88  3.280000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
31622  Dx bronchoscope/wash                              A   2.53   4.09     0.99    0.27   6.89  3.790000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
31623  Dx bronchoscope/brush                             A   2.63   4.81     0.97    0.22   7.66  3.820000.00.00.0030100       31622 36.0896 090 99      0.00   0.00   0.00
31624  Dx bronchoscope/lavage                            A   2.63   4.30     1.01    0.23   7.16  3.870000.00.00.0030100       31622 36.0896 090 99      0.00   0.00   0.00
31625  Bronchoscopy w/biopsy(s)                          A   3.11   6.42     1.12    0.27   9.80  4.500000.00.00.0030100       31622 36.0896 090 99      0.00   0.00   0.00
31626  Bronchoscopy w/markers                            A   3.91  19.49     1.37    0.42  23.82  5.700000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
31627  Navigational bronchoscopy                         A   2.00  34.13     0.60    0.18  36.31  2.780ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
31628  Bronchoscopy/lung bx each                         A   3.55   6.58     1.24    0.27  10.40  5.060000.00.00.0030100       31622 36.0896 090 99      0.00   0.00   0.00
31629  Bronchoscopy/needle bx each                       A   3.75   8.80     1.31    0.31  12.86  5.370000.00.00.0030100       31622 36.0896 090 99      0.00   0.00   0.00
31630  Bronchoscopy dilate/fx repr                       A   3.81   1.48NA   1.48    0.43   5.72  5.720000.00.00.0030100       31622 36.0896 090 99      0.00   0.00   0.00
31631  Bronchoscopy dilate w/stent                       A   4.36   1.67NA   1.67    0.53   6.56  6.560000.00.00.0030100       31622 36.0896 090 99      0.00   0.00   0.00
31632  Bronchoscopy/lung bx addl                         A   1.03   0.70     0.31    0.09   1.82  1.430ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
31633  Bronchoscopy/needle bx addl                       A   1.32   0.85     0.41    0.09   2.26  1.820ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
31634  Bronch w/balloon occlusion                        A   3.75  44.82     1.39    0.38  48.95  5.520000.00.00.0030200       31622 36.0896 090 99      0.00   0.00   0.00
31635  Bronchoscopy w/fb removal                         A   3.42   4.33     1.30    0.34   8.09  5.060000.00.00.0030100       31622 36.0896 090 99      0.00   0.00   0.00
31636  Bronchoscopy bronch stents                        A   4.30   1.56NA   1.56    0.47   6.33  6.330000.00.00.0030100       31622 36.0896 090 99      0.00   0.00   0.00
31637  Bronchoscopy stent add-on                         A   1.58   0.51NA   0.51    0.13   2.22  2.220ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
31638  Bronchoscopy revise stent                         A   4.88   1.77NA   1.77    0.52   7.17  7.170000.00.00.0030100       31622 36.0896 090 99      0.00   0.00   0.00
31640  Bronchoscopy w/tumor excise                       A   4.93   1.79NA   1.79    0.49   7.21  7.210000.00.00.0030100       31622 36.0896 090 99      0.00   0.00   0.00
31641  Bronchoscopy treat blockage                       A   5.02   1.84NA   1.84    0.51   7.37  7.370000.00.00.0030100       31622 36.0896 090 99      0.00   0.00   0.00
31643  Diag bronchoscope/catheter                        A   3.49   1.27NA   1.27    0.28   5.04  5.040000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
31645  Brnchsc w/ther aspir 1st                          A   2.88   4.38     1.09    0.26   7.52  4.230000.00.00.0030100       31622 36.0896 090 99      0.00   0.00   0.00
31646  Brnchsc w/ther aspir sbsq                         A   2.78   1.06NA   1.06    0.24   4.08  4.080000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
31647  Bronchial valve init insert                       A   4.15   1.48NA   1.48    0.44   6.07  6.070000.00.00.0030100       31622 36.0896 090 99      0.00   0.00   0.00
31648  Bronchial valve remov init                        A   3.95   1.38NA   1.38    0.44   5.77  5.770000.00.00.0030100       31622 36.0896 090 99      0.00   0.00   0.00
31649  Bronchial valve remov addl                        A   1.44   0.40     0.40    0.11   1.95  1.950ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
31651  Bronchial valve addl insert                       A   1.58   0.44     0.44    0.11   2.13  2.130ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
31652  Bronch ebus samplng 1/2 node                      A   4.46  26.41     1.53    0.39  31.26  6.380000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
31653  Bronch ebus samplng 3/> node                      A   4.96  27.21     1.68    0.44  32.61  7.080000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
31654  Bronch ebus ivntj perph les                       A   1.40   1.97     0.43    0.11   3.48  1.940ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
31660  Bronch thermoplsty 1 lobe                         A   4.00   1.31NA   1.31    0.30   5.61  5.610000.00.00.0030100       31622 36.0896 090 99      0.00   0.00   0.00
31661  Bronch thermoplsty 2/> lobes                      A   4.25   1.38NA   1.38    0.32   5.95  5.950000.00.00.0030100       31622 36.0896 090 99      0.00   0.00   0.00
3170F  Baselin flo cytometry b/4 tx                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
31717  Bronchial brush biopsy                            A   2.12   5.49     0.78    0.15   7.76  3.050000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
31720  Clearance of airways                              A   1.06   0.42NA   0.42    0.11   1.59  1.590000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
31725  Clearance of airways                              A   1.71   0.40NA   0.40    0.16   2.27  2.270000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
31730  Intro windpipe wire/tube                          A   2.85  30.46     0.95    0.53  33.84  4.330000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
31750  Repair of windpipe                                A  15.39  21.39NA  21.39    2.35  39.13 39.130090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
31755  Repair of windpipe                                A  17.54  29.27NA  29.27    2.38  49.19 49.190090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
31760  Repair of windpipe                                A  23.48  10.81NA  10.81    5.35  39.64 39.640090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
31766  Reconstruction of windpipe                        A  31.67  12.47NA  12.47    7.23  51.37 51.370090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
31770  Repair/graft of bronchus                          A  23.54   9.53NA   9.53    5.37  38.44 38.440090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
31775  Reconstruct bronchus                              A  24.59  10.21NA  10.21    5.58  40.38 40.380090.10.76.1420200             36.0896 090 99      0.00   0.00   0.00
31780  Reconstruct windpipe                              A  19.84  11.66NA  11.66    2.73  34.23 34.230090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
31781  Reconstruct windpipe                              A  24.85   9.55NA   9.55    5.65  40.05 40.050090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
31785  Remove windpipe lesion                            A  18.35   9.96NA   9.96    2.52  30.83 30.830090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
31786  Remove windpipe lesion                            A  25.42  10.45NA  10.45    5.78  41.65 41.650090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
31800  Repair of windpipe injury                         A   8.18  11.06NA  11.06    1.12  20.36 20.360090.10.76.1420000             36.0896 090 99      0.00   0.00   0.00
31805  Repair of windpipe injury                         A  13.42   7.07NA   7.07    3.07  23.56 23.560090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
31820  Closure of windpipe lesion                        A   4.64   7.12     4.04    0.66  12.42  9.340090.10.76.1420000             36.0896 090 99      0.00   0.00   0.00
31825  Repair of windpipe defect                         A   7.07   9.09     5.62    0.99  17.15 13.680090.10.76.1420000             36.0896 090 99      0.00   0.00   0.00
31830  Revise windpipe scar                              A   4.62   7.88     4.71    0.76  13.26 10.090090.10.76.1420000             36.0896 090 99      0.00   0.00   0.00
31899  Airways surgical procedure                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
3200F  Barium swallow test not req                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
32035  Thoracostomy w/rib resection                      A  11.29   7.13NA   7.13    2.58  21.00 21.000090.10.76.1421210             36.0896 090 99      0.00   0.00   0.00
32036  Thoracostomy w/flap drainage                      A  12.30   7.40NA   7.40    2.80  22.50 22.500090.10.76.1421210             36.0896 090 99      0.00   0.00   0.00
32096  Open wedge/bx lung infiltr                        A  13.75   6.30NA   6.30    3.10  23.15 23.150090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32097  Open wedge/bx lung nodule                         A  13.75   6.32NA   6.32    3.10  23.17 23.170090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32098  Open biopsy of lung pleura                        A  12.91   6.11NA   6.11    2.94  21.96 21.960090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
3210F  Grp a strep test performed                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
32100  Exploration of chest                              A  13.75   6.54NA   6.54    3.10  23.39 23.390090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32110  Explore/repair chest                              A  25.28  11.47NA  11.47    5.65  42.40 42.400090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32120  Re-exploration of chest                           A  14.39   7.55NA   7.55    3.26  25.20 25.200090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32124  Explore chest free adhesions                      A  15.45   7.79NA   7.79    3.51  26.75 26.750090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32140  Removal of lung lesion(s)                         A  16.66   8.13NA   8.13    3.80  28.59 28.590090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32141  Remove/treat lung lesions                         A  27.18  10.69NA  10.69    6.17  44.04 44.040090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
3215F  Pt immunity to hep a docd                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
32150  Removal of lung lesion(s)                         A  16.82   8.43NA   8.43    3.73  28.98 28.980090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32151  Remove lung foreign body                          A  16.94   8.21NA   8.21    3.86  29.01 29.010090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
3216F  Pt immunity to hep b docd                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
32160  Open chest heart massage                          A  13.10   6.94NA   6.94    2.93  22.97 22.970090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
3218F  Rna tstng hep c docd done                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3220F  Hep c quant rna tstng docd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
32200  Drain open lung lesion                            A  18.68   9.86NA   9.86    4.25  32.79 32.790090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32215  Treat chest lining                                A  13.05   7.04NA   7.04    2.93  23.02 23.020090.10.76.1421210             36.0896 090 99      0.00   0.00   0.00
32220  Release of lung                                   A  26.65  13.18NA  13.18    6.07  45.90 45.900090.10.76.1421210             36.0896 090 99      0.00   0.00   0.00
32225  Partial release of lung                           A  16.75   8.17NA   8.17    3.80  28.72 28.720090.10.76.1421210             36.0896 090 99      0.00   0.00   0.00
3230F  Note hring tst w/in 6 mon                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
32310  Removal of chest lining                           A  15.28   7.61NA   7.61    3.45  26.34 26.340090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32320  Free/remove chest lining                          A  27.25  12.69NA  12.69    6.21  46.15 46.150090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32400  Needle biopsy chest lining                        A   1.76   2.65     0.57    0.15   4.56  2.480000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
32405  Percut bx lung/mediastinum                        A   1.68   9.51     0.78    0.13  11.32  2.590000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
32440  Remove lung pneumonectomy                         A  27.28  11.78NA  11.78    6.19  45.25 45.250090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32442  Sleeve pneumonectomy                              A  56.47  19.18NA  19.18   12.97  88.62 88.620090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32445  Removal of lung extrapleural                      A  63.84  23.71NA  23.71   14.73 102.28102.280090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32480  Partial removal of lung                           A  25.82  11.05NA  11.05    5.87  42.74 42.740090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32482  Bilobectomy                                       A  27.44  12.11NA  12.11    6.26  45.81 45.810090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32484  Segmentectomy                                     A  25.38  10.26NA  10.26    5.79  41.43 41.430090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32486  Sleeve lobectomy                                  A  42.88  15.46NA  15.46    9.75  68.09 68.090090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32488  Completion pneumonectomy                          A  42.99  16.37NA  16.37    9.83  69.19 69.190090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32491  Lung volume reduction                             R  25.24  11.50NA  11.50    5.74  42.48 42.480090.10.76.1421210             36.0896 090 99      0.00   0.00   0.00
3250F  Nonprim loc anat bx site tum                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
32501  Repair bronchus add-on                            A   4.68   1.31NA   1.31    1.05   7.04  7.040ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
32503  Resect apical lung tumor                          A  31.74  12.93NA  12.93    7.24  51.91 51.910090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32504  Resect apical lung tum/chest                      A  36.54  14.28NA  14.28    8.34  59.16 59.160090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32505  Wedge resect of lung initial                      A  15.75   7.57NA   7.57    3.58  26.90 26.900090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32506  Wedge resect of lung add-on                       A   3.00   0.86NA   0.86    0.66   4.52  4.520ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
32507  Wedge resect of lung diag                         A   3.00   0.86NA   0.86    0.66   4.52  4.520ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
32540  Removal of lung lesion                            A  30.35  12.86NA  12.86    6.89  50.10 50.100090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32550  Insert pleural cath                               A   3.92  18.00     1.52    0.53  22.45  5.970000.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
32551  Insertion of chest tube                           A   3.04   0.99NA   0.99    0.53   4.56  4.560000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
32552  Remove lung catheter                              A   2.53   2.40     1.67    0.35   5.28  4.550010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
32553  Ins mark thor for rt perq                         A   3.55  11.23     1.30    0.32  15.10  5.170000.00.00.0020200             36.0896 090 99      0.00   0.00   0.00
32554  Aspirate pleura w/o imaging                       A   1.82   4.32     0.58    0.19   6.33  2.590000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
32555  Aspirate pleura w/ imaging                        A   2.27   6.39     0.76    0.19   8.85  3.220000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
32556  Insert cath pleura w/o image                      A   2.50  16.27     0.78    0.28  19.05  3.560000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
32557  Insert cath pleura w/ image                       A   3.12  14.16     1.01    0.27  17.55  4.400000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
32560  Treat pleurodesis w/agent                         A   1.54   5.60     0.47    0.24   7.38  2.250000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
32561  Lyse chest fibrin init day                        A   1.39   1.14     0.43    0.13   2.66  1.950000.00.00.0020200             36.0896 090 99      0.00   0.00   0.00
32562  Lyse chest fibrin subq day                        A   1.24   1.03     0.38    0.13   2.40  1.750000.00.00.0020200             36.0896 090 99      0.00   0.00   0.00
3260F  Pt cat/pn cat/hist grd docd                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
32601  Thoracoscopy diagnostic                           A   5.50   2.18NA   2.18    1.25   8.93  8.930000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
32604  Thoracoscopy wbx sac                              A   8.77   3.12NA   3.12    1.98  13.87 13.870000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
32606  Thoracoscopy w/bx med space                       A   8.39   3.08NA   3.08    1.91  13.38 13.380000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
32607  Thoracoscopy w/bx infiltrate                      A   5.50   2.17NA   2.17    1.25   8.92  8.920000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
32608  Thoracoscopy w/bx nodule                          A   6.84   2.56NA   2.56    1.56  10.96 10.960000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
32609  Thoracoscopy w/bx pleura                          A   4.58   1.90NA   1.90    0.95   7.43  7.430000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
3265F  Rna tstng hepc vir ord/docd                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
32650  Thoracoscopy w/pleurodesis                        A  10.83   5.96NA   5.96    2.42  19.21 19.210090.10.76.1421210             36.0896 090 99      0.00   0.00   0.00
32651  Thoracoscopy remove cortex                        A  18.78   8.57NA   8.57    4.28  31.63 31.630090.10.76.1421210             36.0896 090 99      0.00   0.00   0.00
32652  Thoracoscopy rem totl cortex                      A  29.13  12.23NA  12.23    6.64  48.00 48.000090.10.76.1421210             36.0896 090 99      0.00   0.00   0.00
32653  Thoracoscopy remov fb/fibrin                      A  18.17   8.39NA   8.39    4.11  30.67 30.670090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32654  Thoracoscopy contrl bleeding                      A  20.52   8.92NA   8.92    4.12  33.56 33.560090.10.76.1421210             36.0896 090 99      0.00   0.00   0.00
32655  Thoracoscopy resect bullae                        A  16.17   7.72NA   7.72    3.70  27.59 27.590090.10.76.1421210             36.0896 090 99      0.00   0.00   0.00
32656  Thoracoscopy w/pleurectomy                        A  13.26   6.88NA   6.88    3.01  23.15 23.150090.10.76.1421210             36.0896 090 99      0.00   0.00   0.00
32658  Thoracoscopy w/sac fb remove                      A  11.71   6.20NA   6.20    2.69  20.60 20.600090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
32659  Thoracoscopy w/sac drainage                       A  11.94   6.44NA   6.44    2.73  21.11 21.110090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
3266F  Hepc gn tstng docd b/4txmnt                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
32661  Thoracoscopy w/pericard exc                       A  13.33   6.66NA   6.66    3.04  23.03 23.030090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
32662  Thoracoscopy w/mediast exc                        A  14.99   7.35NA   7.35    3.41  25.75 25.750090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
32663  Thoracoscopy w/lobectomy                          A  24.64  10.21NA  10.21    5.58  40.43 40.430090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
32664  Thoracoscopy w/ th nrv exc                        A  14.28   6.92NA   6.92    3.26  24.46 24.460090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
32665  Thoracoscop w/esoph musc exc                      A  21.53   9.15NA   9.15    4.91  35.59 35.590090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
32666  Thoracoscopy w/wedge resect                       A  14.50   7.29NA   7.29    3.29  25.08 25.080090.10.76.1421210             36.0896 090 99      0.00   0.00   0.00
32667  Thoracoscopy w/w resect addl                      A   3.00   0.87NA   0.87    0.66   4.53  4.530ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
32668  Thoracoscopy w/w resect diag                      A   3.00   0.87NA   0.87    0.66   4.53  4.530ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
32669  Thoracoscopy remove segment                       A  23.53   9.91NA   9.91    5.39  38.83 38.830090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
3267F  Path rprt w/ pt pn cat et al                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
32670  Thoracoscopy bilobectomy                          A  28.52  11.41NA  11.41    6.44  46.37 46.370090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32671  Thoracoscopy pneumonectomy                        A  31.92  12.14NA  12.14    7.28  51.34 51.340090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32672  Thoracoscopy for lvrs                             A  27.00  10.90NA  10.90    6.12  44.02 44.020090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32673  Thoracoscopy w/thymus resect                      A  21.13   9.23NA   9.23    4.81  35.17 35.170090.09.82.0920210             36.0896 090 99      0.00   0.00   0.00
32674  Thoracoscopy lymph node exc                       A   4.12   1.18NA   1.18    0.93   6.23  6.230ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
3268F  Psa/t/glsc docd b/4 txmnt                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3269F  Bone scn b/4 txmnt/aftr dx                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3270F  No bone scn b/4 txmnt/aftrdx                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
32701  Thorax stereo rad targetw/tx                      A   4.18   1.24NA   1.24    0.77   6.19  6.192XXX.00.00.0000010             36.0896 090 99      0.00   0.00   0.00
3271F  Low risk prostate cancer                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3272F  Med risk prostate cancer                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3273F  High risk prostate cancer                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3274F  Prost cncr rsk not lw/md/hgh                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3278F  Serum lvls ca/ipth/lpd ord                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3279F  Hgb lvl >/= 13 g/dl                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3280F  Hgb lvl 11-12.9 g/dl                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
32800  Repair lung hernia                                A  15.71   8.04NA   8.04    3.53  27.28 27.280090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
3281F  Hgb lvl <11 g/dl                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
32810  Close chest after drainage                        A  14.95   7.62NA   7.62    3.41  25.98 25.980090.10.76.1420200             36.0896 090 99      0.00   0.00   0.00
32815  Close bronchial fistula                           A  50.03  19.47NA  19.47   11.41  80.91 80.910090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32820  Reconstruct injured chest                         A  22.51  10.75NA  10.75    5.13  38.39 38.390090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
3284F  Iop down >15% of pre-svc lvl                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3285F  Iop down <15% of pre-svc lvl                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
32850  Donor pneumonectomy                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
32851  Lung transplant single                            A  59.64  21.52NA  21.52   13.69  94.85 94.850090.10.76.1420212             36.0896 090 99      0.00   0.00   0.00
32852  Lung transplant with bypass                       A  65.50  22.60NA  22.60   14.94 103.04103.040090.10.76.1420212             36.0896 090 99      0.00   0.00   0.00
32853  Lung transplant double                            A  84.48  28.64NA  28.64   19.83 132.95132.950090.10.76.1422212             36.0896 090 99      0.00   0.00   0.00
32854  Lung transplant with bypass                       A  90.00  30.08NA  30.08   21.12 141.20141.200090.10.76.1422212             36.0896 090 99      0.00   0.00   0.00
32855  Prepare donor lung single                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
32856  Prepare donor lung double                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
3288F  Fall risk assessment docd                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3290F  Pt=d(rh)- and unsensitized                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
32900  Removal of rib(s)                                 A  23.81  11.78NA  11.78    5.45  41.04 41.040090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32905  Revise & repair chest wall                        A  23.29   9.97NA   9.97    5.30  38.56 38.560090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32906  Revise & repair chest wall                        A  29.30  11.67NA  11.67    6.69  47.66 47.660090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
3291F  Pt=d(rh)+ or sensitized                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3292F  Hiv tstng asked/docd/revwd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3293F  Abo rh blood typing docd                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3294F  Grp b strep screening docd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
32940  Revision of lung                                  A  21.34   9.42NA   9.42    4.85  35.61 35.610090.10.76.1420210             36.0896 090 99      0.00   0.00   0.00
32960  Therapeutic pneumothorax                          A   1.84   1.64     0.65    0.13   3.61  2.620000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
32994  Ablate pulm tumor perq crybl                      A   9.03 145.95     2.98    0.79 155.77 12.800000.00.00.0021200             36.0896 090 99      0.00   0.00   0.00
32997  Total lung lavage                                 A   7.31   2.00NA   2.00    0.53   9.84  9.840000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
32998  Ablate pulm tumor perq rf                         A   9.03  89.75     2.95    0.79  99.57 12.770000.00.00.0021200             36.0896 090 99      0.00   0.00   0.00
32999  Chest surgery procedure                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020111             36.0896 090 99      0.00   0.00   0.00
3300F  Ajcc stage docd b/4 thxpy                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3301F  Cancer stage docd metast                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33016  Pericardiocentesis w/imaging                      A   4.40   1.53NA   1.53    0.92   6.85  6.850000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
33017  Prcrd drg 6yr+ w/o cgen car                       A   4.62   1.58NA   1.58    0.90   7.10  7.100000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
33018  Prcrd drg 0-5yr or w/anomly                       A   5.40   1.77NA   1.77    0.92   8.09  8.090000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
33019  Perq prcrd drg insj cath ct                       A   4.29   1.47NA   1.47    0.81   6.57  6.570000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
33020  Incision of heart sac                             A  14.31   6.32NA   6.32    3.26  23.89 23.890090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33025  Incision of heart sac                             A  13.20   6.06NA   6.06    3.00  22.26 22.260090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33030  Partial removal of heart sac                      A  36.00  13.70NA  13.70    8.17  57.87 57.870090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33031  Partial removal of heart sac                      A  45.00  16.45NA  16.45   10.25  71.70 71.700090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33050  Resect heart sac lesion                           A  16.97   8.18NA   8.18    3.86  29.01 29.010090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33120  Removal of heart lesion                           A  38.45  13.53NA  13.53    8.70  60.68 60.680090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33130  Removal of heart lesion                           A  24.17   9.93NA   9.93    5.44  39.54 39.540090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33140  Heart revascularize (tmr)                         A  28.34  10.43NA  10.43    6.37  45.14 45.140090.09.84.0720200             36.0896 090 99      0.00   0.00   0.00
33141  Heart tmr w/other procedure                       A   2.54   0.71NA   0.71    0.57   3.82  3.820ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
3315F  Er+ or pr+ breast cancer                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3316F  Er- or pr- breast cancer                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3317F  Path rpt malig cancer docd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3318F  Path rpt malig cancer docd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3319F  X-ray/ct/ultrsnd et al ord                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3320F  No xray/ct/ et al ordd                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33202  Insert epicard eltrd open                         A  13.20   6.08NA   6.08    3.00  22.28 22.280090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
33203  Insert epicard eltrd endo                         A  13.97   6.19NA   6.19    3.16  23.32 23.320090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
33206  Insert heart pm atrial                            A   7.14   4.46NA   4.46    1.58  13.18 13.180090.09.84.0720120             36.0896 090 99      0.00   0.00   0.00
33207  Insert heart pm ventricular                       A   7.80   4.40NA   4.40    1.72  13.92 13.920090.09.84.0720120             36.0896 090 99      0.00   0.00   0.00
33208  Insrt heart pm atrial & vent                      A   8.52   4.72NA   4.72    1.89  15.13 15.130090.09.84.0720120             36.0896 090 99      0.00   0.00   0.00
3321F  Ajcc cncr 0/ia melan docd                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33210  Insert electrd/pm cath sngl                       A   3.05   1.07NA   1.07    0.62   4.74  4.740000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
33211  Insert card electrodes dual                       A   3.14   1.12NA   1.12    0.64   4.90  4.900000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
33212  Insert pulse gen sngl lead                        A   5.01   3.20NA   3.20    1.11   9.32  9.320090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
33213  Insert pulse gen dual leads                       A   5.28   3.28NA   3.28    1.17   9.73  9.730090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
33214  Upgrade of pacemaker system                       A   7.59   4.62NA   4.62    1.68  13.89 13.890090.09.84.0720020             36.0896 090 99      0.00   0.00   0.00
33215  Reposition pacing-defib lead                      A   4.92   3.00NA   3.00    1.09   9.01  9.010090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
33216  Insert 1 electrode pm-defib                       A   5.62   3.92NA   3.92    1.25  10.79 10.790090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
33217  Insert 2 electrode pm-defib                       A   5.59   3.80NA   3.80    1.24  10.63 10.630090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
33218  Repair lead pace-defib one                        A   5.82   4.11NA   4.11    1.27  11.20 11.200090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
3322F  Melanomaajcc stage 0 or ia                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33220  Repair lead pace-defib dual                       A   5.90   3.69NA   3.69    1.32  10.91 10.910090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
33221  Insert pulse gen mult leads                       A   5.55   3.70NA   3.70    1.24  10.49 10.490090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
33222  Relocation pocket pacemaker                       A   4.85   3.92NA   3.92    1.07   9.84  9.840090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
33223  Relocate pocket for defib                         A   6.30   4.19NA   4.19    1.39  11.88 11.880090.09.84.0720000             36.0896 090 99      0.00   0.00   0.00
33224  Insert pacing lead & connect                      A   9.04   3.96NA   3.96    1.98  14.98 14.980000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
33225  L ventric pacing lead add-on                      A   8.33   3.47NA   3.47    1.85  13.65 13.650ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
33226  Reposition l ventric lead                         A   8.68   3.79NA   3.79    1.93  14.40 14.400000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
33227  Remove&replace pm gen singl                       A   5.25   3.40NA   3.40    1.17   9.82  9.820090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
33228  Remv&replc pm gen dual lead                       A   5.52   3.52NA   3.52    1.24  10.28 10.280090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
33229  Remv&replc pm gen mult leads                      A   5.79   3.80NA   3.80    1.28  10.87 10.870090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
3323F  Clin node stgng docdb/4 surg                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33230  Insrt pulse gen w/dual leads                      A   6.07   3.70NA   3.70    1.32  11.09 11.090090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
33231  Insrt pulse gen w/mult leads                      A   6.34   3.91NA   3.91    1.41  11.66 11.660090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
33233  Removal of pm generator                           A   3.14   2.86NA   2.86    0.68   6.68  6.680090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
33234  Removal of pacemaker system                       A   7.66   4.74NA   4.74    1.69  14.09 14.090090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
33235  Removal pacemaker electrode                       A   9.90   6.41NA   6.41    2.19  18.50 18.500090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
33236  Remove electrode/thoracotomy                      A  12.73   6.95NA   6.95    2.87  22.55 22.550090.09.84.0720020             36.0896 090 99      0.00   0.00   0.00
33237  Remove electrode/thoracotomy                      A  13.84   7.25NA   7.25    3.10  24.19 24.190090.09.84.0720020             36.0896 090 99      0.00   0.00   0.00
33238  Remove electrode/thoracotomy                      A  15.40   8.31NA   8.31    3.45  27.16 27.160090.09.84.0720020             36.0896 090 99      0.00   0.00   0.00
3324F  Mri ct scan ord rvwd rqstd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33240  Insrt pulse gen w/singl lead                      A   5.80   3.50NA   3.50    1.29  10.59 10.590090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
33241  Remove pulse generator                            A   3.04   2.51NA   2.51    0.65   6.20  6.200090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
33243  Remove eltrd/thoracotomy                          A  23.57  10.76NA  10.76    5.30  39.63 39.630090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33244  Remove elctrd transvenously                       A  13.74   8.29NA   8.29    3.08  25.11 25.110090.09.84.0720110             36.0896 090 99      0.00   0.00   0.00
33249  Insj/rplcmt defib w/lead(s)                       A  14.92   8.41NA   8.41    3.29  26.62 26.620090.09.84.0720110             36.0896 090 99      0.00   0.00   0.00
3325F  Preop asses 4 cataract surg                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33250  Ablate heart dysrhythm focus                      A  25.90  10.40NA  10.40    5.82  42.12 42.120090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33251  Ablate heart dysrhythm focus                      A  28.92  11.56NA  11.56    6.59  47.07 47.070090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33254  Ablate atria lmtd                                 A  23.71  10.05NA  10.05    5.33  39.09 39.090090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33255  Ablate atria w/o bypass ext                       A  29.04  11.52NA  11.52    6.52  47.08 47.080090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33256  Ablate atria w/bypass exten                       A  34.90  13.38NA  13.38    7.80  56.08 56.080090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33257  Ablate atria lmtd add-on                          A   9.63   5.00NA   5.00    2.17  16.80 16.800ZZZ.00.00.0000200             36.0896 090 99      0.00   0.00   0.00
33258  Ablate atria x10sv add-on                         A  11.00   5.31NA   5.31    2.47  18.78 18.780ZZZ.00.00.0000200             36.0896 090 99      0.00   0.00   0.00
33259  Ablate atria w/bypass add-on                      A  14.14   7.08NA   7.08    3.16  24.38 24.380ZZZ.00.00.0000200             36.0896 090 99      0.00   0.00   0.00
33261  Ablate heart dysrhythm focus                      A  28.92  11.23NA  11.23    6.50  46.65 46.650090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33262  Rmvl& replc pulse gen 1 lead                      A   5.81   3.74NA   3.74    1.28  10.83 10.830090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
33263  Rmvl & rplcmt dfb gen 2 lead                      A   6.08   3.85NA   3.85    1.33  11.26 11.260090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
33264  Rmvl & rplcmt dfb gen mlt ld                      A   6.35   4.00NA   4.00    1.42  11.77 11.770090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
33265  Ablate atria lmtd endo                            A  23.71  10.20NA  10.20    5.39  39.30 39.300090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33266  Ablate atria x10sv endo                           A  33.04  12.90NA  12.90    7.49  53.43 53.430090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33270  Ins/rep subq defibrillator                        A   9.10   5.34NA   5.34    1.99  16.43 16.430090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
33271  Insj subq impltbl dfb elctrd                      A   7.50   3.98NA   3.98    1.69  13.17 13.170090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
33272  Rmvl of subq defibrillator                        A   5.42   3.46NA   3.46    1.19  10.07 10.070090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
33273  Repos prev impltbl subq dfb                       A   6.50   3.64NA   3.64    1.45  11.59 11.590090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
33274  Tcat insj/rpl perm ldls pm                        A   7.80   4.60NA   4.60    1.72  14.12 14.120090.09.84.0720120             36.0896 090 99      0.00   0.00   0.00
33275  Tcat rmvl perm ldls pm w/img                      A   8.59   4.93NA   4.93    1.93  15.45 15.450090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
3328F  Prfrmnc docd 2 wks b/4 surg                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33285  Insj subq car rhythm mntr                         A   1.53 141.09     0.70    0.34 142.96  2.570000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
33286  Rmvl subq car rhythm mntr                         A   1.50   1.97     0.69    0.34   3.81  2.530000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
33289  Tcat impl wrls p-art prs snr                      A   6.00   2.30NA   2.30    1.25   9.55  9.550000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
3330F  Imaging study ordered (bkp)                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33300  Repair of heart wound                             A  44.97  15.82NA  15.82   10.27  71.06 71.060090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33305  Repair of heart wound                             A  76.93  24.27NA  24.27   17.76 118.96118.960090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
3331F  Bk imaging tst not ordered                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33310  Exploratory heart surgery                         A  20.34   8.89NA   8.89    4.56  33.79 33.790090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33315  Exploratory heart surgery                         A  35.00  12.51NA  12.51    7.90  55.41 55.410090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33320  Repair major blood vessel(s)                      A  18.54   7.75NA   7.75    4.16  30.45 30.450090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33321  Repair major vessel                               A  20.81   8.86NA   8.86    4.67  34.34 34.340090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33322  Repair major blood vessel(s)                      A  24.42  10.30NA  10.30    5.49  40.21 40.210090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33330  Insert major vessel graft                         A  25.29  10.24NA  10.24    5.68  41.21 41.210090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33335  Insert major vessel graft                         A  33.91  12.59NA  12.59    7.64  54.14 54.140090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33340  Perq clsr tcat l atr apndge                       A  14.00   5.85NA   5.85    3.08  22.93 22.930000.00.00.0020021             36.0896 090 99      0.00   0.00   0.00
33361  Replace aortic valve perq                         A  22.47   7.68NA   7.68    5.01  35.16 35.160000.00.00.0020021             36.0896 090 99      0.00   0.00   0.00
33362  Replace aortic valve open                         A  24.54   8.25NA   8.25    5.52  38.31 38.310000.00.00.0020021             36.0896 090 99      0.00   0.00   0.00
33363  Replace aortic valve open                         A  25.47   8.55NA   8.55    5.70  39.72 39.720000.00.00.0020021             36.0896 090 99      0.00   0.00   0.00
33364  Replace aortic valve open                         A  25.97   7.92NA   7.92    5.84  39.73 39.730000.00.00.0020021             36.0896 090 99      0.00   0.00   0.00
33365  Replace aortic valve open                         A  26.59   9.45NA   9.45    5.94  41.98 41.980000.00.00.0020021             36.0896 090 99      0.00   0.00   0.00
33366  Trcath replace aortic valve                       A  29.35   9.75NA   9.75    6.62  45.72 45.720000.00.00.0020021             36.0896 090 99      0.00   0.00   0.00
33367  Replace aortic valve w/byp                        A  11.88   3.69NA   3.69    2.72  18.29 18.290ZZZ.00.00.0000001             36.0896 090 99      0.00   0.00   0.00
33368  Replace aortic valve w/byp                        A  14.39   3.93NA   3.93    3.25  21.57 21.570ZZZ.00.00.0000001             36.0896 090 99      0.00   0.00   0.00
33369  Replace aortic valve w/byp                        A  19.00   5.19NA   5.19    4.28  28.47 28.470ZZZ.00.00.0000001             36.0896 090 99      0.00   0.00   0.00
33390  Valvuloplasty aortic valve                        A  35.00  12.97NA  12.97    7.94  55.91 55.910090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33391  Valvuloplasty aortic valve                        A  41.50  15.47NA  15.47    9.47  66.44 66.440090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
3340F  Mammo assess inc xray docd                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33404  Prepare heart-aorta conduit                       A  31.37  12.19NA  12.19    7.06  50.62 50.620090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33405  Replacement aortic valve opn                      A  41.32  15.08NA  15.08    9.36  65.76 65.760090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33406  Replacement aortic valve opn                      A  52.68  18.71NA  18.71   12.07  83.46 83.460090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
3341F  Mammo assess negative docd                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33410  Replacement aortic valve opn                      A  46.41  16.73NA  16.73   10.55  73.69 73.690090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33411  Replacement of aortic valve                       A  62.07  21.14NA  21.14   14.19  97.40 97.400090.09.84.0720200             36.0896 090 99      0.00   0.00   0.00
33412  Replacement of aortic valve                       A  59.00  19.10NA  19.10   13.37  91.47 91.470090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33413  Replacement of aortic valve                       A  59.87  20.16NA  20.16   13.59  93.62 93.620090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33414  Repair of aortic valve                            A  39.37  13.89NA  13.89    8.98  62.24 62.240090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33415  Revision subvalvular tissue                       A  37.27  13.39NA  13.39    8.17  58.83 58.830090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33416  Revise ventricle muscle                           A  36.56  13.74NA  13.74    8.24  58.54 58.540090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33417  Repair of aortic valve                            A  29.33  12.21NA  12.21    6.69  48.23 48.230090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33418  Repair tcat mitral valve                          A  32.25  12.88NA  12.88    7.03  52.16 52.160090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33419  Repair tcat mitral valve                          A   7.93   2.70NA   2.70    1.69  12.32 12.320ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
3342F  Mammo assess bengn docd                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33420  Revision of mitral valve                          A  25.79  10.39NA  10.39    5.79  41.97 41.970090.09.84.0720110             36.0896 090 99      0.00   0.00   0.00
33422  Revision of mitral valve                          A  29.73  11.75NA  11.75    6.69  48.17 48.170090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33425  Repair of mitral valve                            A  49.96  17.82NA  17.82   11.38  79.16 79.160090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33426  Repair of mitral valve                            A  43.28  15.94NA  15.94    9.78  69.00 69.000090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33427  Repair of mitral valve                            A  44.83  15.90NA  15.90   10.04  70.77 70.770090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
3343F  Mammo probably bengn docd                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33430  Replacement of mitral valve                       A  50.93  18.64NA  18.64   11.58  81.15 81.150090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
3344F  Mammo assess susp docd                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33440  Rplcmt a-valve tlcj autol pv                      A  64.00  20.77NA  20.77   14.67  99.44 99.440090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
3345F  Mammo assess hghlymalig doc                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33460  Revision of tricuspid valve                       A  44.70  14.90NA  14.90   10.09  69.69 69.690090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33463  Valvuloplasty tricuspid                           A  57.08  19.85NA  19.85   12.54  89.47 89.470090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33464  Valvuloplasty tricuspid                           A  44.62  16.12NA  16.12    9.98  70.72 70.720090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33465  Replace tricuspid valve                           A  50.72  17.80NA  17.80   11.37  79.89 79.890090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33468  Revision of tricuspid valve                       A  45.13  15.59NA  15.59   10.32  71.04 71.040090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33470  Revision of pulmonary valve                       A  21.54   9.36NA   9.36    4.91  35.81 35.810090.09.84.0720200             36.0896 090 99      0.00   0.00   0.00
33471  Valvotomy pulmonary valve                         A  22.96  10.08NA  10.08    5.25  38.29 38.290090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33474  Revision of pulmonary valve                       A  39.40  14.68NA  14.68    8.99  63.07 63.070090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33475  Replacement pulmonary valve                       A  42.40  15.66NA  15.66    9.50  67.56 67.560090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33476  Revision of heart chamber                         A  26.57  11.40NA  11.40    6.05  44.02 44.020090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33477  Implant tcat pulm vlv perq                        A  25.00   8.83NA   8.83    5.59  39.42 39.420000.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
33478  Revision of heart chamber                         A  27.54  11.68NA  11.68    6.27  45.49 45.490090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33496  Repair prosth valve clot                          A  29.84  11.65NA  11.65    6.70  48.19 48.190090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
3350F  Mammo bx proven malig docd                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33500  Repair heart vessel fistula                       A  27.94  10.96NA  10.96    6.30  45.20 45.200090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33501  Repair heart vessel fistula                       A  19.51   8.38NA   8.38    4.39  32.28 32.280090.09.84.0720220             36.0896 090 99      0.00   0.00   0.00
33502  Coronary artery correction                        A  21.85  10.07NA  10.07    4.98  36.90 36.900090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33503  Coronary artery graft                             A  22.51  10.69NA  10.69    5.13  38.33 38.330090.09.84.0720010             36.0896 090 99      0.00   0.00   0.00
33504  Coronary artery graft                             A  25.46  11.13NA  11.13    5.79  42.38 42.380090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33505  Repair artery w/tunnel                            A  38.40  12.62NA  12.62    8.78  59.80 59.800090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33506  Repair artery translocation                       A  37.85  13.01NA  13.01    8.65  59.51 59.510090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33507  Repair art intramural                             A  31.40  11.33NA  11.33    7.16  49.89 49.890090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33508  Endoscopic vein harvest                           A   0.31   0.09NA   0.09    0.08   0.48  0.480ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
3351F  Neg scrn dep symp by deptool                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33510  Cabg vein single                                  A  34.98  13.13NA  13.13    7.93  56.04 56.040090.09.84.0720200             36.0896 090 99      0.00   0.00   0.00
33511  Cabg vein two                                     A  38.45  14.34NA  14.34    8.72  61.51 61.510090.09.84.0720200             36.0896 090 99      0.00   0.00   0.00
33512  Cabg vein three                                   A  43.98  16.12NA  16.12    9.96  70.06 70.060090.09.84.0720200             36.0896 090 99      0.00   0.00   0.00
33513  Cabg vein four                                    A  45.37  16.30NA  16.30   10.24  71.91 71.910090.09.84.0720200             36.0896 090 99      0.00   0.00   0.00
33514  Cabg vein five                                    A  48.08  16.62NA  16.62   10.97  75.67 75.670090.09.84.0720200             36.0896 090 99      0.00   0.00   0.00
33516  Cabg vein six or more                             A  49.76  17.40NA  17.40   11.25  78.41 78.410090.09.84.0720200             36.0896 090 99      0.00   0.00   0.00
33517  Cabg artery-vein single                           A   3.61   1.02NA   1.02    0.81   5.44  5.440ZZZ.00.00.0000200             36.0896 090 99      0.00   0.00   0.00
33518  Cabg artery-vein two                              A   7.93   2.22NA   2.22    1.80  11.95 11.950ZZZ.00.00.0000200             36.0896 090 99      0.00   0.00   0.00
33519  Cabg artery-vein three                            A  10.49   2.95NA   2.95    2.36  15.80 15.800ZZZ.00.00.0000200             36.0896 090 99      0.00   0.00   0.00
3352F  No sig dep symp by dep tool                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33521  Cabg artery-vein four                             A  12.59   3.52NA   3.52    2.86  18.97 18.970ZZZ.00.00.0000200             36.0896 090 99      0.00   0.00   0.00
33522  Cabg artery-vein five                             A  14.14   3.93NA   3.93    3.19  21.26 21.260ZZZ.00.00.0000200             36.0896 090 99      0.00   0.00   0.00
33523  Cabg art-vein six or more                         A  16.08   4.44NA   4.44    3.64  24.16 24.160ZZZ.00.00.0000200             36.0896 090 99      0.00   0.00   0.00
3353F  Mild-mod dep symp by deptool                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33530  Coronary artery bypass/reop                       A  10.13   2.84NA   2.84    2.29  15.26 15.260ZZZ.00.00.0000200             36.0896 090 99      0.00   0.00   0.00
33533  Cabg arterial single                              A  33.75  12.78NA  12.78    7.66  54.19 54.190090.09.82.0920200             36.0896 090 99      0.00   0.00   0.00
33534  Cabg arterial two                                 A  39.88  14.75NA  14.75    9.05  63.68 63.680090.09.82.0920200             36.0896 090 99      0.00   0.00   0.00
33535  Cabg arterial three                               A  44.75  16.11NA  16.11   10.16  71.02 71.020090.09.82.0920200             36.0896 090 99      0.00   0.00   0.00
33536  Cabg arterial four or more                        A  48.43  17.14NA  17.14   10.96  76.53 76.530090.09.82.0920200             36.0896 090 99      0.00   0.00   0.00
3354F  Clin sig dep sym by dep tool                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33542  Removal of heart lesion                           A  48.21  16.96NA  16.96   10.98  76.15 76.150090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33545  Repair of heart damage                            A  57.06  19.09NA  19.09   12.94  89.09 89.090090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33548  Restore/remodel ventricle                         A  54.14  19.29NA  19.29   12.37  85.80 85.800090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33572  Open coronary endarterectomy                      A   4.44   1.23NA   1.23    1.01   6.68  6.680ZZZ.00.00.0000200             36.0896 090 99      0.00   0.00   0.00
33600  Closure of valve                                  A  30.31  12.49NA  12.49    6.90  49.70 49.700090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33602  Closure of valve                                  A  29.34  12.22NA  12.22    6.69  48.25 48.250090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33606  Anastomosis/artery-aorta                          A  31.53  12.72NA  12.72    7.20  51.45 51.450090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33608  Repair anomaly w/conduit                          A  31.88  12.94NA  12.94    7.28  52.10 52.100090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33610  Repair by enlargement                             A  31.40  12.80NA  12.80    7.16  51.36 51.360090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33611  Repair double ventricle                           A  35.57  12.82NA  12.82    8.12  56.51 56.510090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33612  Repair double ventricle                           A  36.57  13.10NA  13.10    8.34  58.01 58.010090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33615  Repair modified fontan                            A  35.89  13.74NA  13.74    8.18  57.81 57.810090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33617  Repair single ventricle                           A  39.09  14.63NA  14.63    8.93  62.65 62.650090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33619  Repair single ventricle                           A  48.76  19.35NA  19.35   11.17  79.28 79.280090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33620  Apply r&l pulm art bands                          A  30.00  10.93NA  10.93    6.84  47.77 47.770090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33621  Transthor cath for stent                          A  16.18   7.03NA   7.03    3.70  26.91 26.910090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33622  Redo compl cardiac anomaly                        A  64.00  20.86NA  20.86   14.77  99.63 99.630090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33641  Repair heart septum defect                        A  29.58  11.13NA  11.13    6.75  47.46 47.460090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33645  Revision of heart veins                           A  31.30  11.69NA  11.69    7.14  50.13 50.130090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33647  Repair heart septum defects                       A  33.00  12.09NA  12.09    7.53  52.62 52.620090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33660  Repair of heart defects                           A  31.83  11.77NA  11.77    7.27  50.87 50.870090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33665  Repair of heart defects                           A  34.85  12.61NA  12.61    7.96  55.42 55.420090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33670  Repair of heart chambers                          A  36.63  12.20NA  12.20    8.35  57.18 57.180090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33675  Close mult vsd                                    A  35.95  12.95NA  12.95    8.20  57.10 57.100090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33676  Close mult vsd w/resection                        A  36.95  13.23NA  13.23    8.42  58.60 58.600090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33677  Cl mult vsd w/rem pul band                        A  38.45  13.66NA  13.66    8.79  60.90 60.900090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33681  Repair heart septum defect                        A  32.34  13.56NA  13.56    7.37  53.27 53.270090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33684  Repair heart septum defect                        A  34.37  12.48NA  12.48    7.85  54.70 54.700090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33688  Repair heart septum defect                        A  34.75  11.92NA  11.92    7.93  54.60 54.600090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33690  Reinforce pulmonary artery                        A  20.36   9.69NA   9.69    4.64  34.69 34.690090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33692  Repair of heart defects                           A  36.15  12.31NA  12.31    8.23  56.69 56.690090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33694  Repair of heart defects                           A  35.57  12.82NA  12.82    8.12  56.51 56.510090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33697  Repair of heart defects                           A  37.57  13.38NA  13.38    8.58  59.53 59.530090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
3370F  Ajcc brst cncr stage 0 docd                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33702  Repair of heart defects                           A  27.24  11.30NA  11.30    6.20  44.74 44.740090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33710  Repair of heart defects                           A  37.50  13.36NA  13.36    8.54  59.40 59.400090.09.84.0720200             36.0896 090 99      0.00   0.00   0.00
3372F  Ajcc brst cncr stage 1 docd                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33720  Repair of heart defect                            A  27.26  11.30NA  11.30    6.21  44.77 44.770090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33722  Repair of heart defect                            A  29.21  11.24NA  11.24    6.66  47.11 47.110090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33724  Repair venous anomaly                             A  27.63  10.60NA  10.60    6.31  44.54 44.540090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33726  Repair pul venous stenosis                        A  37.12  13.28NA  13.28    8.46  58.86 58.860090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33730  Repair heart-vein defect(s)                       A  36.14  13.69NA  13.69    8.23  58.06 58.060090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33732  Repair heart-vein defect                          A  28.96  12.11NA  12.11    6.62  47.69 47.690090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33735  Revision of heart chamber                         A  22.20  10.20NA  10.20    5.06  37.46 37.460090.09.84.0720200             36.0896 090 99      0.00   0.00   0.00
33736  Revision of heart chamber                         A  24.32  10.80NA  10.80    5.55  40.67 40.670090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33737  Revision of heart chamber                         A  22.47   9.94NA   9.94    5.12  37.53 37.530090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
3374F  Ajcc brst cncr stage 1 docd                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33750  Major vessel shunt                                A  22.22   9.27NA   9.27    5.06  36.55 36.550090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33755  Major vessel shunt                                A  22.60  10.32NA  10.32    5.15  38.07 38.070090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
3376F  Ajcc brstcncr stage 2 docd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33762  Major vessel shunt                                A  22.60   9.37NA   9.37    5.15  37.12 37.120090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33764  Major vessel shunt & graft                        A  22.60  10.32NA  10.32    5.15  38.07 38.070090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33766  Major vessel shunt                                A  23.57   9.65NA   9.65    5.39  38.61 38.610090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33767  Major vessel shunt                                A  25.30  10.13NA  10.13    5.74  41.17 41.170090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33768  Cavopulmonary shunting                            A   8.00   2.26NA   2.26    1.82  12.08 12.080ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
33770  Repair great vessels defect                       A  39.07  13.36NA  13.36    8.93  61.36 61.360090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33771  Repair great vessels defect                       A  40.63  13.25NA  13.25    9.28  63.16 63.160090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33774  Repair great vessels defect                       A  31.73  13.09NA  13.09    7.24  52.06 52.060090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33775  Repair great vessels defect                       A  32.99  13.13NA  13.13    7.52  53.64 53.640090.09.84.0720200             36.0896 090 99      0.00   0.00   0.00
33776  Repair great vessels defect                       A  34.75  14.03NA  14.03    7.93  56.71 56.710090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33777  Repair great vessels defect                       A  34.17  12.84NA  12.84    7.79  54.80 54.800090.09.84.0720200             36.0896 090 99      0.00   0.00   0.00
33778  Repair great vessels defect                       A  42.75  15.55NA  15.55    9.76  68.06 68.060090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33779  Repair great vessels defect                       A  43.23  14.31NA  14.31    9.87  67.41 67.410090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
3378F  Ajcc brstcncr stage 3 docd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33780  Repair great vessels defect                       A  43.90  14.71NA  14.71   10.02  68.63 68.630090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33781  Repair great vessels defect                       A  43.21  13.98NA  13.98    9.87  67.06 67.060090.09.84.0720200             36.0896 090 99      0.00   0.00   0.00
33782  Nikaidoh proc                                     A  60.08  19.76NA  19.76   13.82  93.66 93.660090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33783  Nikaidoh proc w/ostia implt                       A  65.08  21.17NA  21.17   15.03 101.28101.280090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33786  Repair arterial trunk                             A  41.87  14.56NA  14.56    9.57  66.00 66.000090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33788  Revision of pulmonary artery                      A  27.42  10.73NA  10.73    6.24  44.39 44.390090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
3380F  Ajcc brstcncr stage 4 docd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33800  Aortic suspension                                 A  17.28   7.33NA   7.33    3.94  28.55 28.550090.09.84.0720220             36.0896 090 99      0.00   0.00   0.00
33802  Repair vessel defect                              A  18.37   8.79NA   8.79    4.18  31.34 31.340090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33803  Repair vessel defect                              A  20.31   8.39NA   8.39    4.63  33.33 33.330090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33813  Repair septal defect                              A  21.36   9.64NA   9.64    4.86  35.86 35.860090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33814  Repair septal defect                              A  26.57  11.44NA  11.44    6.05  44.06 44.060090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
3382F  Ajcc cln cncr stage 0 docd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33820  Revise major vessel                               A  16.69   7.50NA   7.50    3.80  27.99 27.990090.09.84.0720200             36.0896 090 99      0.00   0.00   0.00
33822  Revise major vessel                               A  17.71   7.77NA   7.77    4.03  29.51 29.510090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33824  Revise major vessel                               A  20.23   9.29NA   9.29    4.62  34.14 34.140090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
3384F  Ajcc cln cncr stage 1 docd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33840  Remove aorta constriction                         A  21.34   9.63NA   9.63    4.85  35.82 35.820090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33845  Remove aorta constriction                         A  22.93  10.41NA  10.41    5.22  38.56 38.560090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33851  Remove aorta constriction                         A  21.98   9.81NA   9.81    5.01  36.80 36.800090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33852  Repair septal defect                              A  24.41  10.49NA  10.49    5.57  40.47 40.470090.09.84.0720200             36.0896 090 99      0.00   0.00   0.00
33853  Repair septal defect                              A  32.51  13.12NA  13.12    7.41  53.04 53.040090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33858  As-aort grf f/aortic dsj                          A  63.40  20.66NA  20.66   14.48  98.54 98.540090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33859  As-aort grf f/ds oth/thn dsj                      A  45.13  15.35NA  15.35   10.26  70.74 70.740090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
3386F  Ajcc cln cncr stage 2 docd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33863  Ascending aortic graft                            A  58.79  19.20NA  19.20   13.42  91.41 91.410090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33864  Ascending aortic graft                            A  60.08  19.59NA  19.59   13.72  93.39 93.390090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33866  Aortic hemiarch graft                             A  17.75   5.10NA   5.10    3.94  26.79 26.790ZZZ.00.00.0000001             36.0896 090 99      0.00   0.00   0.00
33871  Transvrs a-arch grf hypthrm                       A  60.88  19.81NA  19.81   14.05  94.74 94.740090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33875  Thoracic aortic graft                             A  50.72  17.10NA  17.10   11.69  79.51 79.510090.09.84.0720220             36.0896 090 99      0.00   0.00   0.00
33877  Thoracoabdominal graft                            A  69.03  19.74NA  19.74   16.38 105.15105.150090.09.84.0720220             36.0896 090 99      0.00   0.00   0.00
3388F  Ajcc cln cncr stage 3 docd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33880  Endovasc taa repr incl subcl                      A  34.58   9.61NA   9.61    7.87  52.06 52.060090.09.84.0722220             36.0896 090 99      0.00   0.00   0.00
33881  Endovasc taa repr w/o subcl                       A  29.58   8.34NA   8.34    6.77  44.69 44.690090.09.84.0722220             36.0896 090 99      0.00   0.00   0.00
33883  Insert endovasc prosth taa                        A  21.09   6.52NA   6.52    4.74  32.35 32.350090.09.84.0720220             36.0896 090 99      0.00   0.00   0.00
33884  Endovasc prosth taa add-on                        A   8.20   1.33NA   1.33    1.97  11.50 11.500ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
33886  Endovasc prosth delayed                           A  18.09   5.54NA   5.54    4.12  27.75 27.750090.09.84.0720220             36.0896 090 99      0.00   0.00   0.00
33889  Artery transpose/endovas taa                      A  15.92   3.31NA   3.31    3.72  22.95 22.950000.00.00.0021220             36.0896 090 99      0.00   0.00   0.00
33891  Car-car bp grft/endovas taa                       A  20.00   3.26NA   3.26    4.81  28.07 28.070000.00.00.0021220             36.0896 090 99      0.00   0.00   0.00
3390F  Ajcc cln cncr stage 4 docd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33910  Remove lung artery emboli                         A  48.21  17.73NA  17.73   11.24  77.18 77.180090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33915  Remove lung artery emboli                         A  24.95   9.35NA   9.35    5.58  39.88 39.880090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33916  Surgery of great vessel                           A  78.00  26.16NA  26.16   18.28 122.44122.440090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33917  Repair pulmonary artery                           A  25.30  11.08NA  11.08    5.74  42.12 42.120090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33920  Repair pulmonary atresia                          A  32.74  12.23NA  12.23    7.48  52.45 52.450090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33922  Transect pulmonary artery                         A  24.22  10.44NA  10.44    5.53  40.19 40.190090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33924  Remove pulmonary shunt                            A   5.49   1.55NA   1.55    1.25   8.29  8.290ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
33925  Rpr pul art unifocal w/o cpb                      A  31.30  11.30NA  11.30    7.14  49.74 49.740090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33926  Repr pul art unifocal w/cpb                       A  44.73  15.08NA  15.08   10.23  70.04 70.040090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
33927  Impltj tot rplcmt hrt sys                         A  49.00  13.83NA  13.83   11.23  74.06 74.060XXX.00.00.0020200             36.0896 090 99      0.00   0.00   0.00
33928  Rmvl & rplcmt tot hrt sys                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020200             36.0896 090 99      0.00   0.00   0.00
33929  Rmvl rplcmt hrt sys f/trnspl                      C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000200             36.0896 090 99      0.00   0.00   0.00
33930  Removal of donor heart/lung                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33933  Prepare donor heart/lung                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
33935  Transplantation heart/lung                        R  91.78  30.59NA  30.59   21.30 143.67143.670090.09.84.0720212             36.0896 090 99      0.00   0.00   0.00
3394F  Quant her2 ihc eval brst cx                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33940  Removal of donor heart                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33944  Prepare donor heart                               C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
33945  Transplantation of heart                          R  89.50  30.77NA  30.77   20.85 141.12141.120090.09.84.0720212             36.0896 090 99      0.00   0.00   0.00
33946  Ecmo/ecls initiation venous                       A   6.00   1.76NA   1.76    1.19   8.95  8.950XXX.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
33947  Ecmo/ecls initiation artery                       A   6.63   1.94NA   1.94    1.38   9.95  9.950XXX.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
33948  Ecmo/ecls daily mgmt-venous                       A   4.73   1.46NA   1.46    0.74   6.93  6.930XXX.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
33949  Ecmo/ecls daily mgmt artery                       A   4.60   1.37NA   1.37    0.76   6.73  6.730XXX.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
3395F  Quant nonher2 ihc brst cx                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
33951  Ecmo/ecls insj prph cannula                       A   8.15   2.32NA   2.32    1.84  12.31 12.310000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
33952  Ecmo/ecls insj prph cannula                       A   8.15   2.50NA   2.50    1.77  12.42 12.420000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
33953  Ecmo/ecls insj prph cannula                       A   9.11   2.58NA   2.58    2.03  13.72 13.720000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
33954  Ecmo/ecls insj prph cannula                       A   9.11   2.68NA   2.68    2.03  13.82 13.820000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
33955  Ecmo/ecls insj ctr cannula                        A  16.00   4.46NA   4.46    3.61  24.07 24.070000.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
33956  Ecmo/ecls insj ctr cannula                        A  16.00   4.60NA   4.60    3.63  24.23 24.230000.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
33957  Ecmo/ecls repos perph cnula                       A   3.51   1.06NA   1.06    0.79   5.36  5.360000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
33958  Ecmo/ecls repos perph cnula                       A   3.51   1.06NA   1.06    0.79   5.36  5.360000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
33959  Ecmo/ecls repos perph cnula                       A   4.47   1.31NA   1.31    1.01   6.79  6.790000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
33962  Ecmo/ecls repos perph cnula                       A   4.47   1.31NA   1.31    1.01   6.79  6.790000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
33963  Ecmo/ecls repos perph cnula                       A   9.00   2.55NA   2.55    2.02  13.57 13.570000.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
33964  Ecmo/ecls repos perph cnula                       A   9.50   2.69NA   2.69    2.13  14.32 14.320000.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
33965  Ecmo/ecls rmvl perph cannula                      A   3.51   1.06NA   1.06    0.79   5.36  5.360000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
33966  Ecmo/ecls rmvl prph cannula                       A   4.50   1.41NA   1.41    0.96   6.87  6.870000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
33967  Insert i-aort percut device                       A   4.84   1.62NA   1.62    1.05   7.51  7.510000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
33968  Remove aortic assist device                       A   0.64   0.21NA   0.21    0.13   0.98  0.980000.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
33969  Ecmo/ecls rmvl perph cannula                      A   5.22   1.52NA   1.52    1.17   7.91  7.910000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
33970  Aortic circulation assist                         A   6.74   2.03NA   2.03    1.50  10.27 10.270000.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
33971  Aortic circulation assist                         A  11.99   5.69NA   5.69    2.69  20.37 20.370090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
33973  Insert balloon device                             A   9.75   3.00NA   3.00    2.12  14.87 14.870000.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
33974  Remove intra-aortic balloon                       A  15.03   7.29NA   7.29    3.38  25.70 25.700090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
33975  Implant ventricular device                        A  25.00   7.31NA   7.31    5.57  37.88 37.880XXX.00.00.0020200             36.0896 090 99      0.00   0.00   0.00
33976  Implant ventricular device                        A  30.75   8.40NA   8.40    6.91  46.06 46.060XXX.00.00.0022200             36.0896 090 99      0.00   0.00   0.00
33977  Remove ventricular device                         A  20.86   7.03NA   7.03    4.73  32.62 32.620XXX.00.00.0020200             36.0896 090 99      0.00   0.00   0.00
33978  Remove ventricular device                         A  25.00   7.97NA   7.97    5.59  38.56 38.560XXX.00.00.0022200             36.0896 090 99      0.00   0.00   0.00
33979  Insert intracorporeal device                      A  37.50  10.50NA  10.50    8.50  56.50 56.500XXX.00.00.0020200             36.0896 090 99      0.00   0.00   0.00
33980  Remove intracorporeal device                      A  33.50  10.50NA  10.50    7.56  51.56 51.560XXX.00.00.0020200             36.0896 090 99      0.00   0.00   0.00
33981  Replace vad pump ext                              A  16.11   4.40NA   4.40    3.63  24.14 24.140XXX.00.00.0020200             36.0896 090 99      0.00   0.00   0.00
33982  Replace vad intra w/o bp                          A  37.86  10.34NA  10.34    8.52  56.72 56.720XXX.00.00.0020200             36.0896 090 99      0.00   0.00   0.00
33983  Replace vad intra w/bp                            A  44.54  12.40NA  12.40   10.11  67.05 67.050XXX.00.00.0020200             36.0896 090 99      0.00   0.00   0.00
33984  Ecmo/ecls rmvl prph cannula                       A   5.46   1.54NA   1.54    1.25   8.25  8.250000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
33985  Ecmo/ecls rmvl ctr cannula                        A   9.89   2.80NA   2.80    2.21  14.90 14.900000.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
33986  Ecmo/ecls rmvl ctr cannula                        A  10.00   2.92NA   2.92    2.27  15.19 15.190000.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
33987  Artery expos/graft artery                         A   4.04   1.10NA   1.10    0.90   6.04  6.040ZZZ.00.00.0000011             36.0896 090 99      0.00   0.00   0.00
33988  Insertion of left heart vent                      A  15.00   4.19NA   4.19    3.37  22.56 22.560000.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
33989  Removal of left heart vent                        A   9.50   2.69NA   2.69    2.13  14.32 14.320000.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
33990  Insert vad artery access                          A   7.90   2.69NA   2.69    1.73  12.32 12.320XXX.00.00.0020200             36.0896 090 99      0.00   0.00   0.00
33991  Insert vad art&vein access                        A  11.63   3.90NA   3.90    2.55  18.08 18.080XXX.00.00.0020200             36.0896 090 99      0.00   0.00   0.00
33992  Remove vad different session                      A   3.75   1.21NA   1.21    0.82   5.78  5.780XXX.00.00.0020200             36.0896 090 99      0.00   0.00   0.00
33993  Reposition vad diff session                       A   3.26   1.12NA   1.12    0.66   5.04  5.040XXX.00.00.0020200             36.0896 090 99      0.00   0.00   0.00
33999  Cardiac surgery procedure                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             36.0896 090 99      0.00   0.00   0.00
34001  Removal of artery clot                            A  17.88   4.39NA   4.39    4.29  26.56 26.560090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
34051  Removal of artery clot                            A  16.99   7.85NA   7.85    3.82  28.66 28.660090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
34101  Removal of artery clot                            A  10.93   3.85NA   3.85    2.60  17.38 17.380090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
34111  Removal of arm artery clot                        A  10.93   3.98NA   3.98    2.56  17.47 17.470090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
34151  Removal of artery clot                            A  26.52   7.70NA   7.70    6.20  40.42 40.420090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
34201  Removal of artery clot                            A  19.48   5.71NA   5.71    4.63  29.82 29.820090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
34203  Removal of leg artery clot                        A  17.86   5.51NA   5.51    4.25  27.62 27.620090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
34401  Removal of vein clot                              A  26.52   9.99NA   9.99    5.69  42.20 42.200090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
34421  Removal of vein clot                              A  13.37   5.09NA   5.09    3.10  21.56 21.560090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
34451  Removal of vein clot                              A  28.52   6.34NA   6.34    6.85  41.71 41.710090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
34471  Removal of vein clot                              A  21.11   5.14NA   5.14    5.06  31.31 31.310090.09.84.0721110             36.0896 090 99      0.00   0.00   0.00
34490  Removal of vein clot                              A  10.91   5.04NA   5.04    2.56  18.51 18.510090.09.84.0721100             36.0896 090 99      0.00   0.00   0.00
3450F  Dyspnea scrnd no-mild dysp                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
34501  Repair valve femoral vein                         A  16.85   4.97NA   4.97    4.04  25.86 25.860090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
34502  Reconstruct vena cava                             A  28.07  10.63NA  10.63    6.06  44.76 44.760090.09.84.0720200             36.0896 090 99      0.00   0.00   0.00
3451F  Dyspnea scrnd mod-high dysp                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
34510  Transposition of vein valve                       A  19.91   4.95NA   4.95    4.78  29.64 29.640090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
3452F  Dyspnea not screened                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
34520  Cross-over vein graft                             A  19.18   4.92NA   4.92    4.61  28.71 28.710090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
34530  Leg vein fusion                                   A  17.93   5.02NA   5.02    4.30  27.25 27.250090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
3455F  Tb scrng done-interpd 6mon                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3470F  Ra disease activity low                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
34701  Evasc rpr a-ao ndgft                              A  23.71   7.00NA   7.00    5.45  36.16 36.160090.09.84.0720220             36.0896 090 99      0.00   0.00   0.00
34702  Evasc rpr a-ao ndgft rpt                          A  36.00   9.64NA   9.64    8.33  53.97 53.970090.09.84.0720220             36.0896 090 99      0.00   0.00   0.00
34703  Evasc rpr a-unilac ndgft                          A  26.52   7.26NA   7.26    6.10  39.88 39.880090.09.84.0720220             36.0896 090 99      0.00   0.00   0.00
34704  Evasc rpr a-unilac ndgft rpt                      A  45.00  11.02NA  11.02   10.42  66.44 66.440090.09.84.0720220             36.0896 090 99      0.00   0.00   0.00
34705  Evac rpr a-biiliac ndgft                          A  29.58   8.17NA   8.17    6.78  44.53 44.530090.09.84.0720220             36.0896 090 99      0.00   0.00   0.00
34706  Evasc rpr a-biiliac rpt                           A  45.00  11.78NA  11.78   10.36  67.14 67.140090.09.84.0720220             36.0896 090 99      0.00   0.00   0.00
34707  Evasc rpr ilio-iliac ndgft                        A  22.28   6.41NA   6.41    5.06  33.75 33.750090.09.84.0721220             36.0896 090 99      0.00   0.00   0.00
34708  Evasc rpr ilio-iliac rpt                          A  36.50   9.21NA   9.21    8.16  53.87 53.870090.09.84.0721220             36.0896 090 99      0.00   0.00   0.00
34709  Plmt xtn prosth evasc rpr                         A   6.50   1.42NA   1.42    1.50   9.42  9.420ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
3471F  Ra disease activity mod                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
34710  Dlyd plmt xtn prosth 1st vsl                      A  15.00   4.91NA   4.91    3.40  23.31 23.310090.09.84.0720220             36.0896 090 99      0.00   0.00   0.00
34711  Dlyd plmt xtn prosth ea addl                      A   6.00   1.30NA   1.30    1.38   8.68  8.680ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
34712  Tcat dlvr enhncd fixj dev                         A  12.00   4.49NA   4.49    2.71  19.20 19.200090.09.84.0720220             36.0896 090 99      0.00   0.00   0.00
34713  Perq access & clsr fem art                        A   2.50   0.57NA   0.57    0.56   3.63  3.630ZZZ.00.00.0001220             36.0896 090 99      0.00   0.00   0.00
34714  Opn fem art expos cndt crtj                       A   5.25   1.41NA   1.41    1.21   7.87  7.870ZZZ.00.00.0001220             36.0896 090 99      0.00   0.00   0.00
34715  Opn ax/subcla art expos                           A   6.00   1.31NA   1.31    1.41   8.72  8.720ZZZ.00.00.0001220             36.0896 090 99      0.00   0.00   0.00
34716  Opn ax/subcla art expos cndt                      A   7.19   1.98NA   1.98    1.63  10.80 10.800ZZZ.00.00.0001220             36.0896 090 99      0.00   0.00   0.00
34717  Evasc rpr a-iliac ndgft                           A   9.00   1.86NA   1.86    2.08  12.94 12.940ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
34718  Evasc rpr n/a a-iliac ndgft                       A  24.00   6.51NA   6.51    5.57  36.08 36.080090.09.84.0720220             36.0896 090 99      0.00   0.00   0.00
3472F  Ra disease activity high                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3475F  Disease progn ra poor docd                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3476F  Disease progn ra good docd                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
34808  Endovas iliac a device addon                      A   4.12   0.70NA   0.70    0.99   5.81  5.810ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
34812  Opn fem art expos                                 A   4.13   0.92NA   0.92    0.96   6.01  6.010ZZZ.00.00.0001220             36.0896 090 99      0.00   0.00   0.00
34813  Femoral endovas graft add-on                      A   4.79   0.97NA   0.97    1.14   6.90  6.900ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
34820  Opn iliac art expos                               A   7.00   1.53NA   1.53    1.65  10.18 10.180ZZZ.00.00.0001220             36.0896 090 99      0.00   0.00   0.00
34830  Open aortic tube prosth repr                      A  35.23   7.52NA   7.52    8.46  51.21 51.210090.09.84.0720220             36.0896 090 99      0.00   0.00   0.00
34831  Open aortoiliac prosth repr                       A  37.98   8.99NA   8.99    9.07  56.04 56.040090.09.84.0720220             36.0896 090 99      0.00   0.00   0.00
34832  Open aortofemor prosth repr                       A  37.98   7.96NA   7.96    9.14  55.08 55.080090.09.84.0720220             36.0896 090 99      0.00   0.00   0.00
34833  Opn ilac art expos cndt crtj                      A   8.16   1.66NA   1.66    1.92  11.74 11.740ZZZ.00.00.0001220             36.0896 090 99      0.00   0.00   0.00
34834  Opn brach art expos                               A   2.65   0.50NA   0.50    0.62   3.77  3.770ZZZ.00.00.0001220             36.0896 090 99      0.00   0.00   0.00
34839  Plnning pt spec fenest graft                      B   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
34841  Endovasc visc aorta 1 graft                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020220             36.0896 090 99      0.00   0.00   0.00
34842  Endovasc visc aorta 2 graft                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020220             36.0896 090 99      0.00   0.00   0.00
34843  Endovasc visc aorta 3 graft                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020220             36.0896 090 99      0.00   0.00   0.00
34844  Endovasc visc aorta 4 graft                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020220             36.0896 090 99      0.00   0.00   0.00
34845  Visc & infraren abd 1 prosth                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020220             36.0896 090 99      0.00   0.00   0.00
34846  Visc & infraren abd 2 prosth                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020220             36.0896 090 99      0.00   0.00   0.00
34847  Visc & infraren abd 3 prosth                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020220             36.0896 090 99      0.00   0.00   0.00
34848  Visc & infraren abd 4+ prost                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020220             36.0896 090 99      0.00   0.00   0.00
3490F  History aids-defining cond                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3491F  Hiv unsure baby of hiv+moms                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3492F  History cd4+ cell count <350                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3493F  No hist cd4+ cell count <350                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3494F  Cd4+cell count <200cells/mm3                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3495F  Cd4+cell cnt 200-499 cells                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3496F  Cd4+ cell count >= 500 cells                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3497F  Cd4+ cell percentage <15%                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3498F  Cd4+ cell =15% (hiv)                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3500F  Cd4+cell cnt/% docd as done                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
35001  Repair defect of artery                           A  20.81   6.84NA   6.84    4.95  32.60 32.600090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35002  Repair artery rupture neck                        A  22.23   5.44NA   5.44    5.33  33.00 33.000090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35005  Repair defect of artery                           A  19.29   4.96NA   4.96    4.63  28.88 28.880090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35011  Repair defect of artery                           A  18.58   6.14NA   6.14    4.42  29.14 29.140090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35013  Repair artery rupture arm                         A  23.23   7.89NA   7.89    5.54  36.66 36.660090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
3502F  Hiv rna vrl ld <lmts quantif                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
35021  Repair defect of artery                           A  22.17   9.27NA   9.27    5.00  36.44 36.440090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35022  Repair artery rupture chest                       A  25.70  10.23NA  10.23    5.77  41.70 41.700090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
3503F  Hiv rna vrl ldnot<lmts quntf                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
35045  Repair defect of arm artery                       A  18.01   6.26NA   6.26    4.17  28.44 28.440090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35081  Repair defect of artery                           A  33.53   8.85NA   8.85    7.95  50.33 50.330090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
35082  Repair artery rupture aorta                       A  42.09  11.44NA  11.44    9.96  63.49 63.490090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
35091  Repair defect of artery                           A  35.35   8.25NA   8.25    8.42  52.02 52.020090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35092  Repair artery rupture aorta                       A  50.97  12.62NA  12.62   12.17  75.76 75.760090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
3510F  Doc tb scrng-rslts interpd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
35102  Repair defect of artery                           A  36.53   9.41NA   9.41    8.70  54.64 54.640090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35103  Repair artery rupture aorta                       A  43.62  10.97NA  10.97   10.45  65.04 65.040090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
3511F  Chlmyd/gonrh tsts docd done                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
35111  Repair defect of artery                           A  26.28   5.98NA   5.98    6.33  38.59 38.590090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35112  Repair artery rupture spleen                      A  32.57   7.09NA   7.09    7.83  47.49 47.490090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
3512F  Syph scrng docd as done                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
35121  Repair defect of artery                           A  31.52   6.84NA   6.84    7.58  45.94 45.940090.09.84.0721200             36.0896 090 99      0.00   0.00   0.00
35122  Repair artery rupture belly                       A  37.89   7.95NA   7.95    9.11  54.95 54.950090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
3513F  Hep b scrng docd as done                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
35131  Repair defect of artery                           A  26.40   7.33NA   7.33    6.30  40.03 40.030090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35132  Repair artery rupture groin                       A  32.57   7.09NA   7.09    7.83  47.49 47.490090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
3514F  Hep c scrng docd as done                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
35141  Repair defect of artery                           A  20.91   6.19NA   6.19    4.94  32.04 32.040090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35142  Repair artery rupture thigh                       A  25.16   7.53NA   7.53    5.96  38.65 38.650090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
3515F  Pt has docd immun to hep c                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
35151  Repair defect of artery                           A  23.72   6.61NA   6.61    5.64  35.97 35.970090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35152  Repair ruptd popliteal art                        A  27.66   6.28NA   6.28    6.65  40.59 40.590090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
3517F  Hbv assess&results intrp 1yr                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
35180  Repair blood vessel lesion                        A  15.10   6.89NA   6.89    3.44  25.43 25.430090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
35182  Repair blood vessel lesion                        A  31.71  12.84NA  12.84    7.24  51.79 51.790090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
35184  Repair blood vessel lesion                        A  18.82   4.66NA   4.66    4.51  27.99 27.990090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
35188  Repair blood vessel lesion                        A  18.00  12.34NA  12.34    6.64  36.98 36.980090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
35189  Repair blood vessel lesion                        A  29.98   6.66NA   6.66    7.21  43.85 43.850090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
35190  Repair blood vessel lesion                        A  13.42   5.56NA   5.56    3.16  22.14 22.140090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
3520F  Cdifficile testing performed                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
35201  Repair blood vessel lesion                        A  16.93   6.56NA   6.56    3.85  27.34 27.340090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35206  Repair blood vessel lesion                        A  13.84   5.72NA   5.72    3.12  22.68 22.680090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35207  Repair blood vessel lesion                        A  10.94   8.86NA   8.86    1.96  21.76 21.760090.09.84.0721110             36.0896 090 99      0.00   0.00   0.00
35211  Repair blood vessel lesion                        A  24.58  10.11NA  10.11    5.55  40.24 40.240090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35216  Repair blood vessel lesion                        A  36.61  15.25NA  15.25    8.23  60.09 60.090090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35221  Repair blood vessel lesion                        A  26.62   9.80NA   9.80    6.22  42.64 42.640090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35226  Repair blood vessel lesion                        A  15.30   5.31NA   5.31    3.56  24.17 24.170090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35231  Repair blood vessel lesion                        A  21.16  11.25NA  11.25    3.98  36.39 36.390090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35236  Repair blood vessel lesion                        A  18.02   7.11NA   7.11    4.05  29.18 29.180090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35241  Repair blood vessel lesion                        A  25.58  10.20NA  10.20    5.74  41.52 41.520090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35246  Repair blood vessel lesion                        A  28.23  10.71NA  10.71    6.35  45.29 45.290090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35251  Repair blood vessel lesion                        A  31.91  11.41NA  11.41    7.39  50.71 50.710090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35256  Repair blood vessel lesion                        A  19.06   6.26NA   6.26    4.46  29.78 29.780090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35261  Repair blood vessel lesion                        A  18.96   4.92NA   4.92    4.55  28.43 28.430090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35266  Repair blood vessel lesion                        A  15.83   5.64NA   5.64    3.65  25.12 25.120090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35271  Repair blood vessel lesion                        A  24.58   9.86NA   9.86    5.52  39.96 39.960090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35276  Repair blood vessel lesion                        A  25.83  10.52NA  10.52    5.80  42.15 42.150090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35281  Repair blood vessel lesion                        A  30.06  10.17NA  10.17    7.08  47.31 47.310090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35286  Repair blood vessel lesion                        A  17.19   5.93NA   5.93    4.04  27.16 27.160090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35301  Rechanneling of artery                            A  21.16   6.67NA   6.67    5.07  32.90 32.900090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35302  Rechanneling of artery                            A  21.35   6.18NA   6.18    5.07  32.60 32.600090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35303  Rechanneling of artery                            A  23.60   6.82NA   6.82    5.58  36.00 36.000090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35304  Rechanneling of artery                            A  24.60   6.62NA   6.62    5.85  37.07 37.070090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35305  Rechanneling of artery                            A  23.60   6.43NA   6.43    5.58  35.61 35.610090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35306  Rechanneling of artery                            A   9.25   1.50NA   1.50    2.21  12.96 12.960ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
35311  Rechanneling of artery                            A  28.60  10.10NA  10.10    6.43  45.13 45.130090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35321  Rechanneling of artery                            A  16.59   5.41NA   5.41    3.94  25.94 25.940090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35331  Rechanneling of artery                            A  27.72   7.92NA   7.92    6.59  42.23 42.230090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35341  Rechanneling of artery                            A  26.21   7.51NA   7.51    6.26  39.98 39.980090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35351  Rechanneling of artery                            A  24.61   6.87NA   6.87    5.83  37.31 37.310090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35355  Rechanneling of artery                            A  19.86   5.39NA   5.39    4.74  29.99 29.990090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35361  Rechanneling of artery                            A  30.24   6.71NA   6.71    7.28  44.23 44.230090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35363  Rechanneling of artery                            A  32.35   7.05NA   7.05    7.79  47.19 47.190090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35371  Rechanneling of artery                            A  15.31   4.80NA   4.80    3.64  23.75 23.750090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35372  Rechanneling of artery                            A  18.58   5.45NA   5.45    4.42  28.45 28.450090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35390  Reoperation carotid add-on                        A   3.19   0.70NA   0.70    0.76   4.65  4.650ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
35400  Angioscopy                                        A   3.00   0.62NA   0.62    0.70   4.32  4.320ZZZ.00.00.0000010             36.0896 090 99      0.00   0.00   0.00
3550F  Low rsk thromboembolism                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
35500  Harvest vein for bypass                           A   6.44   1.33NA   1.33    1.52   9.29  9.290ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
35501  Art byp grft ipsilat carotid                      A  29.09   6.35NA   6.35    6.99  42.43 42.430090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35506  Art byp grft subclav-carotid                      A  25.33   5.60NA   5.60    6.08  37.01 37.010090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35508  Art byp grft carotid-vertbrl                      A  26.09   6.18NA   6.18    6.26  38.53 38.530090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35509  Art byp grft contral carotid                      A  28.09   6.22NA   6.22    6.75  41.06 41.060090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
3551F  Intrmed rsk thromboembolism                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
35510  Art byp grft carotid-brchial                      A  24.39   5.47NA   5.47    5.84  35.70 35.700090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35511  Art byp grft subclav-subclav                      A  22.20   5.02NA   5.02    5.33  32.55 32.550090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35512  Art byp grft subclav-brchial                      A  23.89   5.40NA   5.40    5.73  35.02 35.020090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35515  Art byp grft subclav-vertbrl                      A  26.09   6.18NA   6.18    6.26  38.53 38.530090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35516  Art byp grft subclav-axilary                      A  24.21   5.42NA   5.42    5.80  35.43 35.430090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35518  Art byp grft axillary-axilry                      A  22.65   5.09NA   5.09    5.44  33.18 33.180090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
3552F  Hgh risk for thromboembolism                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
35521  Art byp grft axill-femoral                        A  24.13   5.71NA   5.71    5.78  35.62 35.620090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35522  Art byp grft axill-brachial                       A  23.15   6.69NA   6.69    5.54  35.38 35.380090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35523  Art byp grft brchl-ulnr-rdl                       A  24.13   7.41NA   7.41    5.71  37.25 37.250090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35525  Art byp grft brachial-brchl                       A  21.69   6.18NA   6.18    5.14  33.01 33.010090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35526  Art byp grft aor/carot/innom                      A  31.55  11.50NA  11.50    7.10  50.15 50.150090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35531  Art byp grft aorcel/aormesen                      A  39.11   8.15NA   8.15    9.38  56.64 56.640090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35533  Art byp grft axill/fem/fem                        A  29.92   6.65NA   6.65    7.20  43.77 43.770090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35535  Art byp grft hepatorenal                          A  38.13   8.01NA   8.01    9.19  55.33 55.330090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35536  Art byp grft splenorenal                          A  33.73   7.28NA   7.28    8.11  49.12 49.120090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35537  Art byp grft aortoiliac                           A  41.88   8.65NA   8.65   10.09  60.62 60.620090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
35538  Art byp grft aortobi-iliac                        A  47.03   9.56NA   9.56   11.35  67.94 67.940090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
35539  Art byp grft aortofemoral                         A  44.11   9.01NA   9.01   10.64  63.76 63.760090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35540  Art byp grft aortbifemoral                        A  49.33   9.86NA   9.86   11.90  71.09 71.090090.09.84.0721110             36.0896 090 99      0.00   0.00   0.00
3555F  Pt inr measurement performed                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
35556  Art byp grft fem-popliteal                        A  26.75   7.63NA   7.63    6.35  40.73 40.730090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35558  Art byp grft fem-femoral                          A  23.13   7.17NA   7.17    5.45  35.75 35.750090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35560  Art byp grft aortorenal                           A  34.03   7.33NA   7.33    8.17  49.53 49.530090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35563  Art byp grft ilioiliac                            A  26.12   6.03NA   6.03    6.27  38.42 38.420090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35565  Art byp grft iliofemoral                          A  25.13   6.98NA   6.98    5.94  38.05 38.050090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35566  Art byp fem-ant-post tib/prl                      A  32.35   8.54NA   8.54    7.71  48.60 48.600090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35570  Art byp tibial-tib/peroneal                       A  29.15   6.64NA   6.64    7.01  42.80 42.800090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35571  Art byp pop-tibl-prl-other                        A  25.52   6.95NA   6.95    6.08  38.55 38.550090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35572  Harvest femoropopliteal vein                      A   6.81   1.65NA   1.65    1.58  10.04 10.040ZZZ.00.00.0000200             36.0896 090 99      0.00   0.00   0.00
35583  Vein byp grft fem-popliteal                       A  27.75   7.61NA   7.61    6.64  42.00 42.000090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35585  Vein byp fem-tibial peroneal                      A  32.35   8.57NA   8.57    7.77  48.69 48.690090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35587  Vein byp pop-tibl peroneal                        A  26.21   7.14NA   7.14    6.30  39.65 39.650090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35600  Harvest art for cabg add-on                       A   4.94   1.38NA   1.38    1.12   7.44  7.440ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
35601  Art byp common ipsi carotid                       A  27.09   7.09NA   7.09    6.48  40.66 40.660090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35606  Art byp carotid-subclavian                        A  22.46   6.33NA   6.33    5.30  34.09 34.090090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35612  Art byp subclav-subclavian                        A  20.35   5.09NA   5.09    4.86  30.30 30.300090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35616  Art byp subclav-axillary                          A  21.82   4.95NA   4.95    5.25  32.02 32.020090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35621  Art byp axillary-femoral                          A  21.03   5.86NA   5.86    5.00  31.89 31.890090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35623  Art byp axillary-pop-tibial                       A  25.92   6.00NA   6.00    6.22  38.14 38.140090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35626  Art byp aorsubcl/carot/innom                      A  29.14  10.28NA  10.28    6.70  46.12 46.120090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35631  Art byp aor-celiac-msn-renal                      A  36.03   9.20NA   9.20    8.61  53.84 53.840090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35632  Art byp ilio-celiac                               A  36.13   7.69NA   7.69    8.70  52.52 52.520090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35633  Art byp ilio-mesenteric                           A  39.11   9.18NA   9.18    9.37  57.66 57.660090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35634  Art byp iliorenal                                 A  35.33   7.57NA   7.57    8.50  51.40 51.400090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35636  Art byp spenorenal                                A  31.75   6.95NA   6.95    7.63  46.33 46.330090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35637  Art byp aortoiliac                                A  33.05   7.22NA   7.22    7.95  48.22 48.220090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
35638  Art byp aortobi-iliac                             A  33.60   9.17NA   9.17    7.93  50.70 50.700090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
35642  Art byp carotid-vertebral                         A  18.94   5.13NA   5.13    4.54  28.61 28.610090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35645  Art byp subclav-vertebrl                          A  18.43   4.63NA   4.63    4.42  27.48 27.480090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35646  Art byp aortobifemoral                            A  32.98   9.11NA   9.11    7.81  49.90 49.900090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
35647  Art byp aortofemoral                              A  29.73   8.21NA   8.21    7.05  44.99 44.990090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35650  Art byp axillary-axillary                         A  20.16   4.68NA   4.68    4.83  29.67 29.670090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35654  Art byp axill-fem-femoral                         A  26.28   7.31NA   7.31    6.24  39.83 39.830090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
35656  Art byp femoral-popliteal                         A  20.47   6.10NA   6.10    4.84  31.41 31.410090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35661  Art byp femoral-femoral                           A  20.35   6.34NA   6.34    4.82  31.51 31.510090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35663  Art byp ilioiliac                                 A  23.93   5.68NA   5.68    5.73  35.34 35.340090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35665  Art byp iliofemoral                               A  22.35   6.48NA   6.48    5.30  34.13 34.130090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35666  Art byp fem-ant-post tib/prl                      A  23.66   7.75NA   7.75    5.61  37.02 37.020090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35671  Art byp pop-tibl-prl-other                        A  20.77   6.94NA   6.94    4.94  32.65 32.650090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35681  Composite byp grft pros&vein                      A   1.60   0.38NA   0.38    0.38   2.36  2.360ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
35682  Composite byp grft 2 veins                        A   7.19   1.40NA   1.40    1.70  10.29 10.290ZZZ.00.00.0000010             36.0896 090 99      0.00   0.00   0.00
35683  Composite byp grft 3/> segmt                      A   8.49   1.38NA   1.38    2.02  11.89 11.890ZZZ.00.00.0000010             36.0896 090 99      0.00   0.00   0.00
35685  Bypass graft patency/patch                        A   4.04   0.78NA   0.78    0.96   5.78  5.780ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
35686  Bypass graft/av fist patency                      A   3.34   0.55NA   0.55    0.79   4.68  4.680ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
35691  Art trnsposj vertbrl carotid                      A  18.41   4.62NA   4.62    4.42  27.45 27.450090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35693  Art trnsposj subclavian                           A  15.73   4.68NA   4.68    3.78  24.19 24.190090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35694  Art trnsposj subclav carotid                      A  19.28   4.77NA   4.77    4.63  28.68 28.680090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35695  Art trnsposj carotid subclav                      A  20.06   4.89NA   4.89    4.82  29.77 29.770090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35697  Reimplant artery each                             A   3.00   0.59NA   0.59    0.70   4.29  4.290ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
3570F  Rprt bone scint xref w xray                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
35700  Reoperation bypass graft                          A   3.08   0.63NA   0.63    0.73   4.44  4.440ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
35701  Expl n/flwd surg neck art                         A   7.50   3.91NA   3.91    1.25  12.66 12.660090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35702  Expl n/flwd surg uxtr art                         A   7.12   3.23NA   3.23    1.55  11.90 11.900090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35703  Expl n/flwd surg lxtr art                         A   7.50   2.88NA   2.88    1.70  12.08 12.080090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
3572F  Pt consid poss risk fx                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3573F  Pt not consid poss risk fx                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
35800  Explore neck vessels                              A  12.00   6.45NA   6.45    2.37  20.82 20.820090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
35820  Explore chest vessels                             A  36.89  13.06NA  13.06    8.33  58.28 58.280090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
35840  Explore abdominal vessels                         A  20.75   9.38NA   9.38    4.73  34.86 34.860090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
35860  Explore limb vessels                              A  15.25   5.47NA   5.47    3.59  24.31 24.310090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
35870  Repair vessel graft defect                        A  24.50   5.80NA   5.80    5.87  36.17 36.170090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
35875  Removal of clot in graft                          A  10.72   4.02NA   4.02    2.56  17.30 17.300090.09.84.0720110             36.0896 090 99      0.00   0.00   0.00
35876  Removal of clot in graft                          A  17.82   5.51NA   5.51    4.19  27.52 27.520090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
35879  Revise graft w/vein                               A  17.41   5.33NA   5.33    4.16  26.90 26.900090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35881  Revise graft w/vein                               A  19.35   5.70NA   5.70    4.63  29.68 29.680090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35883  Revise graft w/nonauto graft                      A  23.15   6.30NA   6.30    5.49  34.94 34.940090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35884  Revise graft w/vein                               A  24.65   5.45NA   5.45    5.92  36.02 36.020090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
35901  Excision graft neck                               A   8.38   3.29NA   3.29    1.99  13.66 13.660090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
35903  Excision graft extremity                          A   9.53   4.61NA   4.61    2.27  16.41 16.410090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
35905  Excision graft thorax                             A  33.52  10.12NA  10.12    7.82  51.46 51.460090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
35907  Excision graft abdomen                            A  37.27   9.14NA   9.14    8.93  55.34 55.340090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
36000  Place needle in vein                              B+  0.18   0.60     0.07    0.01   0.79  0.269XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
36002  Pseudoaneurysm injection trt                      A   1.96   2.19     0.80    0.28   4.43  3.040000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
36005  Injection ext venography                          A   0.95   7.36     0.30    0.13   8.44  1.380000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
36010  Place catheter in vein                            A   2.18  12.48     0.63    0.38  15.04  3.190XXX.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
36011  Place catheter in vein                            A   3.14  21.05     0.95    0.48  24.67  4.570XXX.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
36012  Place catheter in vein                            A   3.51  21.01     0.99    0.54  25.06  5.040XXX.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
36013  Place catheter in artery                          A   2.52  19.98     0.73    0.28  22.78  3.530XXX.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36014  Place catheter in artery                          A   3.02  20.28     0.95    0.44  23.74  4.410XXX.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
36015  Place catheter in artery                          A   3.51  21.81     1.09    0.40  25.72  5.000XXX.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
36100  Establish access to artery                        A   3.02  11.17     0.74    0.67  14.86  4.430XXX.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
36140  Intro ndl icath upr/lxtr art                      A   1.76  11.55     0.49    0.35  13.66  2.600XXX.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36160  Establish access to aorta                         A   2.52  12.74     0.77    0.32  15.58  3.610XXX.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36200  Place catheter in aorta                           A   2.77  13.48     0.69    0.60  16.85  4.060000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
36215  Place catheter in artery                          A   4.17  26.01     1.42    0.54  30.72  6.130000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36216  Place catheter in artery                          A   5.27  26.35     1.68    0.95  32.57  7.900000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36217  Place catheter in artery                          A   6.29  46.44     2.02    1.21  53.94  9.520000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36218  Place catheter in artery                          A   1.01   5.35     0.31    0.18   6.54  1.500ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
36221  Place cath thoracic aorta                         A   3.92  25.30     1.09    0.82  30.04  5.830000.00.00.0022100             36.0896 090 99      0.00   0.00   0.00
36222  Place cath carotid/inom art                       A   5.28  29.11     1.75    1.16  35.55  8.190000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
36223  Place cath carotid/inom art                       A   5.75  38.58     2.13    1.30  45.63  9.180000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
36224  Place cath carotd art                             A   6.25  51.11     2.61    1.57  58.93 10.430000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
36225  Place cath subclavian art                         A   5.75  36.67     2.07    1.33  43.75  9.150000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
36226  Place cath vertebral art                          A   6.25  47.96     2.53    1.50  55.71 10.280000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
36227  Place cath xtrnl carotid                          A   2.09   4.51     0.81    0.51   7.11  3.410ZZZ.00.00.0001100             36.0896 090 99      0.00   0.00   0.00
36228  Place cath intracranial art                       A   4.25  32.35     1.66    1.07  37.67  6.980ZZZ.00.00.0001100             36.0896 090 99      0.00   0.00   0.00
36245  Ins cath abd/l-ext art 1st                        A   4.65  32.76     1.46    0.78  38.19  6.890XXX.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
36246  Ins cath abd/l-ext art 2nd                        A   5.02  18.57     1.37    0.96  24.55  7.350000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
36247  Ins cath abd/l-ext art 3rd                        A   6.04  36.17     1.69    1.02  43.23  8.750000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
36248  Ins cath abd/l-ext art addl                       A   1.01   2.80     0.29    0.11   3.92  1.410ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
36251  Ins cath ren art 1st unilat                       A   5.10  33.79     1.54    0.87  39.76  7.510000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36252  Ins cath ren art 1st bilat                        A   6.74  34.65     2.27    1.42  42.81 10.430000.00.00.0022100             36.0896 090 99      0.00   0.00   0.00
36253  Ins cath ren art 2nd+ unilat                      A   7.30  54.87     2.26    0.79  62.96 10.350000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36254  Ins cath ren art 2nd+ bilat                       A   7.90  52.15     2.54    1.58  61.63 12.020000.00.00.0022100             36.0896 090 99      0.00   0.00   0.00
36260  Insertion of infusion pump                        A   9.91   6.62NA   6.62    2.40  18.93 18.930090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
36261  Revision of infusion pump                         A   5.63   4.76NA   4.76    1.36  11.75 11.750090.09.84.0720200             36.0896 090 99      0.00   0.00   0.00
36262  Removal of infusion pump                          A   4.11   3.85NA   3.85    1.00   8.96  8.960090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
36299  Vessel injection procedure                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
36400  Bl draw < 3 yrs fem/jugular                       A   0.38   0.35     0.13    0.03   0.76  0.540XXX.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36405  Bl draw <3 yrs scalp vein                         A   0.31   0.33     0.11    0.02   0.66  0.440XXX.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36406  Bl draw <3 yrs other vein                         A   0.18   0.28     0.06    0.01   0.47  0.250XXX.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36410  Non-routine bl draw 3/> yrs                       A   0.18   0.29     0.07    0.02   0.49  0.270XXX.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36415  Routine venipuncture                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
36416  Capillary blood draw                              B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
36420  Vein access cutdown < 1 yr                        A   1.01   0.17NA   0.17    0.21   1.39  1.390XXX.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
36425  Vein access cutdown > 1 yr                        A   0.76   0.30NA   0.30    0.09   1.15  1.150XXX.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36430  Blood transfusion service                         A   0.00   0.97     0.97NA  0.02   0.99  0.995XXX.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
36440  Bl push transfuse 2 yr/<                          A   1.03   0.36NA   0.36    0.08   1.47  1.470XXX.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
36450  Bl exchange/transfuse nb                          A   3.50   1.20NA   1.20    0.23   4.93  4.930XXX.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
36455  Bl exchange/transfuse non-nb                      A   2.43   0.69NA   0.69    0.56   3.68  3.680XXX.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36456  Prtl exchange transfuse nb                        A   2.00   0.77NA   0.77    0.16   2.93  2.930XXX.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
36460  Transfusion service fetal                         A   6.58   2.48NA   2.48    1.04  10.10 10.100XXX.00.00.0020200             36.0896 090 99      0.00   0.00   0.00
36465  Njx noncmpnd sclrsnt 1 vein                       A   2.35  40.14     0.67    0.46  42.95  3.480000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
36466  Njx noncmpnd sclrsnt mlt vn                       A   3.00  44.12     0.93    0.53  47.65  4.460000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
36468  Njx sclrsnt spider veins                          R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
36470  Njx sclrsnt 1 incmptnt vein                       A   0.75   2.22     0.22    0.13   3.10  1.100000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
36471  Njx sclrsnt mlt incmptnt vn                       A   1.50   3.81     0.44    0.28   5.59  2.220000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
36473  Endovenous mchnchem 1st vein                      A   3.50  36.25     1.02    0.66  40.41  5.180000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
36474  Endovenous mchnchem add-on                        A   1.75   6.13     0.50    0.35   8.23  2.600ZZZ.00.00.0001100             36.0896 090 99      0.00   0.00   0.00
36475  Endovenous rf 1st vein                            A   5.30  32.56     1.72    1.07  38.93  8.090000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
36476  Endovenous rf vein add-on                         A   2.65   5.62     0.73    0.54   8.81  3.920ZZZ.00.00.0001100             36.0896 090 99      0.00   0.00   0.00
36478  Endovenous laser 1st vein                         A   5.30  23.95     1.75    1.01  30.26  8.060000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
36479  Endovenous laser vein addon                       A   2.65   6.11     0.79    0.52   9.28  3.960ZZZ.00.00.0001100             36.0896 090 99      0.00   0.00   0.00
36481  Insertion of catheter vein                        A   6.73  47.25     2.16    0.67  54.65  9.560000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36482  Endoven ther chem adhes 1st                       A   3.50  49.86     1.03    0.67  54.03  5.200000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
36483  Endoven ther chem adhes sbsq                      A   1.75   2.33     0.49    0.37   4.45  2.610ZZZ.00.00.0001100             36.0896 090 99      0.00   0.00   0.00
3650F  Eeg ordered rvwd reqstd                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
36500  Insertion of catheter vein                        A   3.51   1.18NA   1.18    0.60   5.29  5.290000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36510  Insertion of catheter vein                        A   1.09   1.19     0.38    0.08   2.36  1.550000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
36511  Apheresis wbc                                     A   2.00   1.02NA   1.02    0.13   3.15  3.150000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36512  Apheresis rbc                                     A   2.00   0.99NA   0.99    0.13   3.12  3.120000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36513  Apheresis platelets                               A   2.00   0.91NA   0.91    0.24   3.15  3.150000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36514  Apheresis plasma                                  A   1.81  17.21     0.79    0.15  19.17  2.750000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36516  Apheresis immunoads slctv                         A   1.56  53.63     0.63    0.25  55.44  2.440000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36522  Photopheresis                                     A   1.75  52.74     0.96    0.11  54.60  2.820000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36555  Insert non-tunnel cv cath                         A   1.93   3.27     0.36    0.15   5.35  2.440000.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
36556  Insert non-tunnel cv cath                         A   1.75   4.11     0.49    0.22   6.08  2.460000.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
36557  Insert tunneled cv cath                           A   4.89  25.28     3.17    1.19  31.36  9.250010.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
36558  Insert tunneled cv cath                           A   4.59  17.98     2.36    0.60  23.17  7.550010.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
36560  Insert tunneled cv cath                           A   6.04  29.93     3.58    1.46  37.43 11.080010.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
36561  Insert tunneled cv cath                           A   5.79  23.89     3.02    0.93  30.61  9.740010.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
36563  Insert tunneled cv cath                           A   5.99  26.56     3.24    1.37  33.92 10.600010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
36565  Insert tunneled cv cath                           A   5.79  17.99     2.68    1.24  25.02  9.710010.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
36566  Insert tunneled cv cath                           A   6.29 124.73     2.95    1.21 132.23 10.450010.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
36568  Insj picc <5 yr w/o imaging                       A   2.11   0.36NA   0.36    0.21   2.68  2.680000.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
36569  Insj picc 5 yr+ w/o imaging                       A   1.90   0.65NA   0.65    0.18   2.73  2.730000.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
36570  Insert picvad cath                                A   5.11  35.96     3.25    1.25  42.32  9.610010.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
36571  Insert picvad cath                                A   5.09  30.99     2.97    0.97  37.05  9.030010.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
36572  Insj picc rs&i <5 yr                              A   1.82  10.37     0.65    0.15  12.34  2.620000.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
36573  Insj picc rs&i 5 yr+                              A   1.70   9.49     0.56    0.19  11.38  2.450000.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
36575  Repair tunneled cv cath                           A   0.67   3.81     0.25    0.09   4.57  1.010000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
36576  Repair tunneled cv cath                           A   2.99   6.17     1.80    0.56   9.72  5.350010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
36578  Replace tunneled cv cath                          A   3.29   9.57     2.04    0.56  13.42  5.890010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
36580  Replace cvad cath                                 A   1.31   4.76     0.45    0.15   6.22  1.910000.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
36581  Replace tunneled cv cath                          A   3.23  19.29     1.68    0.39  22.91  5.300010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
36582  Replace tunneled cv cath                          A   4.99  22.44     2.59    0.82  28.25  8.400010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
36583  Replace tunneled cv cath                          A   5.04  29.78     3.23    1.24  36.06  9.510010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
36584  Compl rplcmt picc rs&i                            A   1.20   8.61     0.42    0.11   9.92  1.730000.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
36585  Replace picvad cath                               A   4.59  26.04     2.48    0.79  31.42  7.860010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
36589  Removal tunneled cv cath                          A   2.28   2.16     1.37    0.32   4.76  3.970010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
36590  Removal tunneled cv cath                          A   3.10   2.76     1.87    0.54   6.40  5.510010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
36591  Draw blood off venous device                      T   0.00   0.69     0.69NA  0.01   0.70  0.703XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
36592  Collect blood from picc                           T   0.00   0.78     0.78NA  0.01   0.79  0.793XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
36593  Declot vascular device                            A   0.00   0.87     0.87NA  0.02   0.89  0.893XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
36595  Mech remov tunneled cv cath                       A   3.59  13.93     1.31    0.37  17.89  5.270000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36596  Mech remov tunneled cv cath                       A   0.75   2.63     0.42    0.09   3.47  1.260000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36597  Reposition venous catheter                        A   1.21   2.46     0.42    0.12   3.79  1.750000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36598  Inj w/fluor eval cv device                        T   0.74   2.62     0.25    0.08   3.44  1.079000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
36600  Withdrawal of arterial blood                      A   0.32   0.51     0.10    0.03   0.86  0.450XXX.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36620  Insertion catheter artery                         A   1.00   0.19NA   0.19    0.09   1.28  1.280000.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
36625  Insertion catheter artery                         A   2.11   0.63NA   0.63    0.32   3.06  3.060000.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
36640  Insertion catheter artery                         A   2.10   1.06NA   1.06    0.15   3.31  3.310000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36660  Insertion catheter artery                         A   1.40   0.48NA   0.48    0.09   1.97  1.970000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
36680  Insert needle bone cavity                         A   1.20   0.31NA   0.31    0.23   1.74  1.740000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
36800  Insertion of cannula                              A   2.43   0.81NA   0.81    0.31   3.55  3.550000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36810  Insertion of cannula                              A   3.96   1.64NA   1.64    0.51   6.11  6.110000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36815  Insertion of cannula                              A   2.62   0.68NA   0.68    0.62   3.92  3.920000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36818  Av fuse uppr arm cephalic                         A  12.39   4.78NA   4.78    2.94  20.11 20.110090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
36819  Av fuse uppr arm basilic                          A  13.29   4.83NA   4.83    3.15  21.27 21.270090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
36820  Av fusion/forearm vein                            A  13.07   5.04NA   5.04    3.09  21.20 21.200090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
36821  Av fusion direct any site                         A  11.90   4.58NA   4.58    2.83  19.31 19.310090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
36823  Insertion of cannula(s)                           A  22.98  12.16NA  12.16    5.57  40.71 40.710090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
36825  Artery-vein autograft                             A  14.17   5.57NA   5.57    3.37  23.11 23.110090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
36830  Artery-vein nonautograft                          A  12.03   4.51NA   4.51    2.87  19.41 19.410090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
36831  Open thrombect av fistula                         A  11.00   4.28NA   4.28    2.62  17.90 17.900090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
36832  Av fistula revision open                          A  13.50   5.28NA   5.28    3.19  21.97 21.970090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
36833  Av fistula revision                               A  14.50   5.61NA   5.61    3.45  23.56 23.560090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
36835  Artery to vein shunt                              A   7.51   4.66NA   4.66    1.69  13.86 13.860090.09.84.0720100             36.0896 090 99      0.00   0.00   0.00
36838  Dist revas ligation hemo                          A  21.69   6.45NA   6.45    5.16  33.30 33.300090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
36860  External cannula declotting                       A   2.01   4.55     0.73    0.49   7.05  3.230000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36861  Cannula declotting                                A   2.52   0.91NA   0.91    0.62   4.05  4.050000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36901  Intro cath dialysis circuit                       A   3.36  15.89     1.06    0.48  19.73  4.900000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36902  Intro cath dialysis circuit                       A   4.83  31.51     1.47    0.64  36.98  6.940000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36903  Intro cath dialysis circuit                       A   6.39 139.01     1.88    0.93 146.33  9.200000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
36904  Thrmbc/nfs dialysis circuit                       A   7.50  46.24     2.23    1.01  54.75 10.740000.00.00.0020110             36.0896 090 99      0.00   0.00   0.00
36905  Thrmbc/nfs dialysis circuit                       A   9.00  58.60     2.73    1.15  68.75 12.880000.00.00.0020110             36.0896 090 99      0.00   0.00   0.00
36906  Thrmbc/nfs dialysis circuit                       A  10.42 169.86     3.07    1.38 181.66 14.870000.00.00.0020110             36.0896 090 99      0.00   0.00   0.00
36907  Balo angiop ctr dialysis seg                      A   3.00  16.25     0.84    0.41  19.66  4.250ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
36908  Stent plmt ctr dialysis seg                       A   4.25  54.75     1.14    0.63  59.63  6.020ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
36909  Dialysis circuit embolj                           A   4.12  52.10     1.11    0.60  56.82  5.830ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
3700F  Psych disorders assessed                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
37140  Revision of circulation                           A  40.00  17.96NA  17.96    9.74  67.70 67.700090.09.84.0720110             36.0896 090 99      0.00   0.00   0.00
37145  Revision of circulation                           A  37.00  16.78NA  16.78    8.99  62.77 62.770090.09.84.0720200             36.0896 090 99      0.00   0.00   0.00
37160  Revision of circulation                           A  38.00  17.24NA  17.24    9.24  64.48 64.480090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
37180  Revision of circulation                           A  36.50  16.60NA  16.60    8.89  61.99 61.990090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
37181  Splice spleen/kidney veins                        A  40.00  17.96NA  17.96    9.74  67.70 67.700090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
37182  Insert hepatic shunt (tips)                       A  16.97   5.31NA   5.31    1.46  23.74 23.740000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
37183  Remove hepatic shunt (tips)                       A   7.74 167.70     2.42    0.65 176.09 10.810000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
37184  Prim art m-thrmbc 1st vsl                         A   8.41  45.96     2.59    1.64  56.01 12.640000.00.00.0021120             36.0896 090 99      0.00   0.00   0.00
37185  Prim art m-thrmbc sbsq vsl                        A   3.28  13.00     0.85    0.64  16.92  4.770ZZZ.00.00.0002120             36.0896 090 99      0.00   0.00   0.00
37186  Sec art thrombectomy add-on                       A   4.92  31.75     1.24    0.93  37.60  7.090ZZZ.00.00.0002120             36.0896 090 99      0.00   0.00   0.00
37187  Venous mech thrombectomy                          A   7.78  46.13     2.49    1.14  55.05 11.410000.00.00.0021120             36.0896 090 99      0.00   0.00   0.00
37188  Ven mechnl thrmbc repeat tx                       A   5.46  40.00     1.78    0.86  46.32  8.100000.00.00.0001120             36.0896 090 99      0.00   0.00   0.00
37191  Ins endovas vena cava filtr                       A   4.46  62.99     1.42    0.60  68.05  6.480000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
37192  Redo endovas vena cava filtr                      A   7.10  29.50     1.23    1.69  38.29 10.020000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
37193  Rem endovas vena cava filter                      A   7.10  37.04     2.08    0.95  45.09 10.130000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
37195  Thrombolytic therapy stroke                       C   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
37197  Remove intrvas foreign body                       A   6.04  38.72     1.80    0.90  45.66  8.740000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
3720F  Cognit impairment assessed                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
37200  Transcatheter biopsy                              A   4.55   1.34NA   1.34    0.41   6.30  6.300000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
37211  Thrombolytic art therapy                          A   7.75   2.14NA   2.14    1.33  11.22 11.220000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
37212  Thrombolytic venous therapy                       A   6.81   1.93NA   1.93    1.07   9.81  9.810000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
37213  Thromblytic art/ven therapy                       A   4.75   1.29NA   1.29    0.72   6.76  6.760000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
37214  Cessj therapy cath removal                        A   2.49   0.68NA   0.68    0.40   3.57  3.570000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
37215  Transcath stent cca w/eps                         R  17.75   7.13NA   7.13    4.16  29.04 29.040090.09.84.0721000             36.0896 090 99      0.00   0.00   0.00
37216  Transcath stent cca w/o eps                       N+ 17.98   8.87NA   8.87    1.42  28.27 28.279090.09.84.0799999             36.0896 090 99      0.00   0.00   0.00
37217  Stent placemt retro carotid                       A  20.38   6.30NA   6.30    4.69  31.37 31.370090.09.84.0721000             36.0896 090 99      0.00   0.00   0.00
37218  Stent placemt ante carotid                        A  14.75   5.79NA   5.79    3.22  23.76 23.760090.09.84.0721000             36.0896 090 99      0.00   0.00   0.00
37220  Iliac revasc                                      A   7.90  72.50     2.06    1.70  82.10 11.660000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
37221  Iliac revasc w/stent                              A   9.75  99.34     2.56    2.08 111.17 14.390000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
37222  Iliac revasc add-on                               A   3.73  16.71     0.88    0.81  21.25  5.420ZZZ.00.00.0001000             36.0896 090 99      0.00   0.00   0.00
37223  Iliac revasc w/stent add-on                       A   4.25  49.30     1.03    0.91  54.46  6.190ZZZ.00.00.0001000             36.0896 090 99      0.00   0.00   0.00
37224  Fem/popl revas w/tla                              A   8.75  87.04     2.34    1.86  97.65 12.950000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
37225  Fem/popl revas w/ather                            A  11.75 306.67     3.29    2.50 320.92 17.540000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
37226  Fem/popl revasc w/stent                           A  10.24 272.56     2.70    2.20 285.00 15.140000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
37227  Fem/popl revasc stnt & ather                      A  14.25 395.33     3.81    3.04 412.62 21.100000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
37228  Tib/per revasc w/tla                              A  10.75 127.53     2.77    2.27 140.55 15.790000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
37229  Tib/per revasc w/ather                            A  13.80 305.51     3.81    2.84 322.15 20.450000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
37230  Tib/per revasc w/stent                            A  13.55 273.31     3.89    2.89 289.75 20.330000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
37231  Tib/per revasc stent & ather                      A  14.75 383.32     4.25    3.04 401.11 22.040000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
37232  Tib/per revasc add-on                             A   4.00  24.28     1.04    0.79  29.07  5.830ZZZ.00.00.0001000             36.0896 090 99      0.00   0.00   0.00
37233  Tibper revasc w/ather add-on                      A   6.50  27.89     1.67    1.31  35.70  9.480ZZZ.00.00.0001000             36.0896 090 99      0.00   0.00   0.00
37234  Revsc opn/prq tib/pero stent                      A   5.50 103.75     1.62    1.18 110.43  8.300ZZZ.00.00.0001000             36.0896 090 99      0.00   0.00   0.00
37235  Tib/per revasc stnt & ather                       A   7.80 106.94     2.29    1.61 116.35 11.700ZZZ.00.00.0001000             36.0896 090 99      0.00   0.00   0.00
37236  Open/perq place stent 1st                         A   8.75  85.33     2.38    1.80  95.88 12.930000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
37237  Open/perq place stent ea add                      A   4.25  48.05     1.03    0.90  53.20  6.180ZZZ.00.00.0001000             36.0896 090 99      0.00   0.00   0.00
37238  Open/perq place stent same                        A   6.04  83.21     1.76    1.08  90.33  8.880000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
37239  Open/perq place stent ea add                      A   2.97  38.28     0.86    0.60  41.85  4.430ZZZ.00.00.0001000             36.0896 090 99      0.00   0.00   0.00
37241  Vasc embolize/occlude venous                      A   8.75 130.10     2.61    1.34 140.19 12.700000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
37242  Vasc embolize/occlude artery                      A   9.80 205.62     2.69    1.36 216.78 13.850000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
37243  Vasc embolize/occlude organ                       A  11.74 260.80     3.52    1.04 273.58 16.300000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
37244  Vasc embolize/occlude bleed                       A  13.75 185.77     4.30    1.25 200.77 19.300000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
37246  Trluml balo angiop 1st art                        A   7.00  50.20     1.97    1.15  58.35 10.120000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
37247  Trluml balo angiop addl art                       A   3.50  16.46     0.90    0.57  20.53  4.970ZZZ.00.00.0001100             36.0896 090 99      0.00   0.00   0.00
37248  Trluml balo angiop 1st vein                       A   6.00  36.11     1.82    0.82  42.93  8.640000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
37249  Trluml balo angiop addl vein                      A   2.97  12.26     0.83    0.44  15.67  4.240ZZZ.00.00.0001100             36.0896 090 99      0.00   0.00   0.00
3725F  Screen depression performed                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
37252  Intrvasc us noncoronary 1st                       A   1.80  31.12     0.46    0.37  33.29  2.630ZZZ.00.00.0000010             36.0896 090 99      0.00   0.00   0.00
37253  Intrvasc us noncoronary addl                      A   1.44   3.64     0.37    0.30   5.38  2.110ZZZ.00.00.0000010             36.0896 090 99      0.00   0.00   0.00
3750F  Ptnotrcvngsteroid>/=10mg/day                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
37500  Endoscopy ligate perf veins                       A  11.67   3.88NA   3.88    2.82  18.37 18.370090.09.84.0721110             36.0896 090 99      0.00   0.00   0.00
37501  Vascular endoscopy procedure                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021111             36.0896 090 99      0.00   0.00   0.00
3751F  Electrodiag polyneuro 6 mn                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3752F  No electrodiag polyneuro 6mn                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3753F  Pt has symp&signs neuropathy                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3754F  Screening tests dm done                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3755F  Cog&behav imprmnt scrng done                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3756F  Pt w/pseudobulb affect/als                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
37565  Ligation of neck vein                             A  12.05   6.51NA   6.51    2.37  20.93 20.930090.09.84.0721010             36.0896 090 99      0.00   0.00   0.00
3757F  Pt w/o pseudobulbaffect/als                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3758F  Pt ref pulm fx test/peakflow                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3759F  Pt scrn dysphag/wt loss/nutr                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3760F  Pt w/ dysphag/wt loss/nutr                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
37600  Ligation of neck artery                           A  12.42   6.74NA   6.74    2.06  21.22 21.220090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
37605  Ligation of neck artery                           A  14.28   3.72NA   3.72    3.43  21.43 21.430090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
37606  Ligation of neck artery                           A   8.81   8.63NA   8.63    3.26  20.70 20.700090.09.84.0720200             36.0896 090 99      0.00   0.00   0.00
37607  Ligation of a-v fistula                           A   6.25   3.16NA   3.16    1.45  10.86 10.860090.09.84.0720110             36.0896 090 99      0.00   0.00   0.00
37609  Temporal artery procedure                         A   3.05   5.27     2.27    0.62   8.94  5.940010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
3761F  Pt w/o dysphag/wt loss/nutr                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
37615  Ligation of neck artery                           A   7.80   5.63NA   5.63    1.89  15.32 15.320090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
37616  Ligation of chest artery                          A  18.97   8.77NA   8.77    4.28  32.02 32.020090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
37617  Ligation of abdomen artery                        A  23.79   9.67NA   9.67    5.16  38.62 38.620090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
37618  Ligation of extremity artery                      A   6.03   3.84NA   3.84    1.36  11.23 11.230090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
37619  Ligation of inf vena cava                         A  30.00  13.09NA  13.09    7.29  50.38 50.380090.09.84.0720200             36.0896 090 99      0.00   0.00   0.00
3762F  Patient is dysarthric                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3763F  Patient is not dysarthric                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
37650  Revision of major vein                            A   8.49   2.78NA   2.78    2.02  13.29 13.290090.09.84.0721110             36.0896 090 99      0.00   0.00   0.00
37660  Revision of major vein                            A  22.28  10.65NA  10.65    5.40  38.33 38.330090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
37700  Revise leg vein                                   A   3.82   2.36NA   2.36    0.90   7.08  7.080090.09.84.0721100             36.0896 090 99      0.00   0.00   0.00
37718  Ligate/strip short leg vein                       A   7.13   3.39NA   3.39    1.68  12.20 12.200090.09.84.0721110             36.0896 090 99      0.00   0.00   0.00
37722  Ligate/strip long leg vein                        A   8.16   3.59NA   3.59    1.94  13.69 13.690090.09.84.0721110             36.0896 090 99      0.00   0.00   0.00
37735  Removal of leg veins/lesion                       A  10.90   3.34NA   3.34    2.61  16.85 16.850090.09.84.0721110             36.0896 090 99      0.00   0.00   0.00
3775F  Adenoma detected screening                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
3776F  Adenoma not detect screening                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
37760  Ligate leg veins radical                          A  10.78   4.77NA   4.77    2.55  18.10 18.100090.09.84.0721110             36.0896 090 99      0.00   0.00   0.00
37761  Ligate leg veins open                             A   9.13   4.46NA   4.46    2.12  15.71 15.710090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
37765  Stab phleb veins xtr 10-20                        A   4.80   6.87     2.07    1.01  12.68  7.880010.10.80.1021110             36.0896 090 99      0.00   0.00   0.00
37766  Phleb veins - extrem 20+                          A   6.00   7.57     2.40    1.25  14.82  9.650010.10.80.1021110             36.0896 090 99      0.00   0.00   0.00
37780  Revision of leg vein                              A   3.93   1.91NA   1.91    0.93   6.77  6.770090.09.84.0721110             36.0896 090 99      0.00   0.00   0.00
37785  Ligate/divide/excise vein                         A   3.93   5.38     2.64    0.89  10.20  7.460090.09.84.0721100             36.0896 090 99      0.00   0.00   0.00
37788  Revascularization penis                           A  23.33  10.50NA  10.50    2.69  36.52 36.520090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
37790  Penile venous occlusion                           A   8.43   4.64NA   4.64    0.96  14.03 14.030090.08.83.0920000             36.0896 090 99      0.00   0.00   0.00
37799  Vascular surgery procedure                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
38100  Removal of spleen total                           A  19.55   9.50NA   9.50    4.54  33.59 33.590090.11.73.1620210             36.0896 090 99      0.00   0.00   0.00
38101  Removal of spleen partial                         A  19.55   9.67NA   9.67    4.74  33.96 33.960090.11.73.1620210             36.0896 090 99      0.00   0.00   0.00
38102  Removal of spleen total                           A   4.79   1.80NA   1.80    1.04   7.63  7.630ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
38115  Repair of ruptured spleen                         A  21.88  10.39NA  10.39    4.91  37.18 37.180090.11.73.1620210             36.0896 090 99      0.00   0.00   0.00
38120  Laparoscopy splenectomy                           A  17.07   9.56NA   9.56    4.04  30.67 30.670090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
38129  Laparoscope proc spleen                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             36.0896 090 99      0.00   0.00   0.00
38200  Injection for spleen x-ray                        A   2.64   0.99NA   0.99    0.22   3.85  3.850000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
38204  Bl donor search management                        B+  2.00   0.77NA   0.77    0.16   2.93  2.939XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
38205  Harvest allogeneic stem cell                      R   1.50   0.85NA   0.85    0.09   2.44  2.440000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
38206  Harvest auto stem cells                           R   1.50   0.84NA   0.84    0.09   2.43  2.430000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
38207  Cryopreserve stem cells                           I+  0.89   0.34NA   0.34    0.08   1.31  1.319XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
38208  Thaw preserved stem cells                         I+  0.56   0.22NA   0.22    0.05   0.83  0.839XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
38209  Wash harvest stem cells                           I+  0.24   0.09NA   0.09    0.02   0.35  0.359XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
38210  T-cell depletion of harvest                       I+  1.57   0.60NA   0.60    0.12   2.29  2.299XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
38211  Tumor cell deplete of harvst                      I+  1.42   0.55NA   0.55    0.11   2.08  2.089XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
38212  Rbc depletion of harvest                          I+  0.94   0.36NA   0.36    0.09   1.39  1.399XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
38213  Platelet deplete of harvest                       I+  0.24   0.09NA   0.09    0.02   0.35  0.359XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
38214  Volume deplete of harvest                         I+  0.81   0.31NA   0.31    0.08   1.20  1.209XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
38215  Harvest stem cell concentrte                      I+  0.94   0.36NA   0.36    0.09   1.39  1.399XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
38220  Dx bone marrow aspirations                        A   1.20   3.39     0.63    0.18   4.77  2.010XXX.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
38221  Dx bone marrow biopsies                           A   1.28   3.10     0.63    0.09   4.47  2.000XXX.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
38222  Dx bone marrow bx & aspir                         A   1.44   3.39     0.69    0.11   4.94  2.240XXX.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
38230  Bone marrow harvest allogen                       A   3.50   1.75NA   1.75    0.67   5.92  5.920000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
38232  Bone marrow harvest autolog                       A   3.50   1.70NA   1.70    0.56   5.76  5.760000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
38240  Transplt allo hct/donor                           R   4.00   2.51NA   2.51    0.27   6.78  6.780XXX.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
38241  Transplt autol hct/donor                          R   3.00   1.81NA   1.81    0.21   5.02  5.020XXX.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
38242  Transplt allo lymphocytes                         A   2.11   1.39NA   1.39    0.13   3.63  3.630000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
38243  Transplj hematopoietic boost                      A   2.13   1.23NA   1.23    0.13   3.49  3.490000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
38300  Drainage lymph node lesion                        A   2.36   6.47     2.98    0.57   9.40  5.910010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
38305  Drainage lymph node lesion                        A   6.68   5.82NA   5.82    1.63  14.13 14.130090.11.73.1620100             36.0896 090 99      0.00   0.00   0.00
38308  Incision of lymph channels                        A   6.81   4.86NA   4.86    1.50  13.17 13.170090.11.73.1620210             36.0896 090 99      0.00   0.00   0.00
38380  Thoracic duct procedure                           A   8.46   6.53NA   6.53    1.37  16.36 16.360090.11.73.1620210             36.0896 090 99      0.00   0.00   0.00
38381  Thoracic duct procedure                           A  13.38   6.79NA   6.79    3.06  23.23 23.230090.11.73.1620210             36.0896 090 99      0.00   0.00   0.00
38382  Thoracic duct procedure                           A  10.65   6.55NA   6.55    2.43  19.63 19.630090.11.73.1620210             36.0896 090 99      0.00   0.00   0.00
38500  Biopsy/removal lymph nodes                        A   3.79   5.03     2.73    0.86   9.68  7.380010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
38505  Needle biopsy lymph nodes                         A   1.14   2.30     0.77    0.11   3.55  2.020000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
38510  Biopsy/removal lymph nodes                        A   6.74   7.11     4.10    1.25  15.10 12.090010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
38520  Biopsy/removal lymph nodes                        A   7.03   4.98NA   4.98    1.43  13.44 13.440090.11.73.1621100             36.0896 090 99      0.00   0.00   0.00
38525  Biopsy/removal lymph nodes                        A   6.43   4.75NA   4.75    1.52  12.70 12.700090.11.73.1621100             36.0896 090 99      0.00   0.00   0.00
38530  Biopsy/removal lymph nodes                        A   8.34   6.26NA   6.26    1.74  16.34 16.340090.11.73.1621210             36.0896 090 99      0.00   0.00   0.00
38531  Open bx/exc inguinofem nodes                      A   6.74   4.67NA   4.67    1.11  12.52 12.520090.11.73.1621000             36.0896 090 99      0.00   0.00   0.00
38542  Explore deep node(s) neck                         A   7.95   5.64NA   5.64    1.28  14.87 14.870090.11.73.1621210             36.0896 090 99      0.00   0.00   0.00
38550  Removal neck/armpit lesion                        A   7.11   6.08NA   6.08    1.72  14.91 14.910090.11.73.1620000             36.0896 090 99      0.00   0.00   0.00
38555  Removal neck/armpit lesion                        A  15.59  10.16NA  10.16    3.80  29.55 29.550090.11.73.1620210             36.0896 090 99      0.00   0.00   0.00
38562  Removal pelvic lymph nodes                        A  11.06   7.39NA   7.39    1.96  20.41 20.410090.11.73.1622210             36.0896 090 99      0.00   0.00   0.00
38564  Removal abdomen lymph nodes                       A  11.38   6.70NA   6.70    2.35  20.43 20.430090.11.73.1620210             36.0896 090 99      0.00   0.00   0.00
38570  Laparoscopy lymph node biop                       A   8.49   4.88NA   4.88    1.42  14.79 14.790010.10.80.1030220       49320 36.0896 090 99      0.00   0.00   0.00
38571  Laparoscopy lymphadenectomy                       A  12.00   5.71NA   5.71    1.46  19.17 19.170010.10.80.1032220       49320 36.0896 090 99      0.00   0.00   0.00
38572  Laparoscopy lymphadenectomy                       A  15.60   8.36NA   8.36    2.36  26.32 26.320010.10.80.1032220       49320 36.0896 090 99      0.00   0.00   0.00
38573  Laps pelvic lymphadec                             A  20.00  10.45NA  10.45    3.07  33.52 33.520010.10.80.1032220       49320 36.0896 090 99      0.00   0.00   0.00
38589  Laparoscope proc lymphatic                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             36.0896 090 99      0.00   0.00   0.00
38700  Removal of lymph nodes neck                       A  12.81   8.41NA   8.41    1.86  23.08 23.080090.11.73.1621210             36.0896 090 99      0.00   0.00   0.00
38720  Removal of lymph nodes neck                       A  21.95  13.06NA  13.06    3.52  38.53 38.530090.11.73.1621210             36.0896 090 99      0.00   0.00   0.00
38724  Removal of lymph nodes neck                       A  23.95  14.15NA  14.15    3.45  41.55 41.550090.11.73.1621210             36.0896 090 99      0.00   0.00   0.00
38740  Remove armpit lymph nodes                         A  10.70   7.03NA   7.03    2.56  20.29 20.290090.11.73.1621210             36.0896 090 99      0.00   0.00   0.00
38745  Remove armpit lymph nodes                         A  13.87   8.40NA   8.40    3.28  25.55 25.550090.11.73.1621210             36.0896 090 99      0.00   0.00   0.00
38746  Remove thoracic lymph nodes                       A   4.12   1.17NA   1.17    0.93   6.22  6.220ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
38747  Remove abdominal lymph nodes                      A   4.88   1.78NA   1.78    1.12   7.78  7.780ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
38760  Remove groin lymph nodes                          A  13.62   7.85NA   7.85    2.82  24.29 24.290090.11.73.1621210             36.0896 090 99      0.00   0.00   0.00
38765  Remove groin lymph nodes                          A  21.91  11.38NA  11.38    4.43  37.72 37.720090.11.73.1621210             36.0896 090 99      0.00   0.00   0.00
38770  Remove pelvis lymph nodes                         A  14.06   7.21NA   7.21    1.95  23.22 23.220090.11.73.1621210             36.0896 090 99      0.00   0.00   0.00
38780  Remove abdomen lymph nodes                        A  17.70   9.33NA   9.33    2.89  29.92 29.920090.11.73.1620210             36.0896 090 99      0.00   0.00   0.00
38790  Inject for lymphatic x-ray                        A   1.29   0.88NA   0.88    0.19   2.36  2.360000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
38792  Ra tracer id of sentinl node                      A   0.65   1.63     0.23    0.09   2.37  0.970000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
38794  Access thoracic lymph duct                        A   4.62   3.53NA   3.53    0.37   8.52  8.520090.11.73.1620000             36.0896 090 99      0.00   0.00   0.00
38900  Io map of sent lymph node                         A   2.50   0.93     0.93    0.60   4.03  4.030ZZZ.00.00.0001210             36.0896 090 99      0.00   0.00   0.00
38999  Blood/lymph system procedure                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
39000  Exploration of chest                              A   7.57   5.14NA   5.14    1.63  14.34 14.340090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
39010  Exploration of chest                              A  13.19   6.58NA   6.58    2.98  22.75 22.750090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
39200  Resect mediastinal cyst                           A  15.09   6.68NA   6.68    3.44  25.21 25.210090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
39220  Resect mediastinal tumor                          A  19.55   8.98NA   8.98    4.27  32.80 32.800090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
39401  Mediastinoscpy w/medstnl bx                       A   5.44   2.24NA   2.24    1.25   8.93  8.930000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
39402  Mediastinoscpy w/lmph nod bx                      A   7.25   2.78NA   2.78    1.65  11.68 11.680000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
39499  Chest procedure                                   C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             36.0896 090 99      0.00   0.00   0.00
39501  Repair diaphragm laceration                       A  13.98   7.65NA   7.65    3.15  24.78 24.780090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
39503  Repair of diaphragm hernia                        A 108.91  35.12NA  35.12   29.17 173.20173.200090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
39540  Repair of diaphragm hernia                        A  14.57   7.40NA   7.40    3.34  25.31 25.310090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
39541  Repair of diaphragm hernia                        A  15.75   7.92NA   7.92    3.66  27.33 27.330090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
39545  Revision of diaphragm                             A  14.67   7.86NA   7.86    3.32  25.85 25.850090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
39560  Resect diaphragm simple                           A  13.06   7.25NA   7.25    2.84  23.15 23.150090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
39561  Resect diaphragm complex                          A  19.99  11.38NA  11.38    4.50  35.87 35.870090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
39599  Diaphragm surgery procedure                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             36.0896 090 99      0.00   0.00   0.00
4000F  Tobacco use txmnt counseling                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4001F  Tobacco use txmnt pharmacol                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4003F  Pt ed write/oral pts w/ hf                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4004F  Pt tobacco screen rcvd tlk                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4005F  Pharm thx for op rxd                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4008F  Beta-blocker therapy rxd/tkn                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4010F  Ace/arb therapy rxd/taken                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4011F  Oral antiplatelet therapy rx                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4012F  Warfarin therapy rx                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4013F  Statin therapy/currently tkn                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4014F  Written discharge instr prvd                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4015F  Persist asthma medicine ctrl                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4016F  Anti-inflm/anlgsc agent rx                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4017F  Gi prophylaxis for nsaid rx                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4018F  Therapy exercise joint rx                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4019F  Doc recpt counsl vit d/calc+                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4025F  Inhaled bronchodilator rx                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4030F  Oxygen therapy rx                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4033F  Pulmonary rehab rec                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4035F  Influenza imm rec                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4037F  Influenza imm order/admin                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4040F  Pneumoc vac/admin/rcvd                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4041F  Doc order cefazolin/cefurox                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4042F  Doc antibio not given                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4043F  Doc order given stop antibio                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4044F  Doc order given vte prophylx                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4045F  Empiric antibiotic rx                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4046F  Doc antibio given b/4 surg                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4047F  Doc antibio given b/4 surg                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4048F  Doc antibio given b/4 surg                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4049F  Doc order given stop antibio                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
40490  Biopsy of lip                                     A   1.22   2.22     0.70    0.11   3.55  2.030000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
4050F  Ht care plan doc                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
40500  Partial excision of lip                           A   4.47   9.67     5.36    0.57  14.71 10.400090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
4051F  Referred for an av fistula                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
40510  Partial excision of lip                           A   4.82   8.52     4.60    0.63  13.97 10.050090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
4052F  Hemodialysis via av fistula                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
40520  Partial excision of lip                           A   4.79   8.76     4.74    0.67  14.22 10.200090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
40525  Reconstruct lip with flap                         A   7.72   6.99NA   6.99    1.17  15.88 15.880090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
40527  Reconstruct lip with flap                         A   9.32   7.15NA   7.15    1.26  17.73 17.730090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
4053F  Hemodialysis via av graft                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
40530  Partial removal of lip                            A   5.54   9.28     5.16    0.79  15.61 11.490090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
4054F  Hemodialysis via catheter                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4055F  Pt rcvng periton dialysis                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4056F  Approp oral rehyd recommd                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4058F  Ped gastro ed given caregvr                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4060F  Psych svcs provided                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4062F  Pt referral psych docd                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4063F  Antidepres rxthxpy not rxd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4064F  Antidepressant rx                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4065F  Antipsychotic rx                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
40650  Repair lip                                        A   3.78   8.81     4.33    0.68  13.27  8.790090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
40652  Repair lip                                        A   4.43   9.38     5.06    0.73  14.54 10.220090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
40654  Repair lip                                        A   5.48  10.26     5.89    0.79  16.53 12.160090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
4066F  Ect provided                                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4067F  Pt referral for ect docd                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4069F  Vte prophylaxis rcvd                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4070F  Dvt prophylx recvd day 2                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
40700  Repair cleft lip/nasal                            A  14.17  12.57NA  12.57    2.49  29.23 29.230090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
40701  Repair cleft lip/nasal                            A  17.23  14.35NA  14.35    3.04  34.62 34.620090.09.81.1022200             36.0896 090 99      0.00   0.00   0.00
40702  Repair cleft lip/nasal                            A  14.27  12.26NA  12.26    2.52  29.05 29.050090.09.81.1022200             36.0896 090 99      0.00   0.00   0.00
40720  Repair cleft lip/nasal                            A  14.72  12.52NA  12.52    2.59  29.83 29.830090.09.81.1021000             36.0896 090 99      0.00   0.00   0.00
4073F  Oral antiplat thx rx dischrg                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4075F  Anticoag thx rx at dischrg                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
40761  Repair cleft lip/nasal                            A  15.84  12.82NA  12.82    2.80  31.46 31.460090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
4077F  Doc t-pa admin considered                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4079F  Doc rehab svcs considered                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
40799  Lip surgery procedure                             C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             36.0896 090 99      0.00   0.00   0.00
40800  Drainage of mouth lesion                          A   1.23   4.61     2.21    0.12   5.96  3.560010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
40801  Drainage of mouth lesion                          A   2.63   5.70     3.07    0.26   8.59  5.960010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
40804  Removal foreign body mouth                        A   1.30   4.15     1.91    0.18   5.63  3.390010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
40805  Removal foreign body mouth                        A   2.79   5.45     2.96    0.25   8.49  6.000010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
40806  Incision of lip fold                              A   0.31   2.48     0.51    0.05   2.84  0.870000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
40808  Biopsy of mouth lesion                            A   1.05   3.38     1.31    0.11   4.54  2.470010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
40810  Excision of mouth lesion                          A   1.36   4.49     2.02    0.16   6.01  3.540010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
40812  Excise/repair mouth lesion                        A   2.37   5.56     2.82    0.26   8.19  5.450010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
40814  Excise/repair mouth lesion                        A   3.52   6.98     4.51    0.38  10.88  8.410090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
40816  Excision of mouth lesion                          A   3.77   7.24     4.60    0.44  11.45  8.810090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
40818  Excise oral mucosa for graft                      A   2.83   7.35     4.65    0.30  10.48  7.780090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
40819  Excise lip or cheek fold                          A   2.51   5.33     3.34    0.22   8.06  6.070090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
40820  Treatment of mouth lesion                         A   1.34   5.95     3.31    0.13   7.42  4.780010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
40830  Repair mouth laceration                           A   1.82   5.84     2.70    0.32   7.98  4.840010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
40831  Repair mouth laceration                           A   2.57   7.18     3.64    0.43  10.18  6.640010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
4084F  Aspirin recvd w/in 24 hrs                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
40840  Reconstruction of mouth                           R   9.15  13.53     7.62    1.25  23.93 18.020090.09.81.1020200             36.0896 090 99      0.00   0.00   0.00
40842  Reconstruction of mouth                           R   9.15  15.44     8.82    1.61  26.20 19.580090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
40843  Reconstruction of mouth                           R  12.79  19.13    10.36    2.25  34.17 25.400090.09.81.1022200             36.0896 090 99      0.00   0.00   0.00
40844  Reconstruction of mouth                           R  16.80  23.18    14.44    2.96  42.94 34.200090.09.81.1020200             36.0896 090 99      0.00   0.00   0.00
40845  Reconstruction of mouth                           R  19.36  20.13    12.87    2.61  42.10 34.840090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
4086F  Aspirin/clopidogrel rxd                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
40899  Mouth surgery procedure                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
4090F  Pt rcvng epo thxpy                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4095F  Pt not rcvng epo thxpy                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4100F  Biphos thxpy vein ord/recvd                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
41000  Drainage of mouth lesion                          A   1.35   3.04     1.63    0.15   4.54  3.130010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
41005  Drainage of mouth lesion                          A   1.31   4.78     1.88    0.11   6.20  3.300010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
41006  Drainage of mouth lesion                          A   3.34   6.19     3.23    0.28   9.81  6.850090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
41007  Drainage of mouth lesion                          A   3.20   6.16     3.17    0.27   9.63  6.640090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
41008  Drainage of mouth lesion                          A   3.46   7.18     3.64    0.35  10.99  7.450090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
41009  Drainage of mouth lesion                          A   3.71   7.72     4.10    0.38  11.81  8.190090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
41010  Incision of tongue fold                           A   1.11   4.71     1.83    0.15   5.97  3.090010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
41015  Drainage of mouth lesion                          A   4.08   7.17     4.49    0.35  11.60  8.920090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
41016  Drainage of mouth lesion                          A   4.19   8.36     5.27    0.46  13.01  9.920090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
41017  Drainage of mouth lesion                          A   4.19   8.35     5.25    0.42  12.96  9.860090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
41018  Drainage of mouth lesion                          A   5.22   8.84     5.72    0.52  14.58 11.460090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
41019  Place needles h&n for rt                          A   8.84   4.44NA   4.44    0.62  13.90 13.900000.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
4110F  Int mam art used for cabg                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
41100  Biopsy of tongue                                  A   1.42   3.40     1.42    0.18   5.00  3.020010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
41105  Biopsy of tongue                                  A   1.47   3.40     1.46    0.18   5.05  3.110010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
41108  Biopsy of floor of mouth                          A   1.10   3.20     1.29    0.13   4.43  2.520010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
41110  Excision of tongue lesion                         A   1.56   4.52     1.96    0.21   6.29  3.730010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
41112  Excision of tongue lesion                         A   2.83   6.42     3.88    0.32   9.57  7.030090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
41113  Excision of tongue lesion                         A   3.29   6.74     4.10    0.37  10.40  7.760090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
41114  Excision of tongue lesion                         A   8.82   7.81NA   7.81    1.11  17.74 17.740090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
41115  Excision of tongue fold                           A   1.79   5.21     2.12    0.25   7.25  4.160010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
41116  Excision of mouth lesion                          A   2.52   6.67     3.35    0.31   9.50  6.180090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
41120  Partial removal of tongue                         A  11.14  17.73NA  17.73    1.52  30.39 30.390090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
41130  Partial removal of tongue                         A  15.74  19.67NA  19.67    2.17  37.58 37.580090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
41135  Tongue and neck surgery                           A  30.14  27.78NA  27.78    4.15  62.07 62.070090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
41140  Removal of tongue                                 A  29.15  29.26NA  29.26    3.97  62.38 62.380090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
41145  Tongue removal neck surgery                       A  37.93  35.81NA  35.81    5.20  78.94 78.940090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
4115F  Beta blckr admin w/in 24 hrs                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
41150  Tongue mouth jaw surgery                          A  29.86  28.81NA  28.81    4.15  62.82 62.820090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
41153  Tongue mouth neck surgery                         A  33.59  30.19NA  30.19    4.64  68.42 68.420090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
41155  Tongue jaw & neck surgery                         A  44.30  35.96NA  35.96    5.92  86.18 86.180090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
4120F  Antibiot rxd/given                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4124F  Antibiot not rxd/given                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
41250  Repair tongue laceration                          A   1.96   5.67     2.12    0.35   7.98  4.430010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
41251  Repair tongue laceration                          A   2.32   6.03     2.47    0.48   8.83  5.270010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
41252  Repair tongue laceration                          A   3.02   5.68     2.51    0.48   9.18  6.010010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
4130F  Topical prep rx aoe                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4131F  Syst antimicrobial thx rx                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4132F  No syst antimicrobial thx rx                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4133F  Antihist/decong rx/recom                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4134F  No antihist/decong rx/recom                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4135F  Systemic corticosteroids rx                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4136F  Syst corticosteroids not rx                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4140F  Inhaled corticosteroids rxd                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4142F  Corticoster sparng thrpy rxd                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4144F  Alt long-term cntrl med rxd                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4145F  2+ anti-hyprtnsv agents tkn                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4148F  Hep a vac injxn admin/recvd                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4149F  Hep b vac injxn admin/recvd                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4150F  Pt recvng antivir txmnt hepc                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4151F  Pt not recvng antiv hep c                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
41510  Tongue to lip surgery                             A   3.51   8.78NA   8.78    0.48  12.77 12.770090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
41512  Tongue suspension                                 A   6.86  11.03NA  11.03    0.93  18.82 18.820090.10.76.1420000             36.0896 090 99      0.00   0.00   0.00
41520  Reconstruction tongue fold                        A   2.83   6.94     3.86    0.39  10.16  7.080090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
4153F  Combo pegintf/rib rx                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
41530  Tongue base vol reduction                         A   3.50  23.14     6.69    0.48  27.12 10.670000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
4155F  Hep a vac series prev recvd                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4157F  Hep b vac series prev recvd                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4158F  Pt edu re alcoh drnkng done                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4159F  Contrcp talk b/4 antiv txmnt                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
41599  Tongue and mouth surgery                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
4163F  Pt couns 4 txmnt opt prost                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4164F  Adjv hrmnl thxpy rxd                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4165F  3d-crt/imrt received                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4167F  Hd bed tilted 1st day vent                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4168F  Pt care icu&vent w/in 24hrs                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4169F  No pt care icu/vent in 24hrs                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4171F  Pt rcvng esa thxpy                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4172F  Pt not rcvng esa thxpy                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4174F  Couns potent glauc impct                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4175F  Vis 20/40/> w/in 90 days                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4176F  Talk re uv light pt/crgvr                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4177F  Talk pt/crgvr re areds prev                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4178F  Antid glbln rcvd w/in 26wks                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4179F  Tamoxifen/ai prescribed                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4180F  Adjv thxpyrxd/rcvd colon ca                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
41800  Drainage of gum lesion                            A   1.27   6.89     2.88    0.22   8.38  4.370010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
41805  Removal foreign body gum                          A   1.34   6.99     3.96    0.12   8.45  5.420010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
41806  Removal foreign body jawbone                      A   2.79   8.39     4.80    0.27  11.45  7.860010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
4181F  Conformal radn thxpy rcvd                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4182F  No conformal radn thxpy                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
41820  Excision gum each quadrant                        R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
41821  Excision of gum flap                              R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
41822  Excision of gum lesion                            R   2.41   7.04     2.87    0.43   9.88  5.710010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
41823  Excision of gum lesion                            R   3.77  10.13     5.86    0.64  14.54 10.270090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
41825  Excision of gum lesion                            A   1.41   4.65     1.89    0.13   6.19  3.430010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
41826  Excision of gum lesion                            A   2.41   6.30     3.22    0.25   8.96  5.880010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
41827  Excision of gum lesion                            A   3.83   8.52     4.35    0.41  12.76  8.590090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
41828  Excision of gum lesion                            R   3.14   6.27     2.75    0.54   9.95  6.430010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
41830  Removal of gum tissue                             R   3.45   9.02     4.86    0.60  13.07  8.910010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
4185F  Continuous ppi or h2ra rcvd                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
41850  Treatment of gum lesion                           R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
4186F  No cont ppi or h2ra rcvd                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4187F  Anti rheum drugthxpyrxd/gvn                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
41870  Gum graft                                         R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
41872  Repair gum                                        R   3.01   9.28     5.00    0.53  12.82  8.540090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
41874  Repair tooth socket                               R   3.19   7.69     3.70    0.32  11.20  7.210090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
4188F  Approp ace/arb tstng done                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4189F  Approp digoxin tstng done                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
41899  Dental surgery procedure                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
4190F  Approp diuretic tstng done                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4191F  Approp anticonvuls tstng                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4192F  Pt not rcvng glucoco thxpy                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4193F  Pt rcvng<10mg daily predniso                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4194F  Pt rcvng10mg daily predniso                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4195F  Pt rcvng anti-rheum thxpy ra                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4196F  Ptnot rcvng anti-rhm thxpyra                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4200F  External beam to prost only                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
42000  Drainage mouth roof lesion                        A   1.28   3.03     1.52    0.18   4.49  2.980010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
4201F  Extrnl beam other than prost                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4210F  Ace/arb thxpy for mos/>                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
42100  Biopsy roof of mouth                              A   1.36   2.70     1.56    0.16   4.22  3.080010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
42104  Excision lesion mouth roof                        A   1.69   4.29     1.99    0.22   6.20  3.900010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
42106  Excision lesion mouth roof                        A   2.15   5.24     2.48    0.23   7.62  4.860010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
42107  Excision lesion mouth roof                        A   4.56   8.17     4.63    0.54  13.27  9.730090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
42120  Remove palate/lesion                              A  11.86  15.27NA  15.27    1.61  28.74 28.740090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
42140  Excision of uvula                                 A   1.70   6.10     2.52    0.24   8.04  4.460090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
42145  Repair palate pharynx/uvula                       A   9.78   8.70NA   8.70    1.32  19.80 19.800090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
42160  Treatment mouth roof lesion                       A   1.85   4.62     2.06    0.24   6.71  4.150010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
42180  Repair palate                                     A   2.55   4.27     2.38    0.35   7.17  5.280010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
42182  Repair palate                                     A   3.87   4.94     2.94    0.53   9.34  7.340010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
4220F  Digoxin thxpy for 6 mos/>                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
42200  Reconstruct cleft palate                          A  12.53  12.53NA  12.53    2.20  27.26 27.260090.09.81.1020200             36.0896 090 99      0.00   0.00   0.00
42205  Reconstruct cleft palate                          A  13.66  12.36NA  12.36    2.40  28.42 28.420090.09.81.1020200             36.0896 090 99      0.00   0.00   0.00
4221F  Diuretic thxpy for 6 mos/>                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
42210  Reconstruct cleft palate                          A  15.03  14.03NA  14.03    2.64  31.70 31.700090.09.81.1020200             36.0896 090 99      0.00   0.00   0.00
42215  Reconstruct cleft palate                          A   8.99  10.08NA  10.08    1.59  20.66 20.660090.09.81.1020200             36.0896 090 99      0.00   0.00   0.00
42220  Reconstruct cleft palate                          A   7.16   8.58NA   8.58    1.25  16.99 16.990090.09.81.1020200             36.0896 090 99      0.00   0.00   0.00
42225  Reconstruct cleft palate                          A   9.77  16.77NA  16.77    1.70  28.24 28.240090.09.81.1020200             36.0896 090 99      0.00   0.00   0.00
42226  Lengthening of palate                             A  10.35  13.52NA  13.52    1.42  25.29 25.290090.09.81.1020200             36.0896 090 99      0.00   0.00   0.00
42227  Lengthening of palate                             A   9.90  12.41NA  12.41    1.34  23.65 23.650090.09.81.1020200             36.0896 090 99      0.00   0.00   0.00
42235  Repair palate                                     A   8.01  11.60NA  11.60    1.09  20.70 20.700090.09.81.1020200             36.0896 090 99      0.00   0.00   0.00
42260  Repair nose to lip fistula                        A  10.22  12.19     7.37    1.39  23.80 18.980090.09.81.1020200             36.0896 090 99      0.00   0.00   0.00
42280  Preparation palate mold                           A   1.59   3.36     1.40    0.13   5.08  3.120010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
42281  Insertion palate prosthesis                       A   1.98   4.35     2.48    0.18   6.51  4.640010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
42299  Palate/uvula surgery                              C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             36.0896 090 99      0.00   0.00   0.00
4230F  Anticonv thxpy for 6 mos/>                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
42300  Drainage of salivary gland                        A   1.98   3.84     2.13    0.28   6.10  4.390010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
42305  Drainage of salivary gland                        A   6.31   5.09NA   5.09    0.85  12.25 12.250090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
42310  Drainage of salivary gland                        A   1.61   3.25     2.07    0.13   4.99  3.810010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
42320  Drainage of salivary gland                        A   2.40   4.59     2.31    0.32   7.31  5.030010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
42330  Removal of salivary stone                         A   2.26   4.07     2.13    0.30   6.63  4.690010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
42335  Removal of salivary stone                         A   3.41   7.68     3.50    0.46  11.55  7.370090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
42340  Removal of salivary stone                         A   4.72   8.84     4.30    0.63  14.19  9.650090.09.81.1021000             36.0896 090 99      0.00   0.00   0.00
4240F  Instr xrcz back pain 12 wks                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
42400  Biopsy of salivary gland                          A   0.78   2.08     0.67    0.09   2.95  1.540000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
42405  Biopsy of salivary gland                          A   3.34   4.81     2.68    0.46   8.61  6.480010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
42408  Excision of salivary cyst                         A   4.66   9.93     4.92    0.44  15.03 10.020090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
42409  Drainage of salivary cyst                         A   2.91   7.09     3.11    0.40  10.40  6.420090.09.81.1020200             36.0896 090 99      0.00   0.00   0.00
42410  Excise parotid gland/lesion                       A   9.57   6.91NA   6.91    1.43  17.91 17.910090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
42415  Excise parotid gland/lesion                       A  17.16  10.69NA  10.69    2.40  30.25 30.250090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
4242F  Sprvsd xrcz back pn >12 wks                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
42420  Excise parotid gland/lesion                       A  19.53  11.72NA  11.72    2.74  33.99 33.990090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
42425  Excise parotid gland/lesion                       A  13.42   8.66NA   8.66    1.89  23.97 23.970090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
42426  Excise parotid gland/lesion                       A  22.66  12.85NA  12.85    3.26  38.77 38.770090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
42440  Excise submaxillary gland                         A   6.14   4.81NA   4.81    0.85  11.80 11.800090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
4245F  Pt instr nrml lifest                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
42450  Excise sublingual gland                           A   4.74   7.82     4.93    0.63  13.19 10.300090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
4248F  Pt instr no bd rest 4 days/>                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4250F  Wrmng 4 surg normothermia                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
42500  Repair salivary duct                              A   4.42   7.49     4.72    0.57  12.48  9.710090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
42505  Repair salivary duct                              A   6.32   8.84     5.75    0.85  16.01 12.920090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
42507  Parotid duct diversion                            A   6.25   7.16NA   7.16    0.85  14.26 14.260090.09.81.1022200             36.0896 090 99      0.00   0.00   0.00
42509  Parotid duct diversion                            A  11.76  10.31NA  10.31    1.61  23.68 23.680090.09.81.1022000             36.0896 090 99      0.00   0.00   0.00
42510  Parotid duct diversion                            A   8.35   8.05NA   8.05    1.15  17.55 17.550090.09.81.1022210             36.0896 090 99      0.00   0.00   0.00
4255F  Anesth 60 min/> as docd                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
42550  Injection for salivary x-ray                      A   1.25   3.03     0.47    0.11   4.39  1.830000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
4256F  Anesthe <60 min as docd                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4260F  Wound srfc culturetech used                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
42600  Closure of salivary fistula                       A   4.94   8.98     4.40    0.65  14.57  9.990090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
4261F  Tech other than surfc cultr                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4265F  Wet-dry dressings rx recmd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
42650  Dilation of salivary duct                         A   0.77   1.37     0.77    0.11   2.25  1.650000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
4266F  No wet-dry drssings rx recmd                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
42660  Dilation of salivary duct                         A   1.13   2.09     1.09    0.30   3.52  2.520000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
42665  Ligation of salivary duct                         A   2.63   6.84     2.99    0.35   9.82  5.970090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
4267F  Comprssion thxpy prescribed                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4268F  Pt ed re comp thxpy rcvd                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4269F  Appropos mthd offloading rxd                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
42699  Salivary surgery procedure                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             36.0896 090 99      0.00   0.00   0.00
4270F  Pt rcvng anti r-viral thxpy                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
42700  Drainage of tonsil abscess                        A   1.67   3.54     1.94    0.25   5.46  3.860010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
4271F  Pt rcvng anti r-viral thxpy                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
42720  Drainage of throat abscess                        A   6.31   5.79     3.99    0.85  12.95 11.150010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
42725  Drainage of throat abscess                        A  12.41   8.97NA   8.97    1.68  23.06 23.060090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
4274F  Flu immuno admind rcvd                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4276F  Potent antivir thxpy rxd                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4279F  Pcp prophylaxis rxd                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4280F  Pcp prophylax rxd 3mon low %                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
42800  Biopsy of throat                                  A   1.44   2.86     1.59    0.19   4.49  3.220010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
42804  Biopsy of upper nose/throat                       A   1.29   4.18     1.80    0.18   5.65  3.270010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
42806  Biopsy of upper nose/throat                       A   1.63   4.47     1.95    0.23   6.33  3.810010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
42808  Excise pharynx lesion                             A   2.35   3.86     1.99    0.32   6.53  4.660010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
42809  Remove pharynx foreign body                       A   1.86   3.62     1.42    0.28   5.76  3.560010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
42810  Excision of neck cyst                             A   3.38   7.15     4.25    0.47  11.00  8.100090.09.81.1021200             36.0896 090 99      0.00   0.00   0.00
42815  Excision of neck cyst                             A   7.31   7.27NA   7.27    1.04  15.62 15.620090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
42820  Remove tonsils and adenoids                       A   4.22   3.47NA   3.47    0.57   8.26  8.260090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
42821  Remove tonsils and adenoids                       A   4.36   3.66NA   3.66    0.60   8.62  8.620090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
42825  Removal of tonsils                                A   3.51   3.53NA   3.53    0.48   7.52  7.520090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
42826  Removal of tonsils                                A   3.45   3.27NA   3.27    0.48   7.20  7.200090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
42830  Removal of adenoids                               A   2.65   2.93NA   2.93    0.37   5.95  5.950090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
42831  Removal of adenoids                               A   2.81   3.24NA   3.24    0.39   6.44  6.440090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
42835  Removal of adenoids                               A   2.38   2.81NA   2.81    0.32   5.51  5.510090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
42836  Removal of adenoids                               A   3.26   3.19NA   3.19    0.44   6.89  6.890090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
42842  Extensive surgery of throat                       A  12.23  14.86NA  14.86    1.69  28.78 28.780090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
42844  Extensive surgery of throat                       A  17.78  19.43NA  19.43    2.46  39.67 39.670090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
42845  Extensive surgery of throat                       A  32.56  26.94NA  26.94    4.40  63.90 63.900090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
42860  Excision of tonsil tags                           A   2.30   2.78NA   2.78    0.32   5.40  5.400090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
42870  Excision of lingual tonsil                        A   5.52  10.49NA  10.49    0.77  16.78 16.780090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
42890  Partial removal of pharynx                        A  19.13  18.98NA  18.98    2.67  40.78 40.780090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
42892  Revision of pharyngeal walls                      A  26.03  24.03NA  24.03    3.54  53.60 53.600090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
42894  Revision of pharyngeal walls                      A  33.92  29.18NA  29.18    4.64  67.74 67.740090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
4290F  Pt scrned for inj drug use                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
42900  Repair throat wound                               A   5.29   3.55NA   3.55    0.72   9.56  9.560010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
4293F  Pt scrnd hgh-risk sex behav                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
42950  Reconstruction of throat                          A   8.27  13.44NA  13.44    1.15  22.86 22.860090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
42953  Repair throat esophagus                           A   9.45  16.59NA  16.59    1.32  27.36 27.360090.09.81.1020200             36.0896 090 99      0.00   0.00   0.00
42955  Surgical opening of throat                        A   8.01  12.60NA  12.60    1.09  21.70 21.700090.09.81.1020200             36.0896 090 99      0.00   0.00   0.00
42960  Control throat bleeding                           A   2.38   2.03NA   2.03    0.32   4.73  4.730010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
42961  Control throat bleeding                           A   5.77   5.36NA   5.36    0.79  11.92 11.920090.09.81.1020200             36.0896 090 99      0.00   0.00   0.00
42962  Control throat bleeding                           A   7.40   6.31NA   6.31    0.99  14.70 14.700090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
42970  Control nose/throat bleeding                      A   5.82   5.12NA   5.12    0.79  11.73 11.730090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
42971  Control nose/throat bleeding                      A   6.60   5.45NA   5.45    0.90  12.95 12.950090.09.81.1020200             36.0896 090 99      0.00   0.00   0.00
42972  Control nose/throat bleeding                      A   7.59   5.88NA   5.88    1.04  14.51 14.510090.09.81.1020200             36.0896 090 99      0.00   0.00   0.00
42999  Throat surgery procedure                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
4300F  Pt rcvng warf thxpy                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4301F  Pt not rcvng warf thxpy                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
43020  Incision of esophagus                             A   8.23   6.06NA   6.06    1.98  16.27 16.270090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43030  Throat muscle surgery                             A   7.99   5.73NA   5.73    1.17  14.89 14.890090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43045  Incision of esophagus                             A  21.88  10.76NA  10.76    5.00  37.64 37.640090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
4305F  Pt ed re ft care inspct rcvd                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4306F  Pt tlk psych & rx opd addic                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
43100  Excision of esophagus lesion                      A   9.66   7.04NA   7.04    1.31  18.01 18.010090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43101  Excision of esophagus lesion                      A  17.07   8.14NA   8.14    3.89  29.10 29.100090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43107  Removal of esophagus                              A  52.05  22.40NA  22.40   12.12  86.57 86.570090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43108  Removal of esophagus                              A  82.87  27.29NA  27.29   19.41 129.57129.570090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43112  Esphg tot w/thrcm                                 A  62.00  24.79NA  24.79   14.48 101.27101.270090.09.81.1020220             36.0896 090 99      0.00   0.00   0.00
43113  Removal of esophagus                              A  80.06  27.69NA  27.69   18.72 126.47126.470090.09.81.1020220             36.0896 090 99      0.00   0.00   0.00
43116  Partial removal of esophagus                      A  92.99  30.15NA  30.15   21.92 145.06145.060090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43117  Partial removal of esophagus                      A  57.50  23.44NA  23.44   13.42  94.36 94.360090.09.81.1020220             36.0896 090 99      0.00   0.00   0.00
43118  Partial removal of esophagus                      A  67.07  22.84NA  22.84   15.51 105.42105.420090.09.81.1020220             36.0896 090 99      0.00   0.00   0.00
43121  Partial removal of esophagus                      A  51.43  19.58NA  19.58   11.80  82.81 82.810090.09.81.1020220             36.0896 090 99      0.00   0.00   0.00
43122  Partial removal of esophagus                      A  44.18  19.89NA  19.89   10.30  74.37 74.370090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43123  Partial removal of esophagus                      A  83.12  28.56NA  28.56   19.49 131.17131.170090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43124  Removal of esophagus                              A  69.09  25.43NA  25.43   16.02 110.54110.540090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43130  Removal of esophagus pouch                        A  12.53   7.96NA   7.96    2.17  22.66 22.660090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43135  Removal of esophagus pouch                        A  26.17  10.49NA  10.49    5.95  42.61 42.610090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43180  Esophagoscopy rigid trnso                         A   9.03   5.39NA   5.39    1.26  15.68 15.680090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
43191  Esophagoscopy rigid trnso dx                      A   2.49   1.59NA   1.59    0.35   4.43  4.430000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
43192  Esophagoscp rig trnso inject                      A   2.79   1.68NA   1.68    0.39   4.86  4.860000.00.00.0030100       43191 36.0896 090 99      0.00   0.00   0.00
43193  Esophagoscp rig trnso biopsy                      A   2.79   1.67NA   1.67    0.39   4.85  4.850000.00.00.0030100       43191 36.0896 090 99      0.00   0.00   0.00
43194  Esophagoscp rig trnso rem fb                      A   3.51   1.50NA   1.50    0.54   5.55  5.550000.00.00.0030100       43191 36.0896 090 99      0.00   0.00   0.00
43195  Esophagoscopy rigid balloon                       A   3.07   1.78NA   1.78    0.43   5.28  5.280000.00.00.0030100       43191 36.0896 090 99      0.00   0.00   0.00
43196  Esophagoscp guide wire dilat                      A   3.31   1.88NA   1.88    0.44   5.63  5.630000.00.00.0030100       43191 36.0896 090 99      0.00   0.00   0.00
43197  Esophagoscopy flex dx brush                       A   1.52   3.75     0.63    0.25   5.52  2.400000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
43198  Esophagosc flex trnsn biopsy                      A   1.82   4.00     0.78    0.26   6.08  2.860000.00.00.0030100       43197 36.0896 090 99      0.00   0.00   0.00
4320F  Pt talk psychsoc&rx oh dpnd                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
43200  Esophagoscopy flexible brush                      A   1.42   5.26     0.89    0.21   6.89  2.520000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
43201  Esoph scope w/submucous inj                       A   1.72   4.93     1.02    0.24   6.89  2.980000.00.00.0030100       43200 36.0896 090 99      0.00   0.00   0.00
43202  Esophagoscopy flex biopsy                         A   1.72   7.69     1.02    0.23   9.64  2.970000.00.00.0030100       43200 36.0896 090 99      0.00   0.00   0.00
43204  Esoph scope w/sclerosis inj                       A   2.33   1.31NA   1.31    0.26   3.90  3.900000.00.00.0030100       43200 36.0896 090 99      0.00   0.00   0.00
43205  Esophagus endoscopy/ligation                      A   2.44   1.36NA   1.36    0.27   4.07  4.070000.00.00.0030100       43200 36.0896 090 99      0.00   0.00   0.00
43206  Esoph optical endomicroscopy                      A   2.29   5.60     1.29    0.25   8.14  3.830000.00.00.0030100       43200 36.0896 090 99      0.00   0.00   0.00
43210  Egd esophagogastrc fndoplsty                      A   7.75   3.50NA   3.50    1.26  12.51 12.510000.00.00.0030100       43235 36.0896 090 99      0.00   0.00   0.00
43211  Esophagoscop mucosal resect                       A   4.20   2.13NA   2.13    0.44   6.77  6.770000.00.00.0030100       43200 36.0896 090 99      0.00   0.00   0.00
43212  Esophagoscop stent placement                      A   3.40   1.52NA   1.52    0.56   5.48  5.480000.00.00.0030100       43200 36.0896 090 99      0.00   0.00   0.00
43213  Esophagoscopy retro balloon                       A   4.63  29.72     2.21    0.64  34.99  7.480000.00.00.0030100       43200 36.0896 090 99      0.00   0.00   0.00
43214  Esophagosc dilate balloon 30                      A   3.40   1.75NA   1.75    0.41   5.56  5.560000.00.00.0030100       43200 36.0896 090 99      0.00   0.00   0.00
43215  Esophagoscopy flex remove fb                      A   2.44   8.16     1.29    0.35  10.95  4.080000.00.00.0030100       43200 36.0896 090 99      0.00   0.00   0.00
43216  Esophagoscopy lesion removal                      A   2.30   8.62     1.29    0.27  11.19  3.860000.00.00.0030100       43200 36.0896 090 99      0.00   0.00   0.00
43217  Esophagoscopy snare les remv                      A   2.80   8.33     1.52    0.30  11.43  4.620000.00.00.0030100       43200 36.0896 090 99      0.00   0.00   0.00
4322F  Crgvr prov w/ ed addl rsrcs                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
43220  Esophagoscopy balloon <30mm                       A   2.00  26.53     1.14    0.26  28.79  3.400000.00.00.0030100       43200 36.0896 090 99      0.00   0.00   0.00
43226  Esoph endoscopy dilation                          A   2.24   7.63     1.19    0.32  10.19  3.750000.00.00.0030100       43200 36.0896 090 99      0.00   0.00   0.00
43227  Esophagoscopy control bleed                       A   2.89  14.48     1.54    0.32  17.69  4.750000.00.00.0030100       43200 36.0896 090 99      0.00   0.00   0.00
43229  Esophagoscopy lesion ablate                       A   3.49  15.91     1.79    0.42  19.82  5.700000.00.00.0030100       43200 36.0896 090 99      0.00   0.00   0.00
43231  Esophagoscop ultrasound exam                      A   2.80   1.51NA   1.51    0.28   4.59  4.590000.00.00.0030120       43200 36.0896 090 99      0.00   0.00   0.00
43232  Esophagoscopy w/us needle bx                      A   3.59   1.81NA   1.81    0.35   5.75  5.750000.00.00.0030120       43200 36.0896 090 99      0.00   0.00   0.00
43233  Egd balloon dil esoph30 mm/>                      A   4.07   1.98NA   1.98    0.57   6.62  6.620000.00.00.0030100       43235 36.0896 090 99      0.00   0.00   0.00
43235  Egd diagnostic brush wash                         A   2.09   5.63     1.19    0.26   7.98  3.540000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
43236  Uppr gi scope w/submuc inj                        A   2.39   7.99     1.33    0.27  10.65  3.990000.00.00.0030100       43235 36.0896 090 99      0.00   0.00   0.00
43237  Endoscopic us exam esoph                          A   3.47   1.80NA   1.80    0.37   5.64  5.640000.00.00.0030100       43235 36.0896 090 99      0.00   0.00   0.00
43238  Egd us fine needle bx/aspir                       A   4.16   2.10NA   2.10    0.44   6.70  6.700000.00.00.0030100       43235 36.0896 090 99      0.00   0.00   0.00
43239  Egd biopsy single/multiple                        A   2.39   7.96     1.32    0.28  10.63  3.990000.00.00.0030100       43235 36.0896 090 99      0.00   0.00   0.00
4324F  Pt queried prkns complic                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
43240  Egd w/transmural drain cyst                       A   7.15   3.40NA   3.40    0.78  11.33 11.330000.00.00.0030100       43235 36.0896 090 99      0.00   0.00   0.00
43241  Egd tube/cath insertion                           A   2.49   1.32NA   1.32    0.28   4.09  4.090000.00.00.0030100       43235 36.0896 090 99      0.00   0.00   0.00
43242  Egd us fine needle bx/aspir                       A   4.73   2.36NA   2.36    0.49   7.58  7.580000.00.00.0030100       43235 36.0896 090 99      0.00   0.00   0.00
43243  Egd injection varices                             A   4.27   2.10NA   2.10    0.48   6.85  6.850000.00.00.0030100       43235 36.0896 090 99      0.00   0.00   0.00
43244  Egd varices ligation                              A   4.40   2.21NA   2.21    0.47   7.08  7.080000.00.00.0030100       43235 36.0896 090 99      0.00   0.00   0.00
43245  Egd dilate stricture                              A   3.08  13.30     1.59    0.41  16.79  5.080000.00.00.0030100       43235 36.0896 090 99      0.00   0.00   0.00
43246  Egd place gastrostomy tube                        A   3.56   1.73NA   1.73    0.51   5.80  5.800000.00.00.0030020       43235 36.0896 090 99      0.00   0.00   0.00
43247  Egd remove foreign body                           A   3.11   7.08     1.62    0.38  10.57  5.110000.00.00.0030100       43235 36.0896 090 99      0.00   0.00   0.00
43248  Egd guide wire insertion                          A   2.91   7.84     1.55    0.32  11.07  4.780000.00.00.0030100       43235 36.0896 090 99      0.00   0.00   0.00
43249  Esoph egd dilation <30 mm                         A   2.67  28.07     1.44    0.31  31.05  4.420000.00.00.0030100       43235 36.0896 090 99      0.00   0.00   0.00
4325F  Med txmnt options rvwd w/pt                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
43250  Egd cautery tumor polyp                           A   2.97   8.94     1.53    0.44  12.35  4.940000.00.00.0030100       43235 36.0896 090 99      0.00   0.00   0.00
43251  Egd remove lesion snare                           A   3.47   9.71     1.79    0.40  13.58  5.660000.00.00.0030100       43235 36.0896 090 99      0.00   0.00   0.00
43252  Egd optical endomicroscopy                        A   2.96   5.92     1.55    0.37   9.25  4.880000.00.00.0030100       43235 36.0896 090 99      0.00   0.00   0.00
43253  Egd us transmural injxn/mark                      A   4.73   2.36NA   2.36    0.51   7.60  7.600000.00.00.0030100       43235 36.0896 090 99      0.00   0.00   0.00
43254  Egd endo mucosal resection                        A   4.87   2.41NA   2.41    0.52   7.80  7.800000.00.00.0030100       43235 36.0896 090 99      0.00   0.00   0.00
43255  Egd control bleeding any                          A   3.56  14.74     1.84    0.39  18.69  5.790000.00.00.0030100       43235 36.0896 090 99      0.00   0.00   0.00
43257  Egd w/thrml txmnt gerd                            A   4.15   2.06NA   2.06    0.53   6.74  6.740000.00.00.0030100       43235 36.0896 090 99      0.00   0.00   0.00
43259  Egd us exam duodenum/jejunum                      A   4.04   2.06NA   2.06    0.43   6.53  6.530000.00.00.0030100       43235 36.0896 090 99      0.00   0.00   0.00
4326F  Pt asked re symp auto dysfxn                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
43260  Ercp w/specimen collection                        A   5.85   2.84NA   2.84    0.62   9.31  9.310000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
43261  Endo cholangiopancreatograph                      A   6.15   2.97NA   2.97    0.64   9.76  9.760000.00.00.0030100       43260 36.0896 090 99      0.00   0.00   0.00
43262  Endo cholangiopancreatograph                      A   6.50   3.13NA   3.13    0.67  10.30 10.300000.00.00.0030100       43260 36.0896 090 99      0.00   0.00   0.00
43263  Ercp sphincter pressure meas                      A   6.50   3.13NA   3.13    0.67  10.30 10.300000.00.00.0030100       43260 36.0896 090 99      0.00   0.00   0.00
43264  Ercp remove duct calculi                          A   6.63   3.18NA   3.18    0.68  10.49 10.490000.00.00.0030100       43260 36.0896 090 99      0.00   0.00   0.00
43265  Ercp lithotripsy calculi                          A   7.93   3.74NA   3.74    0.84  12.51 12.510000.00.00.0030100       43260 36.0896 090 99      0.00   0.00   0.00
43266  Egd endoscopic stent place                        A   3.92   1.89NA   1.89    0.48   6.29  6.290000.00.00.0030100       43235 36.0896 090 99      0.00   0.00   0.00
43270  Egd lesion ablation                               A   4.01  15.90     2.03    0.44  20.35  6.480000.00.00.0030100       43235 36.0896 090 99      0.00   0.00   0.00
43273  Endoscopic pancreatoscopy                         A   2.24   0.98NA   0.98    0.25   3.47  3.470ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
43274  Ercp duct stent placement                         A   8.48   3.98NA   3.98    0.90  13.36 13.360000.00.00.0030100       43260 36.0896 090 99      0.00   0.00   0.00
43275  Ercp remove forgn body duct                       A   6.86   3.27NA   3.27    0.73  10.86 10.860000.00.00.0030100       43260 36.0896 090 99      0.00   0.00   0.00
43276  Ercp stent exchange w/dilate                      A   8.84   4.14NA   4.14    0.92  13.90 13.900000.00.00.0030100       43260 36.0896 090 99      0.00   0.00   0.00
43277  Ercp ea duct/ampulla dilate                       A   6.90   3.29NA   3.29    0.73  10.92 10.920000.00.00.0030100       43260 36.0896 090 99      0.00   0.00   0.00
43278  Ercp lesion ablate w/dilate                       A   7.92   3.74NA   3.74    0.85  12.51 12.510000.00.00.0030100       43260 36.0896 090 99      0.00   0.00   0.00
43279  Lap myotomy heller                                A  22.10  10.25NA  10.25    5.20  37.55 37.550090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
4328F  Pt asked re sleep disturb                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
43280  Laparoscopy fundoplasty                           A  18.10   9.09NA   9.09    4.29  31.48 31.480090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43281  Lap paraesophag hern repair                       A  26.60  12.08NA  12.08    6.34  45.02 45.020090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43282  Lap paraesoph her rpr w/mesh                      A  30.10  13.34NA  13.34    7.18  50.62 50.620090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43283  Lap esoph lengthening                             A   2.95   0.98NA   0.98    0.67   4.60  4.600ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
43284  Laps esophgl sphnctr agmntj                       A  10.13   6.35NA   6.35    2.46  18.94 18.940090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43285  Rmvl esophgl sphnctr dev                          A  10.47   6.48NA   6.48    2.56  19.51 19.510090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43286  Esphg tot w/laps moblj                            A  55.00  25.12NA  25.12   12.17  92.29 92.290090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43287  Esphg dstl 2/3 w/laps moblj                       A  63.00  26.48NA  26.48   14.98 104.46104.460090.09.81.1020220             36.0896 090 99      0.00   0.00   0.00
43288  Esphg thrsc moblj                                 A  66.42  28.41NA  28.41   14.98 109.81109.810090.09.81.1020220             36.0896 090 99      0.00   0.00   0.00
43289  Laparoscope proc esoph                            C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             36.0896 090 99      0.00   0.00   0.00
4330F  Cnslng epi spec sfty issues                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
43300  Repair of esophagus                               A   9.33   7.09NA   7.09    1.27  17.69 17.690090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43305  Repair esophagus and fistula                      A  18.10  10.71NA  10.71    2.47  31.28 31.280090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43310  Repair of esophagus                               A  26.26  10.69NA  10.69    5.97  42.92 42.920090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43312  Repair esophagus and fistula                      A  29.25  10.23NA  10.23    6.69  46.17 46.170090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43313  Esophagoplasty congenital                         A  48.45  19.61NA  19.61   11.08  79.14 79.140090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43314  Tracheo-esophagoplasty cong                       A  53.43  19.61NA  19.61   12.25  85.29 85.290090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43320  Fuse esophagus & stomach                          A  23.31  11.79NA  11.79    5.65  40.75 40.750090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43325  Revise esophagus & stomach                        A  22.60  11.53NA  11.53    5.49  39.62 39.620090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43327  Esoph fundoplasty lap                             A  13.35   7.37NA   7.37    3.18  23.90 23.900090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43328  Esoph fundoplasty thor                            A  19.91   8.16NA   8.16    4.53  32.60 32.600090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43330  Esophagomyotomy abdominal                         A  22.19  11.38NA  11.38    5.39  38.96 38.960090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43331  Esophagomyotomy thoracic                          A  23.06  10.44NA  10.44    5.26  38.76 38.760090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43332  Transab esoph hiat hern rpr                       A  19.62   9.45NA   9.45    4.64  33.71 33.710090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43333  Transab esoph hiat hern rpr                       A  21.46  10.29NA  10.29    5.07  36.82 36.820090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43334  Transthor diaphrag hern rpr                       A  22.12   9.05NA   9.05    5.05  36.22 36.220090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43335  Transthor diaphrag hern rpr                       A  23.97   9.31NA   9.31    5.47  38.75 38.750090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43336  Thorabd diaphr hern repair                        A  25.81  10.35NA  10.35    5.87  42.03 42.030090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43337  Thorabd diaphr hern repair                        A  27.65  10.87NA  10.87    6.33  44.85 44.850090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43338  Esoph lengthening                                 A   2.21   0.65NA   0.65    0.51   3.37  3.370ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
43340  Fuse esophagus & intestine                        A  22.99  11.67NA  11.67    5.57  40.23 40.230090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43341  Fuse esophagus & intestine                        A  24.23  10.77NA  10.77    5.53  40.53 40.530090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43351  Surgical opening esophagus                        A  22.05  10.99NA  10.99    5.03  38.07 38.070090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43352  Surgical opening esophagus                        A  17.81   8.96NA   8.96    4.05  30.82 30.820090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43360  Gastrointestinal repair                           A  40.11  15.93NA  15.93    9.17  65.21 65.210090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43361  Gastrointestinal repair                           A  45.68  21.79NA  21.79   11.15  78.62 78.620090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
4340F  Cnslng chldbrng women epi                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
43400  Ligate esophagus veins                            A  25.60  12.60NA  12.60    6.21  44.41 44.410090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43405  Ligate/staple esophagus                           A  24.73  11.75NA  11.75    5.63  42.11 42.110090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43410  Repair esophagus wound                            A  16.41  10.73NA  10.73    2.23  29.37 29.370090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43415  Repair esophagus wound                            A  44.88  19.36NA  19.36   10.30  74.54 74.540090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43420  Repair esophagus opening                          A  16.78  10.03NA  10.03    2.29  29.10 29.100090.09.81.1020010             36.0896 090 99      0.00   0.00   0.00
43425  Repair esophagus opening                          A  25.04  11.00NA  11.00    5.70  41.74 41.740090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43450  Dilate esophagus 1/mult pass                      A   1.28   3.46     0.86    0.13   4.87  2.270000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
43453  Dilate esophagus                                  A   1.41  23.50     0.90    0.16  25.07  2.470000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
43460  Pressure treatment esophagus                      A   3.79   1.93NA   1.93    0.41   6.13  6.130000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
43496  Free jejunum flap microvasc                       C   0.00   0.00     0.00    0.00   0.00  0.000090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43499  Esophagus surgery procedure                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020111             36.0896 090 99      0.00   0.00   0.00
4350F  Cnslng provided symp mngmnt                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
43500  Surgical opening of stomach                       A  12.79   7.11NA   7.11    2.93  22.83 22.830090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43501  Surgical repair of stomach                        A  22.60  11.36NA  11.36    5.32  39.28 39.280090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43502  Surgical repair of stomach                        A  25.69  12.59NA  12.59    6.23  44.51 44.510090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43510  Surgical opening of stomach                       A  15.14   8.80NA   8.80    3.70  27.64 27.640090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43520  Incision of pyloric muscle                        A  11.29   6.17NA   6.17    2.47  19.93 19.930090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43605  Biopsy of stomach                                 A  13.72   7.49NA   7.49    3.24  24.45 24.450090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43610  Excision of stomach lesion                        A  16.34   8.44NA   8.44    3.80  28.58 28.580090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43611  Excision of stomach lesion                        A  20.38  10.51NA  10.51    4.74  35.63 35.630090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43620  Removal of stomach                                A  34.04  15.60NA  15.60    8.25  57.89 57.890090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43621  Removal of stomach                                A  39.53  17.32NA  17.32    9.37  66.22 66.220090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43622  Removal of stomach                                A  40.03  17.76NA  17.76    9.74  67.53 67.530090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43631  Removal of stomach partial                        A  24.51  12.03NA  12.03    5.76  42.30 42.300090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43632  Removal of stomach partial                        A  35.14  15.88NA  15.88    8.33  59.35 59.350090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43633  Removal of stomach partial                        A  33.14  15.12NA  15.12    7.87  56.13 56.130090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43634  Removal of stomach partial                        A  36.64  16.53NA  16.53    8.92  62.09 62.090090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43635  Removal of stomach partial                        A   2.06   0.74NA   0.74    0.49   3.29  3.290ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
43640  Vagotomy & pylorus repair                         A  19.56  10.21NA  10.21    4.58  34.35 34.350090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43641  Vagotomy & pylorus repair                         A  19.81  10.48NA  10.48    4.82  35.11 35.110090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43644  Lap gastric bypass/roux-en-y                      A  29.40  14.18NA  14.18    7.09  50.67 50.670090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43645  Lap gastr bypass incl smll i                      A  31.53  14.87NA  14.87    7.55  53.95 53.950090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43647  Lap impl electrode antrum                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
43648  Lap revise/remv eltrd antrum                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
43651  Laparoscopy vagus nerve                           A  10.13   6.49NA   6.49    2.46  19.08 19.080090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
43652  Laparoscopy vagus nerve                           A  12.13   7.21NA   7.21    2.95  22.29 22.290090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
43653  Laparoscopy gastrostomy                           A   8.48   6.24NA   6.24    2.00  16.72 16.720090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43659  Laparoscope proc stom                             C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             36.0896 090 99      0.00   0.00   0.00
43752  Nasal/orogastric w/tube plmt                      A   0.81   0.28NA   0.28    0.09   1.18  1.180000.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
43753  Tx gastro intub w/asp                             A   0.45   0.11NA   0.11    0.09   0.65  0.650000.00.00.0000200             36.0896 090 99      0.00   0.00   0.00
43754  Dx gastr intub w/asp spec                         A   0.45   4.64     0.49    0.09   5.18  1.030000.00.00.0000200             36.0896 090 99      0.00   0.00   0.00
43755  Dx gastr intub w/asp specs                        A   0.94   3.86     0.67    0.09   4.89  1.700000.00.00.0000200             36.0896 090 99      0.00   0.00   0.00
43756  Dx duod intub w/asp spec                          A   0.77   6.25     0.60    0.09   7.11  1.460000.00.00.0000200             36.0896 090 99      0.00   0.00   0.00
43757  Dx duod intub w/asp specs                         A   1.26   8.37     0.81    0.13   9.76  2.200000.00.00.0000200             36.0896 090 99      0.00   0.00   0.00
43761  Reposition gastrostomy tube                       A   2.01   1.22     0.73    0.27   3.50  3.010000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
43762  Rplc gtube no revj trc                            A   0.75   5.58     0.23    0.12   6.45  1.100000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
43763  Rplc gtube revj gstrst trc                        A   1.41   7.98     0.78    0.25   9.64  2.440000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
43770  Lap place gastr adj device                        A  18.00  10.43NA  10.43    4.38  32.81 32.810090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43771  Lap revise gastr adj device                       A  20.79  11.45NA  11.45    5.04  37.28 37.280090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
43772  Lap rmvl gastr adj device                         A  15.70   8.25NA   8.25    3.80  27.75 27.750090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43773  Lap replace gastr adj device                      A  20.79  11.45NA  11.45    5.04  37.28 37.280090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43774  Lap rmvl gastr adj all parts                      A  15.76   8.47NA   8.47    3.78  28.01 28.010090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
43775  Lap sleeve gastrectomy                            A  20.38   7.32NA   7.32    4.87  32.57 32.570090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43800  Reconstruction of pylorus                         A  15.43   8.07NA   8.07    3.70  27.20 27.200090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43810  Fusion of stomach and bowel                       A  16.88   8.71NA   8.71    4.11  29.70 29.700090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43820  Fusion of stomach and bowel                       A  22.53  11.32NA  11.32    5.33  39.18 39.180090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43825  Fusion of stomach and bowel                       A  21.76  11.18NA  11.18    5.29  38.23 38.230090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43830  Place gastrostomy tube                            A  10.85   7.05NA   7.05    2.54  20.44 20.440090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43831  Place gastrostomy tube                            A   8.49   6.97NA   6.97    2.06  17.52 17.520090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43832  Place gastrostomy tube                            A  17.34   8.94NA   8.94    4.05  30.33 30.330090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43840  Repair of stomach lesion                          A  22.83  11.45NA  11.45    5.39  39.67 39.670090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43842  V-band gastroplasty                               N+ 21.03  10.70NA  10.70    1.68  33.41 33.419090.09.81.1099999             36.0896 090 99      0.00   0.00   0.00
43843  Gastroplasty w/o v-band                           A  21.21  11.06NA  11.06    5.15  37.42 37.420090.09.81.1020220             36.0896 090 99      0.00   0.00   0.00
43845  Gastroplasty duodenal switch                      A  33.30  15.73NA  15.73    7.77  56.80 56.800090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43846  Gastric bypass for obesity                        A  27.41  13.53NA  13.53    6.45  47.39 47.390090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43847  Gastric bypass incl small i                       A  30.28  15.07NA  15.07    7.35  52.70 52.700090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43848  Revision gastroplasty                             A  32.75  15.95NA  15.95    7.79  56.49 56.490090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43850  Revise stomach-bowel fusion                       A  27.58  13.28NA  13.28    6.70  47.56 47.560090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43855  Revise stomach-bowel fusion                       A  28.69  13.68NA  13.68    6.97  49.34 49.340090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43860  Revise stomach-bowel fusion                       A  27.89  13.39NA  13.39    6.44  47.72 47.720090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43865  Revise stomach-bowel fusion                       A  29.05  13.81NA  13.81    7.06  49.92 49.920090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43870  Repair stomach opening                            A  11.44   6.66NA   6.66    2.58  20.68 20.680090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43880  Repair stomach-bowel fistula                      A  27.18  13.00NA  13.00    6.23  46.41 46.410090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43881  Impl/redo electrd antrum                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
43882  Revise/remove electrd antrum                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
43886  Revise gastric port open                          A   4.64   4.81NA   4.81    1.13  10.58 10.580090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
43887  Remove gastric port open                          A   4.32   4.16NA   4.16    1.04   9.52  9.520090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
43888  Change gastric port open                          A   6.44   5.45NA   5.45    1.57  13.46 13.460090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
43999  Stomach surgery procedure                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
4400F  Rehab thxpy options w/pt                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
44005  Freeing of bowel adhesion                         A  18.46   9.14NA   9.14    4.25  31.85 31.850090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44010  Incision of small bowel                           A  14.26   7.89NA   7.89    2.74  24.89 24.890090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44015  Insert needle cath bowel                          A   2.62   0.91NA   0.91    0.62   4.15  4.150ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
44020  Explore small intestine                           A  16.22   8.36NA   8.36    3.80  28.38 28.380090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44021  Decompress small bowel                            A  16.31   8.37NA   8.37    3.70  28.38 28.380090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44025  Incision of large bowel                           A  16.51   8.44NA   8.44    3.66  28.61 28.610090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44050  Reduce bowel obstruction                          A  15.52   8.12NA   8.12    3.61  27.25 27.250090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44055  Correct malrotation of bowel                      A  25.63  11.87NA  11.87    5.93  43.43 43.430090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44100  Biopsy of bowel                                   A   2.01   0.88NA   0.88    0.22   3.11  3.110000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
44110  Excise intestine lesion(s)                        A  14.04   7.66NA   7.66    2.84  24.54 24.540090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44111  Excision of bowel lesion(s)                       A  16.52   8.64NA   8.64    3.29  28.45 28.450090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44120  Removal of small intestine                        A  20.82  10.03NA  10.03    4.78  35.63 35.630090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44121  Removal of small intestine                        A   4.44   1.60NA   1.60    1.00   7.04  7.040ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
44125  Removal of small intestine                        A  20.03   9.89NA   9.89    4.41  34.33 34.330090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44126  Enterectomy w/o taper cong                        A  42.23  19.55NA  19.55   10.30  72.08 72.080090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44127  Enterectomy w/taper cong                          A  49.30  22.00NA  22.00   12.05  83.35 83.350090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44128  Enterectomy cong add-on                           A   4.44   1.60NA   1.60    1.07   7.11  7.110ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
44130  Bowel to bowel fusion                             A  22.11  11.17NA  11.17    5.00  38.28 38.280090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44132  Enterectomy cadaver donor                         R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
44133  Enterectomy live donor                            R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
44135  Intestine transplnt cadaver                       R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
44136  Intestine transplant live                         R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
44137  Remove intestinal allograft                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
44139  Mobilization of colon                             A   2.23   0.81NA   0.81    0.48   3.52  3.520ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
44140  Partial removal of colon                          A  22.59  11.38NA  11.38    5.10  39.07 39.070090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44141  Partial removal of colon                          A  29.91  16.38NA  16.38    6.75  53.04 53.040090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44143  Partial removal of colon                          A  27.79  14.36NA  14.36    6.26  48.41 48.410090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44144  Partial removal of colon                          A  29.91  14.87NA  14.87    6.65  51.43 51.430090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44145  Partial removal of colon                          A  28.58  13.56NA  13.56    5.92  48.06 48.060090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44146  Partial removal of colon                          A  35.30  18.73NA  18.73    7.24  61.27 61.270090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44147  Partial removal of colon                          A  33.69  15.40NA  15.40    7.31  56.40 56.400090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44150  Removal of colon                                  A  30.18  17.49NA  17.49    6.49  54.16 54.160090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44151  Removal of colon/ileostomy                        A  34.92  19.53NA  19.53    8.50  62.95 62.950090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44155  Removal of colon/ileostomy                        A  34.42  18.96NA  18.96    6.69  60.07 60.070090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44156  Removal of colon/ileostomy                        A  37.42  20.87NA  20.87    9.11  67.40 67.400090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44157  Colectomy w/ileoanal anast                        A  35.70  19.53NA  19.53    8.69  63.92 63.920090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44158  Colectomy w/neo-rectum pouch                      A  36.70  19.89NA  19.89    8.93  65.52 65.520090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44160  Removal of colon                                  A  20.89  10.62NA  10.62    4.63  36.14 36.140090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44180  Lap enterolysis                                   A  15.27   8.00NA   8.00    3.52  26.79 26.790090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44186  Lap jejunostomy                                   A  10.38   6.14NA   6.14    2.46  18.98 18.980090.09.84.0720210             36.0896 090 99      0.00   0.00   0.00
44187  Lap ileo/jejuno-stomy                             A  17.40  11.16NA  11.16    3.25  31.81 31.810090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44188  Lap colostomy                                     A  19.35  12.06NA  12.06    4.03  35.44 35.440090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44202  Lap enterectomy                                   A  23.39  11.67NA  11.67    5.28  40.34 40.340090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44203  Lap resect s/intestine addl                       A   4.44   1.60NA   1.60    0.96   7.00  7.000ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
44204  Laparo partial colectomy                          A  26.42  12.75NA  12.75    5.53  44.70 44.700090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44205  Lap colectomy part w/ileum                        A  22.95  11.20NA  11.20    4.67  38.82 38.820090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44206  Lap part colectomy w/stoma                        A  29.79  14.77NA  14.77    6.23  50.79 50.790090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44207  L colectomy/coloproctostomy                       A  31.92  14.61NA  14.61    6.16  52.69 52.690090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44208  L colectomy/coloproctostomy                       A  33.99  16.96NA  16.96    6.43  57.38 57.380090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44210  Laparo total proctocolectomy                      A  30.09  15.96NA  15.96    5.29  51.34 51.340090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44211  Lap colectomy w/proctectomy                       A  37.08  19.46NA  19.46    4.68  61.22 61.220090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44212  Laparo total proctocolectomy                      A  34.58  18.65NA  18.65    5.79  59.02 59.020090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44213  Lap mobil splenic fl add-on                       A   3.50   1.26NA   1.26    0.67   5.43  5.430ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
44227  Lap close enterostomy                             A  28.62  13.64NA  13.64    6.14  48.40 48.400090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44238  Laparoscope proc intestine                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             36.0896 090 99      0.00   0.00   0.00
44300  Open bowel to skin                                A  13.75   7.55NA   7.55    3.24  24.54 24.540090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44310  Ileostomy/jejunostomy                             A  17.59   9.03NA   9.03    3.64  30.26 30.260090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44312  Revision of ileostomy                             A   9.43   5.95NA   5.95    1.84  17.22 17.220090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
44314  Revision of ileostomy                             A  16.74   9.18NA   9.18    3.26  29.18 29.180090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44316  Devise bowel pouch                                A  23.59  11.95NA  11.95    5.72  41.26 41.260090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44320  Colostomy                                         A  19.91  10.67NA  10.67    4.33  34.91 34.910090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44322  Colostomy with biopsies                           A  13.32  12.67NA  12.67    3.25  29.24 29.240090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44340  Revision of colostomy                             A   9.28   6.82NA   6.82    1.96  18.06 18.060090.09.81.1020110             36.0896 090 99      0.00   0.00   0.00
44345  Revision of colostomy                             A  17.22   9.71NA   9.71    3.55  30.48 30.480090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44346  Revision of colostomy                             A  19.63  10.58NA  10.58    4.15  34.36 34.360090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44360  Small bowel endoscopy                             A   2.49   1.38NA   1.38    0.27   4.14  4.140000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
44361  Small bowel endoscopy/biopsy                      A   2.77   1.50NA   1.50    0.30   4.57  4.570000.00.00.0030100       44360 36.0896 090 99      0.00   0.00   0.00
44363  Small bowel endoscopy                             A   3.39   1.76NA   1.76    0.39   5.54  5.540000.00.00.0030000       44360 36.0896 090 99      0.00   0.00   0.00
44364  Small bowel endoscopy                             A   3.63   1.88NA   1.88    0.39   5.90  5.900000.00.00.0030000       44360 36.0896 090 99      0.00   0.00   0.00
44365  Small bowel endoscopy                             A   3.21   1.69NA   1.69    0.34   5.24  5.240000.00.00.0030000       44360 36.0896 090 99      0.00   0.00   0.00
44366  Small bowel endoscopy                             A   4.30   2.17NA   2.17    0.46   6.93  6.930000.00.00.0030100       44360 36.0896 090 99      0.00   0.00   0.00
44369  Small bowel endoscopy                             A   4.41   2.22NA   2.22    0.47   7.10  7.100000.00.00.0030000       44360 36.0896 090 99      0.00   0.00   0.00
44370  Small bowel endoscopy/stent                       A   4.69   2.49NA   2.49    0.51   7.69  7.690000.00.00.0030000       44360 36.0896 090 99      0.00   0.00   0.00
44372  Small bowel endoscopy                             A   4.30   2.10NA   2.10    0.53   6.93  6.930000.00.00.0030100       44360 36.0896 090 99      0.00   0.00   0.00
44373  Small bowel endoscopy                             A   3.39   1.73NA   1.73    0.43   5.55  5.550000.00.00.0030100       44360 36.0896 090 99      0.00   0.00   0.00
44376  Small bowel endoscopy                             A   5.15   2.51NA   2.51    0.54   8.20  8.200000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
44377  Small bowel endoscopy/biopsy                      A   5.42   2.63NA   2.63    0.58   8.63  8.630000.00.00.0030000       44376 36.0896 090 99      0.00   0.00   0.00
44378  Small bowel endoscopy                             A   7.02   3.35NA   3.35    0.73  11.10 11.100000.00.00.0030000       44376 36.0896 090 99      0.00   0.00   0.00
44379  S bowel endoscope w/stent                         A   7.36   3.65NA   3.65    0.79  11.80 11.800000.00.00.0030000       44376 36.0896 090 99      0.00   0.00   0.00
44380  Small bowel endoscopy br/wa                       A   0.87   4.24     0.65    0.09   5.20  1.610000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
44381  Small bowel endoscopy br/wa                       A   1.38  26.34     0.86    0.16  27.88  2.400000.00.00.0030100       44380 36.0896 090 99      0.00   0.00   0.00
44382  Small bowel endoscopy                             A   1.17   6.84     0.80    0.13   8.14  2.100000.00.00.0030100       44380 36.0896 090 99      0.00   0.00   0.00
44384  Small bowel endoscopy                             A   2.85   1.25NA   1.25    0.34   4.44  4.440000.00.00.0030100       44380 36.0896 090 99      0.00   0.00   0.00
44385  Endoscopy of bowel pouch                          A   1.20   4.36     0.73    0.15   5.71  2.080000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
44386  Endoscopy bowel pouch/biop                        A   1.50   6.86     0.89    0.18   8.54  2.570000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
44388  Colonoscopy thru stoma spx                        A   2.72   5.57     1.40    0.40   8.69  4.520000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
4438853Colonoscopy thru stoma spx                        A   1.36   2.79     0.71    0.20   4.35  2.270000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
44389  Colonoscopy with biopsy                           A   3.02   8.03     1.56    0.39  11.44  4.970000.00.00.0030100       44388 36.0896 090 99      0.00   0.00   0.00
44390  Colonoscopy for foreign body                      A   3.74   7.08     1.93    0.40  11.22  6.070000.00.00.0030100       44388 36.0896 090 99      0.00   0.00   0.00
44391  Colonoscopy for bleeding                          A   4.12  14.69     2.07    0.46  19.27  6.650000.00.00.0030100       44388 36.0896 090 99      0.00   0.00   0.00
44392  Colonoscopy & polypectomy                         A   3.53   6.52     1.72    0.53  10.58  5.780000.00.00.0030100       44388 36.0896 090 99      0.00   0.00   0.00
44394  Colonoscopy w/snare                               A   4.03   7.57     1.98    0.51  12.11  6.520000.00.00.0030100       44388 36.0896 090 99      0.00   0.00   0.00
44401  Colonoscopy with ablation                         A   4.34  75.42     2.19    0.47  80.23  7.000000.00.00.0030100       44388 36.0896 090 99      0.00   0.00   0.00
44402  Colonoscopy w/stent plcmt                         A   4.70   2.35NA   2.35    0.51   7.56  7.560000.00.00.0030100       44388 36.0896 090 99      0.00   0.00   0.00
44403  Colonoscopy w/resection                           A   5.50   2.69NA   2.69    0.58   8.77  8.770000.00.00.0030100       44388 36.0896 090 99      0.00   0.00   0.00
44404  Colonoscopy w/injection                           A   3.02   7.98     1.57    0.38  11.38  4.970000.00.00.0030100       44388 36.0896 090 99      0.00   0.00   0.00
44405  Colonoscopy w/dilation                            A   3.23  12.33     1.70    0.35  15.91  5.280000.00.00.0030100       44388 36.0896 090 99      0.00   0.00   0.00
44406  Colonoscopy w/ultrasound                          A   4.10   2.08NA   2.08    0.44   6.62  6.620000.00.00.0030100       44388 36.0896 090 99      0.00   0.00   0.00
44407  Colonoscopy w/ndl aspir/bx                        A   4.96   2.46NA   2.46    0.53   7.95  7.950000.00.00.0030100       44388 36.0896 090 99      0.00   0.00   0.00
44408  Colonoscopy w/decompression                       A   4.14   2.10NA   2.10    0.44   6.68  6.680000.00.00.0030100       44388 36.0896 090 99      0.00   0.00   0.00
4450F  Self-care ed provided to pt                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
44500  Intro gastrointestinal tube                       A   0.39   0.14NA   0.14    0.03   0.56  0.560000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
44602  Suture small intestine                            A  24.72  10.78NA  10.78    5.59  41.09 41.090090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44603  Suture small intestine                            A  28.16  12.79NA  12.79    6.20  47.15 47.150090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44604  Suture large intestine                            A  18.16   8.60NA   8.60    4.02  30.78 30.780090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44605  Repair of bowel lesion                            A  22.08  10.99NA  10.99    4.86  37.93 37.930090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44615  Intestinal stricturoplasty                        A  18.16   9.09NA   9.09    4.11  31.36 31.360090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44620  Repair bowel opening                              A  14.43   7.72NA   7.72    3.01  25.16 25.160090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44625  Repair bowel opening                              A  17.28   8.77NA   8.77    3.33  29.38 29.380090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44626  Repair bowel opening                              A  27.90  12.59NA  12.59    6.04  46.53 46.530090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44640  Repair bowel-skin fistula                         A  24.20  11.27NA  11.27    5.22  40.69 40.690090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44650  Repair bowel fistula                              A  25.12  11.64NA  11.64    5.30  42.06 42.060090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44660  Repair bowel-bladder fistula                      A  23.91  10.69NA  10.69    4.12  38.72 38.720090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44661  Repair bowel-bladder fistula                      A  27.35  12.18NA  12.18    5.54  45.07 45.070090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44680  Surgical revision intestine                       A  17.96   8.91NA   8.91    4.00  30.87 30.870090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
4470F  Icd counseling provided                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
44700  Suspend bowel w/prosthesis                        A  17.48   8.67NA   8.67    2.91  29.06 29.060090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44701  Intraop colon lavage add-on                       A   3.10   1.11NA   1.11    0.76   4.97  4.970ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
44705  Prepare fecal microbiota                          I+  1.42   1.63     0.55    0.11   3.16  2.089XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
44715  Prepare donor intestine                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
44720  Prep donor intestine/venous                       A   5.00   1.80NA   1.80    1.22   8.02  8.020XXX.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
44721  Prep donor intestine/artery                       A   7.00   2.52NA   2.52    1.69  11.21 11.210XXX.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
44799  Unlisted px small intestine                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020111             36.0896 090 99      0.00   0.00   0.00
4480F  Pt rcvng ace/arb b-blockertx                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
44800  Excision of bowel pouch                           A  12.05   7.59NA   7.59    2.73  22.37 22.370090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
4481F  Pt rcvng ace/arb blker >3mos                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
44820  Excision of mesentery lesion                      A  13.73   7.53NA   7.53    3.04  24.30 24.300090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44850  Repair of mesentery                               A  12.11   6.83NA   6.83    2.74  21.68 21.680090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44899  Bowel surgery procedure                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             36.0896 090 99      0.00   0.00   0.00
44900  Drain appendix abscess open                       A  12.57   7.19NA   7.19    3.07  22.83 22.830090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44950  Appendectomy                                      A  10.60   5.65NA   5.65    2.48  18.73 18.730090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44955  Appendectomy add-on                               A   1.53   0.58NA   0.58    0.32   2.43  2.430ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
44960  Appendectomy                                      A  14.50   7.62NA   7.62    3.44  25.56 25.560090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
44970  Laparoscopy appendectomy                          A   9.45   5.82NA   5.82    2.22  17.49 17.490090.09.81.1020220             36.0896 090 99      0.00   0.00   0.00
44979  Laparoscope proc app                              C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             36.0896 090 99      0.00   0.00   0.00
4500F  Ref to outpt card rehab prog                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
45000  Drainage of pelvic abscess                        A   6.30   4.92NA   4.92    1.13  12.35 12.350090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
45005  Drainage of rectal abscess                        A   2.02   5.92     2.23    0.44   8.38  4.690010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
45020  Drainage of rectal abscess                        A   8.56   6.28NA   6.28    1.74  16.58 16.580090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
4510F  Prev cardrehab qualcardevent                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
45100  Biopsy of rectum                                  A   4.04   3.88NA   3.88    0.73   8.65  8.650090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
45108  Removal of anorectal lesion                       A   5.12   4.40NA   4.40    1.25  10.77 10.770090.09.81.1020110             36.0896 090 99      0.00   0.00   0.00
45110  Removal of rectum                                 A  30.76  16.79NA  16.79    5.58  53.13 53.130090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
45111  Partial removal of rectum                         A  18.01   9.98NA   9.98    3.51  31.50 31.500090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
45112  Removal of rectum                                 A  33.18  15.21NA  15.21    5.56  53.95 53.950090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
45113  Partial proctectomy                               A  33.22  16.79NA  16.79    4.20  54.21 54.210090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
45114  Partial removal of rectum                         A  30.79  14.75NA  14.75    7.49  53.03 53.030090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
45116  Partial removal of rectum                         A  27.72  13.48NA  13.48    3.49  44.69 44.690090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
45119  Remove rectum w/reservoir                         A  33.48  16.90NA  16.90    5.37  55.75 55.750090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
45120  Removal of rectum                                 A  26.40  13.74NA  13.74    6.41  46.55 46.550090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
45121  Removal of rectum and colon                       A  29.08  14.70NA  14.70    7.08  50.86 50.860090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
45123  Partial proctectomy                               A  18.86  10.28NA  10.28    3.10  32.24 32.240090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
45126  Pelvic exenteration                               A  49.10  23.16NA  23.16    7.90  80.16 80.160090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
45130  Excision of rectal prolapse                       A  18.50   9.89NA   9.89    2.99  31.38 31.380090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
45135  Excision of rectal prolapse                       A  22.36  12.19NA  12.19    2.84  37.39 37.390090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
45136  Excise ileoanal reservior                         A  30.82  17.10NA  17.10    3.90  51.82 51.820090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
45150  Excision of rectal stricture                      A   5.85   4.88NA   4.88    1.42  12.15 12.150090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
45160  Excision of rectal lesion                         A  16.33   9.54NA   9.54    3.97  29.84 29.840090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
45171  Exc rect tum transanal part                       A   8.13   7.86NA   7.86    1.51  17.50 17.500090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
45172  Exc rect tum transanal full                       A  12.13   9.36NA   9.36    2.02  23.51 23.510090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
45190  Destruction rectal tumor                          A  10.42   8.22NA   8.22    1.58  20.22 20.220090.09.81.1020110             36.0896 090 99      0.00   0.00   0.00
4525F  Neuropsychia interven order                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4526F  Neuropsychia interven rcvd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
45300  Proctosigmoidoscopy dx                            A   0.80   2.61     0.47    0.11   3.52  1.380000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
45303  Proctosigmoidoscopy dilate                        A   1.40  25.64     0.84    0.21  27.25  2.450000.00.00.0030100       45300 36.0896 090 99      0.00   0.00   0.00
45305  Proctosigmoidoscopy w/bx                          A   1.15   3.29     0.76    0.19   4.63  2.100000.00.00.0030100       45300 36.0896 090 99      0.00   0.00   0.00
45307  Proctosigmoidoscopy fb                            A   1.60   3.47     0.95    0.26   5.33  2.810000.00.00.0030000       45300 36.0896 090 99      0.00   0.00   0.00
45308  Proctosigmoidoscopy removal                       A   1.30   3.63     0.82    0.32   5.25  2.440000.00.00.0030100       45300 36.0896 090 99      0.00   0.00   0.00
45309  Proctosigmoidoscopy removal                       A   1.40   3.69     0.86    0.34   5.43  2.600000.00.00.0030100       45300 36.0896 090 99      0.00   0.00   0.00
45315  Proctosigmoidoscopy removal                       A   1.70   3.81     0.96    0.42   5.93  3.080000.00.00.0030100       45300 36.0896 090 99      0.00   0.00   0.00
45317  Proctosigmoidoscopy bleed                         A   1.90   3.60     1.03    0.28   5.78  3.210000.00.00.0030100       45300 36.0896 090 99      0.00   0.00   0.00
45320  Proctosigmoidoscopy ablate                        A   1.68   3.69     0.96    0.41   5.78  3.050000.00.00.0030100       45300 36.0896 090 99      0.00   0.00   0.00
45321  Proctosigmoidoscopy volvul                        A   1.65   0.95NA   0.95    0.41   3.01  3.010000.00.00.0030100       45300 36.0896 090 99      0.00   0.00   0.00
45327  Proctosigmoidoscopy w/stent                       A   1.90   1.04NA   1.04    0.47   3.41  3.410000.00.00.0030100       45300 36.0896 090 99      0.00   0.00   0.00
45330  Diagnostic sigmoidoscopy                          A   0.84   4.03     0.66    0.11   4.98  1.610000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
45331  Sigmoidoscopy and biopsy                          A   1.14   6.56     0.79    0.13   7.83  2.060000.00.00.0030100       45330 36.0896 090 99      0.00   0.00   0.00
45332  Sigmoidoscopy w/fb removal                        A   1.76   5.54     1.04    0.24   7.54  3.040000.00.00.0030100       45330 36.0896 090 99      0.00   0.00   0.00
45333  Sigmoidoscopy & polypectomy                       A   1.55   7.15     0.94    0.22   8.92  2.710000.00.00.0030100       45330 36.0896 090 99      0.00   0.00   0.00
45334  Sigmoidoscopy for bleeding                        A   2.00  12.80     1.15    0.23  15.03  3.380000.00.00.0030100       45330 36.0896 090 99      0.00   0.00   0.00
45335  Sigmoidoscopy w/submuc inj                        A   1.04   6.41     0.74    0.13   7.58  1.910000.00.00.0030100       45330 36.0896 090 99      0.00   0.00   0.00
45337  Sigmoidoscopy & decompress                        A   2.10   0.97NA   0.97    0.27   3.34  3.340000.00.00.0030100       45330 36.0896 090 99      0.00   0.00   0.00
45338  Sigmoidoscopy w/tumr remove                       A   2.05   5.76     1.16    0.26   8.07  3.470000.00.00.0030100       45330 36.0896 090 99      0.00   0.00   0.00
45340  Sig w/tndsc balloon dilation                      A   1.25  11.51     0.83    0.16  12.92  2.240000.00.00.0030100       45330 36.0896 090 99      0.00   0.00   0.00
45341  Sigmoidoscopy w/ultrasound                        A   2.12   1.21NA   1.21    0.24   3.57  3.570000.00.00.0030100       45330 36.0896 090 99      0.00   0.00   0.00
45342  Sigmoidoscopy w/us guide bx                       A   2.98   1.59NA   1.59    0.32   4.89  4.890000.00.00.0030100       45330 36.0896 090 99      0.00   0.00   0.00
45346  Sigmoidoscopy w/ablation                          A   2.81  75.13     1.49    0.32  78.26  4.620000.00.00.0030100       45330 36.0896 090 99      0.00   0.00   0.00
45347  Sigmoidoscopy w/plcmt stent                       A   2.72   1.42NA   1.42    0.30   4.44  4.440000.00.00.0030100       45330 36.0896 090 99      0.00   0.00   0.00
45349  Sigmoidoscopy w/resection                         A   3.52   1.82NA   1.82    0.39   5.73  5.730000.00.00.0030100       45330 36.0896 090 99      0.00   0.00   0.00
45350  Sgmdsc w/band ligation                            A   1.68  15.91     1.02    0.22  17.81  2.920000.00.00.0030100       45330 36.0896 090 99      0.00   0.00   0.00
45378  Diagnostic colonoscopy                            A   3.26   5.75     1.68    0.41   9.42  5.350000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
4537853Diagnostic colonoscopy                            A   1.63   2.88     0.84    0.21   4.72  2.680000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
45379  Colonoscopy w/fb removal                          A   4.28   7.36     2.12    0.51  12.15  6.910000.00.00.0030100       45378 36.0896 090 99      0.00   0.00   0.00
45380  Colonoscopy and biopsy                            A   3.56   8.16     1.82    0.41  12.13  5.790000.00.00.0030100       45378 36.0896 090 99      0.00   0.00   0.00
45381  Colonoscopy submucous njx                         A   3.56   8.07     1.82    0.41  12.04  5.790000.00.00.0030100       45378 36.0896 090 99      0.00   0.00   0.00
45382  Colonoscopy w/control bleed                       A   4.66  14.85     2.31    0.51  20.02  7.480000.00.00.0030100       45378 36.0896 090 99      0.00   0.00   0.00
45384  Colonoscopy w/lesion removal                      A   4.07   8.90     1.97    0.56  13.53  6.600000.00.00.0030100       45378 36.0896 090 99      0.00   0.00   0.00
45385  Colonoscopy w/lesion removal                      A   4.57   7.58     2.26    0.52  12.67  7.350000.00.00.0030100       45378 36.0896 090 99      0.00   0.00   0.00
45386  Colonoscopy w/balloon dilat                       A   3.77  13.20     1.90    0.44  17.41  6.110000.00.00.0030100       45378 36.0896 090 99      0.00   0.00   0.00
45388  Colonoscopy w/ablation                            A   4.88  77.42     2.35    0.60  82.90  7.830000.00.00.0030100       45378 36.0896 090 99      0.00   0.00   0.00
45389  Colonoscopy w/stent plcmt                         A   5.24   2.53NA   2.53    0.60   8.37  8.370000.00.00.0030100       45378 36.0896 090 99      0.00   0.00   0.00
45390  Colonoscopy w/resection                           A   6.04   2.92NA   2.92    0.63   9.59  9.590000.00.00.0030100       45378 36.0896 090 99      0.00   0.00   0.00
45391  Colonoscopy w/endoscope us                        A   4.64   2.30NA   2.30    0.49   7.43  7.430000.00.00.0030100       45378 36.0896 090 99      0.00   0.00   0.00
45392  Colonoscopy w/endoscopic fnb                      A   5.50   2.68NA   2.68    0.60   8.78  8.780000.00.00.0030100       45378 36.0896 090 99      0.00   0.00   0.00
45393  Colonoscopy w/decompression                       A   4.68   2.05NA   2.05    0.58   7.31  7.310000.00.00.0030100       45378 36.0896 090 99      0.00   0.00   0.00
45395  Lap removal of rectum                             A  33.00  18.23NA  18.23    5.65  56.88 56.880090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
45397  Lap remove rectum w/pouch                         A  36.50  19.53NA  19.53    5.83  61.86 61.860090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
45398  Colonoscopy w/band ligation                       A   4.20  17.55     2.01    0.62  22.37  6.830000.00.00.0030100       45378 36.0896 090 99      0.00   0.00   0.00
45399  Unlisted procedure colon                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020111             36.0896 090 99      0.00   0.00   0.00
4540F  Disease modif pharmacothxpy                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
45400  Laparoscopic proc                                 A  19.44  10.24NA  10.24    3.19  32.87 32.870090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
45402  Lap proctopexy w/sig resect                       A  26.51  12.84NA  12.84    4.53  43.88 43.880090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
4541F  Pt offered tx for pseudobulb                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
45499  Laparoscope proc rectum                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             36.0896 090 99      0.00   0.00   0.00
4550F  Noninvas resp support talk                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
45500  Repair of rectum                                  A   7.73   6.76NA   6.76    1.88  16.37 16.370090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
45505  Repair of rectum                                  A   8.36   7.45NA   7.45    1.43  17.24 17.240090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
4551F  Nutritional support offered                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4552F  Pt ref for speech lang path                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
45520  Treatment of rectal prolapse                      A   0.55   3.82     0.52    0.08   4.45  1.150000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
4553F  Pt asst re end life issues                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4554F  Pt recvd inhal anesthetic                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
45540  Correct rectal prolapse                           A  18.12   9.48NA   9.48    3.06  30.66 30.660090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
45541  Correct rectal prolapse                           A  14.85   9.68NA   9.68    2.82  27.35 27.350090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
4555F  Pt recvd no inhal anesthic                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
45550  Repair rectum/remove sigmoid                      A  24.80  13.20NA  13.20    4.38  42.38 42.380090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
4556F  Pt w/3+ post-op nausea&vom                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
45560  Repair of rectocele                               A  11.50   6.82NA   6.82    1.70  20.02 20.020090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
45562  Exploration/repair of rectum                      A  17.98  11.06NA  11.06    3.68  32.72 32.720090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
45563  Exploration/repair of rectum                      A  26.38  15.51NA  15.51    6.41  48.30 48.300090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
4557F  Pt w/o 3+ post-opnausea&vom                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4558F  Pt recvd 2 rx anti-emet agt                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4559F  1 bodytemp >=35.5cw/in 30min                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4560F  Anesth w/o gen/neurax anesth                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4561F  Pt w/ coronary artery stent                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4562F  Pt w/o coronary artery stent                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
4563F  Pt recvd aspirin w/in 24 hrs                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
45800  Repair rect/bladder fistula                       A  20.31  11.72NA  11.72    4.92  36.95 36.950090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
45805  Repair fistula w/colostomy                        A  23.32  13.84NA  13.84    5.65  42.81 42.810090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
45820  Repair rectourethral fistula                      A  20.37  11.74NA  11.74    4.94  37.05 37.050090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
45825  Repair fistula w/colostomy                        A  24.17  14.71NA  14.71    5.86  44.74 44.740090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
45900  Reduction of rectal prolapse                      A   2.99   2.42NA   2.42    0.73   6.14  6.140010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
45905  Dilation of anal sphincter                        A   2.35   2.10NA   2.10    0.41   4.86  4.860010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
45910  Dilation of rectal narrowing                      A   2.85   2.23NA   2.23    0.46   5.54  5.540010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
45915  Remove rectal obstruction                         A   3.19   6.17     2.92    0.54   9.90  6.650010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
45990  Surg dx exam anorectal                            A   1.80   0.96NA   0.96    0.31   3.07  3.070000.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
45999  Rectum surgery procedure                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
46020  Placement of seton                                A   3.00   4.57     3.29    0.53   8.10  6.820010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
46030  Removal of rectal marker                          A   1.26   2.65     1.11    0.22   4.13  2.590010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
46040  Incision of rectal abscess                        A   5.37   9.23     5.66    1.13  15.73 12.160090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
46045  Incision of rectal abscess                        A   5.87   5.62NA   5.62    1.17  12.66 12.660090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
46050  Incision of anal abscess                          A   1.24   4.78     1.36    0.25   6.27  2.850010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
46060  Incision of rectal abscess                        A   6.37   6.39NA   6.39    1.15  13.91 13.910090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
46070  Incision of anal septum                           A   2.79   4.20NA   4.20    0.66   7.65  7.650090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
46080  Incision of anal sphincter                        A   2.52   4.71     1.57    0.51   7.74  4.600010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
46083  Incise external hemorrhoid                        A   1.45   3.80     1.41    0.27   5.52  3.130010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
46200  Removal of anal fissure                           A   3.59   9.04     5.33    0.62  13.25  9.540090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
46220  Excise anal ext tag/papilla                       A   1.61   4.65     1.54    0.28   6.54  3.430010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
46221  Ligation of hemorrhoid(s)                         A   2.36   5.16     2.84    0.32   7.84  5.520010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
46230  Removal of anal tags                              A   2.62   5.35     1.92    0.46   8.43  5.000010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
46250  Remove ext hem groups 2+                          A   4.25   8.58     4.15    0.79  13.62  9.190090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
46255  Remove int/ext hem 1 group                        A   4.96   8.99     4.41    0.93  14.88 10.300090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
46257  Remove in/ex hem grp & fiss                       A   5.76   5.52NA   5.52    1.07  12.35 12.350090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
46258  Remove in/ex hem grp w/fistu                      A   6.41   5.75NA   5.75    1.56  13.72 13.720090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
46260  Remove in/ex hem groups 2+                        A   6.73   5.86NA   5.86    1.28  13.87 13.870090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
46261  Remove in/ex hem grps & fiss                      A   7.76   6.08NA   6.08    1.32  15.16 15.160090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
46262  Remove in/ex hem grps w/fist                      A   7.91   6.89NA   6.89    1.28  16.08 16.080090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
46270  Remove anal fist subq                             A   4.92   9.19     5.56    0.95  15.06 11.430090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
46275  Remove anal fist inter                            A   5.42   9.53     5.69    0.92  15.87 12.030090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
46280  Remove anal fist complex                          A   6.39   6.25NA   6.25    1.07  13.71 13.710090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
46285  Remove anal fist 2 stage                          A   5.42   9.47     5.71    0.89  15.78 12.020090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
46288  Repair anal fistula                               A   7.81   6.87NA   6.87    1.26  15.94 15.940090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
46320  Removal of hemorrhoid clot                        A   1.64   3.73     1.30    0.28   5.65  3.220010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
46500  Injection into hemorrhoid(s)                      A   1.74   6.53     3.19    0.27   8.54  5.200010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
46505  Chemodenervation anal musc                        A   3.18   4.84     3.29    0.53   8.55  7.000010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
46600  Diagnostic anoscopy spx                           A   0.55   2.30     0.53    0.09   2.94  1.170000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
46601  Diagnostic anoscopy                               A   1.60   2.31     0.92    0.19   4.10  2.710000.00.00.0030100       46600 36.0896 090 99      0.00   0.00   0.00
46604  Anoscopy and dilation                             A   1.03  17.81     0.71    0.15  18.99  1.890000.00.00.0030100       46600 36.0896 090 99      0.00   0.00   0.00
46606  Anoscopy and biopsy                               A   1.20   5.92     0.78    0.19   7.31  2.170000.00.00.0030100       46600 36.0896 090 99      0.00   0.00   0.00
46607  Diagnostic anoscopy & biopsy                      A   2.20   3.27     1.17    0.28   5.75  3.650000.00.00.0030100       46600 36.0896 090 99      0.00   0.00   0.00
46608  Anoscopy remove for body                          A   1.30   6.06     0.82    0.32   7.68  2.440000.00.00.0030100       46600 36.0896 090 99      0.00   0.00   0.00
46610  Anoscopy remove lesion                            A   1.28   5.77     0.81    0.25   7.30  2.340000.00.00.0030100       46600 36.0896 090 99      0.00   0.00   0.00
46611  Anoscopy                                          A   1.30   4.29     0.82    0.19   5.78  2.310000.00.00.0030100       46600 36.0896 090 99      0.00   0.00   0.00
46612  Anoscopy remove lesions                           A   1.50   7.03     0.89    0.37   8.90  2.760000.00.00.0030100       46600 36.0896 090 99      0.00   0.00   0.00
46614  Anoscopy control bleeding                         A   1.00   3.06     0.70    0.15   4.21  1.850000.00.00.0030100       46600 36.0896 090 99      0.00   0.00   0.00
46615  Anoscopy                                          A   1.50   2.89     0.93    0.21   4.60  2.640000.00.00.0030100       46600 36.0896 090 99      0.00   0.00   0.00
46700  Repair of anal stricture                          A   9.81   7.60NA   7.60    1.56  18.97 18.970090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
46705  Repair of anal stricture                          A   7.43   7.11NA   7.11    1.80  16.34 16.340090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
46706  Repr of anal fistula w/glue                       A   2.44   2.10NA   2.10    0.60   5.14  5.140010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
46707  Repair anorectal fist w/plug                      A   6.39   6.46NA   6.46    1.56  14.41 14.410090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
46710  Repr per/vag pouch sngl proc                      A  17.14  11.03NA  11.03    4.16  32.33 32.330090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
46712  Repr per/vag pouch dbl proc                       A  36.45  19.68NA  19.68    8.88  65.01 65.010090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
46715  Rep perf anoper fistu                             A   7.62   6.51NA   6.51    1.86  15.99 15.990090.09.81.1020200             36.0896 090 99      0.00   0.00   0.00
46716  Rep perf anoper/vestib fistu                      A  17.54  13.65NA  13.65    4.25  35.44 35.440090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
46730  Construction of absent anus                       A  30.65  19.36NA  19.36    7.47  57.48 57.480090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
46735  Construction of absent anus                       A  36.14  21.34NA  21.34    8.80  66.28 66.280090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
46740  Construction of absent anus                       A  33.90  20.63NA  20.63    8.23  62.76 62.760090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
46742  Repair of imperforated anus                       A  40.14  22.79NA  22.79    9.77  72.70 72.700090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
46744  Repair of cloacal anomaly                         A  58.94  29.64NA  29.64   14.48 103.06103.060090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
46746  Repair of cloacal anomaly                         A  65.44  32.09NA  32.09   16.18 113.71113.710090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
46748  Repair of cloacal anomaly                         A  71.42  34.25NA  34.25   17.75 123.42123.420090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
46750  Repair of anal sphincter                          A  12.15   7.75NA   7.75    1.85  21.75 21.750090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
46751  Repair of anal sphincter                          A   9.30   7.68NA   7.68    2.25  19.23 19.230090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
46753  Reconstruction of anus                            A   8.89   6.88NA   6.88    2.17  17.94 17.940090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
46754  Removal of suture from anus                       A   3.01   5.90     3.36    0.39   9.30  6.760010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
46760  Repair of anal sphincter                          A  17.45  11.95NA  11.95    2.20  31.60 31.600090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
46761  Repair of anal sphincter                          A  15.29   8.99NA   8.99    2.38  26.66 26.660090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
46900  Destruction anal lesion(s)                        A   1.91   4.59     1.74    0.27   6.77  3.920010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
46910  Destruction anal lesion(s)                        A   1.91   5.18     1.63    0.30   7.39  3.840010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
46916  Cryosurgery anal lesion(s)                        A   1.91   4.91     1.97    0.18   7.00  4.060010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
46917  Laser surgery anal lesions                        A   1.91   9.77     1.47    0.30  11.98  3.680010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
46922  Excision of anal lesion(s)                        A   1.91   6.13     1.67    0.35   8.39  3.930010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
46924  Destruction anal lesion(s)                        A   2.81  12.15     1.97    0.42  15.38  5.200010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
46930  Destroy internal hemorrhoids                      A   1.61   4.29     2.50    0.22   6.12  4.330090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
46940  Treatment of anal fissure                         A   2.35   4.38     1.49    0.32   7.05  4.160010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
46942  Treatment of anal fissure                         A   2.07   4.37     1.39    0.28   6.72  3.740010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
46945  Int hrhc lig 1 hroid w/o img                      A   3.69   5.31NA   5.31    0.63   9.63  9.630090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
46946  Int hrhc lig 2+hroid w/o img                      A   4.50   5.62NA   5.62    0.74  10.86 10.860090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
46947  Hemorrhoidopexy by stapling                       A   5.57   4.42NA   4.42    1.16  11.15 11.150090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
46948  Int hrhc tranal dartlzj 2+                        A   5.57   6.05NA   6.05    1.09  12.71 12.710090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
46999  Anus surgery procedure                            C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
47000  Needle biopsy of liver                            A   1.65   7.07     0.78    0.13   8.85  2.560000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
47001  Needle biopsy liver add-on                        A   1.90   0.68NA   0.68    0.46   3.04  3.040ZZZ.00.00.0000110             36.0896 090 99      0.00   0.00   0.00
47010  Open drainage liver lesion                        A  19.40  11.35NA  11.35    4.49  35.24 35.240090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47015  Inject/aspirate liver cyst                        A  18.50  10.97NA  10.97    4.50  33.97 33.970090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47100  Wedge biopsy of liver                             A  12.91   8.71NA   8.71    3.02  24.64 24.640090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47120  Partial removal of liver                          A  39.01  19.82NA  19.82    9.18  68.01 68.010090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47122  Extensive removal of liver                        A  59.48  26.54NA  26.54   14.08 100.10100.100090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47125  Partial removal of liver                          A  53.04  24.12NA  24.12   12.64  89.80 89.800090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47130  Partial removal of liver                          A  57.19  25.63NA  25.63   13.63  96.45 96.450090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47133  Removal of donor liver                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
47135  Transplantation of liver                          R  90.00  45.00NA  45.00   22.05 157.05157.050090.09.81.1020212             36.0896 090 99      0.00   0.00   0.00
47140  Partial removal donor liver                       A  59.40  30.00NA  30.00   14.58 103.98103.980090.09.81.1020212             36.0896 090 99      0.00   0.00   0.00
47141  Partial removal donor liver                       A  71.50  35.29NA  35.29   17.76 124.55124.550090.09.81.1020212             36.0896 090 99      0.00   0.00   0.00
47142  Partial removal donor liver                       A  79.44  38.14NA  38.14   19.84 137.42137.420090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47143  Prep donor liver whole                            C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
47144  Prep donor liver 3-segment                        C   0.00   0.00     0.00    0.00   0.00  0.000090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47145  Prep donor liver lobe split                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
47146  Prep donor liver/venous                           A   6.00   2.16NA   2.16    1.41   9.57  9.570XXX.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
47147  Prep donor liver/arterial                         A   7.00   2.52NA   2.52    1.64  11.16 11.160XXX.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
47300  Surgery for liver lesion                          A  18.14  10.51NA  10.51    4.27  32.92 32.920090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47350  Repair liver wound                                A  22.49  12.21NA  12.21    5.18  39.88 39.880090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47360  Repair liver wound                                A  31.31  15.88NA  15.88    7.61  54.80 54.800090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47361  Repair liver wound                                A  52.60  23.62NA  23.62   12.11  88.33 88.330090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47362  Repair liver wound                                A  23.54  13.08NA  13.08    5.71  42.33 42.330090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47370  Laparo ablate liver tumor rf                      A  20.80  10.69NA  10.69    4.92  36.41 36.410090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47371  Laparo ablate liver cryosurg                      A  20.80  10.82NA  10.82    5.05  36.67 36.670090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47379  Laparoscope procedure liver                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             36.0896 090 99      0.00   0.00   0.00
47380  Open ablate liver tumor rf                        A  24.56  12.00NA  12.00    5.55  42.11 42.110090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47381  Open ablate liver tumor cryo                      A  24.88  12.29NA  12.29    6.04  43.21 43.210090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47382  Percut ablate liver rf                            A  14.97 109.03     5.21    1.30 125.30 21.480010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
47383  Perq abltj lvr cryoablation                       A   8.88 185.37     3.45    0.85 195.10 13.180010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
47399  Liver surgery procedure                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020111             36.0896 090 99      0.00   0.00   0.00
47400  Incision of liver duct                            A  36.36  17.70NA  17.70    8.85  62.91 62.910090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47420  Incision of bile duct                             A  22.03  11.89NA  11.89    5.18  39.10 39.100090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47425  Incision of bile duct                             A  22.31  12.19NA  12.19    5.41  39.91 39.910090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47460  Incise bile duct sphincter                        A  20.52  11.55NA  11.55    5.00  37.07 37.070090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47480  Incision of gallbladder                           A  13.25   9.27NA   9.27    3.10  25.62 25.620090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47490  Incision of gallbladder                           A   4.76   4.42NA   4.42    0.41   9.59  9.590010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
47531  Injection for cholangiogram                       A   1.30   9.58     0.63    0.11  10.99  2.040000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
47532  Injection for cholangiogram                       A   4.25  19.49     1.51    0.40  24.14  6.160000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
47533  Plmt biliary drainage cath                        A   5.38  29.94     1.86    0.48  35.80  7.720000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
47534  Plmt biliary drainage cath                        A   7.60  32.45     2.53    0.64  40.69 10.770000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
47535  Conversion ext bil drg cath                       A   3.95  23.90     1.39    0.34  28.19  5.680000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
47536  Exchange biliary drg cath                         A   2.61  17.00     0.99    0.24  19.85  3.840000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
47537  Removal biliary drg cath                          A   1.84  10.81     0.79    0.16  12.81  2.790000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
47538  Perq plmt bile duct stent                         A   4.75 116.70     1.70    0.42 121.87  6.870000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
47539  Perq plmt bile duct stent                         A   8.75 124.83     2.78    0.79 134.37 12.320000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
47540  Perq plmt bile duct stent                         A   9.03 127.27     2.98    0.79 137.09 12.800000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
47541  Plmt access bil tree sm bwl                       A   6.75  27.27     2.29    0.60  34.62  9.640000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
47542  Dilate biliary duct/ampulla                       A   2.85  11.67     0.85    0.26  14.78  3.960ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
47543  Endoluminal bx biliary tree                       A   3.00   9.92     0.94    0.27  13.19  4.210ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
47544  Removal duct glbldr calculi                       A   3.28  24.74     0.99    0.28  28.30  4.550ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
47550  Bile duct endoscopy add-on                        A   3.02   1.09NA   1.09    0.70   4.81  4.810ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
47552  Biliary endo perq dx w/speci                      A   6.03   1.35NA   1.35    0.58   7.96  7.960000.00.00.0020110             36.0896 090 99      0.00   0.00   0.00
47553  Biliary endoscopy thru skin                       A   6.34   1.08NA   1.08    0.62   8.04  8.040000.00.00.0030100       47552 36.0896 090 99      0.00   0.00   0.00
47554  Biliary endoscopy thru skin                       A   9.05   3.78NA   3.78    2.20  15.03 15.030000.00.00.0030110       47552 36.0896 090 99      0.00   0.00   0.00
47555  Biliary endoscopy thru skin                       A   7.55   1.27NA   1.27    0.74   9.56  9.560000.00.00.0030100       47552 36.0896 090 99      0.00   0.00   0.00
47556  Biliary endoscopy thru skin                       A   8.55   1.44NA   1.44    0.84  10.83 10.830000.00.00.0030100       47552 36.0896 090 99      0.00   0.00   0.00
47562  Laparoscopic cholecystectomy                      A  10.47   6.22NA   6.22    2.50  19.19 19.190090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47563  Laparo cholecystectomy/graph                      A  11.47   6.68NA   6.68    2.74  20.89 20.890090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47564  Laparo cholecystectomy/explr                      A  18.00  10.19NA  10.19    4.29  32.48 32.480090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47570  Laparo cholecystoenterostomy                      A  12.56   7.00NA   7.00    3.06  22.62 22.620090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47579  Laparoscope proc biliary                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             36.0896 090 99      0.00   0.00   0.00
47600  Removal of gallbladder                            A  17.48   9.56NA   9.56    4.13  31.17 31.170090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47605  Removal of gallbladder                            A  18.48   9.93NA   9.93    4.39  32.80 32.800090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47610  Removal of gallbladder                            A  20.92  10.70NA  10.70    5.00  36.62 36.620090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47612  Removal of gallbladder                            A  21.21  10.88NA  10.88    5.15  37.24 37.240090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47620  Removal of gallbladder                            A  23.07  11.55NA  11.55    5.58  40.20 40.200090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47700  Exploration of bile ducts                         A  16.50  10.31NA  10.31    4.00  30.81 30.810090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47701  Bile duct revision                                A  28.73  15.02NA  15.02    6.97  50.72 50.720090.09.81.1020000             36.0896 090 99      0.00   0.00   0.00
47711  Excision of bile duct tumor                       A  25.90  13.49NA  13.49    6.05  45.44 45.440090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47712  Excision of bile duct tumor                       A  33.72  16.44NA  16.44    8.19  58.35 58.350090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47715  Excision of bile duct cyst                        A  21.55  12.06NA  12.06    5.25  38.86 38.860090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47720  Fuse gallbladder & bowel                          A  18.34  10.91NA  10.91    4.46  33.71 33.710090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47721  Fuse upper gi structures                          A  21.99  12.22NA  12.22    5.34  39.55 39.550090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47740  Fuse gallbladder & bowel                          A  21.23  11.96NA  11.96    5.16  38.35 38.350090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47741  Fuse gallbladder & bowel                          A  24.21  13.02NA  13.02    5.87  43.10 43.100090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47760  Fuse bile ducts and bowel                         A  38.32  18.34NA  18.34    9.03  65.69 65.690090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47765  Fuse liver ducts & bowel                          A  52.19  23.82NA  23.82   12.77  88.78 88.780090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47780  Fuse bile ducts and bowel                         A  42.32  19.85NA  19.85    9.98  72.15 72.150090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47785  Fuse bile ducts and bowel                         A  56.19  25.23NA  25.23   13.42  94.84 94.840090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47800  Reconstruction of bile ducts                      A  26.17  13.70NA  13.70    6.12  45.99 45.990090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47801  Placement bile duct support                       A  17.60  10.64NA  10.64    4.28  32.52 32.520090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47802  Fuse liver duct & intestine                       A  24.93  13.59NA  13.59    6.05  44.57 44.570090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47900  Suture bile duct injury                           A  22.44  12.03NA  12.03    5.31  39.78 39.780090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
47999  Bile tract surgery procedure                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020111             36.0896 090 99      0.00   0.00   0.00
48000  Drainage of abdomen                               A  31.95  15.29NA  15.29    7.79  55.03 55.030090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
48001  Placement of drain pancreas                       A  39.69  18.08NA  18.08    9.65  67.42 67.420090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
48020  Removal of pancreatic stone                       A  19.09  10.66NA  10.66    4.63  34.38 34.380090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
48100  Biopsy of pancreas open                           A  14.46   8.02NA   8.02    3.29  25.77 25.770090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
48102  Needle biopsy pancreas                            A   4.70  10.29     1.81    0.41  15.40  6.920010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
48105  Resect/debride pancreas                           A  49.26  22.62NA  22.62   10.90  82.78 82.780090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
48120  Removal of pancreas lesion                        A  18.41   9.64NA   9.64    4.16  32.21 32.210090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
48140  Partial removal of pancreas                       A  26.32  13.09NA  13.09    6.17  45.58 45.580090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
48145  Partial removal of pancreas                       A  27.39  13.65NA  13.65    6.65  47.69 47.690090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
48146  Pancreatectomy                                    A  30.60  16.95NA  16.95    7.42  54.97 54.970090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
48148  Removal of pancreatic duct                        A  20.39  11.13NA  11.13    4.94  36.46 36.460090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
48150  Partial removal of pancreas                       A  52.84  25.44NA  25.44   12.61  90.89 90.890090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
48152  Pancreatectomy                                    A  48.65  23.92NA  23.92   11.88  84.45 84.450090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
48153  Pancreatectomy                                    A  52.79  25.19NA  25.19   12.55  90.53 90.530090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
48154  Pancreatectomy                                    A  48.88  24.00NA  24.00   11.93  84.81 84.810090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
48155  Removal of pancreas                               A  29.45  16.46NA  16.46    6.90  52.81 52.810090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
48160  Pancreas removal/transplant                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
48400  Injection intraop add-on                          A   1.95   0.71NA   0.71    0.48   3.14  3.140ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
48500  Surgery of pancreatic cyst                        A  18.16  11.01NA  11.01    4.41  33.58 33.580090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
48510  Drain pancreatic pseudocyst                       A  17.19  10.65NA  10.65    4.17  32.01 32.010090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
48520  Fuse pancreas cyst and bowel                      A  18.15   9.47NA   9.47    4.25  31.87 31.870090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
48540  Fuse pancreas cyst and bowel                      A  21.94  10.97NA  10.97    5.33  38.24 38.240090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
48545  Pancreatorrhaphy                                  A  22.23  11.66NA  11.66    5.39  39.28 39.280090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
48547  Duodenal exclusion                                A  30.38  14.59NA  14.59    7.39  52.36 52.360090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
48548  Fuse pancreas and bowel                           A  28.09  13.83NA  13.83    6.65  48.57 48.570090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
48550  Donor pancreatectomy                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
48551  Prep donor pancreas                               C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
48552  Prep donor pancreas/venous                        A   4.30   1.55NA   1.55    1.04   6.89  6.890XXX.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
48554  Transpl allograft pancreas                        R  37.80  27.72NA  27.72    8.93  74.45 74.450090.09.81.1020222             36.0896 090 99      0.00   0.00   0.00
48556  Removal allograft pancreas                        A  19.47  12.93NA  12.93    4.73  37.13 37.130090.09.81.1020222             36.0896 090 99      0.00   0.00   0.00
48999  Pancreas surgery procedure                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             36.0896 090 99      0.00   0.00   0.00
49000  Exploration of abdomen                            A  12.54   7.01NA   7.01    2.83  22.38 22.380090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
49002  Reopening of abdomen                              A  17.63   8.81NA   8.81    4.00  30.44 30.440090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
49010  Exploration behind abdomen                        A  16.06   7.37NA   7.37    3.46  26.89 26.890090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
49013  Prpertl pel pack hemrrg trma                      A   8.35   2.93NA   2.93    1.43  12.71 12.710000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
49014  Reexploration pelvic wound                        A   6.73   2.62NA   2.62    1.16  10.51 10.510000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
49020  Drainage abdom abscess open                       A  26.67  13.74NA  13.74    5.95  46.36 46.360090.09.81.1020200             36.0896 090 99      0.00   0.00   0.00
49040  Drain open abdom abscess                          A  16.52   8.91NA   8.91    3.73  29.16 29.160090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
49060  Drain open retroperi abscess                      A  18.53   9.46NA   9.46    4.03  32.02 32.020090.09.81.1020110             36.0896 090 99      0.00   0.00   0.00
49062  Drain to peritoneal cavity                        A  12.22   7.18NA   7.18    2.98  22.38 22.380090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
49082  Abd paracentesis                                  A   1.24   4.40     0.72    0.18   5.82  2.140000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
49083  Abd paracentesis w/imaging                        A   2.00   6.38     0.93    0.18   8.56  3.110000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
49084  Peritoneal lavage                                 A   2.00   0.73NA   0.73    0.43   3.16  3.160000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
49180  Biopsy abdominal mass                             A   1.73   3.00     0.57    0.13   4.86  2.430000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
49185  Sclerotx fluid collection                         A   2.35  30.85     0.90    0.22  33.42  3.470000.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
49203  Exc abd tum 5 cm or less                          A  20.13  10.38NA  10.38    4.17  34.68 34.680090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
49204  Exc abd tum over 5 cm                             A  26.13  12.75NA  12.75    5.33  44.21 44.210090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
49205  Exc abd tum over 10 cm                            A  30.13  14.39NA  14.39    6.12  50.64 50.640090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
49215  Excise sacral spine tumor                         A  37.81  18.68NA  18.68    7.99  64.48 64.480090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
49220  Multiple surgery abdomen                          A  15.79   8.74NA   8.74    3.83  28.36 28.360090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
49250  Excision of umbilicus                             A   9.01   6.09NA   6.09    1.99  17.09 17.090090.09.81.1020110             36.0896 090 99      0.00   0.00   0.00
49255  Removal of omentum                                A  12.56   7.72NA   7.72    2.58  22.86 22.860090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
49320  Diag laparo separate proc                         A   5.14   3.26NA   3.26    1.14   9.54  9.540010.10.80.1020200             36.0896 090 99      0.00   0.00   0.00
49321  Laparoscopy biopsy                                A   5.44   3.40NA   3.40    1.18  10.02 10.020010.10.80.1030220       49320 36.0896 090 99      0.00   0.00   0.00
49322  Laparoscopy aspiration                            A   6.01   3.55NA   3.55    1.29  10.85 10.850010.10.80.1030220       49320 36.0896 090 99      0.00   0.00   0.00
49323  Laparo drain lymphocele                           A  10.23   6.13NA   6.13    2.28  18.64 18.640090.10.80.1030220       49320 36.0896 090 99      0.00   0.00   0.00
49324  Lap insert tunnel ip cath                         A   6.32   3.52NA   3.52    1.50  11.34 11.340010.10.80.1030220       49320 36.0896 090 99      0.00   0.00   0.00
49325  Lap revision perm ip cath                         A   6.82   3.65NA   3.65    1.63  12.10 12.100010.10.80.1030220       49320 36.0896 090 99      0.00   0.00   0.00
49326  Lap w/omentopexy add-on                           A   3.50   1.18NA   1.18    0.84   5.52  5.520ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
49327  Lap ins device for rt                             A   2.38   0.86NA   0.86    0.57   3.81  3.810ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
49329  Laparo proc abdm/per/oment                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             36.0896 090 99      0.00   0.00   0.00
49400  Air injection into abdomen                        A   1.88   2.06     0.59    0.21   4.15  2.680000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
49402  Remove foreign body adbomen                       A  14.09   7.62NA   7.62    3.22  24.93 24.930090.09.81.1020110             36.0896 090 99      0.00   0.00   0.00
49405  Image cath fluid colxn visc                       A   4.00  20.79     1.36    0.35  25.14  5.710000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
49406  Image cath fluid peri/retro                       A   4.00  20.79     1.36    0.34  25.13  5.700000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
49407  Image cath fluid trns/vgnl                        A   4.25  15.99     1.39    0.41  20.65  6.050000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
49411  Ins mark abd/pel for rt perq                      A   3.57  10.05     1.46    0.30  13.92  5.330000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
49412  Ins device for rt guide open                      A   1.50   0.54NA   0.54    0.37   2.41  2.410ZZZ.00.00.0000010             36.0896 090 99      0.00   0.00   0.00
49418  Insert tun ip cath perc                           A   3.96  29.76     1.53    0.39  34.11  5.880000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
49419  Insert tun ip cath w/port                         A   7.08   4.19NA   4.19    1.25  12.52 12.520090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
49421  Ins tun ip cath for dial opn                      A   4.21   1.49NA   1.49    0.95   6.65  6.650000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
49422  Remove tunneled ip cath                           A   4.00   1.57NA   1.57    0.89   6.46  6.460000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
49423  Exchange drainage catheter                        A   1.46  15.40     0.47    0.12  16.98  2.050000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
49424  Assess cyst contrast inject                       A   0.76   3.95     0.27    0.08   4.79  1.110000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
49425  Insert abdomen-venous drain                       A  12.22   6.37NA   6.37    2.15  20.74 20.740090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
49426  Revise abdomen-venous shunt                       A  10.41   6.49NA   6.49    2.55  19.45 19.450090.09.81.1020100             36.0896 090 99      0.00   0.00   0.00
49427  Injection abdominal shunt                         A   0.89   0.15NA   0.15    0.09   1.13  1.130000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
49428  Ligation of shunt                                 A   6.87   4.03NA   4.03    1.68  12.58 12.580010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
49429  Removal of shunt                                  A   7.44   4.12NA   4.12    1.80  13.36 13.360010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
49435  Insert subq exten to ip cath                      A   2.25   0.71NA   0.71    0.54   3.50  3.500ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
49436  Embedded ip cath exit-site                        A   2.72   2.06NA   2.06    0.64   5.42  5.420010.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
49440  Place gastrostomy tube perc                       A   3.93  22.35     1.63    0.37  26.65  5.930010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
49441  Place duod/jej tube perc                          A   4.52  25.11     1.91    0.56  30.19  6.990010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
49442  Place cecostomy tube perc                         A   3.75  21.18     1.95    0.30  25.23  6.000010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
49446  Change g-tube to g-j perc                         A   3.06  22.28     0.97    0.27  25.61  4.300000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
49450  Replace g/c tube perc                             A   1.36  17.28     0.43    0.12  18.76  1.910000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
49451  Replace duod/jej tube perc                        A   1.84  18.31     0.59    0.18  20.33  2.610000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
49452  Replace g-j tube perc                             A   2.86  21.77     0.90    0.26  24.89  4.020000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
49460  Fix g/colon tube w/device                         A   0.96  19.73     0.34    0.11  20.80  1.410000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
49465  Fluoro exam of g/colon tube                       A   0.62   3.67     0.22    0.05   4.34  0.890000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
49491  Rpr hern preemie reduc                            A  12.53   7.61NA   7.61    3.06  23.20 23.200090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49492  Rpr ing hern premie blocked                       A  15.43   8.75NA   8.75    3.75  27.93 27.930090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49495  Rpr ing hernia baby reduc                         A   6.20   4.19NA   4.19    1.50  11.89 11.890090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49496  Rpr ing hernia baby blocked                       A   9.42   6.17NA   6.17    2.29  17.88 17.880090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49500  Rpr ing hernia init reduce                        A   5.84   4.73NA   4.73    1.42  11.99 11.990090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49501  Rpr ing hernia init blocked                       A   9.36   5.99NA   5.99    2.28  17.63 17.630090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49505  Prp i/hern init reduc >5 yr                       A   7.96   5.32NA   5.32    1.89  15.17 15.170090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49507  Prp i/hern init block >5 yr                       A   9.09   5.81NA   5.81    2.17  17.07 17.070090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49520  Rerepair ing hernia reduce                        A   9.99   6.04NA   6.04    2.37  18.40 18.400090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49521  Rerepair ing hernia blocked                       A  11.48   6.67NA   6.67    2.74  20.89 20.890090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49525  Repair ing hernia sliding                         A   8.93   5.65NA   5.65    2.13  16.71 16.710090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49540  Repair lumbar hernia                              A  10.74   6.38NA   6.38    2.52  19.64 19.640090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49550  Rpr rem hernia init reduce                        A   8.99   5.66NA   5.66    2.13  16.78 16.780090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49553  Rpr fem hernia init blocked                       A   9.92   6.11NA   6.11    2.35  18.38 18.380090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49555  Rerepair fem hernia reduce                        A   9.39   5.90NA   5.90    2.25  17.54 17.540090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49557  Rerepair fem hernia blocked                       A  11.62   6.71NA   6.71    2.75  21.08 21.080090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49560  Rpr ventral hern init reduc                       A  11.92   6.78NA   6.78    2.80  21.50 21.500090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49561  Rpr ventral hern init block                       A  15.38   8.07NA   8.07    3.64  27.09 27.090090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49565  Rerepair ventrl hern reduce                       A  12.37   7.12NA   7.12    2.89  22.38 22.380090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49566  Rerepair ventrl hern block                        A  15.53   8.15NA   8.15    3.66  27.34 27.340090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49568  Hernia repair w/mesh                              A   4.88   1.77NA   1.77    1.15   7.80  7.800ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
49570  Rpr epigastric hern reduce                        A   6.05   4.64NA   4.64    1.43  12.12 12.120090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49572  Rpr epigastric hern blocked                       A   7.87   5.30NA   5.30    1.89  15.06 15.060090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49580  Rpr umbil hern reduc < 5 yr                       A   4.47   4.14NA   4.14    1.08   9.69  9.690090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
49582  Rpr umbil hern block < 5 yr                       A   7.13   5.20NA   5.20    1.72  14.05 14.050090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
49585  Rpr umbil hern reduc > 5 yr                       A   6.59   4.82NA   4.82    1.55  12.96 12.960090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
49587  Rpr umbil hern block > 5 yr                       A   7.08   5.10NA   5.10    1.68  13.86 13.860090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
49590  Repair spigelian hernia                           A   8.90   5.65NA   5.65    2.13  16.68 16.680090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49600  Repair umbilical lesion                           A  11.55   7.00NA   7.00    2.82  21.37 21.370090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
49605  Repair umbilical lesion                           A  87.09  35.69NA  35.69   21.83 144.61144.610090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
49606  Repair umbilical lesion                           A  19.00   9.48NA   9.48    4.62  33.10 33.100090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
49610  Repair umbilical lesion                           A  10.91   6.57NA   6.57    2.65  20.13 20.130090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
49611  Repair umbilical lesion                           A   9.34   6.11NA   6.11    2.27  17.72 17.720090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
49650  Lap ing hernia repair init                        A   6.36   4.63NA   4.63    1.51  12.50 12.500090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49651  Lap ing hernia repair recur                       A   8.38   5.92NA   5.92    1.98  16.28 16.280090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49652  Lap vent/abd hernia repair                        A  11.92   6.93NA   6.93    2.84  21.69 21.690090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49653  Lap vent/abd hern proc comp                       A  14.94   8.58NA   8.58    3.56  27.08 27.080090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49654  Lap inc hernia repair                             A  13.76   7.61NA   7.61    3.26  24.63 24.630090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49655  Lap inc hern repair comp                          A  16.84   9.27NA   9.27    4.01  30.12 30.120090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49656  Lap inc hernia repair recur                       A  15.08   8.05NA   8.05    3.59  26.72 26.720090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49657  Lap inc hern recur comp                           A  22.11  11.13NA  11.13    5.28  38.52 38.520090.09.81.1021210             36.0896 090 99      0.00   0.00   0.00
49659  Laparo proc hernia repair                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             36.0896 090 99      0.00   0.00   0.00
49900  Repair of abdominal wall                          A  12.41   8.52NA   8.52    2.82  23.75 23.750090.09.81.1020210             36.0896 090 99      0.00   0.00   0.00
49904  Omental flap extra-abdom                          A  22.35  13.64NA  13.64    4.59  40.58 40.580090.10.80.1020111             36.0896 090 99      0.00   0.00   0.00
49905  Omental flap intra-abdom                          A   6.54   2.35NA   2.35    1.41  10.30 10.300ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
49906  Free omental flap microvasc                       C   0.00   0.00     0.00    0.00   0.00  0.000090.09.81.1020110             36.0896 090 99      0.00   0.00   0.00
49999  Abdomen surgery procedure                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020111             36.0896 090 99      0.00   0.00   0.00
50010  Exploration of kidney                             A  12.28   6.98NA   6.98    1.98  21.24 21.240090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50020  Renal abscess open drain                          A  18.08   9.10NA   9.10    2.06  29.24 29.240090.08.83.0920110             36.0896 090 99      0.00   0.00   0.00
50040  Drainage of kidney                                A  16.68   8.03NA   8.03    1.92  26.63 26.630090.08.83.0921110             36.0896 090 99      0.00   0.00   0.00
50045  Exploration of kidney                             A  16.82   8.17NA   8.17    1.92  26.91 26.910090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
5005F  Pt counsld on exam for moles                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
50060  Removal of kidney stone                           A  20.95   9.57NA   9.57    2.40  32.92 32.920090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50065  Incision of kidney                                A  22.32  10.03NA  10.03    2.56  34.91 34.910090.08.83.0921200             36.0896 090 99      0.00   0.00   0.00
50070  Incision of kidney                                A  21.85   9.87NA   9.87    2.50  34.22 34.220090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50075  Removal of kidney stone                           A  27.09  11.91NA  11.91    3.10  42.10 42.100090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50080  Removal of kidney stone                           A  15.74   7.55NA   7.55    1.80  25.09 25.090090.08.83.0921100             36.0896 090 99      0.00   0.00   0.00
50081  Removal of kidney stone                           A  23.50  10.69NA  10.69    2.71  36.90 36.900090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
5010F  Macul result phy/qhp mng dm                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
50100  Revise kidney blood vessels                       A  17.45   9.78NA   9.78    4.24  31.47 31.470090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50120  Exploration of kidney                             A  17.21   8.23NA   8.23    1.97  27.41 27.410090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50125  Explore and drain kidney                          A  17.82   8.51NA   8.51    2.02  28.35 28.350090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50130  Removal of kidney stone                           A  18.82   8.85NA   8.85    2.16  29.83 29.830090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50135  Exploration of kidney                             A  20.59   9.45NA   9.45    2.35  32.39 32.390090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
5015F  Doc fx & test/txmnt for op                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
5020F  Txmnts 2 phys/qhp by 1 mon                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
50200  Renal biopsy perq                                 A   2.38  12.87     1.10    0.22  15.47  3.700000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
50205  Renal biopsy open                                 A  12.29   6.90NA   6.90    2.75  21.94 21.940090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50220  Remove kidney open                                A  18.68   8.99NA   8.99    2.64  30.31 30.310090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50225  Removal kidney open complex                       A  21.88   9.98NA   9.98    2.87  34.73 34.730090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50230  Removal kidney open radical                       A  23.81  10.28NA  10.28    2.95  37.04 37.040090.08.83.0921220             36.0896 090 99      0.00   0.00   0.00
50234  Removal of kidney & ureter                        A  24.05  10.64NA  10.64    2.93  37.62 37.620090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50236  Removal of kidney & ureter                        A  26.94  12.26NA  12.26    3.10  42.30 42.300090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50240  Partial removal of kidney                         A  24.21  11.21NA  11.21    2.86  38.28 38.280090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50250  Cryoablate renal mass open                        A  22.22  10.36NA  10.36    2.56  35.14 35.140090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
50280  Removal of kidney lesion                          A  17.09   8.37NA   8.37    2.23  27.69 27.690090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50290  Removal of kidney lesion                          A  16.15   7.94NA   7.94    1.85  25.94 25.940090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
50300  Remove cadaver donor kidney                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
50320  Remove kidney living donor                        A  22.43  15.84NA  15.84    5.45  43.72 43.720090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50323  Prep cadaver renal allograft                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
50325  Prep donor renal graft                            C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
50327  Prep renal graft/venous                           A   4.00   1.41NA   1.41    0.90   6.31  6.310XXX.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
50328  Prep renal graft/arterial                         A   3.50   1.24NA   1.24    0.79   5.53  5.530XXX.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
50329  Prep renal graft/ureteral                         A   3.34   1.19NA   1.19    0.73   5.26  5.260XXX.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
50340  Removal of kidney                                 A  14.04  10.13NA  10.13    3.41  27.58 27.580090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50360  Transplantation of kidney                         A  39.88  21.27NA  21.27    9.19  70.34 70.340090.08.83.0920222             36.0896 090 99      0.00   0.00   0.00
50365  Transplantation of kidney                         A  46.13  26.77NA  26.77   10.66  83.56 83.560090.08.83.0921222             36.0896 090 99      0.00   0.00   0.00
50370  Remove transplanted kidney                        A  18.88  11.90NA  11.90    4.28  35.06 35.060090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
50380  Reimplantation of kidney                          A  30.11  21.04NA  21.04    7.32  58.47 58.470090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
50382  Change ureter stent percut                        A   5.25  25.60     1.70    0.48  31.33  7.430000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
50384  Remove ureter stent percut                        A   4.75  20.40     1.46    0.44  25.59  6.650000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
50385  Change stent via transureth                       A   4.19  26.18     1.70    0.43  30.80  6.320000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
50386  Remove stent via transureth                       A   3.05  17.72     1.29    0.34  21.11  4.680000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
50387  Change nephroureteral cath                        A   1.75  13.72     0.53    0.15  15.62  2.430000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
50389  Remove renal tube w/fluoro                        A   1.10   9.50     0.36    0.09  10.69  1.550000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
50390  Drainage of kidney lesion                         A   1.96   0.65NA   0.65    0.16   2.77  2.770000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
50391  Instll rx agnt into rnal tub                      A   1.96   1.36     0.66    0.23   3.55  2.850000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
50396  Measure kidney pressure                           A   2.09   1.11NA   1.11    0.16   3.36  3.360000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
50400  Revision of kidney/ureter                         A  21.27   9.73NA   9.73    2.61  33.61 33.610090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50405  Revision of kidney/ureter                         A  25.86  11.49NA  11.49    2.96  40.31 40.310090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50430  Njx px nfrosgrm &/urtrgrm                         A   2.90  13.00     1.29    0.27  16.17  4.460000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
50431  Njx px nfrosgrm &/urtrgrm                         A   1.10   6.17     0.69    0.09   7.36  1.880000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
50432  Plmt nephrostomy catheter                         A   4.00  20.95     1.61    0.35  25.30  5.960000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
50433  Plmt nephroureteral catheter                      A   5.05  27.24     1.91    0.44  32.73  7.400000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
50434  Convert nephrostomy catheter                      A   3.75  21.99     1.49    0.32  26.06  5.560000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
50435  Exchange nephrostomy cath                         A   1.82  14.06     0.91    0.15  16.03  2.880000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
50436  Dilat xst trc ndurlgc px                          A   2.78   1.30NA   1.30    0.27   4.35  4.350000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
50437  Dilat xst trc new access rcs                      A   4.85   1.97NA   1.97    0.47   7.29  7.290000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
5050F  Plan 2 main dr by 1 month                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
50500  Repair of kidney wound                            A  21.22  10.54NA  10.54    4.15  35.91 35.910090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
50520  Close kidney-skin fistula                         A  18.88  10.29NA  10.29    4.58  33.75 33.750090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
50525  Close nephrovisceral fistula                      A  24.39  12.53NA  12.53    5.92  42.84 42.840090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
50526  Close nephrovisceral fistula                      A  26.31  13.23NA  13.23    6.39  45.93 45.930090.08.83.0920200             36.0896 090 99      0.00   0.00   0.00
50540  Revision of horseshoe kidney                      A  21.10   9.62NA   9.62    2.41  33.13 33.130090.08.83.0922210             36.0896 090 99      0.00   0.00   0.00
50541  Laparo ablate renal cyst                          A  16.86   7.68NA   7.68    1.96  26.50 26.500090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50542  Laparo ablate renal mass                          A  21.36   9.85NA   9.85    2.45  33.66 33.660090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50543  Laparo partial nephrectomy                        A  27.41  12.43NA  12.43    3.16  43.00 43.000090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50544  Laparoscopy pyeloplasty                           A  23.37   9.88NA   9.88    2.71  35.96 35.960090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50545  Laparo radical nephrectomy                        A  25.06  10.67NA  10.67    2.93  38.66 38.660090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50546  Laparoscopic nephrectomy                          A  21.87  10.17NA  10.17    2.74  34.78 34.780090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50547  Laparo removal donor kidney                       A  26.34  14.72NA  14.72    5.57  46.63 46.630090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50548  Laparo remove w/ureter                            A  25.36  10.57NA  10.57    2.95  38.88 38.880090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50549  Laparoscope proc renal                            C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             36.0896 090 99      0.00   0.00   0.00
50551  Kidney endoscopy                                  A   5.59   4.14     2.26    0.63  10.36  8.480000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
50553  Kidney endoscopy                                  A   5.98   4.43     2.40    0.66  11.07  9.040000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
50555  Kidney endoscopy & biopsy                         A   6.52   4.60     2.58    0.76  11.88  9.860000.00.00.0031000       50551 36.0896 090 99      0.00   0.00   0.00
50557  Kidney endoscopy & treatment                      A   6.61   4.70     2.61    0.77  12.08  9.990000.00.00.0031000       50551 36.0896 090 99      0.00   0.00   0.00
50561  Kidney endoscopy & treatment                      A   7.58   5.22     2.92    0.86  13.66 11.360000.00.00.0031000       50551 36.0896 090 99      0.00   0.00   0.00
50562  Renal scope w/tumor resect                        A  10.90   4.58NA   4.58    1.25  16.73 16.730090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
50570  Kidney endoscopy                                  A   9.53   3.56NA   3.56    1.09  14.18 14.180000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
50572  Kidney endoscopy                                  A  10.33   3.83NA   3.83    1.18  15.34 15.340000.00.00.0031000       50570 36.0896 090 99      0.00   0.00   0.00
50574  Kidney endoscopy & biopsy                         A  11.00   4.06NA   4.06    1.25  16.31 16.310000.00.00.0031000       50570 36.0896 090 99      0.00   0.00   0.00
50575  Kidney endoscopy                                  A  13.96   5.07NA   5.07    1.61  20.64 20.640000.00.00.0031100       50570 36.0896 090 99      0.00   0.00   0.00
50576  Kidney endoscopy & treatment                      A  10.97   4.05NA   4.05    1.25  16.27 16.270000.00.00.0031000       50570 36.0896 090 99      0.00   0.00   0.00
50580  Kidney endoscopy & treatment                      A  11.84   4.35NA   4.35    1.34  17.53 17.530000.00.00.0031000       50570 36.0896 090 99      0.00   0.00   0.00
50590  Fragmenting of kidney stone                       A   9.77  10.27     5.52    1.13  21.17 16.420090.08.83.0921100             36.0896 090 99      0.00   0.00   0.00
50592  Perc rf ablate renal tumor                        A   6.55  84.08     2.81    0.56  91.19  9.920010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
50593  Perc cryo ablate renal tum                        A   8.88 113.64     3.64    0.79 123.31 13.310010.10.80.1021200             36.0896 090 99      0.00   0.00   0.00
5060F  Fndngs mammo 2pt w/in 3 days                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
50600  Exploration of ureter                             A  17.17   7.96NA   7.96    1.97  27.10 27.100090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50605  Insert ureteral support                           A  16.79   8.67NA   8.67    3.41  28.87 28.870090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50606  Endoluminal bx urtr rnl plvs                      A   3.16  14.36     0.97    0.28  17.80  4.410ZZZ.00.00.0001100             36.0896 090 99      0.00   0.00   0.00
50610  Removal of ureter stone                           A  17.25   8.06NA   8.06    1.98  27.29 27.290090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
5062F  Mammo result com to pt 5 day                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
50620  Removal of ureter stone                           A  16.43   7.78NA   7.78    1.89  26.10 26.100090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50630  Removal of ureter stone                           A  16.21   7.70NA   7.70    1.86  25.77 25.770090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50650  Removal of ureter                                 A  18.82   8.90NA   8.90    2.28  30.00 30.000090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50660  Removal of ureter                                 A  21.02   9.60NA   9.60    2.40  33.02 33.020090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
50684  Injection for ureter x-ray                        A   0.76   2.49     0.60    0.09   3.34  1.450000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
50686  Measure ureter pressure                           A   1.51   2.34     0.85    0.18   4.03  2.540000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
50688  Change of ureter tube/stent                       A   1.20   0.93NA   0.93    0.11   2.24  2.240010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
50690  Injection for ureter x-ray                        A   1.16   1.82     0.75    0.11   3.09  2.020000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
50693  Plmt ureteral stent prq                           A   3.96  25.37     1.62    0.34  29.67  5.920000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
50694  Plmt ureteral stent prq                           A   5.25  27.24     2.07    0.46  32.95  7.780000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
50695  Plmt ureteral stent prq                           A   6.80  32.54     2.59    0.58  39.92  9.970000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
50700  Revision of ureter                                A  16.69   8.12NA   8.12    1.91  26.72 26.720090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50705  Ureteral embolization/occl                        A   4.03  49.62     0.68    0.40  54.05  5.110ZZZ.00.00.0001100             36.0896 090 99      0.00   0.00   0.00
50706  Balloon dilate urtrl strix                        A   3.80  22.82     1.16    0.34  26.96  5.300ZZZ.00.00.0001100             36.0896 090 99      0.00   0.00   0.00
50715  Release of ureter                                 A  20.64  10.78NA  10.78    3.34  34.76 34.760090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50722  Release of ureter                                 A  17.95   9.04NA   9.04    2.83  29.82 29.820090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
50725  Release/revise ureter                             A  20.20   9.32NA   9.32    2.33  31.85 31.850090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
50727  Revise ureter                                     A   8.28   5.37NA   5.37    1.04  14.69 14.690090.08.83.0920220             36.0896 090 99      0.00   0.00   0.00
50728  Revise ureter                                     A  12.18   7.14NA   7.14    1.95  21.27 21.270090.08.83.0920220             36.0896 090 99      0.00   0.00   0.00
50740  Fusion of ureter & kidney                         A  20.07  10.72NA  10.72    4.86  35.65 35.650090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50750  Fusion of ureter & kidney                         A  21.22   9.66NA   9.66    2.43  33.31 33.310090.08.83.0921200             36.0896 090 99      0.00   0.00   0.00
50760  Fusion of ureters                                 A  20.07   9.60NA   9.60    3.01  32.68 32.680090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50770  Splicing of ureters                               A  21.22   9.66NA   9.66    2.43  33.31 33.310090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
50780  Reimplant ureter in bladder                       A  19.95   9.41NA   9.41    2.64  32.00 32.000090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50782  Reimplant ureter in bladder                       A  19.66   9.13NA   9.13    2.25  31.04 31.040090.08.83.0921220             36.0896 090 99      0.00   0.00   0.00
50783  Reimplant ureter in bladder                       A  20.70   9.49NA   9.49    2.36  32.55 32.550090.08.83.0921220             36.0896 090 99      0.00   0.00   0.00
50785  Reimplant ureter in bladder                       A  22.23  10.11NA  10.11    2.71  35.05 35.050090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50800  Implant ureter in bowel                           A  16.41   8.34NA   8.34    2.00  26.75 26.750090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50810  Fusion of ureter & bowel                          A  22.61  12.70NA  12.70    5.49  40.80 40.800090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
50815  Urine shunt to intestine                          A  22.26  10.52NA  10.52    2.56  35.34 35.340090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50820  Construct bowel bladder                           A  24.07  10.96NA  10.96    2.92  37.95 37.950090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50825  Construct bowel bladder                           A  30.68  13.47NA  13.47    3.71  47.86 47.860090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
50830  Revise urine flow                                 A  33.77  14.42NA  14.42    3.86  52.05 52.050090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
50840  Replace ureter by bowel                           A  22.39  10.56NA  10.56    2.56  35.51 35.510090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50845  Appendico-vesicostomy                             A  22.46  11.09NA  11.09    2.58  36.13 36.130090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
50860  Transplant ureter to skin                         A  17.08   8.26NA   8.26    1.96  27.30 27.300090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50900  Repair of ureter                                  A  15.04   7.57NA   7.57    1.70  24.31 24.310090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50920  Closure ureter/skin fistula                       A  15.81   7.82NA   7.82    1.80  25.43 25.430090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
50930  Closure ureter/bowel fistula                      A  20.19   9.31NA   9.31    2.33  31.83 31.830090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
50940  Release of ureter                                 A  15.93   7.86NA   7.86    1.82  25.61 25.610090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50945  Laparoscopy ureterolithotomy                      A  17.97   8.05NA   8.05    2.05  28.07 28.070090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50947  Laparo new ureter/bladder                         A  25.78  11.27NA  11.27    3.00  40.05 40.050090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50948  Laparo new ureter/bladder                         A  23.82  10.23NA  10.23    2.74  36.79 36.790090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
50949  Laparoscope proc ureter                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             36.0896 090 99      0.00   0.00   0.00
50951  Endoscopy of ureter                               A   5.83   4.36     2.35    0.65  10.84  8.830000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
50953  Endoscopy of ureter                               A   6.23   4.56     2.48    0.70  11.49  9.410000.00.00.0031000       50951 36.0896 090 99      0.00   0.00   0.00
50955  Ureter endoscopy & biopsy                         A   6.74   4.76     2.66    0.78  12.28 10.180000.00.00.0031000       50951 36.0896 090 99      0.00   0.00   0.00
50957  Ureter endoscopy & treatment                      A   6.78   4.83     2.67    0.79  12.40 10.240000.00.00.0031000       50951 36.0896 090 99      0.00   0.00   0.00
50961  Ureter endoscopy & treatment                      A   6.04   4.44     2.42    0.68  11.16  9.140000.00.00.0031000       50951 36.0896 090 99      0.00   0.00   0.00
50970  Ureter endoscopy                                  A   7.13   2.75NA   2.75    0.81  10.69 10.690000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
50972  Ureter endoscopy & catheter                       A   6.88   2.67NA   2.67    0.79  10.34 10.340000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
50974  Ureter endoscopy & biopsy                         A   9.16   3.44NA   3.44    1.04  13.64 13.640000.00.00.0031000       50970 36.0896 090 99      0.00   0.00   0.00
50976  Ureter endoscopy & treatment                      A   9.03   3.39NA   3.39    1.04  13.46 13.460000.00.00.0031000       50970 36.0896 090 99      0.00   0.00   0.00
50980  Ureter endoscopy & treatment                      A   6.84   2.66NA   2.66    0.79  10.29 10.290000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
5100F  Rsk fx ref w/n 24 hrs xray                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
51020  Incise & treat bladder                            A   7.69   4.94NA   4.94    0.88  13.51 13.510090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51030  Incise & treat bladder                            A   7.81   4.91NA   4.91    0.89  13.61 13.610090.08.83.0920000             36.0896 090 99      0.00   0.00   0.00
51040  Incise & drain bladder                            A   4.49   3.33NA   3.33    0.52   8.34  8.340090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51045  Incise bladder/drain ureter                       A   7.81   5.33NA   5.33    1.29  14.43 14.430090.08.83.0920200             36.0896 090 99      0.00   0.00   0.00
51050  Removal of bladder stone                          A   7.97   4.72NA   4.72    0.91  13.60 13.600090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51060  Removal of ureter stone                           A   9.95   5.70NA   5.70    1.15  16.80 16.800090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51065  Remove ureter calculus                            A   9.95   5.63NA   5.63    1.14  16.72 16.720090.08.83.0920000             36.0896 090 99      0.00   0.00   0.00
51080  Drainage of bladder abscess                       A   6.71   4.30NA   4.30    0.78  11.79 11.790090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51100  Drain bladder by needle                           A   0.78   1.08     0.25    0.09   1.95  1.120000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
51101  Drain bladder by trocar/cath                      A   1.02   2.92     0.35    0.12   4.06  1.490000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
51102  Drain bl w/cath insertion                         A   2.70   3.78     1.20    0.30   6.78  4.200000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
51500  Removal of bladder cyst                           A  11.05   6.06NA   6.06    1.26  18.37 18.370090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51520  Removal of bladder lesion                         A  10.21   5.79NA   5.79    1.17  17.17 17.170090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51525  Removal of bladder lesion                         A  15.42   7.58NA   7.58    1.81  24.81 24.810090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51530  Removal of bladder lesion                         A  13.71   6.96NA   6.96    1.57  22.24 22.240090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51535  Repair of ureter lesion                           A  13.90   7.03NA   7.03    1.61  22.54 22.540090.08.83.0921210             36.0896 090 99      0.00   0.00   0.00
51550  Partial removal of bladder                        A  17.23   8.36NA   8.36    2.23  27.82 27.820090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51555  Partial removal of bladder                        A  23.18  10.52NA  10.52    2.88  36.58 36.580090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51565  Revise bladder & ureter(s)                        A  23.68  10.95NA  10.95    2.96  37.59 37.590090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51570  Removal of bladder                                A  27.46  11.89NA  11.89    3.26  42.61 42.610090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51575  Removal of bladder & nodes                        A  34.18  14.51NA  14.51    3.97  52.66 52.660090.08.83.0922210             36.0896 090 99      0.00   0.00   0.00
51580  Remove bladder/revise tract                       A  35.37  15.35NA  15.35    4.04  54.76 54.760090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51585  Removal of bladder & nodes                        A  39.64  16.79NA  16.79    4.53  60.96 60.960090.08.83.0922210             36.0896 090 99      0.00   0.00   0.00
51590  Remove bladder/revise tract                       A  36.33  15.23NA  15.23    4.33  55.89 55.890090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51595  Remove bladder/revise tract                       A  41.32  17.09NA  17.09    4.80  63.21 63.210090.08.83.0922210             36.0896 090 99      0.00   0.00   0.00
51596  Remove bladder/create pouch                       A  44.26  18.58NA  18.58    5.14  67.98 67.980090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51597  Removal of pelvic structures                      A  42.86  18.26NA  18.26    5.16  66.28 66.280090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51600  Injection for bladder x-ray                       A   0.88   4.91     0.31    0.09   5.88  1.280000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
51605  Preparation for bladder xray                      A   0.64   0.39NA   0.39    0.09   1.12  1.120000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
51610  Injection for bladder x-ray                       A   1.05   2.27     0.69    0.11   3.43  1.850000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
51700  Irrigation of bladder                             A   0.60   1.45     0.21    0.09   2.14  0.900000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
51701  Insert bladder catheter                           A   0.50   0.70     0.18    0.08   1.28  0.760000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
51702  Insert temp bladder cath                          A   0.50   1.18     0.18    0.06   1.74  0.740000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
51703  Insert bladder cath complex                       A   1.47   2.33     0.58    0.18   3.98  2.230000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
51705  Change of bladder tube                            A   0.90   1.70     0.49    0.11   2.71  1.500000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
51710  Change of bladder tube                            A   1.35   2.27     0.78    0.15   3.77  2.280000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
51715  Endoscopic injection/implant                      A   3.73   5.57     1.58    0.48   9.78  5.790000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
51720  Treatment of bladder lesion                       A   0.87   1.42     0.30    0.09   2.38  1.260000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
51725  Simple cystometrogram                             A   1.51   4.38     4.38NA  0.15   6.04  6.041000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
51725TCSimple cystometrogram                             A   0.00   3.84     3.84NA  0.02   3.86  3.861000.00.00.0020000             36.0896 020 99      0.00   0.00   0.00
5172526Simple cystometrogram                             A   1.51   0.54     0.54    0.13   2.18  2.181000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
51726  Complex cystometrogram                            A   1.71   6.37     6.37NA  0.15   8.23  8.231000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
51726TCComplex cystometrogram                            A   0.00   5.78     5.78NA  0.02   5.80  5.801000.00.00.0020100             36.0896 020 99      0.00   0.00   0.00
5172626Complex cystometrogram                            A   1.71   0.59     0.59    0.13   2.43  2.431000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
51727  Cystometrogram w/up                               A   2.11   7.54     7.54NA  0.23   9.88  9.881000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
51727TCCystometrogram w/up                               A   0.00   6.78     6.78NA  0.02   6.80  6.801000.00.00.0020000             36.0896 020 99      0.00   0.00   0.00
5172726Cystometrogram w/up                               A   2.11   0.76     0.76    0.21   3.08  3.081000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
51728  Cystometrogram w/vp                               A   2.11   7.69     7.69NA  0.20  10.00 10.001000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
51728TCCystometrogram w/vp                               A   0.00   6.96     6.96NA  0.02   6.98  6.981000.00.00.0020000             36.0896 020 99      0.00   0.00   0.00
5172826Cystometrogram w/vp                               A   2.11   0.73     0.73    0.18   3.02  3.021000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
51729  Cystometrogram w/vp&up                            A   2.51   7.89     7.89NA  0.27  10.67 10.671000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
51729TCCystometrogram w/vp&up                            A   0.00   6.99     6.99NA  0.02   7.01  7.011000.00.00.0020000             36.0896 020 99      0.00   0.00   0.00
5172926Cystometrogram w/vp&up                            A   2.51   0.90     0.90    0.25   3.66  3.661000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
51736  Urine flow measurement                            A   0.17   0.20     0.20NA  0.02   0.39  0.391XXX.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
51736TCUrine flow measurement                            A   0.00   0.14     0.14NA  0.01   0.15  0.151XXX.00.00.0020000             36.0896 020 99      0.00   0.00   0.00
5173626Urine flow measurement                            A   0.17   0.06     0.06    0.01   0.24  0.241XXX.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
51741  Electro-uroflowmetry first                        A   0.17   0.21     0.21NA  0.03   0.41  0.411XXX.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
51741TCElectro-uroflowmetry first                        A   0.00   0.15     0.15NA  0.01   0.16  0.161XXX.00.00.0020100             36.0896 020 99      0.00   0.00   0.00
5174126Electro-uroflowmetry first                        A   0.17   0.06     0.06    0.02   0.25  0.251XXX.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
51784  Anal/urinary muscle study                         A   0.75   1.08     1.08NA  0.09   1.92  1.921XXX.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
51784TCAnal/urinary muscle study                         A   0.00   0.81     0.81NA  0.01   0.82  0.821XXX.00.00.0020100             36.0896 020 99      0.00   0.00   0.00
5178426Anal/urinary muscle study                         A   0.75   0.27     0.27    0.08   1.10  1.101XXX.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
51785  Anal/urinary muscle study                         A   1.53   8.65     8.65NA  0.46  10.64 10.641XXX.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
51785TCAnal/urinary muscle study                         A   0.00   7.96     7.96NA  0.02   7.98  7.981XXX.00.00.0020000             36.0896 030 99      0.00   0.00   0.00
5178526Anal/urinary muscle study                         A   1.53   0.69     0.69    0.44   2.66  2.661XXX.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
51792  Urinary reflex study                              A   1.10   5.83     5.83NA  0.11   7.04  7.041000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
51792TCUrinary reflex study                              A   0.00   5.44     5.44NA  0.02   5.46  5.461000.00.00.0020000             36.0896 020 99      0.00   0.00   0.00
5179226Urinary reflex study                              A   1.10   0.39     0.39    0.09   1.58  1.581000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
51797  Intraabdominal pressure test                      A   0.80   3.73     3.73NA  0.08   4.61  4.611ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
51797TCIntraabdominal pressure test                      A   0.00   3.45     3.45NA  0.00   3.45  3.451ZZZ.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
5179726Intraabdominal pressure test                      A   0.80   0.28     0.28    0.08   1.16  1.161ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
51798  Us urine capacity measure                         A   0.00   0.28     0.28NA  0.01   0.29  0.293XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
51800  Revision of bladder/urethra                       A  18.89   8.98NA   8.98    2.25  30.12 30.120090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51820  Revision of urinary tract                         A  19.59   9.48NA   9.48    2.23  31.30 31.300090.08.83.0922210             36.0896 090 99      0.00   0.00   0.00
51840  Attach bladder/urethra                            A  11.36   6.87NA   6.87    1.47  19.70 19.700090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51841  Attach bladder/urethra                            A  13.68   7.56NA   7.56    1.57  22.81 22.810090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51845  Repair bladder neck                               A  10.15   5.49NA   5.49    1.16  16.80 16.800090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51860  Repair of bladder wound                           A  12.60   7.09NA   7.09    1.86  21.55 21.550090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51865  Repair of bladder wound                           A  15.80   8.05NA   8.05    2.12  25.97 25.970090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51880  Repair of bladder opening                         A   7.87   4.58NA   4.58    1.00  13.45 13.450090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51900  Repair bladder/vagina lesion                      A  14.63   7.49NA   7.49    1.68  23.80 23.800090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51920  Close bladder-uterus fistula                      A  13.41   7.09NA   7.09    1.53  22.03 22.030090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51925  Hysterectomy/bladder repair                       A  17.53  10.45NA  10.45    2.75  30.73 30.730090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51940  Correction of bladder defect                      A  30.66  13.25NA  13.25    3.49  47.40 47.400090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51960  Revision of bladder & bowel                       A  25.40  11.68NA  11.68    2.92  40.00 40.000090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51980  Construct bladder opening                         A  12.57   6.59NA   6.59    1.43  20.59 20.590090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51990  Laparo urethral suspension                        A  13.36   6.62NA   6.62    1.61  21.59 21.590090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51992  Laparo sling operation                            A  14.87   7.31NA   7.31    2.12  24.30 24.300090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
51999  Laparoscope proc bla                              C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000011             36.0896 090 99      0.00   0.00   0.00
5200F  Eval appros surg thxpy epi                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
52000  Cystoscopy                                        A   1.53   4.28     0.62    0.18   5.99  2.330000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
52001  Cystoscopy removal of clots                       A   5.44   5.83     2.21    0.62  11.89  8.270000.00.00.0030100       52000 36.0896 090 99      0.00   0.00   0.00
52005  Cystoscopy & ureter catheter                      A   2.37   5.73     1.17    0.27   8.37  3.810000.00.00.0030100       52000 36.0896 090 99      0.00   0.00   0.00
52007  Cystoscopy and biopsy                             A   3.02  10.14     1.39    0.35  13.51  4.760000.00.00.0031100       52000 36.0896 090 99      0.00   0.00   0.00
52010  Cystoscopy & duct catheter                        A   3.02   7.96     1.39    0.35  11.33  4.760000.00.00.0030100       52000 36.0896 090 99      0.00   0.00   0.00
52204  Cystoscopy w/biopsy(s)                            A   2.59   8.08     1.18    0.30  10.97  4.070000.00.00.0030100       52000 36.0896 090 99      0.00   0.00   0.00
52214  Cystoscopy and treatment                          A   3.50  16.90     1.18    0.41  20.81  5.090000.00.00.0030100       52000 36.0896 090 99      0.00   0.00   0.00
52224  Cystoscopy and treatment                          A   4.05  17.22     1.37    0.47  21.74  5.890000.00.00.0030100       52000 36.0896 090 99      0.00   0.00   0.00
52234  Cystoscopy and treatment                          A   4.62   1.93NA   1.93    0.53   7.08  7.080000.00.00.0030100       52000 36.0896 090 99      0.00   0.00   0.00
52235  Cystoscopy and treatment                          A   5.44   2.25NA   2.25    0.62   8.31  8.310000.00.00.0030100       52000 36.0896 090 99      0.00   0.00   0.00
52240  Cystoscopy and treatment                          A   7.50   2.95NA   2.95    0.86  11.31 11.310000.00.00.0030100       52000 36.0896 090 99      0.00   0.00   0.00
52250  Cystoscopy and radiotracer                        A   4.49   1.89NA   1.89    0.52   6.90  6.900000.00.00.0030100       52000 36.0896 090 99      0.00   0.00   0.00
52260  Cystoscopy and treatment                          A   3.91   1.69NA   1.69    0.48   6.08  6.080000.00.00.0030100       52000 36.0896 090 99      0.00   0.00   0.00
52265  Cystoscopy and treatment                          A   2.94   7.53     1.37    0.39  10.86  4.700000.00.00.0030100       52000 36.0896 090 99      0.00   0.00   0.00
52270  Cystoscopy & revise urethra                       A   3.36   7.72     1.48    0.39  11.47  5.230000.00.00.0030100       52000 36.0896 090 99      0.00   0.00   0.00
52275  Cystoscopy & revise urethra                       A   4.69   9.82     1.93    0.54  15.05  7.160000.00.00.0030100       52000 36.0896 090 99      0.00   0.00   0.00
52276  Cystoscopy and treatment                          A   4.99   2.06NA   2.06    0.57   7.62  7.620000.00.00.0030100       52000 36.0896 090 99      0.00   0.00   0.00
52277  Cystoscopy and treatment                          A   6.16   2.46NA   2.46    0.68   9.30  9.300000.00.00.0030000       52000 36.0896 090 99      0.00   0.00   0.00
52281  Cystoscopy and treatment                          A   2.75   6.09     1.30    0.32   9.16  4.370000.00.00.0030100       52000 36.0896 090 99      0.00   0.00   0.00
52282  Cystoscopy implant stent                          A   6.39   2.56NA   2.56    0.79   9.74  9.740000.00.00.0030100       52000 36.0896 090 99      0.00   0.00   0.00
52283  Cystoscopy and treatment                          A   3.73   5.14     1.64    0.44   9.31  5.810000.00.00.0030100       52000 36.0896 090 99      0.00   0.00   0.00
52285  Cystoscopy and treatment                          A   3.60   5.23     1.60    0.44   9.27  5.640000.00.00.0030100       52000 36.0896 090 99      0.00   0.00   0.00
52287  Cystoscopy chemodenervation                       A   3.20   6.68     1.30    0.39  10.27  4.890000.00.00.0030100       52000 36.0896 090 99      0.00   0.00   0.00
52290  Cystoscopy and treatment                          A   4.58   1.92NA   1.92    0.53   7.03  7.030000.00.00.0032100       52000 36.0896 090 99      0.00   0.00   0.00
52300  Cystoscopy and treatment                          A   5.30   2.16NA   2.16    0.60   8.06  8.060000.00.00.0032000       52000 36.0896 090 99      0.00   0.00   0.00
52301  Cystoscopy and treatment                          A   5.50   2.23NA   2.23    0.62   8.35  8.350000.00.00.0032000       52000 36.0896 090 99      0.00   0.00   0.00
52305  Cystoscopy and treatment                          A   5.30   2.12NA   2.12    0.62   8.04  8.040000.00.00.0030100       52000 36.0896 090 99      0.00   0.00   0.00
52310  Cystoscopy and treatment                          A   2.81   5.13     1.22    0.32   8.26  4.350000.00.00.0030100       52000 36.0896 090 99      0.00   0.00   0.00
52315  Cystoscopy and treatment                          A   5.20   7.48     2.11    0.60  13.28  7.910000.00.00.0030100       52000 36.0896 090 99      0.00   0.00   0.00
52317  Remove bladder stone                              A   6.71  17.48     2.55    0.78  24.97 10.040000.00.00.0030100       52000 36.0896 090 99      0.00   0.00   0.00
52318  Remove bladder stone                              A   9.18   3.43NA   3.43    1.05  13.66 13.660000.00.00.0030100       52000 36.0896 090 99      0.00   0.00   0.00
52320  Cystoscopy and treatment                          A   4.69   1.88NA   1.88    0.54   7.11  7.110000.00.00.0031100       52000 36.0896 090 99      0.00   0.00   0.00
52325  Cystoscopy stone removal                          A   6.15   2.39NA   2.39    0.68   9.22  9.220000.00.00.0031100       52000 36.0896 090 99      0.00   0.00   0.00
52327  Cystoscopy inject material                        A   5.18   1.79NA   1.79    0.62   7.59  7.590000.00.00.0031100       52000 36.0896 090 99      0.00   0.00   0.00
52330  Cystoscopy and treatment                          A   5.03  10.98     2.00    0.57  16.58  7.600000.00.00.0031100       52000 36.0896 090 99      0.00   0.00   0.00
52332  Cystoscopy and treatment                          A   2.82   9.81     1.32    0.32  12.95  4.460000.00.00.0031100       52000 36.0896 090 99      0.00   0.00   0.00
52334  Create passage to kidney                          A   3.37   1.51NA   1.51    0.39   5.27  5.270000.00.00.0030100       52000 36.0896 090 99      0.00   0.00   0.00
52341  Cysto w/ureter stricture tx                       A   5.35   2.22NA   2.22    0.62   8.19  8.190000.00.00.0031100       52000 36.0896 090 99      0.00   0.00   0.00
52342  Cysto w/up stricture tx                           A   5.85   2.39NA   2.39    0.65   8.89  8.890000.00.00.0031100       52000 36.0896 090 99      0.00   0.00   0.00
52343  Cysto w/renal stricture tx                        A   6.55   2.62NA   2.62    0.76   9.93  9.930000.00.00.0031100       52000 36.0896 090 99      0.00   0.00   0.00
52344  Cysto/uretero stricture tx                        A   7.05   2.79NA   2.79    0.79  10.63 10.630000.00.00.0031100       52000 36.0896 090 99      0.00   0.00   0.00
52345  Cysto/uretero w/up stricture                      A   7.55   2.96NA   2.96    0.86  11.37 11.370000.00.00.0031000       52351 36.0896 090 99      0.00   0.00   0.00
52346  Cystouretero w/renal strict                       A   8.58   3.32NA   3.32    0.96  12.86 12.860000.00.00.0031000       52351 36.0896 090 99      0.00   0.00   0.00
52351  Cystouretero & or pyeloscope                      A   5.75   2.32NA   2.32    0.64   8.71  8.710000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
52352  Cystouretero w/stone remove                       A   6.75   2.69NA   2.69    0.79  10.23 10.230000.00.00.0031100       52351 36.0896 090 99      0.00   0.00   0.00
52353  Cystouretero w/lithotripsy                        A   7.50   2.95NA   2.95    0.86  11.31 11.310000.00.00.0031100       52351 36.0896 090 99      0.00   0.00   0.00
52354  Cystouretero w/biopsy                             A   8.00   3.12NA   3.12    0.91  12.03 12.030000.00.00.0031100       52351 36.0896 090 99      0.00   0.00   0.00
52355  Cystouretero w/excise tumor                       A   9.00   3.45NA   3.45    1.03  13.48 13.480000.00.00.0031100       52351 36.0896 090 99      0.00   0.00   0.00
52356  Cysto/uretero w/lithotripsy                       A   8.00   3.08NA   3.08    0.90  11.98 11.980000.00.00.0031100       52351 36.0896 090 99      0.00   0.00   0.00
52400  Cystouretero w/congen repr                        A   8.69   4.09NA   4.09    1.00  13.78 13.780090.08.83.0930100       52000 36.0896 090 99      0.00   0.00   0.00
52402  Cystourethro cut ejacul duct                      A   5.27   1.83NA   1.83    0.60   7.70  7.700000.00.00.0030100       52000 36.0896 090 99      0.00   0.00   0.00
52441  Cystourethro w/implant                            A   4.00  34.23     1.60    0.47  38.70  6.070000.00.00.0030100       52000 36.0896 090 99      0.00   0.00   0.00
52442  Cystourethro w/addl implant                       A   1.01  27.06     0.34    0.11  28.18  1.460ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
52450  Incision of prostate                              A   7.78   4.92NA   4.92    0.89  13.59 13.590090.08.83.0920100             36.0896 090 99      0.00   0.00   0.00
5250F  Asthma discharge plan presnt                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
52500  Revision of bladder neck                          A   8.14   5.04NA   5.04    0.92  14.10 14.100090.08.83.0920100             36.0896 090 99      0.00   0.00   0.00
52601  Prostatectomy (turp)                              A  13.16   6.39NA   6.39    1.50  21.05 21.050090.08.83.0920100             36.0896 090 99      0.00   0.00   0.00
52630  Remove prostate regrowth                          A   6.55   4.29NA   4.29    0.76  11.60 11.600090.08.83.0920100             36.0896 090 99      0.00   0.00   0.00
52640  Relieve bladder contracture                       A   4.79   3.79NA   3.79    0.54   9.12  9.120090.08.83.0920100             36.0896 090 99      0.00   0.00   0.00
52647  Laser surgery of prostate                         A  11.30  33.77     6.11    1.28  46.35 18.690090.08.83.0920100             36.0896 090 99      0.00   0.00   0.00
52648  Laser surgery of prostate                         A  12.15  34.28     6.40    1.39  47.82 19.940090.08.83.0920100             36.0896 090 99      0.00   0.00   0.00
52649  Prostate laser enucleation                        A  14.56   7.59NA   7.59    1.68  23.83 23.830090.08.83.0920000             36.0896 090 99      0.00   0.00   0.00
52700  Drainage of prostate abscess                      A   7.49   4.39NA   4.39    0.85  12.73 12.730090.08.83.0920000             36.0896 090 99      0.00   0.00   0.00
53000  Incision of urethra                               A   2.33   1.67NA   1.67    0.27   4.27  4.270010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
53010  Incision of urethra                               A   4.45   3.53NA   3.53    0.51   8.49  8.490090.08.83.0920100             36.0896 090 99      0.00   0.00   0.00
53020  Incision of urethra                               A   1.77   0.82NA   0.82    0.21   2.80  2.800000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
53025  Incision of urethra                               A   1.13   0.70NA   0.70    0.12   1.95  1.950000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
53040  Drainage of urethra abscess                       A   6.55   4.01NA   4.01    0.76  11.32 11.320090.08.83.0920000             36.0896 090 99      0.00   0.00   0.00
53060  Drainage of urethra abscess                       A   2.68   2.27     1.69    0.43   5.38  4.800010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
53080  Drainage of urinary leakage                       A   6.92   4.40NA   4.40    0.79  12.11 12.110090.08.83.0920100             36.0896 090 99      0.00   0.00   0.00
53085  Drainage of urinary leakage                       A  11.18   6.28NA   6.28    1.27  18.73 18.730090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
53200  Biopsy of urethra                                 A   2.59   1.63     1.18    0.32   4.54  4.090000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
53210  Removal of urethra                                A  13.72   7.14NA   7.14    1.69  22.55 22.550090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
53215  Removal of urethra                                A  16.85   8.01NA   8.01    1.96  26.82 26.820090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
53220  Treatment of urethra lesion                       A   7.63   4.53NA   4.53    0.87  13.03 13.030090.08.83.0920000             36.0896 090 99      0.00   0.00   0.00
53230  Removal of urethra lesion                         A  10.44   5.86NA   5.86    1.28  17.58 17.580090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
53235  Removal of urethra lesion                         A  10.99   6.03NA   6.03    1.25  18.27 18.270090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
53240  Surgery for urethra pouch                         A   7.08   4.35NA   4.35    0.79  12.22 12.220090.08.83.0920100             36.0896 090 99      0.00   0.00   0.00
53250  Removal of urethra gland                          A   6.52   4.14NA   4.14    0.76  11.42 11.420090.08.83.0920100             36.0896 090 99      0.00   0.00   0.00
53260  Treatment of urethra lesion                       A   3.03   2.45     1.80    0.39   5.87  5.220010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
53265  Treatment of urethra lesion                       A   3.17   2.87     1.84    0.41   6.45  5.420010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
53270  Removal of urethra gland                          A   3.14   2.49     1.81    0.35   5.98  5.300010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
53275  Repair of urethra defect                          A   4.57   2.47NA   2.47    0.54   7.58  7.580010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
53400  Revise urethra stage 1                            A  14.13   7.39NA   7.39    1.64  23.16 23.160090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
53405  Revise urethra stage 2                            A  15.66   7.76NA   7.76    1.80  25.22 25.220090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
53410  Reconstruction of urethra                         A  17.68   8.56NA   8.56    2.02  28.26 28.260090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
53415  Reconstruction of urethra                         A  20.70   9.57NA   9.57    2.37  32.64 32.640090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
53420  Reconstruct urethra stage 1                       A  15.17   7.40NA   7.40    1.73  24.30 24.300090.08.83.0920110             36.0896 090 99      0.00   0.00   0.00
53425  Reconstruct urethra stage 2                       A  17.07   8.03NA   8.03    1.95  27.05 27.050090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
53430  Reconstruction of urethra                         A  17.43   8.41NA   8.41    2.23  28.07 28.070090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
53431  Reconstruct urethra/bladder                       A  21.18   9.72NA   9.72    2.42  33.32 33.320090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
53440  Male sling procedure                              A  13.36   6.85NA   6.85    1.53  21.74 21.740090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
53442  Remove/revise male sling                          A  13.49   7.58NA   7.58    1.55  22.62 22.620090.08.83.0920200             36.0896 090 99      0.00   0.00   0.00
53444  Insert tandem cuff                                A  14.19   7.10NA   7.10    1.63  22.92 22.920090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
53445  Insert uro/ves nck sphincter                      A  13.00   7.29NA   7.29    1.48  21.77 21.770090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
53446  Remove uro sphincter                              A  11.02   6.25NA   6.25    1.26  18.53 18.530090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
53447  Remove/replace ur sphincter                       A  14.28   7.41NA   7.41    1.64  23.33 23.330090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
53448  Remov/replc ur sphinctr comp                      A  23.44  10.80NA  10.80    2.70  36.94 36.940090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
53449  Repair uro sphincter                              A  10.56   5.89NA   5.89    1.22  17.67 17.670090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
53450  Revision of urethra                               A   6.77   4.24NA   4.24    0.79  11.80 11.800090.08.83.0920100             36.0896 090 99      0.00   0.00   0.00
53460  Revision of urethra                               A   7.75   4.57NA   4.57    0.88  13.20 13.200090.08.83.0920000             36.0896 090 99      0.00   0.00   0.00
53500  Urethrlys transvag w/ scope                       A  13.00   6.96NA   6.96    1.69  21.65 21.650090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
53502  Repair of urethra injury                          A   8.26   4.82NA   4.82    0.93  14.01 14.010090.08.83.0920100             36.0896 090 99      0.00   0.00   0.00
53505  Repair of urethra injury                          A   8.26   4.81NA   4.81    0.93  14.00 14.000090.08.83.0920200             36.0896 090 99      0.00   0.00   0.00
53510  Repair of urethra injury                          A  10.96   6.02NA   6.02    1.25  18.23 18.230090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
53515  Repair of urethra injury                          A  14.22   7.13NA   7.13    1.63  22.98 22.980090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
53520  Repair of urethra defect                          A   9.48   5.52NA   5.52    1.08  16.08 16.080090.08.83.0920100             36.0896 090 99      0.00   0.00   0.00
53600  Dilate urethra stricture                          A   1.21   1.09     0.49    0.13   2.43  1.830000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
53601  Dilate urethra stricture                          A   0.98   1.22     0.45    0.11   2.31  1.540000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
53605  Dilate urethra stricture                          A   1.28   0.44NA   0.44    0.15   1.87  1.870000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
53620  Dilate urethra stricture                          A   1.62   2.42     0.71    0.18   4.22  2.510000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
53621  Dilate urethra stricture                          A   1.35   2.48     0.57    0.15   3.98  2.070000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
53660  Dilation of urethra                               A   0.71   1.22     0.40    0.09   2.02  1.200000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
53661  Dilation of urethra                               A   0.72   1.18     0.36    0.09   1.99  1.170000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
53665  Dilation of urethra                               A   0.76   0.26NA   0.26    0.09   1.11  1.110000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
53850  Prostatic microwave thermotx                      A   5.42  38.30     4.06    0.62  44.34 10.100090.08.83.0920100             36.0896 090 99      0.00   0.00   0.00
53852  Prostatic rf thermotx                             A   5.93  36.41     4.23    0.66  43.00 10.820090.08.83.0920100             36.0896 090 99      0.00   0.00   0.00
53854  Trurl dstrj prst8 tiss rf wv                      A   5.93  44.60     4.23    0.65  51.18 10.810090.08.83.0920100             36.0896 090 99      0.00   0.00   0.00
53855  Insert prost urethral stent                       A   1.64  19.26     0.56    0.19  21.09  2.390000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
53860  Transurethral rf treatment                        A   3.97  55.34     2.02    0.46  59.77  6.450090.08.83.0920000             36.0896 090 99      0.00   0.00   0.00
53899  Urology surgery procedure                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
54000  Slitting of prepuce                               A   1.59   2.72     1.35    0.18   4.49  3.120010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
54001  Slitting of prepuce                               A   2.24   3.04     1.51    0.27   5.55  4.020010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
54015  Drain penis lesion                                A   5.36   2.85NA   2.85    0.62   8.83  8.830010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
54050  Destruction penis lesion(s)                       A   1.29   2.41     1.57    0.13   3.83  2.990010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
54055  Destruction penis lesion(s)                       A   1.25   2.21     1.29    0.13   3.59  2.670010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
54056  Cryosurgery penis lesion(s)                       A   1.29   2.58     1.71    0.12   3.99  3.120010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
54057  Laser surg penis lesion(s)                        A   1.29   2.52     1.30    0.13   3.94  2.720010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
54060  Excision of penis lesion(s)                       A   1.98   3.15     1.52    0.24   5.37  3.740010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
54065  Destruction penis lesion(s)                       A   2.47   3.54     2.17    0.26   6.27  4.900010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
54100  Biopsy of penis                                   A   1.90   3.58     1.41    0.19   5.67  3.500000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
54105  Biopsy of penis                                   A   3.54   3.79     2.18    0.41   7.74  6.130010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
54110  Treatment of penis lesion                         A  10.92   5.85NA   5.85    1.25  18.02 18.020090.10.80.1020200             36.0896 090 99      0.00   0.00   0.00
54111  Treat penis lesion graft                          A  14.42   7.04NA   7.04    1.65  23.11 23.110090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54112  Treat penis lesion graft                          A  16.98   8.15NA   8.15    1.94  27.07 27.070090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54115  Treatment of penis lesion                         A   6.95   5.34     4.50    0.79  13.08 12.240090.10.80.1020200             36.0896 090 99      0.00   0.00   0.00
54120  Partial removal of penis                          A  11.01   5.95NA   5.95    1.27  18.23 18.230090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54125  Removal of penis                                  A  14.56   7.24NA   7.24    1.73  23.53 23.530090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54130  Remove penis & nodes                              A  21.84  10.12NA  10.12    2.50  34.46 34.460090.10.80.1022210             36.0896 090 99      0.00   0.00   0.00
54135  Remove penis & nodes                              A  28.17  12.27NA  12.27    3.24  43.68 43.680090.10.80.1022200             36.0896 090 99      0.00   0.00   0.00
54150  Circumcision w/regionl block                      A   1.90   2.25     0.69    0.25   4.40  2.840000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
54160  Circumcision neonate                              A   2.53   3.48     1.36    0.28   6.29  4.170010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
54161  Circum 28 days or older                           A   3.32   1.97NA   1.97    0.39   5.68  5.680010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
54162  Lysis penil circumic lesion                       A   3.32   3.68     2.04    0.39   7.39  5.750010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
54163  Repair of circumcision                            A   3.32   2.56NA   2.56    0.39   6.27  6.270010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
54164  Frenulotomy of penis                              A   2.82   2.40NA   2.40    0.32   5.54  5.540010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
54200  Treatment of penis lesion                         A   1.11   1.94     1.18    0.12   3.17  2.410010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
54205  Treatment of penis lesion                         A   8.97   5.36NA   5.36    1.03  15.36 15.360090.10.80.1020200             36.0896 090 99      0.00   0.00   0.00
54220  Treatment of penis lesion                         A   2.42   3.30     1.09    0.35   6.07  3.860000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
54230  Prepare penis study                               A   1.34   1.38     0.79    0.15   2.87  2.280000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
54231  Dynamic cavernosometry                            A   2.04   1.79     1.06    0.24   4.07  3.340000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
54235  Penile injection                                  A   1.19   1.21     0.78    0.13   2.53  2.100000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
54240  Penis study                                       A   1.31   1.49     1.49NA  0.14   2.94  2.941000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
54240TCPenis study                                       A   0.00   1.05     1.05NA  0.01   1.06  1.061000.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
5424026Penis study                                       A   1.31   0.44     0.44    0.13   1.88  1.881000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
54250  Penis study                                       A   2.22   1.10     1.10NA  0.19   3.51  3.511000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
54250TCPenis study                                       A   0.00   0.34     0.34NA  0.01   0.35  0.351000.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
5425026Penis study                                       A   2.22   0.76     0.76    0.18   3.16  3.161000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
54300  Revision of penis                                 A  11.20   6.13NA   6.13    1.29  18.62 18.620090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54304  Revision of penis                                 A  13.28   6.84NA   6.84    1.51  21.63 21.630090.10.80.1020200             36.0896 090 99      0.00   0.00   0.00
54308  Reconstruction of urethra                         A  12.62   6.61NA   6.61    1.43  20.66 20.660090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54312  Reconstruction of urethra                         A  14.51   7.46NA   7.46    1.67  23.64 23.640090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54316  Reconstruction of urethra                         A  18.05   8.66NA   8.66    2.06  28.77 28.770090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54318  Reconstruction of urethra                         A  12.43   6.69NA   6.69    1.42  20.54 20.540090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54322  Reconstruction of urethra                         A  13.98   6.99NA   6.99    1.61  22.58 22.580090.10.80.1020200             36.0896 090 99      0.00   0.00   0.00
54324  Reconstruction of urethra                         A  17.55   8.42NA   8.42    1.99  27.96 27.960090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54326  Reconstruction of urethra                         A  17.02   8.30NA   8.30    1.95  27.27 27.270090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54328  Revise penis/urethra                              A  16.89   8.27NA   8.27    1.93  27.09 27.090090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54332  Revise penis/urethra                              A  18.37   8.77NA   8.77    2.10  29.24 29.240090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54336  Revise penis/urethra                              A  21.62  10.25NA  10.25    2.48  34.35 34.350090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54340  Secondary urethral surgery                        A   9.71   5.61NA   5.61    1.12  16.44 16.440090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54344  Secondary urethral surgery                        A  17.06   8.32NA   8.32    1.95  27.33 27.330090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54348  Secondary urethral surgery                        A  18.32   8.82NA   8.82    2.08  29.22 29.220090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54352  Reconstruct urethra/penis                         A  26.13  11.78NA  11.78    3.00  40.91 40.910090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54360  Penis plastic surgery                             A  12.78   6.58NA   6.58    1.46  20.82 20.820090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54380  Repair penis                                      A  14.18   7.28NA   7.28    1.63  23.09 23.090090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54385  Repair penis                                      A  16.56   8.39NA   8.39    1.89  26.84 26.840090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54390  Repair penis and bladder                          A  22.77  10.49NA  10.49    2.60  35.86 35.860090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54400  Insert semi-rigid prosthesis                      A   9.17   5.13NA   5.13    1.04  15.34 15.340090.10.80.1020110             36.0896 090 99      0.00   0.00   0.00
54401  Insert self-contd prosthesis                      A  10.44   7.35NA   7.35    1.19  18.98 18.980090.10.80.1020110             36.0896 090 99      0.00   0.00   0.00
54405  Insert multi-comp penis pros                      A  14.52   7.18NA   7.18    1.67  23.37 23.370090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54406  Remove muti-comp penis pros                       A  12.89   6.74NA   6.74    1.48  21.11 21.110090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54408  Repair multi-comp penis pros                      A  13.91   7.31NA   7.31    1.61  22.83 22.830090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54410  Remove/replace penis prosth                       A  15.18   7.94NA   7.94    1.73  24.85 24.850090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54411  Remov/replc penis pros comp                       A  18.35   9.25NA   9.25    2.12  29.72 29.720090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54415  Remove self-contd penis pros                      A   8.88   5.37NA   5.37    1.02  15.27 15.270090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54416  Remv/repl penis contain pros                      A  12.08   7.08NA   7.08    1.38  20.54 20.540090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54417  Remv/replc penis pros compl                       A  16.10   8.01NA   8.01    1.85  25.96 25.960090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54420  Revision of penis                                 A  12.39   6.52NA   6.52    1.42  20.33 20.330090.10.80.1020200             36.0896 090 99      0.00   0.00   0.00
54430  Revision of penis                                 A  11.06   6.13NA   6.13    1.26  18.45 18.450090.10.80.1022200             36.0896 090 99      0.00   0.00   0.00
54435  Revision of penis                                 A   6.81   4.38NA   4.38    0.79  11.98 11.980090.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
54437  Repair corporeal tear                             A  11.50   6.66NA   6.66    1.31  19.47 19.470090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54438  Replantation of penis                             A  24.50  11.32NA  11.32    2.82  38.64 38.640090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
54440  Repair of penis                                   C   0.00   0.00     0.00    0.00   0.00  0.000090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
54450  Preputial stretching                              A   1.12   0.73     0.41    0.13   1.98  1.660000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
54500  Biopsy of testis                                  A   1.31   0.68NA   0.68    0.15   2.14  2.140000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
54505  Biopsy of testis                                  A   3.50   2.15NA   2.15    0.41   6.06  6.060010.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
54512  Excise lesion testis                              A   9.33   5.12NA   5.12    1.11  15.56 15.560090.10.80.1021110             36.0896 090 99      0.00   0.00   0.00
54520  Removal of testis                                 A   5.30   3.45NA   3.45    0.65   9.40  9.400090.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
54522  Orchiectomy partial                               A  10.25   5.59NA   5.59    1.17  17.01 17.010090.10.80.1021210             36.0896 090 99      0.00   0.00   0.00
54530  Removal of testis                                 A   8.46   5.17NA   5.17    1.00  14.63 14.630090.10.80.1021210             36.0896 090 99      0.00   0.00   0.00
54535  Extensive testis surgery                          A  13.19   6.80NA   6.80    1.50  21.49 21.490090.10.80.1021200             36.0896 090 99      0.00   0.00   0.00
54550  Exploration for testis                            A   8.41   4.83NA   4.83    0.96  14.20 14.200090.10.80.1021200             36.0896 090 99      0.00   0.00   0.00
54560  Exploration for testis                            A  12.10   6.36NA   6.36    1.38  19.84 19.840090.10.80.1021210             36.0896 090 99      0.00   0.00   0.00
54600  Reduce testis torsion                             A   7.64   4.56NA   4.56    0.87  13.07 13.070090.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
54620  Suspension of testis                              A   5.21   2.83NA   2.83    0.60   8.64  8.640010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
54640  Orchiopexy ingun/scrot appr                       A   7.73   3.86NA   3.86    0.96  12.55 12.550090.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
54650  Orchiopexy (fowler-stephens)                      A  12.39   6.74NA   6.74    1.42  20.55 20.550090.10.80.1021200             36.0896 090 99      0.00   0.00   0.00
54660  Revision of testis                                A   5.74   3.91NA   3.91    0.64  10.29 10.290090.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
54670  Repair testis injury                              A   6.65   4.33NA   4.33    0.77  11.75 11.750090.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
54680  Relocation of testis(es)                          A  14.04   7.10NA   7.10    1.61  22.75 22.750090.10.80.1021210             36.0896 090 99      0.00   0.00   0.00
54690  Laparoscopy orchiectomy                           A  11.70   5.92NA   5.92    1.32  18.94 18.940090.10.80.1021210             36.0896 090 99      0.00   0.00   0.00
54692  Laparoscopy orchiopexy                            A  13.74   6.58NA   6.58    1.58  21.90 21.900090.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
54699  Laparoscope proc testis                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             36.0896 090 99      0.00   0.00   0.00
54700  Drainage of scrotum                               A   3.47   2.24NA   2.24    0.47   6.18  6.180010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
54800  Biopsy of epididymis                              A   2.33   1.03NA   1.03    0.27   3.63  3.630000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
54830  Remove epididymis lesion                          A   6.01   4.03NA   4.03    0.68  10.72 10.720090.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
54840  Remove epididymis lesion                          A   5.27   3.40NA   3.40    0.60   9.27  9.270090.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
54860  Removal of epididymis                             A   6.95   4.33NA   4.33    0.79  12.07 12.070090.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
54861  Removal of epididymis                             A   9.70   5.56NA   5.56    1.12  16.38 16.380090.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
54865  Explore epididymis                                A   5.77   3.92NA   3.92    0.64  10.33 10.330090.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
54900  Fusion of spermatic ducts                         A  14.20   7.30NA   7.30    1.63  23.13 23.130090.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
54901  Fusion of spermatic ducts                         A  19.10   9.26NA   9.26    2.19  30.55 30.550090.10.80.1022000             36.0896 090 99      0.00   0.00   0.00
55000  Drainage of hydrocele                             A   1.43   1.78     0.83    0.18   3.39  2.440000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
55040  Removal of hydrocele                              A   5.45   3.63NA   3.63    0.64   9.72  9.720090.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
55041  Removal of hydroceles                             A   8.54   5.19NA   5.19    1.02  14.75 14.750090.10.80.1022100             36.0896 090 99      0.00   0.00   0.00
55060  Repair of hydrocele                               A   6.15   4.08NA   4.08    0.74  10.97 10.970090.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
55100  Drainage of scrotum abscess                       A   2.45   3.63     2.00    0.35   6.43  4.800010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
55110  Explore scrotum                                   A   6.33   4.08NA   4.08    0.78  11.19 11.190090.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
55120  Removal of scrotum lesion                         A   5.72   3.83NA   3.83    0.64  10.19 10.190090.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
55150  Removal of scrotum                                A   8.14   5.07NA   5.07    0.99  14.20 14.200090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
55175  Revision of scrotum                               A   5.87   3.92NA   3.92    0.67  10.46 10.460090.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
55180  Revision of scrotum                               A  11.78   6.78NA   6.78    1.44  20.00 20.000090.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
55200  Incision of sperm duct                            A   4.55   6.72     2.93    0.52  11.79  8.000090.10.80.1022000             36.0896 090 99      0.00   0.00   0.00
55250  Removal of sperm duct(s)                          A   3.37   6.56     2.79    0.39  10.32  6.550090.10.80.1022100             36.0896 090 99      0.00   0.00   0.00
55300  Prepare sperm duct x-ray                          A   3.50   1.48NA   1.48    0.41   5.39  5.390000.00.00.0022000             36.0896 090 99      0.00   0.00   0.00
55400  Repair of sperm duct                              A   8.61   4.82NA   4.82    0.99  14.42 14.420090.10.80.1021210             36.0896 090 99      0.00   0.00   0.00
55500  Removal of hydrocele                              A   6.22   4.23NA   4.23    0.90  11.35 11.350090.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
55520  Removal of sperm cord lesion                      A   6.66   5.03NA   5.03    1.51  13.20 13.200090.10.80.1021210             36.0896 090 99      0.00   0.00   0.00
55530  Revise spermatic cord veins                       A   5.75   3.73NA   3.73    0.65  10.13 10.130090.10.80.1021110             36.0896 090 99      0.00   0.00   0.00
55535  Revise spermatic cord veins                       A   7.19   4.40NA   4.40    0.82  12.41 12.410090.10.80.1021210             36.0896 090 99      0.00   0.00   0.00
55540  Revise hernia & sperm veins                       A   8.30   5.76NA   5.76    2.00  16.06 16.060090.10.80.1021110             36.0896 090 99      0.00   0.00   0.00
55550  Laparo ligate spermatic vein                      A   7.20   4.35NA   4.35    0.82  12.37 12.370090.10.80.1021210             36.0896 090 99      0.00   0.00   0.00
55559  Laparo proc spermatic cord                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             36.0896 090 99      0.00   0.00   0.00
55600  Incise sperm duct pouch                           A   7.01   4.35NA   4.35    0.79  12.15 12.150090.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
55605  Incise sperm duct pouch                           A   8.76   5.31NA   5.31    1.00  15.07 15.070090.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
55650  Remove sperm duct pouch                           A  12.65   6.63NA   6.63    1.44  20.72 20.720090.10.80.1021210             36.0896 090 99      0.00   0.00   0.00
55680  Remove sperm pouch lesion                         A   5.67   3.68NA   3.68    0.64   9.99  9.990090.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
55700  Biopsy of prostate                                A   2.50   4.31     0.99    0.28   7.09  3.770000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
55705  Biopsy of prostate                                A   4.61   2.53NA   2.53    0.53   7.67  7.670010.10.80.1020110             36.0896 090 99      0.00   0.00   0.00
55706  Prostate saturation sampling                      A   6.28   3.80NA   3.80    0.67  10.75 10.750010.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
55720  Drainage of prostate abscess                      A   7.73   4.44NA   4.44    0.88  13.05 13.050090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
55725  Drainage of prostate abscess                      A  10.05   5.94NA   5.94    1.15  17.14 17.140090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
55801  Removal of prostate                               A  19.80   9.55NA   9.55    2.27  31.62 31.620090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
55810  Extensive prostate surgery                        A  24.29  10.75NA  10.75    2.82  37.86 37.860090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
55812  Extensive prostate surgery                        A  29.89  13.16NA  13.16    3.43  46.48 46.480090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
55815  Extensive prostate surgery                        A  32.95  14.19NA  14.19    3.78  50.92 50.920090.10.80.1022210             36.0896 090 99      0.00   0.00   0.00
55821  Removal of prostate                               A  15.76   7.66NA   7.66    1.82  25.24 25.240090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
55831  Removal of prostate                               A  17.19   8.15NA   8.15    1.98  27.32 27.320090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
55840  Extensive prostate surgery                        A  21.36   9.98NA   9.98    2.47  33.81 33.810090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
55842  Extensive prostate surgery                        A  21.36   9.98NA   9.98    2.49  33.83 33.830090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
55845  Extensive prostate surgery                        A  25.18  11.28NA  11.28    2.92  39.38 39.380090.10.80.1022210             36.0896 090 99      0.00   0.00   0.00
55860  Surgical exposure prostate                        A  15.84   7.63NA   7.63    1.81  25.28 25.280090.10.80.1020110             36.0896 090 99      0.00   0.00   0.00
55862  Extensive prostate surgery                        A  20.04   9.33NA   9.33    2.30  31.67 31.670090.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
55865  Extensive prostate surgery                        A  24.57  11.18NA  11.18    2.82  38.57 38.570090.10.80.1022210             36.0896 090 99      0.00   0.00   0.00
55866  Laparo radical prostatectomy                      A  26.80  11.80NA  11.80    3.09  41.69 41.690090.08.83.0920210             36.0896 090 99      0.00   0.00   0.00
55870  Electroejaculation                                A   2.58   2.15     1.21    0.30   5.03  4.090000.00.00.0020110             36.0896 090 99      0.00   0.00   0.00
55873  Cryoablate prostate                               A  13.60 160.37     6.90    1.56 175.53 22.060090.08.83.0920100             36.0896 090 99      0.00   0.00   0.00
55874  Tprnl plmt biodegrdabl matrl                      A   3.03  83.79     1.47    0.27  87.09  4.770000.00.00.0020111             36.0896 090 99      0.00   0.00   0.00
55875  Transperi needle place pros                       A  13.46   7.35NA   7.35    1.39  22.20 22.200090.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
55876  Place rt device/marker pros                       A   1.73   2.25     1.00    0.18   4.16  2.910000.00.00.0020111             36.0896 090 99      0.00   0.00   0.00
55899  Genital surgery procedure                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
55920  Place needles pelvic for rt                       A   8.31   4.14NA   4.14    0.64  13.09 13.090000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
55970  Sex transformation m to f                         C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
55980  Sex transformation f to m                         C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
56405  I & d of vulva/perineum                           A   1.49   1.94     1.68    0.26   3.69  3.430010.10.80.1020120             36.0896 090 99      0.00   0.00   0.00
56420  Drainage of gland abscess                         A   1.44   2.78     1.28    0.25   4.47  2.970010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
56440  Surgery for vulva lesion                          A   2.89   1.89NA   1.89    0.47   5.25  5.250010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
56441  Lysis of labial lesion(s)                         A   2.02   2.42     1.94    0.28   4.72  4.240010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
56442  Hymenotomy                                        A   0.68   0.57NA   0.57    0.11   1.36  1.360000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
56501  Destroy vulva lesions sim                         A   1.58   2.87     1.78    0.24   4.69  3.600010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
56515  Destroy vulva lesion/s compl                      A   3.08   3.69     2.41    0.48   7.25  5.970010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
56605  Biopsy of vulva/perineum                          A   1.10   1.32     0.47    0.18   2.60  1.750000.00.00.0020120             36.0896 090 99      0.00   0.00   0.00
56606  Biopsy of vulva/perineum                          A   0.55   0.47     0.22    0.09   1.11  0.860ZZZ.00.00.0000120             36.0896 090 99      0.00   0.00   0.00
56620  Partial removal of vulva                          A   7.53   7.21NA   7.21    1.18  15.92 15.920090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
56625  Complete removal of vulva                         A   9.68   7.41NA   7.41    1.52  18.61 18.610090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
56630  Extensive vulva surgery                           A  14.80   9.93NA   9.93    2.35  27.08 27.080090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
56631  Extensive vulva surgery                           A  18.99  11.84NA  11.84    3.00  33.83 33.830090.12.74.1420220             36.0896 090 99      0.00   0.00   0.00
56632  Extensive vulva surgery                           A  21.86  14.97NA  14.97    3.45  40.28 40.280090.12.74.1422220             36.0896 090 99      0.00   0.00   0.00
56633  Extensive vulva surgery                           A  19.62  12.24NA  12.24    3.10  34.96 34.960090.12.74.1420220             36.0896 090 99      0.00   0.00   0.00
56634  Extensive vulva surgery                           A  20.66  12.96NA  12.96    3.26  36.88 36.880090.12.74.1420220             36.0896 090 99      0.00   0.00   0.00
56637  Extensive vulva surgery                           A  24.75  14.20NA  14.20    3.89  42.84 42.840090.12.74.1420220             36.0896 090 99      0.00   0.00   0.00
56640  Extensive vulva surgery                           A  24.78  14.69NA  14.69    3.90  43.37 43.370090.12.74.1421210             36.0896 090 99      0.00   0.00   0.00
56700  Partial removal of hymen                          A   2.84   2.38NA   2.38    0.46   5.68  5.680010.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
56740  Remove vagina gland lesion                        A   4.88   3.25NA   3.25    0.79   8.92  8.920010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
56800  Repair of vagina                                  A   3.93   2.64NA   2.64    0.60   7.17  7.170010.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
56805  Repair clitoris                                   A  19.88  10.64NA  10.64    3.11  33.63 33.630090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
56810  Repair of perineum                                A   4.29   2.79NA   2.79    0.64   7.72  7.720010.10.80.1020220             36.0896 090 99      0.00   0.00   0.00
56820  Exam of vulva w/scope                             A   1.50   1.69     0.73    0.24   3.43  2.470000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
56821  Exam/biopsy of vulva w/scope                      A   2.05   2.20     0.93    0.32   4.57  3.300000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
57000  Exploration of vagina                             A   3.02   2.19NA   2.19    0.48   5.69  5.690010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
57010  Drainage of pelvic abscess                        A   6.84   5.04NA   5.04    1.07  12.95 12.950090.12.74.1420000             36.0896 090 99      0.00   0.00   0.00
57020  Drainage of pelvic fluid                          A   1.50   1.42     0.60    0.25   3.17  2.350000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
57022  I & d vaginal hematoma pp                         A   2.73   1.93NA   1.93    0.44   5.10  5.100010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
57023  I & d vag hematoma non-ob                         A   5.18   3.17NA   3.17    0.81   9.16  9.160010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
57061  Destroy vag lesions simple                        A   1.30   2.54     1.58    0.21   4.05  3.090010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
57065  Destroy vag lesions complex                       A   2.66   3.29     2.12    0.42   6.37  5.200010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
57100  Biopsy of vagina                                  A   1.20   1.38     0.52    0.18   2.76  1.900000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
57105  Biopsy of vagina                                  A   1.74   2.55     1.92    0.27   4.56  3.930010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
57106  Remove vagina wall partial                        A   7.50   6.24NA   6.24    1.15  14.89 14.890090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57107  Remove vagina tissue part                         A  24.56  13.33NA  13.33    3.64  41.53 41.530090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57109  Vaginectomy partial w/nodes                       A  28.40  16.48NA  16.48    4.46  49.34 49.340090.12.74.1422210             36.0896 090 99      0.00   0.00   0.00
57110  Remove vagina wall complete                       A  15.48   8.29NA   8.29    2.37  26.14 26.140090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57111  Remove vagina tissue compl                        A  28.40  16.48NA  16.48    4.46  49.34 49.340090.12.74.1422210             36.0896 090 99      0.00   0.00   0.00
57112  Vaginectomy w/nodes compl                         A  30.52  17.45NA  17.45    4.81  52.78 52.780090.12.74.1422210             36.0896 090 99      0.00   0.00   0.00
57120  Closure of vagina                                 A   8.28   5.58NA   5.58    1.25  15.11 15.110090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57130  Remove vagina lesion                              A   2.46   3.08     1.98    0.39   5.93  4.830010.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
57135  Remove vagina lesion                              A   2.70   3.26     2.12    0.42   6.38  5.240010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
57150  Treat vagina infection                            A   0.50   0.95     0.19    0.09   1.54  0.780000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
57155  Insert uteri tandem/ovoids                        A   5.15   5.33     2.56    0.42  10.90  8.130000.00.00.0020120             36.0896 090 99      0.00   0.00   0.00
57156  Ins vag brachytx device                           A   2.69   3.25     1.42    0.19   6.13  4.300000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
57160  Insert pessary/other device                       A   0.89   0.94     0.33    0.13   1.96  1.350000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
57170  Fitting of diaphragm/cap                          A   0.91   0.98     0.34    0.13   2.02  1.380000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
57180  Treat vaginal bleeding                            A   1.63   3.08     1.43    0.26   4.97  3.320010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
57200  Repair of vagina                                  A   4.42   4.07NA   4.07    0.68   9.17  9.170090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57210  Repair vagina/perineum                            A   5.71   4.47NA   4.47    0.89  11.07 11.070090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57220  Revision of urethra                               A   4.85   4.08NA   4.08    0.74   9.67  9.670090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57230  Repair of urethral lesion                         A   6.30   4.56NA   4.56    0.99  11.85 11.850090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57240  Anterior colporrhaphy                             A  10.08   5.96NA   5.96    1.45  17.49 17.490090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57250  Repair rectum & vagina                            A  10.08   6.00NA   6.00    1.52  17.60 17.600090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57260  Cmbn ant pst colprhy                              A  13.25   7.18NA   7.18    2.00  22.43 22.430090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57265  Cmbn ap colprhy w/ntrcl rpr                       A  15.00   7.86NA   7.86    2.32  25.18 25.180090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57267  Insert mesh/pelvic flr addon                      A   4.88   1.78NA   1.78    0.68   7.34  7.340ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
57268  Repair of bowel bulge                             A   7.57   5.64NA   5.64    1.15  14.36 14.360090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57270  Repair of bowel pouch                             A  13.67   7.67NA   7.67    2.10  23.44 23.440090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57280  Suspension of vagina                              A  16.72   8.71NA   8.71    2.44  27.87 27.870090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57282  Colpopexy extraperitoneal                         A   7.97   6.03NA   6.03    1.18  15.18 15.180090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57283  Colpopexy intraperitoneal                         A  11.66   6.81NA   6.81    1.78  20.25 20.250090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57284  Repair paravag defect open                        A  14.33   7.56NA   7.56    1.99  23.88 23.880090.08.83.0920220             36.0896 090 99      0.00   0.00   0.00
57285  Repair paravag defect vag                         A  11.60   6.59NA   6.59    1.69  19.88 19.880090.08.83.0920220             36.0896 090 99      0.00   0.00   0.00
57287  Revise/remove sling repair                        A  11.15   8.02NA   8.02    1.51  20.68 20.680090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57288  Repair bladder defect                             A  12.13   7.37NA   7.37    1.69  21.19 21.190090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57289  Repair bladder & vagina                           A  12.80   7.85NA   7.85    2.00  22.65 22.650090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57291  Construction of vagina                            A   8.64   5.70NA   5.70    1.34  15.68 15.680090.12.74.1420200             36.0896 090 99      0.00   0.00   0.00
57292  Construct vagina with graft                       A  14.01   7.72NA   7.72    2.20  23.93 23.930090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57295  Revise vag graft via vagina                       A   7.82   5.28NA   5.28    1.13  14.23 14.230090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57296  Revise vag graft open abd                         A  16.56   8.46NA   8.46    2.38  27.40 27.400090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57300  Repair rectum-vagina fistula                      A   8.71   6.88NA   6.88    1.46  17.05 17.050090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57305  Repair rectum-vagina fistula                      A  15.35   9.75NA   9.75    2.86  27.96 27.960090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57307  Fistula repair & colostomy                        A  17.17  11.05NA  11.05    2.17  30.39 30.390090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57308  Fistula repair transperine                        A  10.59   7.08NA   7.08    1.33  19.00 19.000090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57310  Repair urethrovaginal lesion                      A   7.65   5.33NA   5.33    0.87  13.85 13.850090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57311  Repair urethrovaginal lesion                      A   8.91   5.75NA   5.75    1.02  15.68 15.680090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57320  Repair bladder-vagina lesion                      A   8.88   5.81NA   5.81    1.16  15.85 15.850090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57330  Repair bladder-vagina lesion                      A  13.21   7.16NA   7.16    1.50  21.87 21.870090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57335  Repair vagina                                     A  20.02  10.81NA  10.81    3.13  33.96 33.960090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57400  Dilation of vagina                                A   2.27   1.19NA   1.19    0.35   3.81  3.810000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
57410  Pelvic examination                                A   1.75   1.05NA   1.05    0.27   3.07  3.070000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
57415  Remove vaginal foreign body                       A   2.49   2.03NA   2.03    0.37   4.89  4.890010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
57420  Exam of vagina w/scope                            A   1.60   1.75     0.76    0.26   3.61  2.620000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
57421  Exam/biopsy of vag w/scope                        A   2.20   2.31     1.00    0.35   4.86  3.550000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
57423  Repair paravag defect lap                         A  16.08   8.33NA   8.33    2.42  26.83 26.830090.08.83.0920220             36.0896 090 99      0.00   0.00   0.00
57425  Laparoscopy surg colpopexy                        A  17.03   8.80NA   8.80    2.48  28.31 28.310090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57426  Revise prosth vag graft lap                       A  14.30   8.47NA   8.47    2.10  24.87 24.870090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57452  Exam of cervix w/scope                            A   1.50   1.71     0.90    0.24   3.45  2.640000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
57454  Bx/curett of cervix w/scope                       A   2.33   2.01     1.19    0.37   4.71  3.890000.00.00.0030100       57452 36.0896 090 99      0.00   0.00   0.00
57455  Biopsy of cervix w/scope                          A   1.99   2.14     0.89    0.31   4.44  3.190000.00.00.0030100       57452 36.0896 090 99      0.00   0.00   0.00
57456  Endocerv curettage w/scope                        A   1.85   2.04     0.82    0.28   4.17  2.950000.00.00.0030100       57452 36.0896 090 99      0.00   0.00   0.00
57460  Bx of cervix w/scope leep                         A   2.83   5.51     1.39    0.44   8.78  4.660000.00.00.0030100       57452 36.0896 090 99      0.00   0.00   0.00
57461  Conz of cervix w/scope leep                       A   3.43   5.88     1.42    0.54   9.85  5.390000.00.00.0030100       57452 36.0896 090 99      0.00   0.00   0.00
57500  Biopsy of cervix                                  A   1.20   2.72     0.78    0.19   4.11  2.170000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
57505  Endocervical curettage                            A   1.19   2.32     1.53    0.18   3.69  2.900010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
57510  Cauterization of cervix                           A   1.90   2.13     1.09    0.30   4.33  3.290010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
57511  Cryocautery of cervix                             A   1.95   2.74     1.80    0.31   5.00  4.060010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
57513  Laser surgery of cervix                           A   1.95   2.82     1.79    0.31   5.08  4.050010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
57520  Conization of cervix                              A   4.11   4.85     3.49    0.63   9.59  8.230090.12.74.1420100             36.0896 090 99      0.00   0.00   0.00
57522  Conization of cervix                              A   3.67   4.01     2.97    0.57   8.25  7.210090.12.74.1420100             36.0896 090 99      0.00   0.00   0.00
57530  Removal of cervix                                 A   5.27   4.33NA   4.33    0.82  10.42 10.420090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57531  Removal of cervix radical                         A  29.95  14.72NA  14.72    8.26  52.93 52.930090.12.74.1422210             36.0896 090 99      0.00   0.00   0.00
57540  Removal of residual cervix                        A  13.29   7.47NA   7.47    2.08  22.84 22.840090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57545  Remove cervix/repair pelvis                       A  14.10   7.77NA   7.77    2.21  24.08 24.080090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57550  Removal of residual cervix                        A   6.34   4.85NA   4.85    1.00  12.19 12.190090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57555  Remove cervix/repair vagina                       A   9.94   6.24NA   6.24    1.57  17.75 17.750090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57556  Remove cervix repair bowel                        A   9.36   5.99NA   5.99    1.46  16.81 16.810090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
57558  D&c of cervical stump                             A   1.72   2.15     1.54    0.27   4.14  3.530010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
57700  Revision of cervix                                A   4.35   4.67NA   4.67    0.66   9.68  9.680090.12.74.1420000             36.0896 090 99      0.00   0.00   0.00
57720  Revision of cervix                                A   4.61   4.00NA   4.00    0.72   9.33  9.330090.12.74.1420200             36.0896 090 99      0.00   0.00   0.00
57800  Dilation of cervical canal                        A   0.77   1.12     0.50    0.12   2.01  1.390000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
58100  Biopsy of uterus lining                           A   1.21   1.40     0.46    0.19   2.80  1.860000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
58110  Bx done w/colposcopy add-on                       A   0.77   0.57     0.30    0.12   1.46  1.190ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
58120  Dilation and curettage                            A   3.59   3.93     2.41    0.56   8.08  6.560010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
58140  Myomectomy abdom method                           A  15.79   8.53NA   8.53    2.60  26.92 26.920090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
58145  Myomectomy vag method                             A   8.91   5.94NA   5.94    1.39  16.24 16.240090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
58146  Myomectomy abdom complex                          A  20.34  10.05NA  10.05    3.19  33.58 33.580090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
58150  Total hysterectomy                                A  17.31   9.20NA   9.20    2.74  29.25 29.250090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
58152  Total hysterectomy                                A  21.86  10.97NA  10.97    3.51  36.34 36.340090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
58180  Partial hysterectomy                              A  16.60   8.63NA   8.63    2.61  27.84 27.840090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
58200  Extensive hysterectomy                            A  23.10  12.31NA  12.31    3.62  39.03 39.030090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
58210  Extensive hysterectomy                            A  30.91  16.54NA  16.54    4.92  52.37 52.370090.12.74.1422210             36.0896 090 99      0.00   0.00   0.00
58240  Removal of pelvis contents                        A  49.33  26.73NA  26.73    7.75  83.81 83.810090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
58260  Vaginal hysterectomy                              A  14.15   7.85NA   7.85    2.20  24.20 24.200090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
58262  Vag hyst including t/o                            A  15.94   8.45NA   8.45    2.48  26.87 26.870090.12.74.1420220             36.0896 090 99      0.00   0.00   0.00
58263  Vag hyst w/t/o & vag repair                       A  17.23   8.93NA   8.93    2.71  28.87 28.870090.12.74.1420220             36.0896 090 99      0.00   0.00   0.00
58267  Vag hyst w/urinary repair                         A  18.36   9.69NA   9.69    2.86  30.91 30.910090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
58270  Vag hyst w/enterocele repair                      A  15.30   8.13NA   8.13    2.40  25.83 25.830090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
58275  Hysterectomy/revise vagina                        A  17.03   9.01NA   9.01    2.62  28.66 28.660090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
58280  Hysterectomy/revise vagina                        A  18.33   9.50NA   9.50    2.89  30.72 30.720090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
58285  Extensive hysterectomy                            A  23.38  13.39NA  13.39    3.70  40.47 40.470090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
58290  Vag hyst complex                                  A  20.27  10.01NA  10.01    3.18  33.46 33.460090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
58291  Vag hyst incl t/o complex                         A  22.06  10.80NA  10.80    3.39  36.25 36.250090.12.74.1420220             36.0896 090 99      0.00   0.00   0.00
58292  Vag hyst t/o & repair compl                       A  23.35  11.18NA  11.18    3.68  38.21 38.210090.12.74.1420220             36.0896 090 99      0.00   0.00   0.00
58293  Vag hyst w/uro repair compl                       A  24.33  11.55NA  11.55    3.82  39.70 39.700090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
58294  Vag hyst w/enterocele compl                       A  21.55  10.50NA  10.50    3.39  35.44 35.440090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
58300  Insert intrauterine device                        N+  1.01   1.50     0.39    0.09   2.60  1.499XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
58301  Remove intrauterine device                        A   1.27   1.45     0.49    0.19   2.91  1.950000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
58321  Artificial insemination                           A   0.92   1.21     0.35    0.13   2.26  1.400000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
58322  Artificial insemination                           A   1.10   1.28     0.42    0.18   2.56  1.700000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
58323  Sperm washing                                     A   0.23   0.17     0.09    0.05   0.45  0.370000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
58340  Catheter for hysterography                        A   0.88   4.53     0.65    0.12   5.53  1.650000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
58345  Reopen fallopian tube                             A   4.70   2.83NA   2.83    0.74   8.27  8.270010.10.80.1021220             36.0896 090 99      0.00   0.00   0.00
58346  Insert heyman uteri capsule                       A   7.56   5.55NA   5.55    0.54  13.65 13.650090.12.74.1420100             36.0896 090 99      0.00   0.00   0.00
58350  Reopen fallopian tube                             A   1.06   2.40     1.29    0.16   3.62  2.510010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
58353  Endometr ablate thermal                           A   3.60  24.35     2.38    0.56  28.51  6.540010.10.80.1020120             36.0896 090 99      0.00   0.00   0.00
58356  Endometrial cryoablation                          A   6.41  44.62     2.83    1.01  52.04 10.250010.10.80.1020220             36.0896 090 99      0.00   0.00   0.00
58400  Suspension of uterus                              A   7.14   4.96NA   4.96    1.04  13.14 13.140090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
58410  Suspension of uterus                              A  13.80   7.61NA   7.61    2.17  23.58 23.580090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
58520  Repair of ruptured uterus                         A  13.48   7.48NA   7.48    2.13  23.09 23.090090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
58540  Revision of uterus                                A  15.71   8.38NA   8.38    2.47  26.56 26.560090.12.74.1420200             36.0896 090 99      0.00   0.00   0.00
58541  Lsh uterus 250 g or less                          A  12.29   6.91NA   6.91    1.86  21.06 21.060090.12.74.1430220       49320 36.0896 090 99      0.00   0.00   0.00
58542  Lsh w/t/o ut 250 g or less                        A  14.16   7.64NA   7.64    2.17  23.97 23.970090.12.74.1420220             36.0896 090 99      0.00   0.00   0.00
58543  Lsh uterus above 250 g                            A  14.39   7.70NA   7.70    2.27  24.36 24.360090.12.74.1420220             36.0896 090 99      0.00   0.00   0.00
58544  Lsh w/t/o uterus above 250 g                      A  15.60   8.20NA   8.20    2.43  26.23 26.230090.12.74.1420220             36.0896 090 99      0.00   0.00   0.00
58545  Laparoscopic myomectomy                           A  15.55   8.04NA   8.04    2.48  26.07 26.070090.12.74.1420220             36.0896 090 99      0.00   0.00   0.00
58546  Laparo-myomectomy complex                         A  19.94   9.46NA   9.46    3.11  32.51 32.510090.12.74.1420220             36.0896 090 99      0.00   0.00   0.00
58548  Lap radical hyst                                  A  31.63  17.40NA  17.40    4.96  53.99 53.990090.12.74.1422220             36.0896 090 99      0.00   0.00   0.00
58550  Laparo-asst vag hysterectomy                      A  15.10   8.12NA   8.12    2.37  25.59 25.590090.12.74.1430220       49320 36.0896 090 99      0.00   0.00   0.00
58552  Laparo-vag hyst incl t/o                          A  16.91   8.94NA   8.94    2.67  28.52 28.520090.12.74.1420220             36.0896 090 99      0.00   0.00   0.00
58553  Laparo-vag hyst complex                           A  20.06   9.51NA   9.51    3.13  32.70 32.700090.12.74.1420220             36.0896 090 99      0.00   0.00   0.00
58554  Laparo-vag hyst w/t/o compl                       A  23.11  11.38NA  11.38    3.64  38.13 38.130090.12.74.1420220             36.0896 090 99      0.00   0.00   0.00
58555  Hysteroscopy dx sep proc                          A   2.65   6.19     1.35    0.42   9.26  4.420000.00.00.0020020             36.0896 090 99      0.00   0.00   0.00
58558  Hysteroscopy biopsy                               A   4.17  34.80     1.93    0.64  39.61  6.740000.00.00.0030120       58555 36.0896 090 99      0.00   0.00   0.00
58559  Hysteroscopy lysis                                A   5.20   2.32NA   2.32    0.81   8.33  8.330000.00.00.0030120       58555 36.0896 090 99      0.00   0.00   0.00
58560  Hysteroscopy resect septum                        A   5.75   2.51NA   2.51    0.90   9.16  9.160000.00.00.0030220       58555 36.0896 090 99      0.00   0.00   0.00
58561  Hysteroscopy remove myoma                         A   6.60   2.84NA   2.84    1.04  10.48 10.480000.00.00.0030020       58555 36.0896 090 99      0.00   0.00   0.00
58562  Hysteroscopy remove fb                            A   4.00   6.69     1.85    0.62  11.31  6.470000.00.00.0030120       58555 36.0896 090 99      0.00   0.00   0.00
58563  Hysteroscopy ablation                             A   4.47  50.46     2.03    0.68  55.61  7.180000.00.00.0030020       58555 36.0896 090 99      0.00   0.00   0.00
58565  Hysteroscopy sterilization                        A   7.12  43.40     4.72    1.13  51.65 12.970090.12.74.1432120       58555 36.0896 090 99      0.00   0.00   0.00
58570  Tlh uterus 250 g or less                          A  13.36   7.55NA   7.55    2.08  22.99 22.990090.12.74.1420220             36.0896 090 99      0.00   0.00   0.00
58571  Tlh w/t/o 250 g or less                           A  15.00   8.58NA   8.58    2.35  25.93 25.930090.12.74.1420220             36.0896 090 99      0.00   0.00   0.00
58572  Tlh uterus over 250 g                             A  17.71   9.38NA   9.38    2.78  29.87 29.870090.12.74.1420220             36.0896 090 99      0.00   0.00   0.00
58573  Tlh w/t/o uterus over 250 g                       A  20.79  10.98NA  10.98    3.26  35.03 35.030090.12.74.1420220             36.0896 090 99      0.00   0.00   0.00
58575  Laps tot hyst resj mal                            A  32.60  17.21NA  17.21    5.10  54.91 54.910090.12.74.1422220             36.0896 090 99      0.00   0.00   0.00
58578  Laparo proc uterus                                C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             36.0896 090 99      0.00   0.00   0.00
58579  Hysteroscope procedure                            C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             36.0896 090 99      0.00   0.00   0.00
58600  Division of fallopian tube                        A   5.91   3.83NA   3.83    0.92  10.66 10.660090.12.74.1422210             36.0896 090 99      0.00   0.00   0.00
58605  Division of fallopian tube                        A   5.28   3.55NA   3.55    0.82   9.65  9.650090.12.74.1422200             36.0896 090 99      0.00   0.00   0.00
58611  Ligate oviduct(s) add-on                          A   1.45   0.55NA   0.55    0.24   2.24  2.240ZZZ.00.00.0000200             36.0896 090 99      0.00   0.00   0.00
58615  Occlude fallopian tube(s)                         A   3.94   2.68NA   2.68    0.62   7.24  7.240010.10.80.1020200             36.0896 090 99      0.00   0.00   0.00
58660  Laparoscopy lysis                                 A  11.59   6.08NA   6.08    1.98  19.65 19.650090.09.84.0730220       49320 36.0896 090 99      0.00   0.00   0.00
58661  Laparoscopy remove adnexa                         A  11.35   5.71NA   5.71    1.80  18.86 18.860010.10.80.1031220       49320 36.0896 090 99      0.00   0.00   0.00
58662  Laparoscopy excise lesions                        A  12.15   6.52NA   6.52    1.96  20.63 20.630090.09.84.0730220       49320 36.0896 090 99      0.00   0.00   0.00
58670  Laparoscopy tubal cautery                         A   5.91   3.85NA   3.85    0.93  10.69 10.690090.10.80.1030120       49320 36.0896 090 99      0.00   0.00   0.00
58671  Laparoscopy tubal block                           A   5.91   3.84NA   3.84    0.92  10.67 10.670090.10.80.1030120       49320 36.0896 090 99      0.00   0.00   0.00
58672  Laparoscopy fimbrioplasty                         A  12.91   6.38NA   6.38    2.02  21.31 21.310090.10.80.1031200       49320 36.0896 090 99      0.00   0.00   0.00
58673  Laparoscopy salpingostomy                         A  14.04   6.91NA   6.91    2.20  23.15 23.150090.10.80.1031200       49320 36.0896 090 99      0.00   0.00   0.00
58674  Laps abltj uterine fibroids                       A  14.08   7.39NA   7.39    2.21  23.68 23.680090.12.74.1420220             36.0896 090 99      0.00   0.00   0.00
58679  Laparo proc oviduct-ovary                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             36.0896 090 99      0.00   0.00   0.00
58700  Removal of fallopian tube                         A  12.95   7.70NA   7.70    2.25  22.90 22.900090.12.74.1422210             36.0896 090 99      0.00   0.00   0.00
58720  Removal of ovary/tube(s)                          A  12.16   7.41NA   7.41    2.00  21.57 21.570090.12.74.1422210             36.0896 090 99      0.00   0.00   0.00
58740  Adhesiolysis tube ovary                           A  14.90   8.48NA   8.48    2.58  25.96 25.960090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
58750  Repair oviduct                                    A  15.64   8.26NA   8.26    2.46  26.36 26.360090.12.74.1421210             36.0896 090 99      0.00   0.00   0.00
58752  Revise ovarian tube(s)                            A  15.64   8.19NA   8.19    2.46  26.29 26.290090.12.74.1421200             36.0896 090 99      0.00   0.00   0.00
58760  Fimbrioplasty                                     A  13.93   7.62NA   7.62    2.19  23.74 23.740090.12.74.1421210             36.0896 090 99      0.00   0.00   0.00
58770  Create new tubal opening                          A  14.77   7.86NA   7.86    2.34  24.97 24.970090.12.74.1421200             36.0896 090 99      0.00   0.00   0.00
58800  Drainage of ovarian cyst(s)                       A   4.62   4.61     3.57    0.73   9.96  8.920090.12.74.1422100             36.0896 090 99      0.00   0.00   0.00
58805  Drainage of ovarian cyst(s)                       A   6.42   4.68NA   4.68    1.01  12.11 12.110090.12.74.1422210             36.0896 090 99      0.00   0.00   0.00
58820  Drain ovary abscess open                          A   4.70   4.03NA   4.03    0.74   9.47  9.470090.12.74.1421200             36.0896 090 99      0.00   0.00   0.00
58822  Drain ovary abscess percut                        A  11.81   6.91NA   6.91    1.86  20.58 20.580090.12.74.1421210             36.0896 090 99      0.00   0.00   0.00
58825  Transposition ovary(s)                            A  11.78   6.80NA   6.80    1.86  20.44 20.440090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
58900  Biopsy of ovary(s)                                A   6.59   4.75NA   4.75    1.04  12.38 12.380090.12.74.1422210             36.0896 090 99      0.00   0.00   0.00
58920  Partial removal of ovary(s)                       A  11.95   6.77NA   6.77    1.89  20.61 20.610090.12.74.1422210             36.0896 090 99      0.00   0.00   0.00
58925  Removal of ovarian cyst(s)                        A  12.43   7.38NA   7.38    2.17  21.98 21.980090.12.74.1422210             36.0896 090 99      0.00   0.00   0.00
58940  Removal of ovary(s)                               A   8.22   5.96NA   5.96    1.47  15.65 15.650090.12.74.1422210             36.0896 090 99      0.00   0.00   0.00
58943  Removal of ovary(s)                               A  19.52  11.06NA  11.06    3.10  33.68 33.680090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
58950  Resect ovarian malignancy                         A  18.37  11.38NA  11.38    2.93  32.68 32.680090.12.74.1422210             36.0896 090 99      0.00   0.00   0.00
58951  Resect ovarian malignancy                         A  24.26  13.27NA  13.27    3.83  41.36 41.360090.12.74.1422210             36.0896 090 99      0.00   0.00   0.00
58952  Resect ovarian malignancy                         A  27.29  15.35NA  15.35    4.33  46.97 46.970090.12.74.1422210             36.0896 090 99      0.00   0.00   0.00
58953  Tah rad dissect for debulk                        A  34.13  18.09NA  18.09    5.39  57.61 57.610090.12.74.1422210             36.0896 090 99      0.00   0.00   0.00
58954  Tah rad debulk/lymph remove                       A  37.13  19.43NA  19.43    5.87  62.43 62.430090.12.74.1422210             36.0896 090 99      0.00   0.00   0.00
58956  Bso omentectomy w/tah                             A  22.80  12.72NA  12.72    3.63  39.15 39.150090.12.74.1422210             36.0896 090 99      0.00   0.00   0.00
58957  Resect recurrent gyn mal                          A  26.22  14.99NA  14.99    4.25  45.46 45.460090.12.74.1422210             36.0896 090 99      0.00   0.00   0.00
58958  Resect recur gyn mal w/lym                        A  29.22  16.29NA  16.29    4.82  50.33 50.330090.12.74.1422210             36.0896 090 99      0.00   0.00   0.00
58960  Exploration of abdomen                            A  15.79   9.58NA   9.58    2.62  27.99 27.990090.12.74.1420210             36.0896 090 99      0.00   0.00   0.00
58970  Retrieval of oocyte                               A   3.52   2.67     1.66    0.56   6.75  5.740000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
58974  Transfer of embryo                                C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
58976  Transfer of embryo                                A   3.82   2.91     1.78    0.60   7.33  6.200000.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
58999  Genital surgery procedure                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020111             36.0896 090 99      0.00   0.00   0.00
59000  Amniocentesis diagnostic                          A   1.30   1.82     0.68    0.35   3.47  2.330000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
59001  Amniocentesis therapeutic                         A   3.00   1.36NA   1.36    0.82   5.18  5.180000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
59012  Fetal cord puncture prenatal                      A   3.44   1.48NA   1.48    0.95   5.87  5.870000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
59015  Chorion biopsy                                    A   2.20   1.71     1.02    0.60   4.51  3.820000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
59020  Fetal contract stress test                        A   0.66   1.17     1.17NA  0.17   2.00  2.001000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
59020TCFetal contract stress test                        A   0.00   0.92     0.92NA  0.01   0.93  0.931000.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
5902026Fetal contract stress test                        A   0.66   0.25     0.25    0.16   1.07  1.071000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
59025  Fetal non-stress test                             A   0.53   0.72     0.72NA  0.12   1.37  1.371000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
59025TCFetal non-stress test                             A   0.00   0.52     0.52NA  0.01   0.53  0.531000.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
5902526Fetal non-stress test                             A   0.53   0.20     0.20    0.11   0.84  0.841000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
59030  Fetal scalp blood sample                          A   1.99   0.75NA   0.75    0.54   3.28  3.280000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
59050  Fetal monitor w/report                            A   0.89   0.34NA   0.34    0.26   1.49  1.490XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
59051  Fetal monitor/interpret only                      A   0.74   0.28NA   0.28    0.21   1.23  1.230XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
59070  Transabdom amnioinfus w/us                        A   5.24   4.94     2.31    1.44  11.62  8.990000.00.00.0020200             36.0896 090 99      0.00   0.00   0.00
59072  Umbilical cord occlud w/us                        A   8.99   3.73NA   3.73    2.48  15.20 15.200000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
59074  Fetal fluid drainage w/us                         A   5.24   4.49     2.31    1.44  11.17  8.990000.00.00.0020200             36.0896 090 99      0.00   0.00   0.00
59076  Fetal shunt placement w/us                        A   8.99   3.73NA   3.73    2.48  15.20 15.200000.00.00.0020200             36.0896 090 99      0.00   0.00   0.00
59100  Remove uterus lesion                              A  13.37   7.59NA   7.59    3.70  24.66 24.660090.17.60.2320210             36.0896 090 99      0.00   0.00   0.00
59120  Treat ectopic pregnancy                           A  12.67   7.33NA   7.33    3.49  23.49 23.490090.17.60.2320210             36.0896 090 99      0.00   0.00   0.00
59121  Treat ectopic pregnancy                           A  12.74   7.27NA   7.27    3.51  23.52 23.520090.17.60.2320210             36.0896 090 99      0.00   0.00   0.00
59130  Treat ectopic pregnancy                           A  15.08   8.14NA   8.14    4.16  27.38 27.380090.17.60.2320000             36.0896 090 99      0.00   0.00   0.00
59135  Treat ectopic pregnancy                           A  14.92   8.02NA   8.02    4.13  27.07 27.070090.17.60.2320000             36.0896 090 99      0.00   0.00   0.00
59136  Treat ectopic pregnancy                           A  14.25   7.77NA   7.77    3.94  25.96 25.960090.17.60.2320200             36.0896 090 99      0.00   0.00   0.00
59140  Treat ectopic pregnancy                           A   5.94   4.35NA   4.35    1.64  11.93 11.930090.17.60.2320200             36.0896 090 99      0.00   0.00   0.00
59150  Treat ectopic pregnancy                           A  12.29   7.11NA   7.11    3.39  22.79 22.790090.17.60.2320200             36.0896 090 99      0.00   0.00   0.00
59151  Treat ectopic pregnancy                           A  12.11   6.80NA   6.80    3.34  22.25 22.250090.17.60.2320200             36.0896 090 99      0.00   0.00   0.00
59160  D & c after delivery                              A   2.76   3.42     1.79    0.74   6.92  5.290010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
59200  Insert cervical dilator                           A   0.79   1.56     0.30    0.21   2.56  1.300000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
59300  Episiotomy or vaginal repair                      A   2.41   3.10     1.21    0.64   6.15  4.260000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
59320  Revision of cervix                                A   2.48   1.24NA   1.24    0.66   4.38  4.380000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
59325  Revision of cervix                                A   4.06   1.84NA   1.84    1.13   7.03  7.030000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
59350  Repair of uterus                                  A   4.94   1.86NA   1.86    1.36   8.16  8.160000.00.00.0020200             36.0896 090 99      0.00   0.00   0.00
59400  Obstetrical care                                  A  32.16  21.24NA  21.24    8.13  61.53 61.530MMM.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
59409  Obstetrical care                                  A  14.37   5.57NA   5.57    3.59  23.53 23.530MMM.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
59410  Obstetrical care                                  A  18.01   7.77NA   7.77    4.51  30.29 30.290MMM.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
59412  Antepartum manipulation                           A   1.71   0.81NA   0.81    0.48   3.00  3.000MMM.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
59414  Deliver placenta                                  A   1.61   0.61NA   0.61    0.44   2.66  2.660MMM.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
59425  Antepartum care only                              A   6.31   5.62     2.43    1.59  13.52 10.330MMM.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
59426  Antepartum care only                              A  11.16  10.16     4.31    2.74  24.06 18.210MMM.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
59430  Care after delivery                               A   2.47   2.87     0.96    0.62   5.96  4.050MMM.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
59510  Cesarean delivery                                 A  35.64  22.86NA  22.86    9.74  68.24 68.240MMM.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
59514  Cesarean delivery only                            A  16.13   6.16NA   6.16    4.30  26.59 26.590MMM.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
59515  Cesarean delivery                                 A  21.47   9.58NA   9.58    5.84  36.89 36.890MMM.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
59525  Remove uterus after cesarean                      A   8.53   3.22NA   3.22    2.35  14.10 14.100ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
59610  Vbac delivery                                     A  33.87  21.51NA  21.51    9.36  64.74 64.740MMM.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
59612  Vbac delivery only                                A  16.09   6.07NA   6.07    4.43  26.59 26.590MMM.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
59614  Vbac care after delivery                          A  19.73   7.87NA   7.87    5.45  33.05 33.050MMM.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
59618  Attempted vbac delivery                           A  36.16  22.95NA  22.95   10.01  69.12 69.120MMM.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
59620  Attempted vbac delivery only                      A  16.66   6.28NA   6.28    4.61  27.55 27.550MMM.00.00.0020200             36.0896 090 99      0.00   0.00   0.00
59622  Attempted vbac after care                         A  22.00  10.05NA  10.05    6.07  38.12 38.120MMM.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
59812  Treatment of miscarriage                          A   4.44   4.23     3.13    1.22   9.89  8.790090.17.60.2320100             36.0896 090 99      0.00   0.00   0.00
59820  Care of miscarriage                               A   4.84   5.70     4.60    1.32  11.86 10.760090.17.60.2320100             36.0896 090 99      0.00   0.00   0.00
59821  Treatment of miscarriage                          A   5.09   5.32     4.16    1.41  11.82 10.660090.17.60.2320000             36.0896 090 99      0.00   0.00   0.00
59830  Treat uterus infection                            A   6.59   4.72NA   4.72    1.81  13.12 13.120090.17.60.2320000             36.0896 090 99      0.00   0.00   0.00
59840  Abortion                                          R   3.01   2.99     2.42    0.84   6.84  6.270010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
59841  Abortion                                          R   5.65   4.56     3.47    1.56  11.77 10.680010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
59850  Abortion                                          R   5.90   3.70NA   3.70    1.63  11.23 11.230090.17.60.2320000             36.0896 090 99      0.00   0.00   0.00
59851  Abortion                                          R   5.92   4.49NA   4.49    1.63  12.04 12.040090.17.60.2320000             36.0896 090 99      0.00   0.00   0.00
59852  Abortion                                          R   8.23   6.07NA   6.07    2.28  16.58 16.580090.17.60.2320000             36.0896 090 99      0.00   0.00   0.00
59855  Abortion                                          R   6.43   4.02NA   4.02    1.78  12.23 12.230090.17.60.2320000             36.0896 090 99      0.00   0.00   0.00
59856  Abortion                                          R   7.79   4.41NA   4.41    2.16  14.36 14.360090.17.60.2320000             36.0896 090 99      0.00   0.00   0.00
59857  Abortion                                          R   9.33   4.90NA   4.90    2.58  16.81 16.810090.17.60.2320000             36.0896 090 99      0.00   0.00   0.00
59866  Abortion (mpr)                                    R   3.99   1.84NA   1.84    1.11   6.94  6.940000.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
59870  Evacuate mole of uterus                           A   6.57   6.33NA   6.33    1.81  14.71 14.710090.17.60.2320200             36.0896 090 99      0.00   0.00   0.00
59871  Remove cerclage suture                            A   2.13   1.14NA   1.14    0.58   3.85  3.850000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
59897  Fetal invas px w/us                               C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
59898  Laparo proc ob care/deliver                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             36.0896 090 99      0.00   0.00   0.00
59899  Maternity care procedure                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             36.0896 090 99      0.00   0.00   0.00
60000  Drain thyroid/tongue cyst                         A   1.81   2.92     2.30    0.26   4.99  4.370010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
6005F  Care level rationale doc                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
6010F  Dysphag test done b/4 eating                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
60100  Biopsy of thyroid                                 A   1.56   1.49     0.56    0.13   3.18  2.250000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
6015F  Dysphag test done b/4 eating                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
6020F  Npo (nothing-mouth) ordered                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
60200  Remove thyroid lesion                             A  10.02   7.22NA   7.22    1.90  19.14 19.140090.09.82.0920210             36.0896 090 99      0.00   0.00   0.00
60210  Partial thyroid excision                          A  11.23   7.00NA   7.00    2.17  20.40 20.400090.09.82.0920210             36.0896 090 99      0.00   0.00   0.00
60212  Partial thyroid excision                          A  16.43   9.44NA   9.44    3.98  29.85 29.850090.09.82.0920210             36.0896 090 99      0.00   0.00   0.00
60220  Partial removal of thyroid                        A  11.19   7.13NA   7.13    2.02  20.34 20.340090.09.82.0920210             36.0896 090 99      0.00   0.00   0.00
60225  Partial removal of thyroid                        A  14.79   9.39NA   9.39    2.69  26.87 26.870090.09.82.0920210             36.0896 090 99      0.00   0.00   0.00
60240  Removal of thyroid                                A  15.04   8.58NA   8.58    2.91  26.53 26.530090.09.82.0920210             36.0896 090 99      0.00   0.00   0.00
60252  Removal of thyroid                                A  22.01  11.96NA  11.96    4.16  38.13 38.130090.09.82.0920210             36.0896 090 99      0.00   0.00   0.00
60254  Extensive thyroid surgery                         A  28.42  14.68NA  14.68    5.10  48.20 48.200090.09.82.0920210             36.0896 090 99      0.00   0.00   0.00
60260  Repeat thyroid surgery                            A  18.26   9.90NA   9.90    3.29  31.45 31.450090.09.82.0921210             36.0896 090 99      0.00   0.00   0.00
60270  Removal of thyroid                                A  23.20  11.82NA  11.82    4.46  39.48 39.480090.09.82.0920210             36.0896 090 99      0.00   0.00   0.00
60271  Removal of thyroid                                A  17.62   9.60NA   9.60    3.26  30.48 30.480090.09.82.0920210             36.0896 090 99      0.00   0.00   0.00
60280  Remove thyroid duct lesion                        A   6.16   5.69NA   5.69    0.90  12.75 12.750090.09.82.0920210             36.0896 090 99      0.00   0.00   0.00
60281  Remove thyroid duct lesion                        A   8.82   6.83NA   6.83    1.21  16.86 16.860090.09.82.0920210             36.0896 090 99      0.00   0.00   0.00
6030F  Max sterile barriers follwd                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
60300  Aspir/inj thyroid cyst                            A   0.97   2.18     0.36    0.09   3.24  1.420000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
6040F  Appro rad ds dvcs techs docd                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
6045F  Radxps in end rprt4fluro pxd                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
60500  Explore parathyroid glands                        A  15.60   9.18NA   9.18    3.19  27.97 27.970090.09.82.0920210             36.0896 090 99      0.00   0.00   0.00
60502  Re-explore parathyroids                           A  21.15  11.87NA  11.87    4.48  37.50 37.500090.09.82.0920210             36.0896 090 99      0.00   0.00   0.00
60505  Explore parathyroid glands                        A  23.06  12.72NA  12.72    4.34  40.12 40.120090.09.82.0920210             36.0896 090 99      0.00   0.00   0.00
60512  Autotransplant parathyroid                        A   4.44   1.70NA   1.70    0.89   7.03  7.030ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
60520  Removal of thymus gland                           A  17.16   9.32NA   9.32    3.92  30.40 30.400090.09.82.0920210             36.0896 090 99      0.00   0.00   0.00
60521  Removal of thymus gland                           A  19.18   8.92NA   8.92    4.33  32.43 32.430090.09.82.0920210             36.0896 090 99      0.00   0.00   0.00
60522  Removal of thymus gland                           A  23.48  10.68NA  10.68    5.30  39.46 39.460090.09.82.0920210             36.0896 090 99      0.00   0.00   0.00
60540  Explore adrenal gland                             A  18.02   9.49NA   9.49    3.51  31.02 31.020090.09.82.0921210             36.0896 090 99      0.00   0.00   0.00
60545  Explore adrenal gland                             A  20.93  10.63NA  10.63    4.20  35.76 35.760090.09.82.0921210             36.0896 090 99      0.00   0.00   0.00
60600  Remove carotid body lesion                        A  25.09   9.17NA   9.17    5.44  39.70 39.700090.09.82.0920210             36.0896 090 99      0.00   0.00   0.00
60605  Remove carotid body lesion                        A  31.96   8.57NA   8.57    7.69  48.22 48.220090.09.82.0920210             36.0896 090 99      0.00   0.00   0.00
60650  Laparoscopy adrenalectomy                         A  20.73   9.74NA   9.74    4.15  34.62 34.620090.09.84.0721210             36.0896 090 99      0.00   0.00   0.00
60659  Laparo proc endocrine                             C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021200             36.0896 090 99      0.00   0.00   0.00
60699  Endocrine surgery procedure                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             36.0896 090 99      0.00   0.00   0.00
6070F  Pt asked/cnsld aed effects                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
6080F  Pt/caregiver queried falls                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
6090F  Pt/caregiver counsel safety                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
6100F  Verify pt site pxd docd                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
61000  Remove cranial cavity fluid                       A   1.58   1.09NA   1.09    0.58   3.25  3.250000.00.00.0022100             36.0896 090 99      0.00   0.00   0.00
61001  Remove cranial cavity fluid                       A   1.49   1.06NA   1.06    0.54   3.09  3.090000.00.00.0022100             36.0896 090 99      0.00   0.00   0.00
6101F  Safety counseling dementia                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
6102F  Safety counseling dem order                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
61020  Remove brain cavity fluid                         A   1.51   1.03NA   1.03    0.49   3.03  3.030000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
61026  Injection into brain canal                        A   1.69   1.04NA   1.04    0.35   3.08  3.080000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
61050  Remove brain canal fluid                          A   1.51   0.78NA   0.78    0.15   2.44  2.440000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
61055  Injection into brain canal                        A   2.10   1.06NA   1.06    0.40   3.56  3.560000.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
61070  Brain canal shunt procedure                       A   0.89   0.59NA   0.59    0.15   1.63  1.630000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
6110F  Counsel prov driving risks                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
61105  Twist drill hole                                  A   5.45   5.81NA   5.81    1.99  13.25 13.250090.11.76.1320000             36.0896 090 99      0.00   0.00   0.00
61107  Drill skull for implantation                      A   4.99   2.29NA   2.29    1.80   9.08  9.080000.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
61108  Drill skull for drainage                          A  11.64  10.14NA  10.14    4.05  25.83 25.830090.11.76.1320100             36.0896 090 99      0.00   0.00   0.00
61120  Burr hole for puncture                            A   9.60   8.39NA   8.39    3.53  21.52 21.520090.11.76.1320000             36.0896 090 99      0.00   0.00   0.00
61140  Pierce skull for biopsy                           A  17.23  12.98NA  12.98    6.33  36.54 36.540090.11.76.1320200             36.0896 090 99      0.00   0.00   0.00
61150  Pierce skull for drainage                         A  18.90  13.14NA  13.14    6.97  39.01 39.010090.11.76.1320110             36.0896 090 99      0.00   0.00   0.00
61151  Pierce skull for drainage                         A  13.49  10.18NA  10.18    4.96  28.63 28.630090.11.76.1320100             36.0896 090 99      0.00   0.00   0.00
61154  Pierce skull & remove clot                        A  17.07  13.37NA  13.37    6.24  36.68 36.680090.11.76.1321210             36.0896 090 99      0.00   0.00   0.00
61156  Pierce skull for drainage                         A  17.45  11.98NA  11.98    6.41  35.84 35.840090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61210  Pierce skull implant device                       A   5.83   2.69NA   2.69    2.13  10.65 10.650000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
61215  Insert brain-fluid device                         A   5.85   6.60NA   6.60    2.13  14.58 14.580090.11.76.1320110             36.0896 090 99      0.00   0.00   0.00
61250  Pierce skull & explore                            A  11.49   9.26NA   9.26    4.24  24.99 24.990090.11.76.1321210             36.0896 090 99      0.00   0.00   0.00
61253  Pierce skull & explore                            A  13.49  10.18NA  10.18    4.96  28.63 28.630090.11.76.1322200             36.0896 090 99      0.00   0.00   0.00
61304  Open skull for exploration                        A  23.41  15.54NA  15.54    8.47  47.42 47.420090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61305  Open skull for exploration                        A  28.64  18.73NA  18.73   10.58  57.95 57.950090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61312  Open skull for drainage                           A  30.17  18.71NA  18.71   11.09  59.97 59.970090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61313  Open skull for drainage                           A  28.09  18.85NA  18.85   10.31  57.25 57.250090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61314  Open skull for drainage                           A  25.90  17.39NA  17.39    9.47  52.76 52.760090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61315  Open skull for drainage                           A  29.65  19.13NA  19.13   10.90  59.68 59.680090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61316  Implt cran bone flap to abdo                      A   1.39   0.64NA   0.64    0.51   2.54  2.540ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
61320  Open skull for drainage                           A  27.42  17.43NA  17.43   10.00  54.85 54.850090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61321  Open skull for drainage                           A  30.53  19.60NA  19.60   11.31  61.44 61.440090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61322  Decompressive craniotomy                          A  34.26  21.83NA  21.83   12.63  68.72 68.720090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61323  Decompressive lobectomy                           A  35.06  21.15NA  21.15   13.04  69.25 69.250090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61330  Decompress eye socket                             A  25.30  17.13NA  17.13    9.33  51.76 51.760090.11.76.1321210             36.0896 090 99      0.00   0.00   0.00
61333  Explore orbit/remove lesion                       A  29.27  18.30NA  18.30   10.83  58.40 58.400090.11.76.1321210             36.0896 090 99      0.00   0.00   0.00
61340  Subtemporal decompression                         A  20.11  14.07NA  14.07    7.41  41.59 41.590090.11.76.1321210             36.0896 090 99      0.00   0.00   0.00
61343  Incise skull (press relief)                       A  31.86  19.99NA  19.99   11.58  63.43 63.430090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61345  Relieve cranial pressure                          A  29.23  18.91NA  18.91   10.81  58.95 58.950090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61450  Incise skull for surgery                          A  27.69  17.55NA  17.55   10.24  55.48 55.480090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61458  Incise skull for brain wound                      A  28.84  18.66NA  18.66   10.58  58.08 58.080090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61460  Incise skull for surgery                          A  30.24  19.38NA  19.38   11.21  60.83 60.830090.11.76.1320220             36.0896 090 99      0.00   0.00   0.00
6150F  Pt notrcvng1st antitnf txmnt                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
61500  Removal of skull lesion                           A  19.18  13.22NA  13.22    5.49  37.89 37.890090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61501  Remove infected skull bone                        A  16.35  12.08NA  12.08    4.46  32.89 32.890090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61510  Removal of brain lesion                           A  30.83  21.15NA  21.15   11.38  63.36 63.360090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61512  Remove brain lining lesion                        A  37.14  22.95NA  22.95   13.73  73.82 73.820090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61514  Removal of brain abscess                          A  27.23  17.95NA  17.95    9.96  55.14 55.140090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61516  Removal of brain lesion                           A  26.58  17.68NA  17.68    9.78  54.04 54.040090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61517  Implt brain chemotx add-on                        A   1.38   0.64NA   0.64    0.51   2.53  2.530ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
61518  Removal of brain lesion                           A  39.89  25.29NA  25.29   14.77  79.95 79.950090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61519  Remove brain lining lesion                        A  43.43  25.85NA  25.85   16.17  85.45 85.450090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61520  Removal of brain lesion                           A  57.09  32.08NA  32.08   19.31 108.48108.480090.11.76.1320220             36.0896 090 99      0.00   0.00   0.00
61521  Removal of brain lesion                           A  46.99  27.54NA  27.54   17.72  92.25 92.250090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61522  Removal of brain abscess                          A  31.54  19.98NA  19.98   11.69  63.21 63.210090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61524  Removal of brain lesion                           A  29.89  19.22NA  19.22   11.06  60.17 60.170090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61526  Removal of brain lesion                           A  54.08  28.60NA  28.60   14.26  96.94 96.940090.11.76.1320120             36.0896 090 99      0.00   0.00   0.00
61530  Removal of brain lesion                           A  45.56  26.44NA  26.44   17.16  89.16 89.160090.11.76.1320120             36.0896 090 99      0.00   0.00   0.00
61531  Implant brain electrodes                          A  16.41  12.77NA  12.77    6.04  35.22 35.220090.11.76.1320220             36.0896 090 99      0.00   0.00   0.00
61533  Implant brain electrodes                          A  21.46  14.68NA  14.68    7.92  44.06 44.060090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61534  Removal of brain lesion                           A  23.01  16.05NA  16.05    8.47  47.53 47.530090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61535  Remove brain electrodes                           A  13.15  10.85NA  10.85    4.83  28.83 28.830090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61536  Removal of brain lesion                           A  37.72  22.83NA  22.83   14.05  74.60 74.600090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61537  Removal of brain tissue                           A  36.45  21.32NA  21.32   13.56  71.33 71.330090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61538  Removal of brain tissue                           A  39.45  22.96NA  22.96   14.72  77.13 77.130090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61539  Removal of brain tissue                           A  34.28  21.24NA  21.24   12.73  68.25 68.250090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61540  Removal of brain tissue                           A  31.43  19.91NA  19.91   11.63  62.97 62.970090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61541  Incision of brain tissue                          A  30.94  19.70NA  19.70   11.46  62.10 62.100090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61543  Removal of brain tissue                           A  31.31  19.87NA  19.87   11.61  62.79 62.790090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61544  Remove & treat brain lesion                       A  27.36  17.40NA  17.40   10.12  54.88 54.880090.11.76.1320200             36.0896 090 99      0.00   0.00   0.00
61545  Excision of brain tumor                           A  46.43  28.39NA  28.39   17.49  92.31 92.310090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61546  Removal of pituitary gland                        A  33.44  20.85NA  20.85   12.40  66.69 66.690090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61548  Removal of pituitary gland                        A  23.37  14.52NA  14.52    7.31  45.20 45.200090.11.76.1320220             36.0896 090 99      0.00   0.00   0.00
61550  Release of skull seams                            A  15.59  12.93NA  12.93    5.73  34.25 34.250090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61552  Release of skull seams                            A  20.40  14.84NA  14.84    7.52  42.76 42.760090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61556  Incise skull/sutures                              A  24.09  16.27NA  16.27    8.91  49.27 49.270090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61557  Incise skull/sutures                              A  23.31  16.63NA  16.63    8.61  48.55 48.550090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61558  Excision of skull/sutures                         A  26.50  17.96NA  17.96    9.78  54.24 54.240090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61559  Excision of skull/sutures                         A  34.02  22.53NA  22.53   12.63  69.18 69.180090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61563  Excision of skull tumor                           A  28.44  18.28NA  18.28   10.53  57.25 57.250090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61564  Excision of skull tumor                           A  34.74  21.90NA  21.90   12.90  69.54 69.540090.11.76.1321210             36.0896 090 99      0.00   0.00   0.00
61566  Removal of brain tissue                           A  32.45  20.38NA  20.38   12.03  64.86 64.860090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61567  Incision of brain tissue                          A  37.00  23.16NA  23.16   13.78  73.94 73.940090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61570  Remove foreign body brain                         A  26.51  17.66NA  17.66    9.79  53.96 53.960090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61571  Incise skull for brain wound                      A  28.42  18.53NA  18.53   10.53  57.48 57.480090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61575  Skull base/brainstem surgery                      A  36.56  22.29NA  22.29   13.60  72.45 72.450090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61576  Skull base/brainstem surgery                      A  55.31  45.04NA  45.04   21.02 121.37121.370090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61580  Craniofacial approach skull                       A  34.51  29.44NA  29.44    6.59  70.54 70.540090.11.76.1321112             36.0896 090 99      0.00   0.00   0.00
61581  Craniofacial approach skull                       A  39.13  32.14NA  32.14    5.34  76.61 76.610090.11.76.1321122             36.0896 090 99      0.00   0.00   0.00
61582  Craniofacial approach skull                       A  35.14  40.54NA  40.54   13.05  88.73 88.730090.11.76.1320212             36.0896 090 99      0.00   0.00   0.00
61583  Craniofacial approach skull                       A  38.50  31.60NA  31.60   13.24  83.34 83.340090.11.76.1320212             36.0896 090 99      0.00   0.00   0.00
61584  Orbitocranial approach/skull                      A  37.70  31.98NA  31.98   13.20  82.88 82.880090.11.76.1321212             36.0896 090 99      0.00   0.00   0.00
61585  Orbitocranial approach/skull                      A  42.57  35.53NA  35.53   15.96  94.06 94.060090.11.76.1321212             36.0896 090 99      0.00   0.00   0.00
61586  Resect nasopharynx skull                          A  27.48  33.59NA  33.59   10.16  71.23 71.230090.11.76.1320212             36.0896 090 99      0.00   0.00   0.00
61590  Infratemporal approach/skull                      A  47.04  31.92NA  31.92    8.72  87.68 87.680090.11.76.1321212             36.0896 090 99      0.00   0.00   0.00
61591  Infratemporal approach/skull                      A  47.02  31.98NA  31.98    9.65  88.65 88.650090.11.76.1321212             36.0896 090 99      0.00   0.00   0.00
61592  Orbitocranial approach/skull                      A  43.08  33.83NA  33.83   14.85  91.76 91.760090.11.76.1321212             36.0896 090 99      0.00   0.00   0.00
61595  Transtemporal approach/skull                      A  33.74  26.90NA  26.90    7.62  68.26 68.260090.11.76.1321112             36.0896 090 99      0.00   0.00   0.00
61596  Transcochlear approach/skull                      A  39.43  25.27NA  25.27    5.39  70.09 70.090090.11.76.1321212             36.0896 090 99      0.00   0.00   0.00
61597  Transcondylar approach/skull                      A  40.82  29.96NA  29.96   14.21  84.99 84.990090.11.76.1321212             36.0896 090 99      0.00   0.00   0.00
61598  Transpetrosal approach/skull                      A  36.53  32.32NA  32.32   13.59  82.44 82.440090.11.76.1320212             36.0896 090 99      0.00   0.00   0.00
61600  Resect/excise cranial lesion                      A  30.01  25.23NA  25.23    6.12  61.36 61.360090.11.76.1320212             36.0896 090 99      0.00   0.00   0.00
61601  Resect/excise cranial lesion                      A  31.14  27.89NA  27.89   10.58  69.61 69.610090.11.76.1320212             36.0896 090 99      0.00   0.00   0.00
61605  Resect/excise cranial lesion                      A  32.57  24.71NA  24.71    4.96  62.24 62.240090.11.76.1320212             36.0896 090 99      0.00   0.00   0.00
61606  Resect/excise cranial lesion                      A  42.05  29.61NA  29.61   13.14  84.80 84.800090.11.76.1320212             36.0896 090 99      0.00   0.00   0.00
61607  Resect/excise cranial lesion                      A  40.93  26.69NA  26.69    9.69  77.31 77.310090.11.76.1320212             36.0896 090 99      0.00   0.00   0.00
61608  Resect/excise cranial lesion                      A  45.54  32.61NA  32.61   16.05  94.20 94.200090.11.76.1320212             36.0896 090 99      0.00   0.00   0.00
61611  Transect artery sinus                             A   7.41   3.41NA   3.41    2.74  13.56 13.560ZZZ.00.00.0000212             36.0896 090 99      0.00   0.00   0.00
61613  Remove aneurysm sinus                             A  45.03  33.42NA  33.42   16.92  95.37 95.370090.11.76.1321212             36.0896 090 99      0.00   0.00   0.00
61615  Resect/excise lesion skull                        A  35.77  32.23NA  32.23   13.30  81.30 81.300090.11.76.1320212             36.0896 090 99      0.00   0.00   0.00
61616  Resect/excise lesion skull                        A  46.74  34.29NA  34.29   15.02  96.05 96.050090.11.76.1320212             36.0896 090 99      0.00   0.00   0.00
61618  Repair dura                                       A  18.69  12.68NA  12.68    5.49  36.86 36.860090.11.76.1320212             36.0896 090 99      0.00   0.00   0.00
61619  Repair dura                                       A  22.10  13.46NA  13.46    5.07  40.63 40.630090.11.76.1320212             36.0896 090 99      0.00   0.00   0.00
61623  Endovasc tempory vessel occl                      A   9.95   4.02NA   4.02    2.59  16.56 16.560000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
61624  Transcath occlusion cns                           A  20.12   8.06NA   8.06    5.16  33.34 33.340000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
61626  Transcath occlusion non-cns                       A  16.60   6.03NA   6.03    2.98  25.61 25.610000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
61630  Intracranial angioplasty                          R  22.07  11.52NA  11.52    5.93  39.52 39.520XXX.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
61635  Intracran angioplsty w/stent                      R  24.28  11.96NA  11.96    5.77  42.01 42.010XXX.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
61640  Dilate ic vasospasm init                          N+ 12.32   0.00     0.00    1.69  14.01 14.019000.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
61641  Dilat ic vspsm ea vsl sm ter                      N+  4.33   0.00     0.00    0.59   4.92  4.929ZZZ.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
61642  Dilat ic vspsm ea diff ter                        N+  8.66   0.00     0.00    1.18   9.84  9.849ZZZ.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
61645  Perq art m-thrombect &/nfs                        A  15.00   5.82NA   5.82    3.37  24.19 24.190000.00.00.0001000             36.0896 090 99      0.00   0.00   0.00
61650  Evasc prlng admn rx agnt 1st                      A  10.00   3.92NA   3.92    2.59  16.51 16.510000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
61651  Evasc prlng admn rx agnt add                      A   4.25   1.71NA   1.71    1.11   7.07  7.070ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
61680  Intracranial vessel surgery                       A  32.55  20.70NA  20.70   11.88  65.13 65.130090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61682  Intracranial vessel surgery                       A  63.41  34.00NA  34.00   26.32 123.73123.730090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61684  Intracranial vessel surgery                       A  41.64  25.08NA  25.08   15.60  82.32 82.320090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61686  Intracranial vessel surgery                       A  67.50  37.43NA  37.43   29.24 134.17134.170090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61690  Intracranial vessel surgery                       A  31.34  20.08NA  20.08   11.62  63.04 63.040090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61692  Intracranial vessel surgery                       A  54.59  30.80NA  30.80   20.72 106.11106.110090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61697  Brain aneurysm repr complx                        A  63.40  35.11NA  35.11   24.16 122.67122.670090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61698  Brain aneurysm repr complx                        A  69.63  38.40NA  38.40   30.01 138.04138.040090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61700  Brain aneurysm repr simple                        A  50.62  29.34NA  29.34   18.81  98.77 98.770090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61702  Inner skull vessel surgery                        A  60.04  33.98NA  33.98   23.08 117.10117.100090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61703  Clamp neck artery                                 A  18.80  13.45NA  13.45    6.94  39.19 39.190090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61705  Revise circulation to head                        A  38.10  23.00NA  23.00   14.19  75.29 75.290090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61708  Revise circulation to head                        A  37.20  22.59NA  22.59   13.84  73.63 73.630090.11.76.1320200             36.0896 090 99      0.00   0.00   0.00
61710  Revise circulation to head                        A  31.29  19.21NA  19.21   11.59  62.09 62.090090.11.76.1320000             36.0896 090 99      0.00   0.00   0.00
61711  Fusion of skull arteries                          A  38.23  22.92NA  22.92   13.79  74.94 74.940090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61720  Incise skull/brain surgery                        A  17.62  12.54NA  12.54    6.49  36.65 36.650090.11.76.1320100             36.0896 090 99      0.00   0.00   0.00
61735  Incise skull/brain surgery                        A  22.35  15.37NA  15.37    8.23  45.95 45.950090.11.76.1320110             36.0896 090 99      0.00   0.00   0.00
61750  Incise skull/brain biopsy                         A  19.83  13.53NA  13.53    7.28  40.64 40.640090.11.76.1320110             36.0896 090 99      0.00   0.00   0.00
61751  Brain biopsy w/ct/mr guide                        A  18.79  14.11NA  14.11    6.87  39.77 39.770090.11.76.1320110             36.0896 090 99      0.00   0.00   0.00
61760  Implant brain electrodes                          A  22.39  15.01NA  15.01    8.21  45.61 45.610090.11.76.1320120             36.0896 090 99      0.00   0.00   0.00
61770  Incise skull for treatment                        A  23.19  15.11NA  15.11    8.54  46.84 46.840090.11.76.1320110             36.0896 090 99      0.00   0.00   0.00
61781  Scan proc cranial intra                           A   3.75   1.72NA   1.72    1.34   6.81  6.810ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
61782  Scan proc cranial extra                           A   3.18   1.37NA   1.37    0.46   5.01  5.010ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
61783  Scan proc spinal                                  A   3.75   1.76NA   1.76    1.25   6.76  6.760ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
61790  Treat trigeminal nerve                            A  11.60   9.52NA   9.52    4.19  25.31 25.310090.11.76.1321100             36.0896 090 99      0.00   0.00   0.00
61791  Treat trigeminal tract                            A  15.41  11.38NA  11.38    5.66  32.45 32.450090.11.76.1321000             36.0896 090 99      0.00   0.00   0.00
61796  Srs cranial lesion simple                         A  13.93  10.23NA  10.23    5.08  29.24 29.240090.11.76.1300200             36.0896 090 99      0.00   0.00   0.00
61797  Srs cran les simple addl                          A   3.48   1.60NA   1.60    1.27   6.35  6.350ZZZ.00.00.0000200             36.0896 090 99      0.00   0.00   0.00
61798  Srs cranial lesion complex                        A  19.85  12.84NA  12.84    7.11  39.80 39.800090.11.76.1300200             36.0896 090 99      0.00   0.00   0.00
61799  Srs cran les complex addl                         A   4.81   2.21NA   2.21    1.76   8.78  8.780ZZZ.00.00.0000200             36.0896 090 99      0.00   0.00   0.00
61800  Apply srs headframe add-on                        A   2.25   1.34NA   1.34    0.81   4.40  4.400ZZZ.00.00.0000200             36.0896 090 99      0.00   0.00   0.00
61850  Implant neuroelectrodes                           A  13.34  10.11NA  10.11    4.92  28.37 28.370090.11.76.1320200             36.0896 090 99      0.00   0.00   0.00
61860  Implant neuroelectrodes                           A  22.26  14.68NA  14.68    8.21  45.15 45.150090.11.76.1320200             36.0896 090 99      0.00   0.00   0.00
61863  Implant neuroelectrode                            A  20.71  15.01NA  15.01    7.63  43.35 43.350090.11.76.1321210             36.0896 090 99      0.00   0.00   0.00
61864  Implant neuroelectrde addl                        A   4.49   2.06NA   2.06    1.65   8.20  8.200ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
61867  Implant neuroelectrode                            A  33.03  20.67NA  20.67   12.21  65.91 65.910090.11.76.1321210             36.0896 090 99      0.00   0.00   0.00
61868  Implant neuroelectrde addl                        A   7.91   3.63NA   3.63    2.91  14.45 14.450ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
61870  Implant neuroelectrodes                           A  16.34  11.81NA  11.81    6.01  34.16 34.160090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
61880  Revise/remove neuroelectrode                      A   6.95   7.12NA   7.12    2.55  16.62 16.620090.11.76.1321210             36.0896 090 99      0.00   0.00   0.00
61885  Insrt/redo neurostim 1 array                      A   6.05   6.76NA   6.76    2.12  14.93 14.930090.11.76.1321000             36.0896 090 99      0.00   0.00   0.00
61886  Implant neurostim arrays                          A   9.93  11.12NA  11.12    3.64  24.69 24.690090.11.76.1320000             36.0896 090 99      0.00   0.00   0.00
61888  Revise/remove neuroreceiver                       A   5.23   4.34NA   4.34    1.82  11.39 11.390010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
62000  Treat skull fracture                              A  13.93  10.69NA  10.69    5.13  29.75 29.750090.11.76.1320100             36.0896 090 99      0.00   0.00   0.00
62005  Treat skull fracture                              A  17.63  12.54NA  12.54    6.49  36.66 36.660090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
62010  Treatment of head injury                          A  21.43  14.95NA  14.95    7.90  44.28 44.280090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
62100  Repair brain fluid leakage                        A  23.53  14.80NA  14.80    7.30  45.63 45.630090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
62115  Reduction of skull defect                         A  22.91  17.04NA  17.04    8.45  48.40 48.400090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
62117  Reduction of skull defect                         A  28.35  17.92NA  17.92   10.50  56.77 56.770090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
62120  Repair skull cavity lesion                        A  24.59  26.96NA  26.96    9.08  60.63 60.630090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
62121  Incise skull repair                               A  23.03  16.81NA  16.81    5.20  45.04 45.040090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
62140  Repair of skull defect                            A  14.55  10.40NA  10.40    4.63  29.58 29.580090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
62141  Repair of skull defect                            A  16.07  11.53NA  11.53    5.33  32.93 32.930090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
62142  Remove skull plate/flap                           A  11.83   9.60NA   9.60    4.10  25.53 25.530090.11.76.1320200             36.0896 090 99      0.00   0.00   0.00
62143  Replace skull plate/flap                          A  14.15  10.82NA  10.82    5.06  30.03 30.030090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
62145  Repair of skull & brain                           A  20.09  13.68NA  13.68    7.31  41.08 41.080090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
62146  Repair of skull with graft                        A  17.28  11.05NA  11.05    4.29  32.62 32.620090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
62147  Repair of skull with graft                        A  20.67  13.67NA  13.67    6.69  41.03 41.030090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
62148  Retr bone flap to fix skull                       A   2.00   0.93NA   0.93    0.74   3.67  3.670ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
62160  Neuroendoscopy add-on                             A   3.00   1.38NA   1.38    1.09   5.47  5.470ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
62161  Dissect brain w/scope                             A  21.23  14.73NA  14.73    7.69  43.65 43.650090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
62162  Remove colloid cyst w/scope                       A  26.80  17.83NA  17.83    9.90  54.53 54.530090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
62163  Zneuroendoscopy w/fb removal                      A  16.53  12.73NA  12.73    6.09  35.35 35.350090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
62164  Remove brain tumor w/scope                        A  29.43  20.05NA  20.05   10.90  60.38 60.380090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
62165  Remove pituit tumor w/scope                       A  23.23  14.44NA  14.44    6.23  43.90 43.900090.11.76.1320010             36.0896 090 99      0.00   0.00   0.00
62180  Establish brain cavity shunt                      A  22.58  15.25NA  15.25    8.33  46.16 46.160090.11.76.1320200             36.0896 090 99      0.00   0.00   0.00
62190  Establish brain cavity shunt                      A  12.17  10.02NA  10.02    4.49  26.68 26.680090.11.76.1320110             36.0896 090 99      0.00   0.00   0.00
62192  Establish brain cavity shunt                      A  13.35  10.23NA  10.23    4.74  28.32 28.320090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
62194  Replace/irrigate catheter                         A   5.78   6.15NA   6.15    2.13  14.06 14.060010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
62200  Establish brain cavity shunt                      A  19.29  13.31NA  13.31    7.12  39.72 39.720090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
62201  Brain cavity shunt w/scope                        A  16.04  12.89NA  12.89    5.87  34.80 34.800090.11.76.1320100             36.0896 090 99      0.00   0.00   0.00
62220  Establish brain cavity shunt                      A  14.10   9.69NA   9.69    4.69  28.48 28.480090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
62223  Establish brain cavity shunt                      A  14.05  11.17NA  11.17    4.80  30.02 30.020090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
62225  Replace/irrigate catheter                         A   6.19   6.73NA   6.73    2.25  15.17 15.170090.11.76.1320100             36.0896 090 99      0.00   0.00   0.00
62230  Replace/revise brain shunt                        A  11.43   8.84NA   8.84    4.00  24.27 24.270090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
62252  Csf shunt reprogram                               A   0.74   1.31     1.31NA  0.26   2.31  2.311XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
62252TCCsf shunt reprogram                               A   0.00   0.97     0.97NA  0.01   0.98  0.981XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
6225226Csf shunt reprogram                               A   0.74   0.34     0.34    0.25   1.33  1.331XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
62256  Remove brain cavity shunt                         A   7.38   7.29NA   7.29    2.70  17.37 17.370090.11.76.1320200             36.0896 090 99      0.00   0.00   0.00
62258  Replace brain cavity shunt                        A  15.64  11.01NA  11.01    5.39  32.04 32.040090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
62263  Epidural lysis mult sessions                      A   5.00  12.03     3.43    0.47  17.50  8.900010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
62264  Epidural lysis on single day                      A   4.42   7.67     2.15    0.44  12.53  7.010010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
62267  Interdiscal perq aspir dx                         A   3.00   4.33     1.27    0.27   7.60  4.540000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
62268  Drain spinal cord cyst                            A   4.73   2.20NA   2.20    0.51   7.44  7.440000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
62269  Needle biopsy spinal cord                         A   5.01   2.23NA   2.23    0.41   7.65  7.650000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
62270  Dx lmbr spi pnxr                                  A   1.22   2.59     0.41    0.16   3.97  1.790000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
62272  Ther spi pnxr drg csf                             A   1.58   3.32     0.64    0.32   5.22  2.540000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
62273  Inject epidural patch                             A   2.15   2.56     0.92    0.19   4.90  3.260000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
62280  Treat spinal cord lesion                          A   2.63   6.97     1.75    0.52  10.12  4.900010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
62281  Treat spinal cord lesion                          A   2.66   3.91     1.66    0.26   6.83  4.580010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
62282  Treat spinal canal lesion                         A   2.33   6.21     1.58    0.22   8.76  4.130010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
62284  Injection for myelogram                           A   1.54   3.94     0.78    0.18   5.66  2.500000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
62287  Percutaneous diskectomy                           A   9.03   6.58NA   6.58    1.15  16.76 16.760090.11.76.1320100             36.0896 090 99      0.00   0.00   0.00
62290  Njx px discography lumbar                         A   3.00   6.80     1.51    0.28  10.08  4.790000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
62291  Njx px discography crv/thrc                       A   2.91   6.37     1.39    0.27   9.55  4.570000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
62292  Njx chemonucleolysis lmbr                         A   9.24   6.48NA   6.48    0.97  16.69 16.690090.11.76.1320000             36.0896 090 99      0.00   0.00   0.00
62294  Injection into spinal artery                      A  12.87   9.76NA   9.76    4.74  27.37 27.370090.11.76.1320100             36.0896 090 99      0.00   0.00   0.00
62302  Myelography lumbar injection                      A   2.29   4.89     1.02    0.19   7.37  3.500000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
62303  Myelography lumbar injection                      A   2.29   5.03     1.02    0.19   7.51  3.500000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
62304  Myelography lumbar injection                      A   2.25   4.83     1.01    0.19   7.27  3.450000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
62305  Myelography lumbar injection                      A   2.35   5.37     1.05    0.19   7.91  3.590000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
62320  Njx interlaminar crv/thrc                         A   1.80   2.69     0.88    0.18   4.67  2.860000.00.00.0029100             36.0896 090 99      0.00   0.00   0.00
62321  Njx interlaminar crv/thrc                         A   1.95   5.24     0.96    0.18   7.37  3.090000.00.00.0029100             36.0896 090 99      0.00   0.00   0.00
62322  Njx interlaminar lmbr/sac                         A   1.55   2.57     0.73    0.15   4.27  2.430000.00.00.0029100             36.0896 090 99      0.00   0.00   0.00
62323  Njx interlaminar lmbr/sac                         A   1.80   5.31     0.88    0.18   7.29  2.860000.00.00.0029100             36.0896 090 99      0.00   0.00   0.00
62324  Njx interlaminar crv/thrc                         A   1.89   2.02     0.54    0.15   4.06  2.580000.00.00.0029100             36.0896 090 99      0.00   0.00   0.00
62325  Njx interlaminar crv/thrc                         A   2.20   4.55     0.74    0.19   6.94  3.130000.00.00.0029100             36.0896 090 99      0.00   0.00   0.00
62326  Njx interlaminar lmbr/sac                         A   1.78   2.25     0.59    0.15   4.18  2.520000.00.00.0029100             36.0896 090 99      0.00   0.00   0.00
62327  Njx interlaminar lmbr/sac                         A   1.90   4.99     0.81    0.18   7.07  2.890000.00.00.0029100             36.0896 090 99      0.00   0.00   0.00
62328  Dx lmbr spi pnxr w/fluor/ct                       A   1.73   5.43     0.62    0.24   7.40  2.590000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
62329  Ther spi pnxr csf fluor/ct                        A   2.03   6.73     0.80    0.43   9.19  3.260000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
62350  Implant spinal canal cath                         A   6.05   4.28NA   4.28    1.12  11.45 11.450010.10.80.1020110             36.0896 090 99      0.00   0.00   0.00
62351  Implant spinal canal cath                         A  11.66  10.07NA  10.07    3.39  25.12 25.120090.11.76.1320220             36.0896 090 99      0.00   0.00   0.00
62355  Remove spinal canal catheter                      A   3.55   3.46NA   3.46    0.78   7.79  7.790010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
62360  Insert spine infusion device                      A   4.33   3.80NA   3.80    0.91   9.04  9.040010.10.80.1020010             36.0896 090 99      0.00   0.00   0.00
62361  Implant spine infusion pump                       A   5.00   5.47NA   5.47    1.85  12.32 12.320010.10.80.1020010             36.0896 090 99      0.00   0.00   0.00
62362  Implant spine infusion pump                       A   5.60   4.26NA   4.26    1.17  11.03 11.030010.10.80.1020010             36.0896 090 99      0.00   0.00   0.00
62365  Remove spine infusion device                      A   3.93   3.65NA   3.65    0.90   8.48  8.480010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
62367  Analyze spine infus pump                          A   0.48   0.38     0.19    0.06   0.92  0.730XXX.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
62368  Analyze sp inf pump w/reprog                      A   0.67   0.53     0.27    0.09   1.29  1.030XXX.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
62369  Anal sp inf pmp w/reprg&fill                      A   0.67   1.97     0.27    0.09   2.73  1.030XXX.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
62370  Anl sp inf pmp w/mdreprg&fil                      A   0.90   1.84     0.35    0.09   2.83  1.340XXX.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
62380  Ndsc dcmprn 1 ntrspc lumbar                       C   0.00   0.00     0.00    0.00   0.00  0.000090.11.76.1321220             36.0896 090 99      0.00   0.00   0.00
63001  Remove spine lamina 1/2 crvl                      A  17.61  12.27NA  12.27    5.84  35.72 35.720090.11.76.1320220             36.0896 090 99      0.00   0.00   0.00
63003  Remove spine lamina 1/2 thrc                      A  17.74  12.31NA  12.31    5.70  35.75 35.750090.11.76.1320220             36.0896 090 99      0.00   0.00   0.00
63005  Remove spine lamina 1/2 lmbr                      A  16.43  12.70NA  12.70    5.31  34.44 34.440090.11.76.1320220             36.0896 090 99      0.00   0.00   0.00
63011  Remove spine lamina 1/2 scrl                      A  15.91  11.59NA  11.59    3.92  31.42 31.420090.11.76.1320220             36.0896 090 99      0.00   0.00   0.00
63012  Remove lamina/facets lumbar                       A  16.85  12.43NA  12.43    5.26  34.54 34.540090.11.76.1320220             36.0896 090 99      0.00   0.00   0.00
63015  Remove spine lamina >2 crvcl                      A  20.85  14.87NA  14.87    7.05  42.77 42.770090.11.76.1320220             36.0896 090 99      0.00   0.00   0.00
63016  Remove spine lamina >2 thrc                       A  22.03  14.86NA  14.86    7.12  44.01 44.010090.11.76.1320220             36.0896 090 99      0.00   0.00   0.00
63017  Remove spine lamina >2 lmbr                       A  17.33  13.22NA  13.22    5.84  36.39 36.390090.11.76.1320220             36.0896 090 99      0.00   0.00   0.00
63020  Neck spine disk surgery                           A  16.20  12.41NA  12.41    4.87  33.48 33.480090.11.76.1321220             36.0896 090 99      0.00   0.00   0.00
63030  Low back disk surgery                             A  13.18  11.01NA  11.01    3.92  28.11 28.110090.11.76.1321220             36.0896 090 99      0.00   0.00   0.00
63035  Spinal disk surgery add-on                        A   3.15   1.50NA   1.50    0.90   5.55  5.550ZZZ.00.00.0001220             36.0896 090 99      0.00   0.00   0.00
63040  Laminotomy single cervical                        A  20.31  14.01NA  14.01    5.97  40.29 40.290090.11.76.1321220             36.0896 090 99      0.00   0.00   0.00
63042  Laminotomy single lumbar                          A  18.76  13.57NA  13.57    5.21  37.54 37.540090.11.76.1321220             36.0896 090 99      0.00   0.00   0.00
63043  Laminotomy addl cervical                          C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0001220             36.0896 090 99      0.00   0.00   0.00
63044  Laminotomy addl lumbar                            C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0001220             36.0896 090 99      0.00   0.00   0.00
63045  Remove spine lamina 1 crvl                        A  17.95  13.41NA  13.41    5.83  37.19 37.190090.11.76.1322220             36.0896 090 99      0.00   0.00   0.00
63046  Remove spine lamina 1 thrc                        A  17.25  12.98NA  12.98    5.26  35.49 35.490090.11.76.1322220             36.0896 090 99      0.00   0.00   0.00
63047  Remove spine lamina 1 lmbr                        A  15.37  12.02NA  12.02    4.51  31.90 31.900090.11.76.1322220             36.0896 090 99      0.00   0.00   0.00
63048  Remove spinal lamina add-on                       A   3.47   1.66NA   1.66    1.00   6.13  6.130ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
63050  Cervical laminoplsty 2/> seg                      A  22.01  15.07NA  15.07    6.44  43.52 43.520090.11.76.1320220             36.0896 090 99      0.00   0.00   0.00
63051  C-laminoplasty w/graft/plate                      A  25.51  16.72NA  16.72    7.14  49.37 49.370090.11.76.1320220             36.0896 090 99      0.00   0.00   0.00
63055  Decompress spinal cord thrc                       A  23.55  15.68NA  15.68    7.80  47.03 47.030090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63056  Decompress spinal cord lmbr                       A  21.86  14.71NA  14.71    6.51  43.08 43.080090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63057  Decompress spine cord add-on                      A   5.25   2.51NA   2.51    1.52   9.28  9.280ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
63064  Decompress spinal cord thrc                       A  26.22  16.87NA  16.87    8.44  51.53 51.530090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63066  Decompress spine cord add-on                      A   3.26   1.50NA   1.50    1.21   5.97  5.970ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
63075  Neck spine disk surgery                           A  19.60  13.77NA  13.77    5.73  39.10 39.100090.11.76.1320220             36.0896 090 99      0.00   0.00   0.00
63076  Neck spine disk surgery                           A   4.04   1.93NA   1.93    1.17   7.14  7.140ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
63077  Spine disk surgery thorax                         A  22.88  14.51NA  14.51    6.23  43.62 43.620090.11.76.1320220             36.0896 090 99      0.00   0.00   0.00
63078  Spine disk surgery thorax                         A   3.28   1.51NA   1.51    1.22   6.01  6.010ZZZ.00.00.0000220             36.0896 090 99      0.00   0.00   0.00
63081  Remove vert body dcmprn crvl                      A  26.10  17.06NA  17.06    7.79  50.95 50.950090.11.76.1320212             36.0896 090 99      0.00   0.00   0.00
63082  Remove vertebral body add-on                      A   4.36   2.08NA   2.08    1.28   7.72  7.720ZZZ.00.00.0000212             36.0896 090 99      0.00   0.00   0.00
63085  Remove vert body dcmprn thrc                      A  29.47  17.80NA  17.80    8.46  55.73 55.730090.11.76.1320222             36.0896 090 99      0.00   0.00   0.00
63086  Remove vertebral body add-on                      A   3.19   1.46NA   1.46    0.88   5.53  5.530ZZZ.00.00.0000222             36.0896 090 99      0.00   0.00   0.00
63087  Remov vertbr dcmprn thrclmbr                      A  37.53  21.51NA  21.51   10.76  69.80 69.800090.11.76.1320222             36.0896 090 99      0.00   0.00   0.00
63088  Remove vertebral body add-on                      A   4.32   1.95NA   1.95    1.16   7.43  7.430ZZZ.00.00.0000222             36.0896 090 99      0.00   0.00   0.00
63090  Remove vert body dcmprn lmbr                      A  30.93  18.33NA  18.33    7.62  56.88 56.880090.11.76.1320222             36.0896 090 99      0.00   0.00   0.00
63091  Remove vertebral body add-on                      A   3.03   1.41NA   1.41    0.74   5.18  5.180ZZZ.00.00.0000222             36.0896 090 99      0.00   0.00   0.00
63101  Remove vert body dcmprn thrc                      A  34.10  22.19NA  22.19   10.98  67.27 67.270090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63102  Remove vert body dcmprn lmbr                      A  34.10  21.82NA  21.82    9.61  65.53 65.530090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63103  Remove vertebral body add-on                      A   4.82   2.29NA   2.29    1.42   8.53  8.530ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
63170  Incise spinal cord tract(s)                       A  22.21  15.55NA  15.55    8.19  45.95 45.950090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63172  Drainage of spinal cyst                           A  19.76  13.61NA  13.61    6.64  40.01 40.010090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63173  Drainage of spinal cyst                           A  24.31  16.51NA  16.51    8.97  49.79 49.790090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63180  Revise spinal cord ligaments                      A  20.53  14.77NA  14.77    7.56  42.86 42.860090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63182  Revise spinal cord ligaments                      A  22.82  15.83NA  15.83    8.41  47.06 47.060090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63185  Incise spine nrv half segmnt                      A  16.49  12.18NA  12.18    4.48  33.15 33.150090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63190  Incise spine nrv >2 segmnts                       A  18.89  13.39NA  13.39    3.75  36.03 36.030090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63191  Incise spine accessory nerve                      A  18.92  13.88NA  13.88    6.97  39.77 39.770090.11.76.1321210             36.0896 090 99      0.00   0.00   0.00
63194  Incise spine & cord cervical                      A  22.10  15.81NA  15.81    8.15  46.06 46.060090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63195  Incise spine & cord thoracic                      A  21.64  14.62NA  14.62    8.00  44.26 44.260090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63196  Incise spine&cord 2 trx crvl                      A  25.27  16.80NA  16.80    9.32  51.39 51.390090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63197  Incise spine&cord 2 trx thrc                      A  24.08  16.40NA  16.40    8.89  49.37 49.370090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63198  Incise spin&cord 2 stgs crvl                      A  29.90  19.39NA  19.39   11.07  60.36 60.360090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63199  Incise spin&cord 2 stgs thrc                      A  31.47  20.12NA  20.12   11.66  63.25 63.250090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63200  Release spinal cord lumbar                        A  21.44  15.15NA  15.15    7.60  44.19 44.190090.11.76.1320200             36.0896 090 99      0.00   0.00   0.00
63250  Revise spinal cord vsls crvl                      A  43.86  25.65NA  25.65   16.48  85.99 85.990090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63251  Revise spinal cord vsls thrc                      A  44.64  26.47NA  26.47   16.78  87.89 87.890090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63252  Revise spine cord vsl thrlmb                      A  44.63  26.46NA  26.46   16.78  87.87 87.870090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63265  Excise intraspinl lesion crv                      A  23.82  16.26NA  16.26    8.20  48.28 48.280090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63266  Excise intrspinl lesion thrc                      A  24.68  16.63NA  16.63    8.44  49.75 49.750090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63267  Excise intrspinl lesion lmbr                      A  19.45  14.07NA  14.07    6.16  39.68 39.680090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63268  Excise intrspinl lesion scrl                      A  20.02  14.33NA  14.33    6.58  40.93 40.930090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63270  Excise intrspinl lesion crvl                      A  29.80  19.17NA  19.17   11.04  60.01 60.010090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63271  Excise intrspinl lesion thrc                      A  29.92  19.16NA  19.16   10.76  59.84 59.840090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63272  Excise intrspinl lesion lmbr                      A  27.50  17.95NA  17.95    9.14  54.59 54.590090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63273  Excise intrspinl lesion scrl                      A  26.47  17.64NA  17.64    9.77  53.88 53.880090.11.76.1320200             36.0896 090 99      0.00   0.00   0.00
63275  Bx/exc xdrl spine lesn crvl                       A  25.86  17.25NA  17.25    9.03  52.14 52.140090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63276  Bx/exc xdrl spine lesn thrc                       A  25.69  17.13NA  17.13    8.91  51.73 51.730090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63277  Bx/exc xdrl spine lesn lmbr                       A  22.39  15.49NA  15.49    7.21  45.09 45.090090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63278  Bx/exc xdrl spine lesn scrl                       A  22.12  15.64NA  15.64    8.15  45.91 45.910090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63280  Bx/exc idrl spine lesn crvl                       A  30.29  19.84NA  19.84   11.10  61.23 61.230090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63281  Bx/exc idrl spine lesn thrc                       A  29.99  19.61NA  19.61   10.92  60.52 60.520090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63282  Bx/exc idrl spine lesn lmbr                       A  28.15  18.76NA  18.76   10.17  57.08 57.080090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63283  Bx/exc idrl spine lesn scrl                       A  26.76  18.23NA  18.23    9.88  54.87 54.870090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63285  Bx/exc idrl imed lesn cervl                       A  38.05  23.42NA  23.42   14.18  75.65 75.650090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63286  Bx/exc idrl imed lesn thrc                        A  37.62  23.22NA  23.22   13.91  74.75 74.750090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63287  Bx/exc idrl imed lesn thrlmb                      A  40.08  24.36NA  24.36   14.97  79.41 79.410090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63290  Bx/exc xdrl/idrl lsn any lvl                      A  40.82  24.71NA  24.71   15.25  80.78 80.780090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63295  Repair laminectomy defect                         A   5.25   2.44NA   2.44    1.86   9.55  9.550ZZZ.00.00.0002220             36.0896 090 99      0.00   0.00   0.00
63300  Remove vert xdrl body crvcl                       A  26.80  17.48NA  17.48    8.87  53.15 53.150090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63301  Remove vert xdrl body thrc                        A  31.57  20.44NA  20.44   11.70  63.71 63.710090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63302  Remove vert xdrl body thrlmb                      A  31.15  20.25NA  20.25   11.54  62.94 62.940090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63303  Remov vert xdrl bdy lmbr/sac                      A  33.55  20.90NA  20.90   12.46  66.91 66.910090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63304  Remove vert idrl body crvcl                       A  33.85  21.49NA  21.49   12.55  67.89 67.890090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63305  Remove vert idrl body thrc                        A  36.24  22.60NA  22.60   13.46  72.30 72.300090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63306  Remov vert idrl bdy thrclmbr                      A  35.55  22.28NA  22.28   13.22  71.05 71.050090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63307  Remov vert idrl bdy lmbr/sac                      A  34.96  21.63NA  21.63   12.99  69.58 69.580090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63308  Remove vertebral body add-on                      A   5.24   2.44NA   2.44    1.69   9.37  9.370ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
63600  Remove spinal cord lesion                         A  15.12  10.79NA  10.79    5.57  31.48 31.480090.11.76.1320000             36.0896 090 99      0.00   0.00   0.00
63610  Stimulation of spinal cord                        A   8.72   4.83NA   4.83    3.20  16.75 16.750000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
63620  Srs spinal lesion                                 A  15.60  11.01NA  11.01    5.68  32.29 32.290090.11.76.1300200             36.0896 090 99      0.00   0.00   0.00
63621  Srs spinal lesion addl                            A   4.00   1.84NA   1.84    1.46   7.30  7.300ZZZ.00.00.0000200             36.0896 090 99      0.00   0.00   0.00
63650  Implant neuroelectrodes                           A   7.15  46.26     4.01    0.77  54.18 11.930010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
63655  Implant neuroelectrodes                           A  10.92   9.64NA   9.64    3.45  24.01 24.010090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63661  Remove spine eltrd perq aray                      A   5.08  12.39     3.40    0.85  18.32  9.330010.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
63662  Remove spine eltrd plate                          A  11.00   9.79NA   9.79    3.51  24.30 24.300090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63663  Revise spine eltrd perq aray                      A   7.75  15.59     4.21    1.04  24.38 13.000010.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
63664  Revise spine eltrd plate                          A  11.52  10.04NA  10.04    3.73  25.29 25.290090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63685  Insrt/redo spine n generator                      A   5.19   4.15NA   4.15    1.03  10.37 10.370010.10.80.1020210             36.0896 090 99      0.00   0.00   0.00
63688  Revise/remove neuroreceiver                       A   5.30   4.28NA   4.28    1.12  10.70 10.700010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
63700  Repair of spinal herniation                       A  17.47  13.71NA  13.71    6.44  37.62 37.620090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63702  Repair of spinal herniation                       A  19.41  14.60NA  14.60    7.15  41.16 41.160090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63704  Repair of spinal herniation                       A  22.43  17.09NA  17.09    8.25  47.77 47.770090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63706  Repair of spinal herniation                       A  25.35  18.45NA  18.45    9.36  53.16 53.160090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63707  Repair spinal fluid leakage                       A  12.65  10.37NA  10.37    3.80  26.82 26.820090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63709  Repair spinal fluid leakage                       A  15.65  11.83NA  11.83    4.56  32.04 32.040090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63710  Graft repair of spine defect                      A  15.40  11.67NA  11.67    4.33  31.40 31.400090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63740  Install spinal shunt                              A  12.63  10.89NA  10.89    4.64  28.16 28.160090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63741  Install spinal shunt                              A   9.12   7.52NA   7.52    2.85  19.49 19.490090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63744  Revision of spinal shunt                          A   8.94   7.63NA   7.63    3.07  19.64 19.640090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
63746  Removal of spinal shunt                           A   7.33   7.35NA   7.35    2.72  17.40 17.400090.11.76.1320000             36.0896 090 99      0.00   0.00   0.00
64400  Njx aa&/strd trigeminal nrv                       A   0.75   2.12     0.51    0.18   3.05  1.440000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
64405  Njx aa&/strd gr ocpl nrv                          A   0.94   0.92     0.40    0.21   2.07  1.550000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
64408  Njx aa&/strd vagus nrv                            A   0.75   1.13     0.41    0.09   1.97  1.250000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
64415  Njx aa&/strd brach plexus                         A   1.35   1.76     0.37    0.11   3.22  1.830000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
64416  Njx aa&/strd brach plex nfs                       A   1.48   0.26NA   0.26    0.11   1.85  1.850000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
64417  Njx aa&/strd axillary nrv                         A   1.27   2.51     0.37    0.11   3.89  1.750000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
64418  Njx aa&/strd sprscap nrv                          A   1.10   1.20     0.42    0.12   2.42  1.640000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
64420  Njx aa&/strd ntrcost nrv 1                        A   1.08   1.66     0.53    0.11   2.85  1.720000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
64421  Njx aa&/strd ntrcost nrv ea                       A   0.50   0.42     0.18    0.05   0.97  0.730ZZZ.00.00.0001100             36.0896 090 99      0.00   0.00   0.00
64425  Njx aa&/strd ii ih nerves                         A   1.00   2.08     0.49    0.11   3.19  1.600000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
64430  Njx aa&/strd pudendal nerve                       A   1.00   1.46     0.48    0.11   2.57  1.590000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
64435  Njx aa&/strd paracrv nrv                          A   0.75   1.23     0.40    0.11   2.09  1.260000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
64445  Njx aa&/strd sciatic nerve                        A   1.00   2.48     0.46    0.09   3.57  1.550000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
64446  Njx aa&/strd sciatic nrv nfs                      A   1.36   0.24NA   0.24    0.11   1.71  1.710000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
64447  Njx aa&/strd femoral nerve                        A   1.10   1.34     0.34    0.09   2.53  1.530000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
64448  Njx aa&/strd fem nerve nfs                        A   1.41   0.25NA   0.25    0.11   1.77  1.770000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
64449  Njx aa&/strd lmbr plex nfs                        A   1.27   0.40NA   0.40    0.12   1.79  1.790000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
64450  Njx aa&/strd other pn/branch                      A   0.75   1.34     0.39    0.09   2.18  1.230000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
64451  Njx aa&/strd nrv nrvtg si jt                      A   1.52   4.32     0.62    0.15   5.99  2.290000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
64454  Njx aa&/strd gnclr nrv brnch                      A   1.52   4.38     0.69    0.15   6.05  2.360000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
64455  N block inj plantar digit                         A   0.75   0.57     0.19    0.06   1.38  1.000000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
64461  Pvb thoracic single inj site                      A   1.75   1.87     0.34    0.13   3.75  2.220000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
64462  Pvb thoracic 2nd+ inj site                        A   1.10   0.92     0.23    0.09   2.11  1.420ZZZ.00.00.0001100             36.0896 090 99      0.00   0.00   0.00
64463  Pvb thoracic cont infusion                        A   1.90   3.65     0.34    0.15   5.70  2.390000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
64479  Inj foramen epidural c/t                          A   2.29   4.75     1.26    0.22   7.26  3.770000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
64480  Inj foramen epidural add-on                       A   1.20   2.29     0.48    0.12   3.61  1.800ZZZ.00.00.0001100             36.0896 090 99      0.00   0.00   0.00
64483  Inj foramen epidural l/s                          A   1.90   4.65     1.13    0.18   6.73  3.210000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
64484  Inj foramen epidural add-on                       A   1.00   1.87     0.41    0.09   2.96  1.500ZZZ.00.00.0001100             36.0896 090 99      0.00   0.00   0.00
64486  Tap block unil by injection                       A   1.27   1.79     0.24    0.11   3.17  1.620000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
64487  Tap block uni by infusion                         A   1.48   3.57     0.26    0.11   5.16  1.850000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
64488  Tap block bi injection                            A   1.60   2.17     0.28    0.12   3.89  2.000000.00.00.0022100             36.0896 090 99      0.00   0.00   0.00
64489  Tap block bi by infusion                          A   1.80   6.06     0.32    0.13   7.99  2.250000.00.00.0022100             36.0896 090 99      0.00   0.00   0.00
64490  Inj paravert f jnt c/t 1 lev                      A   1.82   3.42     1.04    0.18   5.42  3.040000.00.00.0021200             36.0896 090 99      0.00   0.00   0.00
64491  Inj paravert f jnt c/t 2 lev                      A   1.16   1.45     0.46    0.11   2.72  1.730ZZZ.00.00.0001200             36.0896 090 99      0.00   0.00   0.00
64492  Inj paravert f jnt c/t 3 lev                      A   1.16   1.47     0.48    0.11   2.74  1.750ZZZ.00.00.0001200             36.0896 090 99      0.00   0.00   0.00
64493  Inj paravert f jnt l/s 1 lev                      A   1.52   3.28     0.93    0.13   4.93  2.580000.00.00.0021200             36.0896 090 99      0.00   0.00   0.00
64494  Inj paravert f jnt l/s 2 lev                      A   1.00   1.44     0.40    0.09   2.53  1.490ZZZ.00.00.0001200             36.0896 090 99      0.00   0.00   0.00
64495  Inj paravert f jnt l/s 3 lev                      A   1.00   1.44     0.42    0.09   2.53  1.510ZZZ.00.00.0001200             36.0896 090 99      0.00   0.00   0.00
64505  N block spenopalatine gangl                       A   1.36   1.98     1.15    0.28   3.62  2.790000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
64510  N block stellate ganglion                         A   1.22   2.62     0.83    0.11   3.95  2.160000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
64517  N block inj hypogas plxs                          A   2.20   3.08     1.21    0.19   5.47  3.600000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
64520  N block lumbar/thoracic                           A   1.35   4.61     0.90    0.13   6.09  2.380000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
64530  N block inj celiac pelus                          A   1.58   4.41     0.95    0.13   6.12  2.660000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
64553  Implant neuroelectrodes                           A   6.13  50.47     3.26    0.90  57.50 10.290010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
64555  Implant neuroelectrodes                           A   5.76  46.70     3.32    0.79  53.25  9.870010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
64561  Implant neuroelectrodes                           A   5.44  15.26     2.67    0.66  21.36  8.770010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
64566  Neuroeltrd stim post tibial                       A   0.60   2.90     0.21    0.09   3.59  0.900000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
64568  Inc for vagus n elect impl                        A   9.00   6.73NA   6.73    2.33  18.06 18.060090.11.76.1321000             36.0896 090 99      0.00   0.00   0.00
64569  Revise/repl vagus n eltrd                         A  11.00   7.65NA   7.65    3.25  21.90 21.900090.11.76.1321011             36.0896 090 99      0.00   0.00   0.00
64570  Remove vagus n eltrd                              A   9.10   8.62NA   8.62    3.36  21.08 21.080090.11.76.1321011             36.0896 090 99      0.00   0.00   0.00
64575  Implant neuroelectrodes                           A   4.42   4.31NA   4.31    1.07   9.80  9.800090.11.76.1320100             36.0896 090 99      0.00   0.00   0.00
64580  Implant neuroelectrodes                           A   4.19   3.76NA   3.76    1.02   8.97  8.970090.11.76.1320200             36.0896 090 99      0.00   0.00   0.00
64581  Implant neuroelectrodes                           A  12.20   5.40NA   5.40    1.57  19.17 19.170090.11.76.1320100             36.0896 090 99      0.00   0.00   0.00
64585  Revise/remove neuroelectrode                      A   2.11   4.66     1.75    0.28   7.05  4.140010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
64590  Insrt/redo pn/gastr stimul                        A   2.45   4.79     1.84    0.34   7.58  4.630010.10.80.1020110             36.0896 090 99      0.00   0.00   0.00
64595  Revise/rmv pn/gastr stimul                        A   1.78   4.77     1.61    0.25   6.80  3.640010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
64600  Injection treatment of nerve                      A   3.49   8.57     2.42    0.68  12.74  6.590010.10.80.1022100             36.0896 090 99      0.00   0.00   0.00
64605  Injection treatment of nerve                      A   5.65  11.10     3.47    1.07  17.82 10.190010.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
64610  Injection treatment of nerve                      A   7.20  12.93     4.62    2.17  22.30 13.990010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
64611  Chemodenerv saliv glands                          A   1.03   2.09     1.64    0.35   3.47  3.020010.10.80.1022000             36.0896 090 99      0.00   0.00   0.00
64612  Destroy nerve face muscle                         A   1.41   2.14     1.67    0.27   3.82  3.350010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
64615  Chemodenerv musc migraine                         A   1.85   1.89     1.12    0.58   4.32  3.550010.10.80.1022100             36.0896 090 99      0.00   0.00   0.00
64616  Chemodenerv musc neck dyston                      A   1.53   1.81     1.13    0.48   3.82  3.140010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
64617  Chemodener muscle larynx emg                      A   1.90   2.46     0.96    0.27   4.63  3.130010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
64620  Injection treatment of nerve                      A   2.89   2.79     1.86    0.28   5.96  5.030010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
64624  Dstrj nulyt agt gnclr nrv                         A   2.50   8.83     1.49    0.24  11.57  4.230010.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
64625  Rf abltj nrv nrvtg si jt                          A   3.39  10.43     1.88    0.32  14.14  5.590010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
64630  Injection treatment of nerve                      A   3.05   3.48     1.98    0.41   6.94  5.440010.10.80.1020000             36.0896 090 99      0.00   0.00   0.00
64632  N block inj common digit                          A   1.23   1.18     0.62    0.09   2.50  1.940010.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
64633  Destroy cerv/thor facet jnt                       A   3.84   7.73     2.25    0.37  11.94  6.460010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
64634  Destroy c/th facet jnt addl                       A   1.32   3.90     0.52    0.12   5.34  1.960ZZZ.00.00.0001100             36.0896 090 99      0.00   0.00   0.00
64635  Destroy lumb/sac facet jnt                        A   3.78   7.68     2.24    0.35  11.81  6.370010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
64636  Destroy l/s facet jnt addl                        A   1.16   3.60     0.45    0.11   4.87  1.720ZZZ.00.00.0001100             36.0896 090 99      0.00   0.00   0.00
64640  Injection treatment of nerve                      A   1.98   4.89     1.22    0.18   7.05  3.380010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
64642  Chemodenerv 1 extremity 1-4                       A   1.65   2.19     1.09    0.35   4.19  3.090000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
64643  Chemodenerv 1 extrem 1-4 ea                       A   1.22   1.21     0.62    0.22   2.65  2.060ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
64644  Chemodenerv 1 extrem 5/> mus                      A   1.82   2.70     1.18    0.37   4.89  3.370000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
64645  Chemodenerv 1 extrem 5/> ea                       A   1.39   1.68     0.70    0.28   3.35  2.370ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
64646  Chemodenerv trunk musc 1-5                        A   1.80   2.20     1.11    0.41   4.41  3.320000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
64647  Chemodenerv trunk musc 6/>                        A   2.11   2.42     1.22    0.56   5.09  3.890000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
64650  Chemodenerv eccrine glands                        A   0.70   1.49     0.38    0.11   2.30  1.190000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
64653  Chemodenerv eccrine glands                        A   0.88   1.72     0.46    0.19   2.79  1.530000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
64680  Injection treatment of nerve                      A   2.67   6.62     1.73    0.26   9.55  4.660010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
64681  Injection treatment of nerve                      A   3.78  11.47     2.85    0.87  16.12  7.500010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
64702  Revise finger/toe nerve                           A   6.26   7.18NA   7.18    1.05  14.49 14.490090.11.76.1320100             36.0896 090 99      0.00   0.00   0.00
64704  Revise hand/foot nerve                            A   4.69   4.04NA   4.04    0.53   9.26  9.260090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
64708  Revise arm/leg nerve                              A   6.36   6.96NA   6.96    1.19  14.51 14.510090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
64712  Revision of sciatic nerve                         A   8.07   7.30NA   7.30    1.58  16.95 16.950090.11.76.1321210             36.0896 090 99      0.00   0.00   0.00
64713  Revision of arm nerve(s)                          A  11.40   8.80NA   8.80    2.37  22.57 22.570090.11.76.1321210             36.0896 090 99      0.00   0.00   0.00
64714  Revise low back nerve(s)                          A  10.55   8.55NA   8.55    2.03  21.13 21.130090.11.76.1321210             36.0896 090 99      0.00   0.00   0.00
64716  Revision of cranial nerve                         A   6.99   6.68NA   6.68    1.14  14.81 14.810090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
64718  Revise ulnar nerve at elbow                       A   7.26   8.46NA   8.46    1.42  17.14 17.140090.11.76.1321000             36.0896 090 99      0.00   0.00   0.00
64719  Revise ulnar nerve at wrist                       A   4.97   5.72NA   5.72    0.90  11.59 11.590090.11.76.1321100             36.0896 090 99      0.00   0.00   0.00
64721  Carpal tunnel surgery                             A   4.97   6.61     6.44    0.96  12.54 12.370090.11.76.1321100             36.0896 090 99      0.00   0.00   0.00
64722  Relieve pressure on nerve(s)                      A   4.82   4.68NA   4.68    0.85  10.35 10.350090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
64726  Release foot/toe nerve                            A   4.27   3.08NA   3.08    0.38   7.73  7.730090.11.76.1320100             36.0896 090 99      0.00   0.00   0.00
64727  Internal nerve revision                           A   3.10   1.55NA   1.55    0.62   5.27  5.270ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
64732  Incision of brow nerve                            A   4.89   6.07NA   6.07    1.80  12.76 12.760090.11.76.1321200             36.0896 090 99      0.00   0.00   0.00
64734  Incision of cheek nerve                           A   5.55   6.83NA   6.83    2.03  14.41 14.410090.11.76.1321000             36.0896 090 99      0.00   0.00   0.00
64736  Incision of chin nerve                            A   5.23   4.34NA   4.34    0.44  10.01 10.010090.11.76.1321200             36.0896 090 99      0.00   0.00   0.00
64738  Incision of jaw nerve                             A   6.36   6.06NA   6.06    0.58  13.00 13.000090.11.76.1321200             36.0896 090 99      0.00   0.00   0.00
64740  Incision of tongue nerve                          A   6.22   6.71NA   6.71    0.57  13.50 13.500090.11.76.1321200             36.0896 090 99      0.00   0.00   0.00
64742  Incision of facial nerve                          A   6.85   6.69NA   6.69    0.51  14.05 14.050090.11.76.1321200             36.0896 090 99      0.00   0.00   0.00
64744  Incise nerve back of head                         A   5.72   6.46NA   6.46    2.10  14.28 14.280090.11.76.1321000             36.0896 090 99      0.00   0.00   0.00
64746  Incise diaphragm nerve                            A   6.56   4.39NA   4.39    1.50  12.45 12.450090.11.76.1321210             36.0896 090 99      0.00   0.00   0.00
64755  Incision of stomach nerves                        A  15.05   8.12NA   8.12    3.65  26.82 26.820090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
64760  Incision of vagus nerve                           A   7.59   5.58NA   5.58    1.85  15.02 15.020090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
64763  Incise hip/thigh nerve                            A   7.56   5.47NA   5.47    1.84  14.87 14.870090.11.76.1321210             36.0896 090 99      0.00   0.00   0.00
64766  Incise hip/thigh nerve                            A   9.47   6.58NA   6.58    2.30  18.35 18.350090.11.76.1321200             36.0896 090 99      0.00   0.00   0.00
64771  Sever cranial nerve                               A   8.15   7.95NA   7.95    1.42  17.52 17.520090.11.76.1320200             36.0896 090 99      0.00   0.00   0.00
64772  Incision of spinal nerve                          A   7.84   6.93NA   6.93    1.50  16.27 16.270090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
64774  Remove skin nerve lesion                          A   5.80   5.05NA   5.05    0.96  11.81 11.810090.11.76.1320100             36.0896 090 99      0.00   0.00   0.00
64776  Remove digit nerve lesion                         A   5.60   4.81NA   4.81    0.82  11.23 11.230090.11.76.1320000             36.0896 090 99      0.00   0.00   0.00
64778  Digit nerve surgery add-on                        A   3.11   1.56NA   1.56    0.62   5.29  5.290ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
64782  Remove limb nerve lesion                          A   6.86   5.35NA   5.35    0.92  13.13 13.130090.11.76.1320110             36.0896 090 99      0.00   0.00   0.00
64783  Limb nerve surgery add-on                         A   3.71   1.86NA   1.86    0.74   6.31  6.310ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
64784  Remove nerve lesion                               A  10.62   8.52NA   8.52    1.93  21.07 21.070090.11.76.1320000             36.0896 090 99      0.00   0.00   0.00
64786  Remove sciatic nerve lesion                       A  16.25   9.03NA   9.03    3.94  29.22 29.220090.11.76.1321200             36.0896 090 99      0.00   0.00   0.00
64787  Implant nerve end                                 A   4.29   2.00NA   2.00    0.67   6.96  6.960ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
64788  Remove skin nerve lesion                          A   5.24   5.31NA   5.31    1.05  11.60 11.600090.11.76.1320100             36.0896 090 99      0.00   0.00   0.00
64790  Removal of nerve lesion                           A  12.10   9.23NA   9.23    2.80  24.13 24.130090.11.76.1320010             36.0896 090 99      0.00   0.00   0.00
64792  Removal of nerve lesion                           A  15.86  11.04NA  11.04    3.65  30.55 30.550090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
64795  Biopsy of nerve                                   A   3.01   1.79NA   1.79    0.77   5.57  5.570000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
64802  Sympathectomy cervical                            A  10.37   9.85NA   9.85    3.82  24.04 24.040090.11.76.1321210             36.0896 090 99      0.00   0.00   0.00
64804  Remove sympathetic nerves                         A  15.91  12.40NA  12.40    5.85  34.16 34.160090.11.76.1321210             36.0896 090 99      0.00   0.00   0.00
64809  Remove sympathetic nerves                         A  14.71  11.20NA  11.20    5.41  31.32 31.320090.11.76.1321210             36.0896 090 99      0.00   0.00   0.00
64818  Remove sympathetic nerves                         A  11.34   8.95NA   8.95    2.25  22.54 22.540090.11.76.1321210             36.0896 090 99      0.00   0.00   0.00
64820  Sympathectomy digital artery                      A  10.74   8.56NA   8.56    1.74  21.04 21.040090.11.76.1320100             36.0896 090 99      0.00   0.00   0.00
64821  Remove sympathetic nerves                         A   9.33   8.87NA   8.87    1.85  20.05 20.050090.11.76.1321100             36.0896 090 99      0.00   0.00   0.00
64822  Remove sympathetic nerves                         A   9.33   8.87NA   8.87    1.85  20.05 20.050090.11.76.1321100             36.0896 090 99      0.00   0.00   0.00
64823  Sympathectomy supfc palmar                        A  10.94   9.68NA   9.68    2.17  22.79 22.790090.11.76.1321100             36.0896 090 99      0.00   0.00   0.00
64831  Repair of digit nerve                             A   9.16   9.07NA   9.07    1.63  19.86 19.860090.11.76.1321100             36.0896 090 99      0.00   0.00   0.00
64832  Repair nerve add-on                               A   5.65   3.07NA   3.07    1.01   9.73  9.730ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
64834  Repair of hand or foot nerve                      A  10.81   8.65NA   8.65    1.92  21.38 21.380090.11.76.1321000             36.0896 090 99      0.00   0.00   0.00
64835  Repair of hand or foot nerve                      A  11.73   9.52NA   9.52    2.34  23.59 23.590090.11.76.1321200             36.0896 090 99      0.00   0.00   0.00
64836  Repair of hand or foot nerve                      A  11.73   9.52NA   9.52    2.34  23.59 23.590090.11.76.1321200             36.0896 090 99      0.00   0.00   0.00
64837  Repair nerve add-on                               A   6.25   3.14NA   3.14    1.25  10.64 10.640ZZZ.00.00.0000200             36.0896 090 99      0.00   0.00   0.00
64840  Repair of leg nerve                               A  14.02  11.00NA  11.00    2.78  27.80 27.800090.11.76.1321200             36.0896 090 99      0.00   0.00   0.00
64856  Repair/transpose nerve                            A  15.07  11.36NA  11.36    2.80  29.23 29.230090.11.76.1320110             36.0896 090 99      0.00   0.00   0.00
64857  Repair arm/leg nerve                              A  15.82  11.78NA  11.78    2.84  30.44 30.440090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
64858  Repair sciatic nerve                              A  17.82  12.68NA  12.68    3.53  34.03 34.030090.11.76.1321210             36.0896 090 99      0.00   0.00   0.00
64859  Nerve surgery                                     A   4.25   2.13NA   2.13    0.85   7.23  7.230ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
64861  Repair of arm nerves                              A  20.89  15.15NA  15.15    7.69  43.73 43.730090.11.76.1321210             36.0896 090 99      0.00   0.00   0.00
64862  Repair of low back nerves                         A  21.09  14.54NA  14.54    4.17  39.80 39.800090.11.76.1321200             36.0896 090 99      0.00   0.00   0.00
64864  Repair of facial nerve                            A  13.41   9.40NA   9.40    2.02  24.83 24.830090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
64865  Repair of facial nerve                            A  16.09  13.00NA  13.00    2.20  31.29 31.290090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
64866  Fusion of facial/other nerve                      A  16.83  16.94NA  16.94    2.96  36.73 36.730090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
64868  Fusion of facial/other nerve                      A  14.90  11.74NA  11.74    2.02  28.66 28.660090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
64872  Subsequent repair of nerve                        A   1.99   1.00NA   1.00    0.40   3.39  3.390ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
64874  Repair & revise nerve add-on                      A   2.98   1.49NA   1.49    0.58   5.05  5.050ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
64876  Repair nerve/shorten bone                         A   3.37   1.69NA   1.69    0.65   5.71  5.710ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
64885  Nerve graft head/neck </4 cm                      A  17.60  11.67NA  11.67    2.58  31.85 31.850090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
64886  Nerve graft head/neck >4 cm                       A  20.82  12.94NA  12.94    2.99  36.75 36.750090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
64890  Nerve graft hand/foot </4 cm                      A  16.24  11.78NA  11.78    3.22  31.24 31.240090.11.76.1320200             36.0896 090 99      0.00   0.00   0.00
64891  Nerve graft hand/foot >4 cm                       A  17.35  12.44NA  12.44    3.44  33.23 33.230090.11.76.1320200             36.0896 090 99      0.00   0.00   0.00
64892  Nerve graft arm/leg <4 cm                         A  15.74  11.53NA  11.53    3.10  30.37 30.370090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
64893  Nerve graft arm/leg >4 cm                         A  16.87  12.20NA  12.20    3.34  32.41 32.410090.11.76.1320200             36.0896 090 99      0.00   0.00   0.00
64895  Nerve graft hand/foot </4 cm                      A  20.39  13.97NA  13.97    4.04  38.40 38.400090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
64896  Nerve graft hand/foot >4 cm                       A  21.96  15.09NA  15.09    4.36  41.41 41.410090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
64897  Nerve graft arm/leg </4 cm                        A  19.38  13.46NA  13.46    3.84  36.68 36.680090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
64898  Nerve graft arm/leg >4 cm                         A  20.97  14.59NA  14.59    4.16  39.72 39.720090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
64901  Nerve graft add-on                                A  10.20   5.12NA   5.12    2.00  17.32 17.320ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
64902  Nerve graft add-on                                A  11.81   5.92NA   5.92    2.35  20.08 20.080ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
64905  Nerve pedicle transfer                            A  15.11  11.52NA  11.52    2.88  29.51 29.510090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
64907  Nerve pedicle transfer                            A  20.03  13.68NA  13.68    3.97  37.68 37.680090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
64910  Nerve repair w/allograft                          A  10.52  10.43NA  10.43    1.78  22.73 22.730090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
64911  Neurorraphy w/vein autograft                      A  14.00  12.80NA  12.80    2.78  29.58 29.580090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
64912  Nrv rpr w/nrv algrft 1st                          A  12.00  11.61NA  11.61    2.74  26.35 26.350090.11.76.1320210             36.0896 090 99      0.00   0.00   0.00
64913  Nrv rpr w/nrv algrft ea addl                      A   3.00   1.68NA   1.68    0.48   5.16  5.160ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
64999  Nervous system surgery                            C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
65091  Revise eye                                        A   7.26  11.72NA  11.72    0.54  19.52 19.520090.10.70.2021010             36.0896 090 99      0.00   0.00   0.00
65093  Revise eye with implant                           A   7.04  11.75NA  11.75    0.54  19.33 19.330090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
65101  Removal of eye                                    A   8.30  13.56NA  13.56    0.62  22.48 22.480090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
65103  Remove eye/insert implant                         A   8.84  13.83NA  13.83    0.64  23.31 23.310090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
65105  Remove eye/attach implant                         A   9.93  14.87NA  14.87    0.76  25.56 25.560090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
65110  Removal of eye                                    A  15.70  19.17NA  19.17    1.16  36.03 36.030090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
65112  Remove eye/revise socket                          A  18.51  21.66NA  21.66    1.37  41.54 41.540090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
65114  Remove eye/revise socket                          A  19.65  22.36NA  22.36    1.45  43.46 43.460090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
65125  Revise ocular implant                             A   3.27   9.44     4.74    0.25  12.96  8.260090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
65130  Insert ocular implant                             A   8.42  13.33NA  13.33    0.62  22.37 22.370090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
65135  Insert ocular implant                             A   8.60  13.44NA  13.44    0.62  22.66 22.660090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
65140  Attach ocular implant                             A   9.46  14.35NA  14.35    0.68  24.49 24.490090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
65150  Revise ocular implant                             A   6.43  11.14NA  11.14    0.48  18.05 18.050090.10.70.2021000             36.0896 090 99      0.00   0.00   0.00
65155  Reinsert ocular implant                           A  10.10  14.74NA  14.74    0.76  25.60 25.600090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
65175  Removal of ocular implant                         A   7.40  12.31NA  12.31    0.56  20.27 20.270090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
65205  Remove foreign body from eye                      A   0.49   0.55     0.32    0.02   1.06  0.830000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
65210  Remove foreign body from eye                      A   0.61   0.66     0.40    0.03   1.30  1.040000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
65220  Remove foreign body from eye                      A   0.71   0.90     0.39    0.09   1.70  1.190000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
65222  Remove foreign body from eye                      A   0.84   1.04     0.57    0.05   1.93  1.460000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
65235  Remove foreign body from eye                      A   9.01  10.67NA  10.67    0.66  20.34 20.340090.10.70.2021000             36.0896 090 99      0.00   0.00   0.00
65260  Remove foreign body from eye                      A  12.54  14.06NA  14.06    0.92  27.52 27.520090.10.70.2021200             36.0896 090 99      0.00   0.00   0.00
65265  Remove foreign body from eye                      A  14.34  15.53NA  15.53    1.04  30.91 30.910090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
65270  Repair of eye wound                               A   1.95   5.86     1.91    0.13   7.94  3.990010.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
65272  Repair of eye wound                               A   4.62   9.73     5.03    0.35  14.70 10.000090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
65273  Repair of eye wound                               A   5.16   5.25NA   5.25    0.39  10.80 10.800090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
65275  Repair of eye wound                               A   6.29   9.79     6.34    0.48  16.56 13.110090.10.70.2021000             36.0896 090 99      0.00   0.00   0.00
65280  Repair of eye wound                               A   9.10   9.25NA   9.25    0.65  19.00 19.000090.10.70.2021000             36.0896 090 99      0.00   0.00   0.00
65285  Repair of eye wound                               A  15.36  14.92NA  14.92    1.14  31.42 31.420090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
65286  Repair of eye wound                               A   6.63  12.82     6.93    0.49  19.94 14.050090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
65290  Repair of eye socket wound                        A   6.53   6.89NA   6.89    0.48  13.90 13.900090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
65400  Removal of eye lesion                             A   7.50  11.35     8.97    0.56  19.41 17.030090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
65410  Biopsy of cornea                                  A   1.47   2.50     1.34    0.11   4.08  2.920000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
65420  Removal of eye lesion                             A   4.36  10.33     5.98    0.32  15.01 10.660090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
65426  Removal of eye lesion                             A   6.05  12.32     7.02    0.46  18.83 13.530090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
65430  Corneal smear                                     A   1.47   1.70     1.32    0.11   3.28  2.900000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
65435  Curette/treat cornea                              A   0.92   1.33     0.98    0.08   2.33  1.980000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
65436  Curette/treat cornea                              A   4.82   5.79     5.29    0.35  10.96 10.460090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
65450  Treatment of corneal lesion                       A   3.47   5.50     5.33    0.27   9.24  9.070090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
65600  Revision of cornea                                A   4.20   7.21     5.11    0.30  11.71  9.610090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
65710  Corneal transplant                                A  14.45  16.35NA  16.35    1.05  31.85 31.850090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
65730  Corneal transplant                                A  16.35  17.66NA  17.66    1.22  35.23 35.230090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
65750  Corneal transplant                                A  16.90  17.27NA  17.27    1.25  35.42 35.420090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
65755  Corneal transplant                                A  16.79  17.22NA  17.22    1.25  35.26 35.260090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
65756  Corneal trnspl endothelial                        A  16.84  15.35NA  15.35    1.25  33.44 33.440090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
65757  Prep corneal endo allograft                       C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
65760  Revision of cornea                                N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
65765  Revision of cornea                                N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
65767  Corneal tissue transplant                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
65770  Revise cornea with implant                        A  19.74  18.41NA  18.41    1.41  39.56 39.560090.10.70.2021200             36.0896 090 99      0.00   0.00   0.00
65771  Radial keratotomy                                 N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
65772  Correction of astigmatism                         A   5.09   7.34     5.98    0.38  12.81 11.450090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
65775  Correction of astigmatism                         A   6.91   8.51NA   8.51    0.51  15.93 15.930090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
65778  Cover eye w/membrane                              A   1.00  38.75     0.50    0.05  39.80  1.550000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
65779  Cover eye w/membrane suture                       A   2.50  31.75     1.59    0.18  34.43  4.270000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
65780  Ocular reconst transplant                         A   7.81  10.46NA  10.46    0.57  18.84 18.840090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
65781  Ocular reconst transplant                         A  18.14  18.20NA  18.20    1.33  37.67 37.670090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
65782  Ocular reconst transplant                         A  15.43  15.94NA  15.94    1.15  32.52 32.520090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
65785  Impltj ntrstrml crnl rng seg                      A   5.39  61.65     6.71    0.41  67.45 12.510090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
65800  Drainage of eye                                   A   1.53   1.75     0.94    0.11   3.39  2.580000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
65810  Drainage of eye                                   A   5.82   6.88NA   6.88    0.44  13.14 13.140090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
65815  Drainage of eye                                   A   6.00  11.78     7.04    0.44  18.22 13.480090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
65820  Relieve inner eye pressure                        A   8.91  12.66NA  12.66    0.64  22.21 22.210090.10.70.2021000             36.0896 090 99      0.00   0.00   0.00
65850  Incision of eye                                   A  11.39  11.62NA  11.62    0.85  23.86 23.860090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
65855  Trabeculoplasty laser surg                        A   3.00   3.76     2.64    0.23   6.99  5.870010.10.80.1021111             36.0896 090 99      0.00   0.00   0.00
65860  Incise inner eye adhesions                        A   3.59   4.91     3.25    0.27   8.77  7.110090.10.70.2021000             36.0896 090 99      0.00   0.00   0.00
65865  Incise inner eye adhesions                        A   5.77   7.25NA   7.25    0.43  13.45 13.450090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
65870  Incise inner eye adhesions                        A   7.39   8.84NA   8.84    0.54  16.77 16.770090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
65875  Incise inner eye adhesions                        A   7.81   9.49NA   9.49    0.57  17.87 17.870090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
65880  Incise inner eye adhesions                        A   8.36   9.83NA   9.83    0.62  18.81 18.810090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
65900  Remove eye lesion                                 A  12.51  14.33NA  14.33    0.91  27.75 27.750090.10.70.2021200             36.0896 090 99      0.00   0.00   0.00
65920  Remove implant of eye                             A   9.99  11.64NA  11.64    0.74  22.37 22.370090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
65930  Remove blood clot from eye                        A   8.39   9.10NA   9.10    0.62  18.11 18.110090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
66020  Injection treatment of eye                        A   1.64   3.73     1.94    0.12   5.49  3.700010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
66030  Injection treatment of eye                        A   1.30   3.52     1.73    0.09   4.91  3.120010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
66130  Remove eye lesion                                 A   7.83  11.53     7.62    0.57  19.93 16.020090.10.70.2021000             36.0896 090 99      0.00   0.00   0.00
66150  Glaucoma surgery                                  A  10.53  13.50NA  13.50    0.79  24.82 24.820090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
66155  Glaucoma surgery                                  A  10.52  13.49NA  13.49    0.79  24.80 24.800090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
66160  Glaucoma surgery                                  A  12.39  14.63NA  14.63    0.91  27.93 27.930090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
66170  Glaucoma surgery                                  A  13.94  15.97NA  15.97    1.03  30.94 30.940090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
66172  Incision of eye                                   A  14.84  17.77NA  17.77    1.09  33.70 33.700090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
66174  Translum dil eye canal                            A  12.85  12.97NA  12.97    0.95  26.77 26.770090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
66175  Trnslum dil eye canal w/stnt                      A  13.60  13.43NA  13.43    1.01  28.04 28.040090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
66179  Aqueous shunt eye w/o graft                       A  14.00  15.49NA  15.49    1.04  30.53 30.530090.10.70.2021200             36.0896 090 99      0.00   0.00   0.00
66180  Aqueous shunt eye w/graft                         A  15.00  16.11NA  16.11    1.12  32.23 32.230090.10.70.2021200             36.0896 090 99      0.00   0.00   0.00
66183  Insert ant drainage device                        A  13.20  14.95NA  14.95    0.97  29.12 29.120090.10.80.1021200             36.0896 090 99      0.00   0.00   0.00
66184  Revision of aqueous shunt                         A   9.58  11.97NA  11.97    0.70  22.25 22.250090.10.70.2021200             36.0896 090 99      0.00   0.00   0.00
66185  Revise aqueous shunt eye                          A  10.58  12.59NA  12.59    0.79  23.96 23.960090.10.70.2021200             36.0896 090 99      0.00   0.00   0.00
66225  Repair/graft eye lesion                           A  12.63  12.85NA  12.85    0.92  26.40 26.400090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
66250  Follow-up surgery of eye                          A   7.10  13.73     8.11    0.53  21.36 15.740090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
66500  Incision of iris                                  A   3.83   6.45NA   6.45    0.28  10.56 10.560090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
66505  Incision of iris                                  A   4.22   6.99NA   6.99    0.32  11.53 11.530090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
66600  Remove iris and lesion                            A  10.12  13.73NA  13.73    0.76  24.61 24.610090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
66605  Removal of iris                                   A  14.22  15.27NA  15.27    1.05  30.54 30.540090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
66625  Removal of iris                                   A   5.30   6.43NA   6.43    0.40  12.13 12.130090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
66630  Removal of iris                                   A   7.28   8.24NA   8.24    0.54  16.06 16.060090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
66635  Removal of iris                                   A   7.37   8.29NA   8.29    0.54  16.20 16.200090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
66680  Repair iris & ciliary body                        A   6.39   7.82NA   7.82    0.48  14.69 14.690090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
66682  Repair iris & ciliary body                        A   7.33  11.21NA  11.21    0.54  19.08 19.080090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
66700  Destruction ciliary body                          A   5.14   7.28     5.56    0.39  12.81 11.090090.10.70.2021000             36.0896 090 99      0.00   0.00   0.00
66710  Ciliary transsleral therapy                       A   5.14   7.03     5.56    0.39  12.56 11.090090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
66711  Ecp ciliary body destruction                      A   5.62   8.19NA   8.19    0.42  14.23 14.230090.10.70.2031100       66710 36.0896 090 99      0.00   0.00   0.00
66720  Destruction ciliary body                          A   4.75   7.99     6.43    0.35  13.09 11.530090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
66740  Destruction ciliary body                          A   5.14   6.92     5.56    0.39  12.45 11.090090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
66761  Revision of iris                                  A   3.00   5.26     3.45    0.23   8.49  6.680010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
66762  Revision of iris                                  A   5.38   7.73     6.23    0.40  13.51 12.010090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
66770  Removal of inner eye lesion                       A   6.13   8.42     7.04    0.46  15.01 13.630090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
66820  Incision secondary cataract                       A   4.01   7.87NA   7.87    0.30  12.18 12.180090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
66821  After cataract laser surgery                      A   3.42   5.72     5.13    0.26   9.40  8.810090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
66825  Reposition intraocular lens                       A   9.01  12.84NA  12.84    0.64  22.49 22.490090.10.70.2021000             36.0896 090 99      0.00   0.00   0.00
66830  Removal of lens lesion                            A   9.47   9.94NA   9.94    0.67  20.08 20.080090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
66840  Removal of lens material                          A   9.18   9.80NA   9.80    0.66  19.64 19.640090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
66850  Removal of lens material                          A  10.55  11.04NA  11.04    0.79  22.38 22.380090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
66852  Removal of lens material                          A  11.41  11.58NA  11.58    0.85  23.84 23.840090.10.70.2021010             36.0896 090 99      0.00   0.00   0.00
66920  Extraction of lens                                A  10.13  10.39NA  10.39    0.76  21.28 21.280090.10.70.2021010             36.0896 090 99      0.00   0.00   0.00
66930  Extraction of lens                                A  11.61  11.78NA  11.78    0.86  24.25 24.250090.10.70.2021000             36.0896 090 99      0.00   0.00   0.00
66940  Extraction of lens                                A  10.37  11.01NA  11.01    0.78  22.16 22.160090.10.70.2021010             36.0896 090 99      0.00   0.00   0.00
66982  Xcapsl ctrc rmvl cplx wo ecp                      A  10.25  10.19NA  10.19    0.76  21.20 21.200090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
66983  Cataract surg w/iol 1 stage                       C   0.00   0.00     0.00    0.00   0.00  0.000090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
66984  Xcapsl ctrc rmvl w/o ecp                          A   7.35   7.57NA   7.57    0.53  15.45 15.450090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
66985  Insert lens prosthesis                            A   9.98  11.02NA  11.02    0.72  21.72 21.720090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
66986  Exchange lens prosthesis                          A  12.26  12.48NA  12.48    0.90  25.64 25.640090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
66987  Xcapsl ctrc rmvl cplx w/ecp                       C   0.00   0.00     0.00    0.00   0.00  0.000090.10.70.2021011             36.0896 090 99      0.00   0.00   0.00
66988  Xcapsl ctrc rmvl w/ecp                            C   0.00   0.00     0.00    0.00   0.00  0.000090.10.70.2021011             36.0896 090 99      0.00   0.00   0.00
66990  Ophthalmic endoscope add-on                       A   1.51   0.93NA   0.93    0.11   2.55  2.550ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
66999  Eye surgery procedure                             C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             36.0896 090 99      0.00   0.00   0.00
67005  Partial removal of eye fluid                      A   5.89   7.03NA   7.03    0.44  13.36 13.360090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
67010  Partial removal of eye fluid                      A   7.06   7.74NA   7.74    0.52  15.32 15.320090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
67015  Release of eye fluid                              A   7.14   9.08NA   9.08    0.53  16.75 16.750090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
67025  Replace eye fluid                                 A   8.11  12.19     9.15    0.60  20.90 17.860090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
67027  Implant eye drug system                           A  11.62  11.59NA  11.59    0.86  24.07 24.070090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
67028  Injection eye drug                                A   1.44   1.31     1.24    0.11   2.86  2.790000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
67030  Incise inner eye strands                          A   6.11   8.81NA   8.81    0.46  15.38 15.380090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
67031  Laser surgery eye strands                         A   4.47   6.27     5.27    0.32  11.06 10.060090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67036  Removal of inner eye fluid                        A  12.13  12.41NA  12.41    0.90  25.44 25.440090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
67039  Laser treatment of retina                         A  13.20  13.07NA  13.07    0.97  27.24 27.240090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
67040  Laser treatment of retina                         A  14.50  13.87NA  13.87    1.07  29.44 29.440090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
67041  Vit for macular pucker                            A  16.33  14.99NA  14.99    1.22  32.54 32.540090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
67042  Vit for macular hole                              A  16.33  14.98NA  14.98    1.22  32.53 32.530090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
67043  Vit for membrane dissect                          A  17.40  15.65NA  15.65    1.28  34.33 34.330090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
67101  Repair detached retina crtx                       A   3.50   5.62     4.28    0.27   9.39  8.050010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
67105  Repair detached retina pc                         A   3.39   4.75     4.12    0.26   8.40  7.770010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
67107  Repair detached retina                            A  16.00  14.79NA  14.79    1.18  31.97 31.970090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
67108  Repair detached retina                            A  17.13  15.48NA  15.48    1.26  33.87 33.870090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
67110  Repair detached retina                            A  10.25  14.09    11.97    0.77  25.11 22.990090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67113  Repair retinal detach cplx                        A  19.00  17.43NA  17.43    1.42  37.85 37.850090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
67115  Release encircling material                       A   6.11   7.53NA   7.53    0.46  14.10 14.100090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67120  Remove eye implant material                       A   7.10  11.26     8.08    0.53  18.89 15.710090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
67121  Remove eye implant material                       A  12.25  12.48NA  12.48    0.90  25.63 25.630090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
67141  Treatment of retina                               A   6.15   8.24     7.14    0.46  14.85 13.750090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67145  Treatment of retina                               A   6.32   8.15     7.25    0.48  14.95 14.050090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67208  Treatment of retinal lesion                       A   7.65   8.79     8.10    0.56  17.00 16.310090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67210  Treatment of retinal lesion                       A   6.36   7.81     7.28    0.48  14.65 14.120090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67218  Treatment of retinal lesion                       A  20.36  17.55NA  17.55    1.50  39.41 39.410090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67220  Treatment of choroid lesion                       A   6.36   8.25     7.28    0.48  15.09 14.120090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67221  Ocular photodynamic ther                          R   3.45   4.24     2.30    0.27   7.96  6.020000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
67225  Eye photodynamic ther add-on                      A   0.47   0.33     0.29    0.05   0.85  0.810ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
67227  Dstrj extensive retinopathy                       A   3.50   4.56     3.47    0.27   8.33  7.240010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
67228  Treatment x10sv retinopathy                       A   4.39   4.96     3.93    0.32   9.67  8.640010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
67229  Tr retinal les preterm inf                        A  16.30  15.43NA  15.43    1.22  32.95 32.950090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67250  Reinforce eye wall                                A   9.61  13.52NA  13.52    0.70  23.83 23.830090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
67255  Reinforce/graft eye wall                          A   8.38  10.35NA  10.35    0.62  19.35 19.350090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
67299  Eye surgery procedure                             C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             36.0896 090 99      0.00   0.00   0.00
67311  Revise eye muscle                                 A   7.77   8.55NA   8.55    0.57  16.89 16.890090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67312  Revise two eye muscles                            A   9.66   9.92NA   9.92    0.72  20.30 20.300090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
67314  Revise eye muscle                                 A   8.79   9.75NA   9.75    0.64  19.18 19.180090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67316  Revise two eye muscles                            A  10.93  11.04NA  11.04    0.79  22.76 22.760090.10.70.2021000             36.0896 090 99      0.00   0.00   0.00
67318  Revise eye muscle(s)                              A   9.12  10.25NA  10.25    0.65  20.02 20.020090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
67320  Revise eye muscle(s) add-on                       A   5.40   3.29NA   3.29    0.41   9.10  9.100ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
67331  Eye surgery follow-up add-on                      A   5.13   3.13NA   3.13    0.39   8.65  8.650ZZZ.00.00.0001110             36.0896 090 99      0.00   0.00   0.00
67332  Rerevise eye muscles add-on                       A   5.56   3.39NA   3.39    0.42   9.37  9.370ZZZ.00.00.0001110             36.0896 090 99      0.00   0.00   0.00
67334  Revise eye muscle w/suture                        A   5.05   3.09NA   3.09    0.38   8.52  8.520ZZZ.00.00.0001110             36.0896 090 99      0.00   0.00   0.00
67335  Eye suture during surgery                         A   2.49   1.50NA   1.50    0.18   4.17  4.170ZZZ.00.00.0001110             36.0896 090 99      0.00   0.00   0.00
67340  Revise eye muscle add-on                          A   6.00   3.68NA   3.68    0.44  10.12 10.120ZZZ.00.00.0000200             36.0896 090 99      0.00   0.00   0.00
67343  Release eye tissue                                A   8.47   9.49NA   9.49    0.64  18.60 18.600090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
67345  Destroy nerve of eye muscle                       A   3.01   3.50     2.76    0.41   6.92  6.180010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
67346  Biopsy eye muscle                                 A   2.87   2.36NA   2.36    0.22   5.45  5.450000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
67399  Unlisted px extraocular musc                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             36.0896 090 99      0.00   0.00   0.00
67400  Explore/biopsy eye socket                         A  11.20  15.82NA  15.82    0.85  27.87 27.870090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
67405  Explore/drain eye socket                          A   9.20  13.97NA  13.97    0.79  23.96 23.960090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67412  Explore/treat eye socket                          A  10.30  15.00NA  15.00    0.81  26.11 26.110090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
67413  Explore/treat eye socket                          A  10.24  14.71NA  14.71    0.85  25.80 25.800090.10.70.2021200             36.0896 090 99      0.00   0.00   0.00
67414  Explr/decompress eye socket                       A  17.94  20.13NA  20.13    1.51  39.58 39.580090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
67415  Aspiration orbital contents                       A   1.76   1.07NA   1.07    0.13   2.96  2.960000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
67420  Explore/treat eye socket                          A  21.87  23.88NA  23.88    1.82  47.57 47.570090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
67430  Explore/treat eye socket                          A  15.29  20.89NA  20.89    1.14  37.32 37.320090.10.70.2021200             36.0896 090 99      0.00   0.00   0.00
67440  Explore/drain eye socket                          A  14.84  20.22NA  20.22    1.09  36.15 36.150090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
67445  Explr/decompress eye socket                       A  19.12  21.01NA  21.01    1.55  41.68 41.680090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
67450  Explore/biopsy eye socket                         A  15.41  20.96NA  20.96    1.15  37.52 37.520090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
67500  Inject/treat eye socket                           A   1.18   0.80     0.47    0.09   2.07  1.740000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
67505  Inject/treat eye socket                           A   1.18   1.08     0.71    0.09   2.35  1.980000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
67515  Inject/treat eye socket                           A   0.75   1.00     0.86    0.06   1.81  1.670000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
67550  Insert eye socket implant                         A  11.77  16.30NA  16.30    0.95  29.02 29.020090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
67560  Revise eye socket implant                         A  12.18  16.55NA  16.55    1.00  29.73 29.730090.10.70.2021000             36.0896 090 99      0.00   0.00   0.00
67570  Decompress optic nerve                            A  14.40  19.06NA  19.06    2.22  35.68 35.680090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
67599  Orbit surgery procedure                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             36.0896 090 99      0.00   0.00   0.00
67700  Drainage of eyelid abscess                        A   1.40   6.41     1.77    0.11   7.92  3.280010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
67710  Incision of eyelid                                A   1.07   5.52     1.59    0.09   6.68  2.750010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
67715  Incision of eyelid fold                           A   1.27   5.79     1.63    0.13   7.19  3.030010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
67800  Remove eyelid lesion                              A   1.41   2.12     1.39    0.11   3.64  2.910010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
67801  Remove eyelid lesions                             A   1.91   2.57     1.70    0.13   4.61  3.740010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
67805  Remove eyelid lesions                             A   2.27   3.29     2.20    0.16   5.72  4.630010.10.80.1020100             36.0896 090 99      0.00   0.00   0.00
67808  Remove eyelid lesion(s)                           A   4.60   5.44NA   5.44    0.38  10.42 10.420090.10.70.2020100             36.0896 090 99      0.00   0.00   0.00
67810  Biopsy eyelid & lid margin                        A   1.18   3.84     0.71    0.11   5.13  2.000000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
67820  Revise eyelashes                                  A   0.32   0.41     0.46    0.02   0.75  0.800000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
67825  Revise eyelashes                                  A   1.43   2.23     1.89    0.11   3.77  3.430010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
67830  Revise eyelashes                                  A   1.75   5.74     2.00    0.13   7.62  3.880010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
67835  Revise eyelashes                                  A   5.70   6.30NA   6.30    0.43  12.43 12.430090.10.70.2021000             36.0896 090 99      0.00   0.00   0.00
67840  Remove eyelid lesion                              A   2.09   5.66     2.21    0.16   7.91  4.460010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
67850  Treat eyelid lesion                               A   1.74   4.25     1.88    0.13   6.12  3.750010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
67875  Closure of eyelid by suture                       A   1.35   3.55     1.26    0.11   5.01  2.720000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
67880  Revision of eyelid                                A   4.60   8.15     5.44    0.35  13.10 10.390090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67882  Revision of eyelid                                A   6.02   9.61     6.85    0.47  16.10 13.340090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67900  Repair brow defect                                A   6.82  10.88     6.96    0.60  18.30 14.380090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67901  Repair eyelid defect                              A   7.59  13.92     8.33    0.62  22.13 16.540090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67902  Repair eyelid defect                              A   9.82   9.89NA   9.89    0.79  20.50 20.500090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
67903  Repair eyelid defect                              A   6.51   9.97     6.63    0.52  17.00 13.660090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
67904  Repair eyelid defect                              A   7.97  12.32     8.28    0.63  20.92 16.880090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
67906  Repair eyelid defect                              A   6.93   6.89NA   6.89    0.51  14.33 14.330090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67908  Repair eyelid defect                              A   5.30   8.91     6.40    0.41  14.62 12.110090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67909  Revise eyelid defect                              A   5.57   9.38     6.36    0.48  15.43 12.410090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67911  Revise eyelid defect                              A   7.50   7.78NA   7.78    0.58  15.86 15.860090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67912  Correction eyelid w/implant                       A   6.36  18.71     6.80    0.62  25.69 13.780090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67914  Repair eyelid defect                              A   3.75   9.60     5.19    0.30  13.65  9.240090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67915  Repair eyelid defect                              A   2.03   6.48     3.38    0.15   8.66  5.560090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67916  Repair eyelid defect                              A   5.48  11.24     6.23    0.44  17.16 12.150090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67917  Repair eyelid defect                              A   5.93  11.09     6.52    0.48  17.50 12.930090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67921  Repair eyelid defect                              A   3.47   9.64     5.02    0.27  13.38  8.760090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67922  Repair eyelid defect                              A   2.03   6.26     3.36    0.13   8.42  5.520090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67923  Repair eyelid defect                              A   5.48  11.25     6.26    0.43  17.16 12.170090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67924  Repair eyelid defect                              A   5.93  11.87     6.53    0.47  18.27 12.930090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67930  Repair eyelid wound                               A   3.65   6.52     2.85    0.28  10.45  6.780010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
67935  Repair eyelid wound                               A   6.36  10.02     5.62    0.54  16.92 12.520090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67938  Remove eyelid foreign body                        A   1.38   5.89     1.81    0.09   7.36  3.280010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
67950  Revision of eyelid                                A   5.99   9.93     6.60    0.51  16.43 13.100090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
67961  Revision of eyelid                                A   5.86  10.16     6.53    0.47  16.49 12.860090.10.70.2021000             36.0896 090 99      0.00   0.00   0.00
67966  Revision of eyelid                                A   8.97  12.27     8.88    0.72  21.96 18.570090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67971  Reconstruction of eyelid                          A  10.01   9.65NA   9.65    0.79  20.45 20.450090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
67973  Reconstruction of eyelid                          A  13.13  12.15NA  12.15    1.03  26.31 26.310090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
67974  Reconstruction of eyelid                          A  13.10  12.15NA  12.15    1.00  26.25 26.250090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
67975  Reconstruction of eyelid                          A   9.35   9.26NA   9.26    0.77  19.38 19.380090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
67999  Revision of eyelid                                C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             36.0896 090 99      0.00   0.00   0.00
68020  Incise/drain eyelid lining                        A   1.42   1.90     1.60    0.09   3.41  3.110010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
68040  Treatment of eyelid lesions                       A   0.85   0.88     0.50    0.05   1.78  1.400000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
68100  Biopsy of eyelid lining                           A   1.35   3.60     1.26    0.11   5.06  2.720000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
68110  Remove eyelid lining lesion                       A   1.82   4.68     2.23    0.13   6.63  4.180010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
68115  Remove eyelid lining lesion                       A   2.41   6.60     2.59    0.18   9.19  5.180010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
68130  Remove eyelid lining lesion                       A   5.10  10.03     6.16    0.38  15.51 11.640090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
68135  Remove eyelid lining lesion                       A   1.89   2.44     2.22    0.13   4.46  4.240010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
68200  Treat eyelid by injection                         A   0.49   0.65     0.45    0.05   1.19  0.990000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
68320  Revise/graft eyelid lining                        A   6.64  13.72     8.08    0.52  20.88 15.240090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
68325  Revise/graft eyelid lining                        A   8.63   9.30NA   9.30    0.63  18.56 18.560090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
68326  Revise/graft eyelid lining                        A   8.42   9.17NA   9.17    0.63  18.22 18.220090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
68328  Revise/graft eyelid lining                        A   9.45   9.80NA   9.80    0.79  20.04 20.040090.10.70.2021000             36.0896 090 99      0.00   0.00   0.00
68330  Revise eyelid lining                              A   5.78  11.24     6.79    0.44  17.46 13.010090.10.70.2021000             36.0896 090 99      0.00   0.00   0.00
68335  Revise/graft eyelid lining                        A   8.46   9.19NA   9.19    0.63  18.28 18.280090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
68340  Separate eyelid adhesions                         A   4.97  11.10     5.91    0.37  16.44 11.250090.10.70.2021000             36.0896 090 99      0.00   0.00   0.00
68360  Revise eyelid lining                              A   5.17   9.70     6.03    0.39  15.26 11.590090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
68362  Revise eyelid lining                              A   8.61   9.28NA   9.28    0.63  18.52 18.520090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
68371  Harvest eye tissue alograft                       A   5.09   6.20NA   6.20    0.38  11.67 11.670010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
68399  Eyelid lining surgery                             C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             36.0896 090 99      0.00   0.00   0.00
68400  Incise/drain tear gland                           A   1.74   6.43     1.84    0.13   8.30  3.710010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
68420  Incise/drain tear sac                             A   2.35   6.81     2.21    0.19   9.35  4.750010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
68440  Incise tear duct opening                          A   0.99   1.84     1.72    0.09   2.92  2.800010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
68500  Removal of tear gland                             A  12.77  14.98NA  14.98    0.93  28.68 28.680090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
68505  Partial removal tear gland                        A  12.69  14.93NA  14.93    0.93  28.55 28.550090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
68510  Biopsy of tear gland                              A   4.60   7.91     3.26    0.40  12.91  8.260000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
68520  Removal of tear sac                               A   8.78  10.62NA  10.62    0.68  20.08 20.080090.10.70.2021000             36.0896 090 99      0.00   0.00   0.00
68525  Biopsy of tear sac                                A   4.42   2.67NA   2.67    0.38   7.47  7.470000.00.00.0021110             36.0896 090 99      0.00   0.00   0.00
68530  Clearance of tear duct                            A   3.70   8.30     3.25    0.28  12.28  7.230010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
68540  Remove tear gland lesion                          A  12.18  13.93NA  13.93    0.90  27.01 27.010090.10.70.2021110             36.0896 090 99      0.00   0.00   0.00
68550  Remove tear gland lesion                          A  15.16  17.06NA  17.06    1.13  33.35 33.350090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
68700  Repair tear ducts                                 A   7.87   8.60NA   8.60    0.60  17.07 17.070090.10.70.2021100             36.0896 090 99      0.00   0.00   0.00
68705  Revise tear duct opening                          A   2.11   4.92     2.41    0.16   7.19  4.680010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
68720  Create tear sac drain                             A   9.96  11.38NA  11.38    0.79  22.13 22.130090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
68745  Create tear duct drain                            A   9.90  11.58NA  11.58    0.73  22.21 22.210090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
68750  Create tear duct drain                            A  10.10  12.28NA  12.28    0.79  23.17 23.170090.10.70.2021210             36.0896 090 99      0.00   0.00   0.00
68760  Close tear duct opening                           A   1.78   4.16     2.20    0.13   6.07  4.110010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
68761  Close tear duct opening                           A   1.41   2.70     1.82    0.09   4.20  3.320010.10.80.1021000             36.0896 090 99      0.00   0.00   0.00
68770  Close tear system fistula                         A   8.29   8.85NA   8.85    0.62  17.76 17.760090.10.70.2021000             36.0896 090 99      0.00   0.00   0.00
68801  Dilate tear duct opening                          A   0.82   1.73     1.31    0.05   2.60  2.180010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
68810  Probe nasolacrimal duct                           A   1.54   2.86     1.95    0.11   4.51  3.600010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
68811  Probe nasolacrimal duct                           A   1.74   1.95NA   1.95    0.13   3.82  3.820010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
68815  Probe nasolacrimal duct                           A   2.70   8.12     3.35    0.22  11.04  6.270010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
68816  Probe nl duct w/balloon                           A   2.10  20.00     2.19    0.16  22.26  4.450010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
68840  Explore/irrigate tear ducts                       A   1.30   2.31     1.88    0.09   3.70  3.270010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
68850  Injection for tear sac x-ray                      A   0.80   0.92     0.71    0.08   1.80  1.590000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
68899  Tear duct system surgery                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             36.0896 090 99      0.00   0.00   0.00
69000  Drain external ear lesion                         A   1.50   3.61     1.74    0.23   5.34  3.470010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
69005  Drain external ear lesion                         A   2.16   3.71     2.03    0.31   6.18  4.500010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
69020  Drain outer ear canal lesion                      A   1.53   4.80     2.26    0.22   6.55  4.010010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
69090  Pierce earlobes                                   N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
69100  Biopsy of external ear                            A   0.81   1.89     0.47    0.09   2.79  1.370000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
69105  Biopsy of external ear canal                      A   0.85   3.04     0.82    0.11   4.00  1.780000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
69110  Remove external ear partial                       A   3.53   9.12     5.24    0.51  13.16  9.280090.07.79.1421100             36.0896 090 99      0.00   0.00   0.00
69120  Removal of external ear                           A   4.14   6.45NA   6.45    0.57  11.16 11.160090.07.79.1420100             36.0896 090 99      0.00   0.00   0.00
69140  Remove ear canal lesion(s)                        A   8.14  15.61NA  15.61    1.12  24.87 24.870090.07.79.1421000             36.0896 090 99      0.00   0.00   0.00
69145  Remove ear canal lesion(s)                        A   2.70   8.26     4.06    0.38  11.34  7.140090.07.79.1421100             36.0896 090 99      0.00   0.00   0.00
69150  Extensive ear canal surgery                       A  13.61  13.65NA  13.65    1.99  29.25 29.250090.07.79.1420110             36.0896 090 99      0.00   0.00   0.00
69155  Extensive ear/neck surgery                        A  23.35  20.12NA  20.12    3.18  46.65 46.650090.07.79.1420210             36.0896 090 99      0.00   0.00   0.00
69200  Clear outer ear canal                             A   0.77   1.43     0.47    0.11   2.31  1.350000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
69205  Clear outer ear canal                             A   1.21   1.40NA   1.40    0.16   2.77  2.770010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
69209  Remove impacted ear wax uni                       A   0.00   0.39     0.39NA  0.01   0.40  0.405000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
69210  Remove impacted ear wax uni                       A   0.61   0.66     0.26    0.09   1.36  0.960000.00.00.0022100             36.0896 090 99      0.00   0.00   0.00
69220  Clean out mastoid cavity                          A   0.83   1.31     0.52    0.11   2.25  1.460000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
69222  Clean out mastoid cavity                          A   1.45   4.36     2.15    0.21   6.02  3.810010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
69300  Revise external ear                               R   6.44  10.33     5.81    0.88  17.65 13.130YYY.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
69310  Rebuild outer ear canal                           A  10.97  18.49NA  18.49    1.53  30.99 30.990090.07.79.1421100             36.0896 090 99      0.00   0.00   0.00
69320  Rebuild outer ear canal                           A  17.18  23.94NA  23.94    2.35  43.47 43.470090.07.79.1421200             36.0896 090 99      0.00   0.00   0.00
69399  Outer ear surgery procedure                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             36.0896 090 99      0.00   0.00   0.00
69420  Incision of eardrum                               A   1.38   3.74     1.82    0.19   5.31  3.390010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
69421  Incision of eardrum                               A   1.78   2.18NA   2.18    0.25   4.21  4.210010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
69424  Remove ventilating tube                           A   0.85   2.66     0.77    0.11   3.62  1.730000.00.00.0021100             36.0896 090 99      0.00   0.00   0.00
69433  Create eardrum opening                            A   1.57   3.83     1.93    0.22   5.62  3.720010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
69436  Create eardrum opening                            A   2.01   2.19NA   2.19    0.28   4.48  4.480010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
69440  Exploration of middle ear                         A   7.71  10.75NA  10.75    1.05  19.51 19.510090.07.79.1421100             36.0896 090 99      0.00   0.00   0.00
69450  Eardrum revision                                  A   5.69   8.95NA   8.95    0.79  15.43 15.430090.07.79.1421000             36.0896 090 99      0.00   0.00   0.00
69501  Mastoidectomy                                     A   9.21   9.93NA   9.93    1.25  20.39 20.390090.07.79.1421100             36.0896 090 99      0.00   0.00   0.00
69502  Mastoidectomy                                     A  12.56  12.83NA  12.83    1.72  27.11 27.110090.07.79.1421000             36.0896 090 99      0.00   0.00   0.00
69505  Remove mastoid structures                         A  13.17  19.25NA  19.25    1.80  34.22 34.220090.07.79.1421000             36.0896 090 99      0.00   0.00   0.00
69511  Extensive mastoid surgery                         A  13.70  19.48NA  19.48    1.88  35.06 35.060090.07.79.1421000             36.0896 090 99      0.00   0.00   0.00
69530  Extensive mastoid surgery                         A  20.38  23.84NA  23.84    2.80  47.02 47.020090.07.79.1421200             36.0896 090 99      0.00   0.00   0.00
69535  Remove part of temporal bone                      A  37.42  33.02NA  33.02    5.01  75.45 75.450090.07.79.1421110             36.0896 090 99      0.00   0.00   0.00
69540  Remove ear lesion                                 A   1.25   4.40     2.15    0.18   5.83  3.580010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
69550  Remove ear lesion                                 A  11.15  16.91NA  16.91    1.51  29.57 29.570090.07.79.1421200             36.0896 090 99      0.00   0.00   0.00
69552  Remove ear lesion                                 A  19.81  22.10NA  22.10    2.73  44.64 44.640090.07.79.1421200             36.0896 090 99      0.00   0.00   0.00
69554  Remove ear lesion                                 A  35.97  30.71NA  30.71    4.91  71.59 71.590090.07.79.1421210             36.0896 090 99      0.00   0.00   0.00
69601  Mastoid surgery revision                          A  13.45  13.92NA  13.92    1.84  29.21 29.210090.07.79.1421000             36.0896 090 99      0.00   0.00   0.00
69602  Mastoid surgery revision                          A  13.76  15.24NA  15.24    1.89  30.89 30.890090.07.79.1421000             36.0896 090 99      0.00   0.00   0.00
69603  Mastoid surgery revision                          A  14.20  19.69NA  19.69    1.94  35.83 35.830090.07.79.1421000             36.0896 090 99      0.00   0.00   0.00
69604  Mastoid surgery revision                          A  14.20  15.43NA  15.43    1.94  31.57 31.570090.07.79.1421100             36.0896 090 99      0.00   0.00   0.00
69605  Mastoid surgery revision                          A  18.69  23.11NA  23.11    2.56  44.36 44.360090.07.79.1421200             36.0896 090 99      0.00   0.00   0.00
69610  Repair of eardrum                                 A   4.47   5.66     3.15    0.62  10.75  8.240010.10.80.1021100             36.0896 090 99      0.00   0.00   0.00
69620  Repair of eardrum                                 A   6.03  13.20     7.05    0.82  20.05 13.900090.07.79.1421100             36.0896 090 99      0.00   0.00   0.00
69631  Repair eardrum structures                         A  10.05  13.67NA  13.67    1.37  25.09 25.090090.07.79.1421100             36.0896 090 99      0.00   0.00   0.00
69632  Rebuild eardrum structures                        A  12.96  15.84NA  15.84    1.77  30.57 30.570090.07.79.1421100             36.0896 090 99      0.00   0.00   0.00
69633  Rebuild eardrum structures                        A  12.31  15.62NA  15.62    1.69  29.62 29.620090.07.79.1421100             36.0896 090 99      0.00   0.00   0.00
69635  Repair eardrum structures                         A  13.51  19.63NA  19.63    1.95  35.09 35.090090.07.79.1421100             36.0896 090 99      0.00   0.00   0.00
69636  Rebuild eardrum structures                        A  15.43  21.72NA  21.72    2.10  39.25 39.250090.07.79.1421000             36.0896 090 99      0.00   0.00   0.00
69637  Rebuild eardrum structures                        A  15.32  21.67NA  21.67    2.08  39.07 39.070090.07.79.1421000             36.0896 090 99      0.00   0.00   0.00
69641  Revise middle ear & mastoid                       A  12.89  14.90NA  14.90    1.76  29.55 29.550090.07.79.1421100             36.0896 090 99      0.00   0.00   0.00
69642  Revise middle ear & mastoid                       A  17.06  18.56NA  18.56    2.35  37.97 37.970090.07.79.1421100             36.0896 090 99      0.00   0.00   0.00
69643  Revise middle ear & mastoid                       A  15.59  16.97NA  16.97    2.13  34.69 34.690090.07.79.1421100             36.0896 090 99      0.00   0.00   0.00
69644  Revise middle ear & mastoid                       A  17.23  22.45NA  22.45    2.35  42.03 42.030090.07.79.1421100             36.0896 090 99      0.00   0.00   0.00
69645  Revise middle ear & mastoid                       A  16.71  22.32NA  22.32    2.33  41.36 41.360090.07.79.1421100             36.0896 090 99      0.00   0.00   0.00
69646  Revise middle ear & mastoid                       A  18.37  22.95NA  22.95    2.52  43.84 43.840090.07.79.1421000             36.0896 090 99      0.00   0.00   0.00
69650  Release middle ear bone                           A   9.80  11.64NA  11.64    1.32  22.76 22.760090.07.79.1421100             36.0896 090 99      0.00   0.00   0.00
69660  Revise middle ear bone                            A  12.03  12.59NA  12.59    1.65  26.27 26.270090.07.79.1421100             36.0896 090 99      0.00   0.00   0.00
69661  Revise middle ear bone                            A  15.92  16.20NA  16.20    2.17  34.29 34.290090.07.79.1421000             36.0896 090 99      0.00   0.00   0.00
69662  Revise middle ear bone                            A  15.60  15.00NA  15.00    2.12  32.72 32.720090.07.79.1421100             36.0896 090 99      0.00   0.00   0.00
69666  Repair middle ear structures                      A   9.89  11.74NA  11.74    1.32  22.95 22.950090.07.79.1421000             36.0896 090 99      0.00   0.00   0.00
69667  Repair middle ear structures                      A   9.90  11.69NA  11.69    1.34  22.93 22.930090.07.79.1421000             36.0896 090 99      0.00   0.00   0.00
69670  Remove mastoid air cells                          A  11.73  13.46NA  13.46    1.65  26.84 26.840090.07.79.1421200             36.0896 090 99      0.00   0.00   0.00
69676  Remove middle ear nerve                           A   9.69  12.55NA  12.55    1.32  23.56 23.560090.07.79.1421100             36.0896 090 99      0.00   0.00   0.00
69700  Close mastoid fistula                             A   8.37   9.58NA   9.58    1.15  19.10 19.100090.07.79.1421100             36.0896 090 99      0.00   0.00   0.00
69710  Implant/replace hearing aid                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
69711  Remove/repair hearing aid                         A  10.62  11.96NA  11.96    1.44  24.02 24.020090.07.79.1421200             36.0896 090 99      0.00   0.00   0.00
69714  Implant temple bone w/stimul                      A  14.45  13.69NA  13.69    1.98  30.12 30.120090.07.79.1421100             36.0896 090 99      0.00   0.00   0.00
69715  Temple bne implnt w/stimulat                      A  18.96  15.73NA  15.73    2.59  37.28 37.280090.07.79.1421100             36.0896 090 99      0.00   0.00   0.00
69717  Temple bone implant revision                      A  15.43  14.08NA  14.08    2.10  31.61 31.610090.07.79.1421100             36.0896 090 99      0.00   0.00   0.00
69718  Revise temple bone implant                        A  19.21  15.84NA  15.84    2.62  37.67 37.670090.07.79.1421100             36.0896 090 99      0.00   0.00   0.00
69720  Release facial nerve                              A  14.71  16.86NA  16.86    2.17  33.74 33.740090.07.79.1421010             36.0896 090 99      0.00   0.00   0.00
69725  Release facial nerve                              A  27.64  21.96NA  21.96    3.78  53.38 53.380090.07.79.1421200             36.0896 090 99      0.00   0.00   0.00
69740  Repair facial nerve                               A  16.27  14.61NA  14.61    2.21  33.09 33.090090.07.79.1421200             36.0896 090 99      0.00   0.00   0.00
69745  Repair facial nerve                               A  17.02  15.90NA  15.90    2.34  35.26 35.260090.07.79.1421200             36.0896 090 99      0.00   0.00   0.00
69799  Middle ear surgery procedure                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             36.0896 090 99      0.00   0.00   0.00
69801  Incise inner ear                                  A   2.06   3.71     1.21    0.28   6.05  3.550000.00.00.0021000             36.0896 090 99      0.00   0.00   0.00
69805  Explore inner ear                                 A  14.71  12.83NA  12.83    1.99  29.53 29.530090.07.79.1421200             36.0896 090 99      0.00   0.00   0.00
69806  Explore inner ear                                 A  12.63  12.11NA  12.11    1.72  26.46 26.460090.07.79.1421100             36.0896 090 99      0.00   0.00   0.00
69905  Remove inner ear                                  A  11.26  13.23NA  13.23    1.53  26.02 26.020090.07.79.1421100             36.0896 090 99      0.00   0.00   0.00
69910  Remove inner ear & mastoid                        A  13.91  12.66NA  12.66    1.90  28.47 28.470090.07.79.1421000             36.0896 090 99      0.00   0.00   0.00
69915  Incise inner ear nerve                            A  22.77  17.37NA  17.37    3.10  43.24 43.240090.07.79.1421210             36.0896 090 99      0.00   0.00   0.00
69930  Implant cochlear device                           A  17.73  14.60NA  14.60    2.42  34.75 34.750090.07.79.1421000             36.0896 090 99      0.00   0.00   0.00
69949  Inner ear surgery procedure                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             36.0896 090 99      0.00   0.00   0.00
69950  Incise inner ear nerve                            A  27.63  18.83NA  18.83    3.78  50.24 50.240090.07.79.1421210             36.0896 090 99      0.00   0.00   0.00
69955  Release facial nerve                              A  29.42  22.75NA  22.75    4.01  56.18 56.180090.07.79.1421210             36.0896 090 99      0.00   0.00   0.00
69960  Release inner ear canal                           A  29.42  20.77NA  20.77    4.01  54.20 54.200090.07.79.1421210             36.0896 090 99      0.00   0.00   0.00
69970  Remove inner ear lesion                           A  32.41  24.01NA  24.01    4.43  60.85 60.850090.07.79.1421210             36.0896 090 99      0.00   0.00   0.00
69979  Temporal bone surgery                             C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             36.0896 090 99      0.00   0.00   0.00
69990  Microsurgery add-on                               R   3.46   1.59NA   1.59    1.25   6.30  6.300ZZZ.00.00.0000200             36.0896 090 99      0.00   0.00   0.00
70010  Contrast x-ray of brain                           A   1.19   0.44NA   0.44    0.09   1.72  1.720XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
70015  Contrast x-ray of brain                           A   1.19   3.34     3.34NA  0.07   4.60  4.601XXX.00.00.0000000             36.0896 090 99     19.24  19.24   0.12
70015TCContrast x-ray of brain                           A   0.00   2.90     2.90NA  0.01   2.91  2.911XXX.00.00.0000000             36.0896 030 99     18.80  18.80   0.06
7001526Contrast x-ray of brain                           A   1.19   0.44     0.44    0.06   1.69  1.691XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
70030  X-ray eye for foreign body                        A   0.17   0.68     0.68NA  0.02   0.87  0.871XXX.00.00.0003000             36.0896 090 99      2.24   2.24   0.04
70030TCX-ray eye for foreign body                        A   0.00   0.62     0.62NA  0.01   0.63  0.631XXX.00.00.0003000             36.0896 010 99      2.18   2.18   0.03
7003026X-ray eye for foreign body                        A   0.17   0.06     0.06    0.01   0.24  0.241XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
7010F  Pt info into recall system                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
70100  X-ray exam of jaw <4views                         A   0.18   0.83     0.83NA  0.02   1.03  1.031XXX.00.00.0000000             36.0896 090 99      2.25   2.25   0.04
70100TCX-ray exam of jaw <4views                         A   0.00   0.76     0.76NA  0.01   0.77  0.771XXX.00.00.0000000             36.0896 010 99      2.18   2.18   0.03
7010026X-ray exam of jaw <4views                         A   0.18   0.07     0.07    0.01   0.26  0.261XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
70110  X-ray exam of jaw 4/> views                       A   0.25   0.92     0.92NA  0.02   1.19  1.191XXX.00.00.0000000             36.0896 090 99      3.17   3.17   0.05
70110TCX-ray exam of jaw 4/> views                       A   0.00   0.82     0.82NA  0.01   0.83  0.831XXX.00.00.0000000             36.0896 010 99      3.07   3.07   0.04
7011026X-ray exam of jaw 4/> views                       A   0.25   0.10     0.10    0.01   0.36  0.361XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
70120  X-ray exam of mastoids                            A   0.18   0.83     0.83NA  0.02   1.03  1.031XXX.00.00.0003000             36.0896 090 99      3.14   3.14   0.05
70120TCX-ray exam of mastoids                            A   0.00   0.76     0.76NA  0.01   0.77  0.771XXX.00.00.0003000             36.0896 010 99      3.07   3.07   0.04
7012026X-ray exam of mastoids                            A   0.18   0.07     0.07    0.01   0.26  0.261XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
70130  X-ray exam of mastoids                            A   0.34   1.31     1.31NA  0.03   1.68  1.681XXX.00.00.0003000             36.0896 090 99      3.21   3.21   0.05
70130TCX-ray exam of mastoids                            A   0.00   1.18     1.18NA  0.01   1.19  1.191XXX.00.00.0003000             36.0896 010 99      3.08   3.08   0.03
7013026X-ray exam of mastoids                            A   0.34   0.13     0.13    0.02   0.49  0.491XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
70134  X-ray exam of middle ear                          A   0.34   1.23     1.23NA  0.02   1.59  1.591XXX.00.00.0000000             36.0896 090 99     13.37  13.37   0.13
70134TCX-ray exam of middle ear                          A   0.00   1.08     1.08NA  0.01   1.09  1.091XXX.00.00.0000000             36.0896 010 99     13.22  13.22   0.12
7013426X-ray exam of middle ear                          A   0.34   0.15     0.15    0.01   0.50  0.501XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
70140  X-ray exam of facial bones                        A   0.19   0.67     0.67NA  0.02   0.88  0.881XXX.00.00.0000000             36.0896 090 99      2.26   2.26   0.05
70140TCX-ray exam of facial bones                        A   0.00   0.58     0.58NA  0.01   0.59  0.591XXX.00.00.0000000             36.0896 010 99      2.17   2.17   0.04
7014026X-ray exam of facial bones                        A   0.19   0.09     0.09    0.01   0.29  0.291XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
70150  X-ray exam of facial bones                        A   0.26   1.01     1.01NA  0.02   1.29  1.291XXX.00.00.0000000             36.0896 090 99      3.18   3.18   0.04
70150TCX-ray exam of facial bones                        A   0.00   0.90     0.90NA  0.01   0.91  0.911XXX.00.00.0000000             36.0896 010 99      3.07   3.07   0.03
7015026X-ray exam of facial bones                        A   0.26   0.11     0.11    0.01   0.38  0.381XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
70160  X-ray exam of nasal bones                         A   0.17   0.83     0.83NA  0.02   1.02  1.021XXX.00.00.0000000             36.0896 090 99      2.25   2.25   0.04
70160TCX-ray exam of nasal bones                         A   0.00   0.76     0.76NA  0.01   0.77  0.771XXX.00.00.0000000             36.0896 010 99      2.18   2.18   0.03
7016026X-ray exam of nasal bones                         A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
70170  X-ray exam of tear duct                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      6.56   6.56   0.02
70170TCX-ray exam of tear duct                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99      6.45   6.45   0.01
7017026X-ray exam of tear duct                           A   0.30   0.11     0.11    0.01   0.42  0.421XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
70190  X-ray exam of eye sockets                         A   0.21   0.85     0.85NA  0.02   1.08  1.081XXX.00.00.0003000             36.0896 090 99      2.28   2.28   0.04
70190TCX-ray exam of eye sockets                         A   0.00   0.75     0.75NA  0.01   0.76  0.761XXX.00.00.0003000             36.0896 010 99      2.18   2.18   0.03
7019026X-ray exam of eye sockets                         A   0.21   0.10     0.10    0.01   0.32  0.321XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
7020F  Mammo assess cat in dbase                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
70200  X-ray exam of eye sockets                         A   0.28   1.01     1.01NA  0.02   1.31  1.311XXX.00.00.0000000             36.0896 090 99      3.18   3.18   0.04
70200TCX-ray exam of eye sockets                         A   0.00   0.90     0.90NA  0.01   0.91  0.911XXX.00.00.0000000             36.0896 010 99      3.07   3.07   0.03
7020026X-ray exam of eye sockets                         A   0.28   0.11     0.11    0.01   0.40  0.401XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
70210  X-ray exam of sinuses                             A   0.17   0.68     0.68NA  0.02   0.87  0.871XXX.00.00.0000000             36.0896 090 99      2.25   2.25   0.05
70210TCX-ray exam of sinuses                             A   0.00   0.61     0.61NA  0.01   0.62  0.621XXX.00.00.0000000             36.0896 010 99      2.18   2.18   0.04
7021026X-ray exam of sinuses                             A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
70220  X-ray exam of sinuses                             A   0.22   0.79     0.79NA  0.02   1.03  1.031XXX.00.00.0000000             36.0896 090 99      2.27   2.27   0.04
70220TCX-ray exam of sinuses                             A   0.00   0.70     0.70NA  0.01   0.71  0.711XXX.00.00.0000000             36.0896 010 99      2.18   2.18   0.03
7022026X-ray exam of sinuses                             A   0.22   0.09     0.09    0.01   0.32  0.321XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
70240  X-ray exam pituitary saddle                       A   0.19   0.73     0.73NA  0.02   0.94  0.941XXX.00.00.0000000             36.0896 090 99      2.26   2.26   0.04
70240TCX-ray exam pituitary saddle                       A   0.00   0.65     0.65NA  0.01   0.66  0.661XXX.00.00.0000000             36.0896 010 99      2.18   2.18   0.03
7024026X-ray exam pituitary saddle                       A   0.19   0.08     0.08    0.01   0.28  0.281XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7025F  Pt infosys alarm 4 nxt mammo                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
70250  X-ray exam of skull                               A   0.18   0.80     0.80NA  0.02   1.00  1.001XXX.00.00.0000000             36.0896 090 99      3.16   3.16   0.05
70250TCX-ray exam of skull                               A   0.00   0.70     0.70NA  0.01   0.71  0.711XXX.00.00.0000000             36.0896 010 99      3.06   3.06   0.04
7025026X-ray exam of skull                               A   0.18   0.10     0.10    0.01   0.29  0.291XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
70260  X-ray exam of skull                               A   0.28   0.94     0.94NA  0.02   1.24  1.241XXX.00.00.0000000             36.0896 090 99      3.19   3.19   0.05
70260TCX-ray exam of skull                               A   0.00   0.82     0.82NA  0.01   0.83  0.831XXX.00.00.0000000             36.0896 010 99      3.07   3.07   0.04
7026026X-ray exam of skull                               A   0.28   0.12     0.12    0.01   0.41  0.411XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
70300  X-ray exam of teeth                               A   0.10   0.27     0.27NA  0.02   0.39  0.391XXX.00.00.0000000             36.0896 090 99      2.17   2.17   0.11
70300TCX-ray exam of teeth                               A   0.00   0.22     0.22NA  0.01   0.23  0.231XXX.00.00.0000000             36.0896 010 99      2.12   2.12   0.10
7030026X-ray exam of teeth                               A   0.10   0.05     0.05    0.01   0.16  0.161XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
70310  X-ray exam of teeth                               A   0.16   0.92     0.92NA  0.02   1.10  1.101XXX.00.00.0000000             36.0896 090 99      6.43   6.43   0.08
70310TCX-ray exam of teeth                               A   0.00   0.87     0.87NA  0.01   0.88  0.881XXX.00.00.0000000             36.0896 010 99      6.38   6.38   0.07
7031026X-ray exam of teeth                               A   0.16   0.05     0.05    0.01   0.22  0.221XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
70320  Full mouth x-ray of teeth                         A   0.22   1.32     1.32NA  0.02   1.56  1.561XXX.00.00.0000000             36.0896 090 99      6.50   6.50   0.06
70320TCFull mouth x-ray of teeth                         A   0.00   1.22     1.22NA  0.01   1.23  1.231XXX.00.00.0000000             36.0896 010 99      6.40   6.40   0.05
7032026Full mouth x-ray of teeth                         A   0.22   0.10     0.10    0.01   0.33  0.331XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
70328  X-ray exam of jaw joint                           A   0.18   0.74     0.74NA  0.02   0.94  0.941XXX.00.00.0000000             36.0896 090 99      2.25   2.25   0.04
70328TCX-ray exam of jaw joint                           A   0.00   0.67     0.67NA  0.01   0.68  0.681XXX.00.00.0000000             36.0896 010 99      2.18   2.18   0.03
7032826X-ray exam of jaw joint                           A   0.18   0.07     0.07    0.01   0.26  0.261XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
70330  X-ray exam of jaw joints                          A   0.24   1.19     1.19NA  0.02   1.45  1.451XXX.00.00.0002000             36.0896 090 99      2.29   2.29   0.03
70330TCX-ray exam of jaw joints                          A   0.00   1.09     1.09NA  0.01   1.10  1.101XXX.00.00.0002000             36.0896 010 99      2.19   2.19   0.02
7033026X-ray exam of jaw joints                          A   0.24   0.10     0.10    0.01   0.35  0.351XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
70332  X-ray exam of jaw joint                           A   0.54   1.71     1.71NA  0.04   2.29  2.291XXX.00.00.0003000             36.0896 090 99      6.61   6.61   0.07
70332TCX-ray exam of jaw joint                           A   0.00   1.51     1.51NA  0.01   1.52  1.521XXX.00.00.0003000             36.0896 030 99      6.41   6.41   0.04
7033226X-ray exam of jaw joint                           A   0.54   0.20     0.20    0.03   0.77  0.771XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
70336  Magnetic image jaw joint                          A   1.48   7.10     7.10NA  0.10   8.68  8.681XXX.00.00.0040000             36.0896 090 88      6.98   6.98   0.10
70336TCMagnetic image jaw joint                          A   0.00   6.56     6.56NA  0.02   6.58  6.581XXX.00.00.0040000             36.0896 010 88      6.44   6.44   0.02
7033626Magnetic image jaw joint                          A   1.48   0.54     0.54    0.08   2.10  2.101XXX.00.00.0043000             36.0896 090 88      0.00   0.00   0.00
70350  X-ray head for orthodontia                        A   0.17   0.30     0.30NA  0.02   0.49  0.491XXX.00.00.0000000             36.0896 090 99      2.20   2.20   0.11
70350TCX-ray head for orthodontia                        A   0.00   0.22     0.22NA  0.01   0.23  0.231XXX.00.00.0000000             36.0896 010 99      2.12   2.12   0.10
7035026X-ray head for orthodontia                        A   0.17   0.08     0.08    0.01   0.26  0.261XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
70355  Panoramic x-ray of jaws                           A   0.20   0.32     0.32NA  0.02   0.54  0.541XXX.00.00.0000000             36.0896 090 99      2.21   2.21   0.10
70355TCPanoramic x-ray of jaws                           A   0.00   0.23     0.23NA  0.01   0.24  0.241XXX.00.00.0000000             36.0896 010 99      2.12   2.12   0.09
7035526Panoramic x-ray of jaws                           A   0.20   0.09     0.09    0.01   0.30  0.301XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
70360  X-ray exam of neck                                A   0.18   0.66     0.66NA  0.02   0.86  0.861XXX.00.00.0000000             36.0896 090 99      2.24   2.24   0.05
70360TCX-ray exam of neck                                A   0.00   0.59     0.59NA  0.01   0.60  0.601XXX.00.00.0000000             36.0896 010 99      2.17   2.17   0.04
7036026X-ray exam of neck                                A   0.18   0.07     0.07    0.01   0.26  0.261XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
70370  Throat x-ray & fluoroscopy                        A   0.32   2.15     2.15NA  0.02   2.49  2.491XXX.00.00.0000000             36.0896 090 99      2.29   2.29   0.02
70370TCThroat x-ray & fluoroscopy                        A   0.00   2.06     2.06NA  0.01   2.07  2.071XXX.00.00.0000000             36.0896 030 99      2.20   2.20   0.01
7037026Throat x-ray & fluoroscopy                        A   0.32   0.09     0.09    0.01   0.42  0.421XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
70371  Speech evaluation complex                         A   0.84   2.12     2.12NA  0.07   3.03  3.031XXX.00.00.0000000             36.0896 090 99      6.73   6.73   0.10
70371TCSpeech evaluation complex                         A   0.00   1.81     1.81NA  0.01   1.82  1.821XXX.00.00.0000000             36.0896 030 99      6.42   6.42   0.04
7037126Speech evaluation complex                         A   0.84   0.31     0.31    0.06   1.21  1.211XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
70380  X-ray exam of salivary gland                      A   0.17   0.82     0.82NA  0.02   1.01  1.011XXX.00.00.0000000             36.0896 090 99      2.24   2.24   0.04
70380TCX-ray exam of salivary gland                      A   0.00   0.76     0.76NA  0.01   0.77  0.771XXX.00.00.0000000             36.0896 010 99      2.18   2.18   0.03
7038026X-ray exam of salivary gland                      A   0.17   0.06     0.06    0.01   0.24  0.241XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
70390  X-ray exam of salivary duct                       A   0.38   2.75     2.75NA  0.03   3.16  3.161XXX.00.00.0000000             36.0896 090 99      6.57   6.57   0.04
70390TCX-ray exam of salivary duct                       A   0.00   2.61     2.61NA  0.01   2.62  2.621XXX.00.00.0000000             36.0896 030 99      6.43   6.43   0.02
7039026X-ray exam of salivary duct                       A   0.38   0.14     0.14    0.02   0.54  0.541XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
70450  Ct head/brain w/o dye                             A   0.85   2.34     2.34NA  0.06   3.25  3.251XXX.00.00.0040000             36.0896 090 88      3.40   3.40   0.07
70450TCCt head/brain w/o dye                             A   0.00   2.03     2.03NA  0.01   2.04  2.041XXX.00.00.0040000             36.0896 010 88      3.09   3.09   0.02
7045026Ct head/brain w/o dye                             A   0.85   0.31     0.31    0.05   1.21  1.211XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
70460  Ct head/brain w/dye                               A   1.13   3.40     3.40NA  0.06   4.59  4.591XXX.00.00.0040000             36.0896 090 88      5.45   5.45   0.07
70460TCCt head/brain w/dye                               A   0.00   2.98     2.98NA  0.01   2.99  2.991XXX.00.00.0040000             36.0896 020 88      5.03   5.03   0.02
7046026Ct head/brain w/dye                               A   1.13   0.42     0.42    0.05   1.60  1.601XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
70470  Ct head/brain w/o & w/dye                         A   1.27   4.04     4.04NA  0.07   5.38  5.381XXX.00.00.0040000             36.0896 090 88      5.50   5.50   0.07
70470TCCt head/brain w/o & w/dye                         A   0.00   3.57     3.57NA  0.01   3.58  3.581XXX.00.00.0040000             36.0896 020 88      5.03   5.03   0.01
7047026Ct head/brain w/o & w/dye                         A   1.27   0.47     0.47    0.06   1.80  1.801XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
70480  Ct orbit/ear/fossa w/o dye                        A   1.28   4.29     4.29NA  0.07   5.64  5.641XXX.00.00.0040000             36.0896 090 88      3.57   3.57   0.07
70480TCCt orbit/ear/fossa w/o dye                        A   0.00   3.82     3.82NA  0.01   3.83  3.831XXX.00.00.0040000             36.0896 010 88      3.10   3.10   0.01
7048026Ct orbit/ear/fossa w/o dye                        A   1.28   0.47     0.47    0.06   1.81  1.811XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
70481  Ct orbit/ear/fossa w/dye                          A   1.13   5.10     5.10NA  0.06   6.29  6.291XXX.00.00.0040000             36.0896 090 88      5.46   5.46   0.06
70481TCCt orbit/ear/fossa w/dye                          A   0.00   4.68     4.68NA  0.01   4.69  4.691XXX.00.00.0040000             36.0896 020 88      5.04   5.04   0.01
7048126Ct orbit/ear/fossa w/dye                          A   1.13   0.42     0.42    0.05   1.60  1.601XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
70482  Ct orbit/ear/fossa w/o&w/dye                      A   1.27   5.62     5.62NA  0.08   6.97  6.971XXX.00.00.0040000             36.0896 090 88      5.49   5.49   0.08
70482TCCt orbit/ear/fossa w/o&w/dye                      A   0.00   5.16     5.16NA  0.02   5.18  5.181XXX.00.00.0040000             36.0896 020 88      5.03   5.03   0.02
7048226Ct orbit/ear/fossa w/o&w/dye                      A   1.27   0.46     0.46    0.06   1.79  1.791XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
70486  Ct maxillofacial w/o dye                          A   0.85   3.01     3.01NA  0.06   3.92  3.921XXX.00.00.0040000             36.0896 090 88      3.41   3.41   0.06
70486TCCt maxillofacial w/o dye                          A   0.00   2.69     2.69NA  0.01   2.70  2.701XXX.00.00.0040000             36.0896 010 88      3.09   3.09   0.01
7048626Ct maxillofacial w/o dye                          A   0.85   0.32     0.32    0.05   1.22  1.221XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
70487  Ct maxillofacial w/dye                            A   1.13   3.51     3.51NA  0.06   4.70  4.701XXX.00.00.0040000             36.0896 090 88      5.45   5.45   0.07
70487TCCt maxillofacial w/dye                            A   0.00   3.09     3.09NA  0.01   3.10  3.101XXX.00.00.0040000             36.0896 020 88      5.03   5.03   0.02
7048726Ct maxillofacial w/dye                            A   1.13   0.42     0.42    0.05   1.60  1.601XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
70488  Ct maxillofacial w/o & w/dye                      A   1.27   4.39     4.39NA  0.07   5.73  5.731XXX.00.00.0040000             36.0896 090 88      5.51   5.51   0.07
70488TCCt maxillofacial w/o & w/dye                      A   0.00   3.92     3.92NA  0.01   3.93  3.931XXX.00.00.0040000             36.0896 020 88      5.04   5.04   0.01
7048826Ct maxillofacial w/o & w/dye                      A   1.27   0.47     0.47    0.06   1.80  1.801XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
70490  Ct soft tissue neck w/o dye                       A   1.28   3.28     3.28NA  0.07   4.63  4.631XXX.00.00.0040000             36.0896 090 88      3.57   3.57   0.07
70490TCCt soft tissue neck w/o dye                       A   0.00   2.80     2.80NA  0.01   2.81  2.811XXX.00.00.0040000             36.0896 010 88      3.09   3.09   0.01
7049026Ct soft tissue neck w/o dye                       A   1.28   0.48     0.48    0.06   1.82  1.821XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
70491  Ct soft tissue neck w/dye                         A   1.38   4.25     4.25NA  0.07   5.70  5.701XXX.00.00.0040000             36.0896 090 88      5.56   5.56   0.07
70491TCCt soft tissue neck w/dye                         A   0.00   3.73     3.73NA  0.01   3.74  3.741XXX.00.00.0040000             36.0896 020 88      5.04   5.04   0.01
7049126Ct soft tissue neck w/dye                         A   1.38   0.52     0.52    0.06   1.96  1.961XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
70492  Ct sft tsue nck w/o & w/dye                       A   1.62   5.17     5.17NA  0.10   6.89  6.891XXX.00.00.0040000             36.0896 090 88      5.64   5.64   0.10
70492TCCt sft tsue nck w/o & w/dye                       A   0.00   4.57     4.57NA  0.01   4.58  4.581XXX.00.00.0040000             36.0896 020 88      5.04   5.04   0.01
7049226Ct sft tsue nck w/o & w/dye                       A   1.62   0.60     0.60    0.09   2.31  2.311XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
70496  Ct angiography head                               A   1.75   6.49     6.49NA  0.11   8.35  8.351XXX.00.00.0040000             36.0896 090 88      5.67   5.67   0.11
70496TCCt angiography head                               A   0.00   5.85     5.85NA  0.02   5.87  5.871XXX.00.00.0040000             36.0896 020 88      5.03   5.03   0.02
7049626Ct angiography head                               A   1.75   0.64     0.64    0.09   2.48  2.481XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
70498  Ct angiography neck                               A   1.75   6.48     6.48NA  0.11   8.34  8.341XXX.00.00.0040000             36.0896 090 88      5.67   5.67   0.11
70498TCCt angiography neck                               A   0.00   5.84     5.84NA  0.02   5.86  5.861XXX.00.00.0040000             36.0896 020 88      5.03   5.03   0.02
7049826Ct angiography neck                               A   1.75   0.64     0.64    0.09   2.48  2.481XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
70540  Mri orbit/face/neck w/o dye                       A   1.35   5.91     5.91NA  0.08   7.34  7.341XXX.00.00.0040000             36.0896 090 88      6.92   6.92   0.08
70540TCMri orbit/face/neck w/o dye                       A   0.00   5.42     5.42NA  0.02   5.44  5.441XXX.00.00.0040000             36.0896 010 88      6.43   6.43   0.02
7054026Mri orbit/face/neck w/o dye                       A   1.35   0.49     0.49    0.06   1.90  1.901XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
70542  Mri orbit/face/neck w/dye                         A   1.62   6.99     6.99NA  0.11   8.72  8.721XXX.00.00.0040000             36.0896 090 88     11.15  11.15   0.12
70542TCMri orbit/face/neck w/dye                         A   0.00   6.39     6.39NA  0.02   6.41  6.411XXX.00.00.0040000             36.0896 020 88     10.55  10.55   0.03
7054226Mri orbit/face/neck w/dye                         A   1.62   0.60     0.60    0.09   2.31  2.311XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
70543  Mri orbt/fac/nck w/o &w/dye                       A   2.15   8.70     8.70NA  0.11  10.96 10.961XXX.00.00.0040000             36.0896 090 88     11.34  11.34   0.12
70543TCMri orbt/fac/nck w/o &w/dye                       A   0.00   7.91     7.91NA  0.02   7.93  7.931XXX.00.00.0040000             36.0896 020 88     10.55  10.55   0.03
7054326Mri orbt/fac/nck w/o &w/dye                       A   2.15   0.79     0.79    0.09   3.03  3.031XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
70544  Mr angiography head w/o dye                       A   1.20   5.62     5.62NA  0.08   6.90  6.901XXX.00.00.0040000             36.0896 090 88      6.87   6.87   0.08
70544TCMr angiography head w/o dye                       A   0.00   5.18     5.18NA  0.02   5.20  5.201XXX.00.00.0040000             36.0896 010 88      6.43   6.43   0.02
7054426Mr angiography head w/o dye                       A   1.20   0.44     0.44    0.06   1.70  1.701XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
70545  Mr angiography head w/dye                         A   1.20   5.93     5.93NA  0.08   7.21  7.211XXX.00.00.0040000             36.0896 090 88     10.98  10.98   0.10
70545TCMr angiography head w/dye                         A   0.00   5.49     5.49NA  0.02   5.51  5.511XXX.00.00.0040000             36.0896 020 88     10.54  10.54   0.04
7054526Mr angiography head w/dye                         A   1.20   0.44     0.44    0.06   1.70  1.701XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
70546  Mr angiograph head w/o&w/dye                      A   1.48   8.87     8.87NA  0.11  10.46 10.461XXX.00.00.0040000             36.0896 090 88     11.09  11.09   0.12
70546TCMr angiograph head w/o&w/dye                      A   0.00   8.32     8.32NA  0.03   8.35  8.351XXX.00.00.0040000             36.0896 020 88     10.54  10.54   0.04
7054626Mr angiograph head w/o&w/dye                      A   1.48   0.55     0.55    0.08   2.11  2.111XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
70547  Mr angiography neck w/o dye                       A   1.20   5.65     5.65NA  0.08   6.93  6.931XXX.00.00.0040000             36.0896 090 88      6.88   6.88   0.08
70547TCMr angiography neck w/o dye                       A   0.00   5.20     5.20NA  0.02   5.22  5.221XXX.00.00.0040000             36.0896 010 88      6.43   6.43   0.02
7054726Mr angiography neck w/o dye                       A   1.20   0.45     0.45    0.06   1.71  1.711XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
70548  Mr angiography neck w/dye                         A   1.50   6.14     6.14NA  0.10   7.74  7.741XXX.00.00.0040000             36.0896 090 88     11.09  11.09   0.12
70548TCMr angiography neck w/dye                         A   0.00   5.59     5.59NA  0.02   5.61  5.611XXX.00.00.0040000             36.0896 020 88     10.54  10.54   0.04
7054826Mr angiography neck w/dye                         A   1.50   0.55     0.55    0.08   2.13  2.131XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
70549  Mr angiograph neck w/o&w/dye                      A   1.80   9.05     9.05NA  0.12  10.97 10.971XXX.00.00.0040000             36.0896 090 88     11.21  11.21   0.13
70549TCMr angiograph neck w/o&w/dye                      A   0.00   8.38     8.38NA  0.03   8.41  8.411XXX.00.00.0040000             36.0896 020 88     10.54  10.54   0.04
7054926Mr angiograph neck w/o&w/dye                      A   1.80   0.67     0.67    0.09   2.56  2.561XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
70551  Mri brain stem w/o dye                            A   1.48   4.70     4.70NA  0.10   6.28  6.281XXX.00.00.0040000             36.0896 090 88      6.98   6.98   0.11
70551TCMri brain stem w/o dye                            A   0.00   4.15     4.15NA  0.02   4.17  4.171XXX.00.00.0040000             36.0896 010 88      6.43   6.43   0.03
7055126Mri brain stem w/o dye                            A   1.48   0.55     0.55    0.08   2.11  2.111XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
70552  Mri brain stem w/dye                              A   1.78   6.80     6.80NA  0.11   8.69  8.691XXX.00.00.0040000             36.0896 090 88     11.21  11.21   0.12
70552TCMri brain stem w/dye                              A   0.00   6.14     6.14NA  0.02   6.16  6.161XXX.00.00.0040000             36.0896 020 88     10.55  10.55   0.03
7055226Mri brain stem w/dye                              A   1.78   0.66     0.66    0.09   2.53  2.531XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
70553  Mri brain stem w/o & w/dye                        A   2.29   7.85     7.85NA  0.13  10.27 10.271XXX.00.00.0040000             36.0896 090 88     11.40  11.40   0.14
70553TCMri brain stem w/o & w/dye                        A   0.00   7.00     7.00NA  0.02   7.02  7.021XXX.00.00.0040000             36.0896 020 88     10.55  10.55   0.03
7055326Mri brain stem w/o & w/dye                        A   2.29   0.85     0.85    0.11   3.25  3.251XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
70554  Fmri brain by tech                                A   2.11   9.93     9.93NA  0.12  12.16 12.161XXX.00.00.0043000             36.0896 090 88      0.00   0.00   0.00
70554TCFmri brain by tech                                A   0.00   9.14     9.14NA  0.03   9.17  9.171XXX.00.00.0043000             36.0896 020 88      0.00   0.00   0.00
7055426Fmri brain by tech                                A   2.11   0.79     0.79    0.09   2.99  2.991XXX.00.00.0043000             36.0896 090 88      0.00   0.00   0.00
70555  Fmri brain by phys/psych                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
70555TCFmri brain by phys/psych                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0003000             36.0896 020 99      0.00   0.00   0.00
7055526Fmri brain by phys/psych                          A   2.54   0.92     0.92    0.11   3.57  3.571XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
70557  Mri brain w/o dye                                 C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99     14.52  14.52   0.50
70557TCMri brain w/o dye                                 C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 010 99     13.33  13.33   0.01
7055726Mri brain w/o dye                                 A   2.90   1.19     1.19    0.49   4.58  4.581XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
70558  Mri brain w/dye                                   C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      6.58   6.58   0.14
70558TCMri brain w/dye                                   C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 020 99      5.04   5.04   0.01
7055826Mri brain w/dye                                   A   3.20   1.54     1.54    0.13   4.87  4.871XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
70559  Mri brain w/o & w/dye                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      6.26   6.26   0.26
70559TCMri brain w/o & w/dye                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 020 99      5.04   5.04   0.01
7055926Mri brain w/o & w/dye                             A   3.20   1.22     1.22    0.25   4.67  4.671XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
71045  X-ray exam chest 1 view                           A   0.18   0.52     0.52NA  0.02   0.72  0.721XXX.00.00.0000000             36.0896 090 99      2.23   2.23   0.06
71045TCX-ray exam chest 1 view                           A   0.00   0.45     0.45NA  0.01   0.46  0.461XXX.00.00.0000000             36.0896 010 99      2.16   2.16   0.05
7104526X-ray exam chest 1 view                           A   0.18   0.07     0.07    0.01   0.26  0.261XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
71046  X-ray exam chest 2 views                          A   0.22   0.68     0.68NA  0.02   0.92  0.921XXX.00.00.0000000             36.0896 090 99      2.26   2.26   0.05
71046TCX-ray exam chest 2 views                          A   0.00   0.60     0.60NA  0.01   0.61  0.611XXX.00.00.0000000             36.0896 010 99      2.18   2.18   0.04
7104626X-ray exam chest 2 views                          A   0.22   0.08     0.08    0.01   0.31  0.311XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
71047  X-ray exam chest 3 views                          A   0.27   0.87     0.87NA  0.02   1.16  1.161XXX.00.00.0000000             36.0896 090 99      2.29   2.29   0.04
71047TCX-ray exam chest 3 views                          A   0.00   0.76     0.76NA  0.01   0.77  0.771XXX.00.00.0000000             36.0896 010 99      2.18   2.18   0.03
7104726X-ray exam chest 3 views                          A   0.27   0.11     0.11    0.01   0.39  0.391XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
71048  X-ray exam chest 4+ views                         A   0.31   0.93     0.93NA  0.02   1.26  1.261XXX.00.00.0000000             36.0896 090 99      3.21   3.21   0.05
71048TCX-ray exam chest 4+ views                         A   0.00   0.79     0.79NA  0.01   0.80  0.801XXX.00.00.0000000             36.0896 010 99      3.07   3.07   0.04
7104826X-ray exam chest 4+ views                         A   0.31   0.14     0.14    0.01   0.46  0.461XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
71100  X-ray exam ribs uni 2 views                       A   0.22   0.76     0.76NA  0.02   1.00  1.001XXX.00.00.0000000             36.0896 090 99      2.27   2.27   0.04
71100TCX-ray exam ribs uni 2 views                       A   0.00   0.67     0.67NA  0.01   0.68  0.681XXX.00.00.0000000             36.0896 010 99      2.18   2.18   0.03
7110026X-ray exam ribs uni 2 views                       A   0.22   0.09     0.09    0.01   0.32  0.321XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
71101  X-ray exam unilat ribs/chest                      A   0.27   0.86     0.86NA  0.02   1.15  1.151XXX.00.00.0000000             36.0896 090 99      3.17   3.17   0.05
71101TCX-ray exam unilat ribs/chest                      A   0.00   0.76     0.76NA  0.01   0.77  0.771XXX.00.00.0000000             36.0896 010 99      3.07   3.07   0.04
7110126X-ray exam unilat ribs/chest                      A   0.27   0.10     0.10    0.01   0.38  0.381XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
71110  X-ray exam ribs bil 3 views                       A   0.29   0.90     0.90NA  0.02   1.21  1.211XXX.00.00.0002000             36.0896 090 99      3.19   3.19   0.05
71110TCX-ray exam ribs bil 3 views                       A   0.00   0.78     0.78NA  0.01   0.79  0.791XXX.00.00.0002000             36.0896 010 99      3.07   3.07   0.04
7111026X-ray exam ribs bil 3 views                       A   0.29   0.12     0.12    0.01   0.42  0.421XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
71111  X-ray exam ribs/chest4/> vws                      A   0.32   1.10     1.10NA  0.02   1.44  1.441XXX.00.00.0002000             36.0896 090 99      3.20   3.20   0.04
71111TCX-ray exam ribs/chest4/> vws                      A   0.00   0.97     0.97NA  0.01   0.98  0.981XXX.00.00.0002000             36.0896 010 99      3.07   3.07   0.03
7111126X-ray exam ribs/chest4/> vws                      A   0.32   0.13     0.13    0.01   0.46  0.461XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
71120  X-ray exam breastbone 2/>vws                      A   0.20   0.70     0.70NA  0.02   0.92  0.921XXX.00.00.0000000             36.0896 090 99      2.26   2.26   0.04
71120TCX-ray exam breastbone 2/>vws                      A   0.00   0.62     0.62NA  0.01   0.63  0.631XXX.00.00.0000000             36.0896 010 99      2.18   2.18   0.03
7112026X-ray exam breastbone 2/>vws                      A   0.20   0.08     0.08    0.01   0.29  0.291XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
71130  X-ray strenoclavic jt 3/>vws                      A   0.22   0.88     0.88NA  0.02   1.12  1.121XXX.00.00.0000000             36.0896 090 99      2.27   2.27   0.04
71130TCX-ray strenoclavic jt 3/>vws                      A   0.00   0.79     0.79NA  0.01   0.80  0.801XXX.00.00.0000000             36.0896 010 99      2.18   2.18   0.03
7113026X-ray strenoclavic jt 3/>vws                      A   0.22   0.09     0.09    0.01   0.32  0.321XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
71250  Ct thorax w/o dye                                 A   1.16   3.23     3.23NA  0.06   4.45  4.451XXX.00.00.0040000             36.0896 090 88      3.52   3.52   0.06
71250TCCt thorax w/o dye                                 A   0.00   2.80     2.80NA  0.01   2.81  2.811XXX.00.00.0040000             36.0896 010 88      3.09   3.09   0.01
7125026Ct thorax w/o dye                                 A   1.16   0.43     0.43    0.05   1.64  1.641XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
71260  Ct thorax w/dye                                   A   1.24   4.21     4.21NA  0.07   5.52  5.521XXX.00.00.0040000             36.0896 090 88      5.51   5.51   0.07
71260TCCt thorax w/dye                                   A   0.00   3.74     3.74NA  0.01   3.75  3.751XXX.00.00.0040000             36.0896 020 88      5.04   5.04   0.01
7126026Ct thorax w/dye                                   A   1.24   0.47     0.47    0.06   1.77  1.771XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
71270  Ct thorax w/o & w/dye                             A   1.38   5.08     5.08NA  0.07   6.53  6.531XXX.00.00.0040000             36.0896 090 88      5.55   5.55   0.07
71270TCCt thorax w/o & w/dye                             A   0.00   4.57     4.57NA  0.01   4.58  4.581XXX.00.00.0040000             36.0896 020 88      5.04   5.04   0.01
7127026Ct thorax w/o & w/dye                             A   1.38   0.51     0.51    0.06   1.95  1.951XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
71275  Ct angiography chest                              A   1.82   6.60     6.60NA  0.11   8.53  8.531XXX.00.00.0040000             36.0896 090 88      5.70   5.70   0.11
71275TCCt angiography chest                              A   0.00   5.93     5.93NA  0.02   5.95  5.951XXX.00.00.0040000             36.0896 020 88      5.03   5.03   0.02
7127526Ct angiography chest                              A   1.82   0.67     0.67    0.09   2.58  2.581XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
71550  Mri chest w/o dye                                 A   1.46   9.60     9.60NA  0.10  11.16 11.161XXX.00.00.0040000             36.0896 090 88      6.98   6.98   0.09
71550TCMri chest w/o dye                                 A   0.00   9.06     9.06NA  0.02   9.08  9.081XXX.00.00.0040000             36.0896 010 88      6.44   6.44   0.01
7155026Mri chest w/o dye                                 A   1.46   0.54     0.54    0.08   2.08  2.081XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
71551  Mri chest w/dye                                   A   1.73  10.47    10.47NA  0.11  12.31 12.311XXX.00.00.0040000             36.0896 090 88     19.45  19.45   0.13
71551TCMri chest w/dye                                   A   0.00   9.84     9.84NA  0.02   9.86  9.861XXX.00.00.0040000             36.0896 020 88     18.82  18.82   0.04
7155126Mri chest w/dye                                   A   1.73   0.63     0.63    0.09   2.45  2.451XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
71552  Mri chest w/o & w/dye                             A   2.26  13.20    13.20NA  0.12  15.58 15.581XXX.00.00.0040000             36.0896 090 88     11.38  11.38   0.12
71552TCMri chest w/o & w/dye                             A   0.00  12.37    12.37NA  0.03  12.40 12.401XXX.00.00.0040000             36.0896 020 88     10.55  10.55   0.03
7155226Mri chest w/o & w/dye                             A   2.26   0.83     0.83    0.09   3.18  3.181XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
71555  Mri angio chest w or w/o dye                      R   1.81   8.88     8.88NA  0.12  10.81 10.811XXX.00.00.0040000             36.0896 090 88     11.18  11.18   0.13
71555TCMri angio chest w or w/o dye                      R   0.00   8.24     8.24NA  0.03   8.27  8.271XXX.00.00.0040000             36.0896 020 88     10.54  10.54   0.04
7155526Mri angio chest w or w/o dye                      R   1.81   0.64     0.64    0.09   2.54  2.541XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
72020  X-ray exam of spine 1 view                        A   0.16   0.50     0.50NA  0.02   0.68  0.681XXX.00.00.0000000             36.0896 090 99      2.22   2.22   0.06
72020TCX-ray exam of spine 1 view                        A   0.00   0.44     0.44NA  0.01   0.45  0.451XXX.00.00.0000000             36.0896 010 99      2.16   2.16   0.05
7202026X-ray exam of spine 1 view                        A   0.16   0.06     0.06    0.01   0.23  0.231XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
72040  X-ray exam neck spine 2-3 vw                      A   0.22   0.83     0.83NA  0.02   1.07  1.071XXX.00.00.0000000             36.0896 090 99      2.27   2.27   0.04
72040TCX-ray exam neck spine 2-3 vw                      A   0.00   0.74     0.74NA  0.01   0.75  0.751XXX.00.00.0000000             36.0896 010 99      2.18   2.18   0.03
7204026X-ray exam neck spine 2-3 vw                      A   0.22   0.09     0.09    0.01   0.32  0.321XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
72050  X-ray exam neck spine 4/5vws                      A   0.27   1.13     1.13NA  0.02   1.42  1.421XXX.00.00.0000000             36.0896 090 99      3.19   3.19   0.04
72050TCX-ray exam neck spine 4/5vws                      A   0.00   1.02     1.02NA  0.01   1.03  1.031XXX.00.00.0000000             36.0896 010 99      3.08   3.08   0.03
7205026X-ray exam neck spine 4/5vws                      A   0.27   0.11     0.11    0.01   0.39  0.391XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
72052  X-ray exam neck spine 6/>vws                      A   0.30   1.35     1.35NA  0.02   1.67  1.671XXX.00.00.0000000             36.0896 090 99      3.20   3.20   0.03
72052TCX-ray exam neck spine 6/>vws                      A   0.00   1.23     1.23NA  0.01   1.24  1.241XXX.00.00.0000000             36.0896 010 99      3.08   3.08   0.02
7205226X-ray exam neck spine 6/>vws                      A   0.30   0.12     0.12    0.01   0.43  0.431XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
72070  X-ray exam thorac spine 2vws                      A   0.20   0.67     0.67NA  0.02   0.89  0.891XXX.00.00.0000000             36.0896 090 99      3.13   3.13   0.06
72070TCX-ray exam thorac spine 2vws                      A   0.00   0.59     0.59NA  0.01   0.60  0.601XXX.00.00.0000000             36.0896 010 99      3.05   3.05   0.05
7207026X-ray exam thorac spine 2vws                      A   0.20   0.08     0.08    0.01   0.29  0.291XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
72072  X-ray exam thorac spine 3vws                      A   0.23   0.83     0.83NA  0.02   1.08  1.081XXX.00.00.0000000             36.0896 090 99      3.15   3.15   0.05
72072TCX-ray exam thorac spine 3vws                      A   0.00   0.74     0.74NA  0.01   0.75  0.751XXX.00.00.0000000             36.0896 010 99      3.06   3.06   0.04
7207226X-ray exam thorac spine 3vws                      A   0.23   0.09     0.09    0.01   0.33  0.331XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
72074  X-ray exam thorac spine4/>vw                      A   0.25   0.94     0.94NA  0.02   1.21  1.211XXX.00.00.0000000             36.0896 090 99      3.16   3.16   0.05
72074TCX-ray exam thorac spine4/>vw                      A   0.00   0.85     0.85NA  0.01   0.86  0.861XXX.00.00.0000000             36.0896 010 99      3.07   3.07   0.04
7207426X-ray exam thorac spine4/>vw                      A   0.25   0.09     0.09    0.01   0.35  0.351XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
72080  X-ray exam thoracolmb 2/> vw                      A   0.21   0.73     0.73NA  0.02   0.96  0.961XXX.00.00.0000000             36.0896 090 99      2.27   2.27   0.04
72080TCX-ray exam thoracolmb 2/> vw                      A   0.00   0.64     0.64NA  0.01   0.65  0.651XXX.00.00.0000000             36.0896 010 99      2.18   2.18   0.03
7208026X-ray exam thoracolmb 2/> vw                      A   0.21   0.09     0.09    0.01   0.31  0.311XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
72081  X-ray exam entire spi 1 vw                        A   0.26   0.89     0.89NA  0.02   1.17  1.171XXX.00.00.0000000             36.0896 090 99      2.29   2.29   0.04
72081TCX-ray exam entire spi 1 vw                        A   0.00   0.78     0.78NA  0.01   0.79  0.791XXX.00.00.0000000             36.0896 010 99      2.18   2.18   0.03
7208126X-ray exam entire spi 1 vw                        A   0.26   0.11     0.11    0.01   0.38  0.381XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
72082  X-ray exam entire spi 2/3 vw                      A   0.31   1.56     1.56NA  0.03   1.90  1.901XXX.00.00.0000000             36.0896 090 99      3.21   3.21   0.04
72082TCX-ray exam entire spi 2/3 vw                      A   0.00   1.43     1.43NA  0.01   1.44  1.441XXX.00.00.0000000             36.0896 010 99      3.08   3.08   0.02
7208226X-ray exam entire spi 2/3 vw                      A   0.31   0.13     0.13    0.02   0.46  0.461XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
72083  X-ray exam entire spi 4/5 vw                      A   0.35   1.83     1.83NA  0.03   2.21  2.211XXX.00.00.0000000             36.0896 090 99      3.24   3.24   0.04
72083TCX-ray exam entire spi 4/5 vw                      A   0.00   1.68     1.68NA  0.01   1.69  1.691XXX.00.00.0000000             36.0896 010 99      3.09   3.09   0.02
7208326X-ray exam entire spi 4/5 vw                      A   0.35   0.15     0.15    0.02   0.52  0.521XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
72084  X-ray exam entire spi 6/> vw                      A   0.41   2.18     2.18NA  0.03   2.62  2.621XXX.00.00.0000000             36.0896 090 99      3.25   3.25   0.04
72084TCX-ray exam entire spi 6/> vw                      A   0.00   2.02     2.02NA  0.01   2.03  2.031XXX.00.00.0000000             36.0896 010 99      3.09   3.09   0.02
7208426X-ray exam entire spi 6/> vw                      A   0.41   0.16     0.16    0.02   0.59  0.591XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
72100  X-ray exam l-s spine 2/3 vws                      A   0.22   0.83     0.83NA  0.02   1.07  1.071XXX.00.00.0000000             36.0896 090 99      3.15   3.15   0.05
72100TCX-ray exam l-s spine 2/3 vws                      A   0.00   0.74     0.74NA  0.01   0.75  0.751XXX.00.00.0000000             36.0896 010 99      3.06   3.06   0.04
7210026X-ray exam l-s spine 2/3 vws                      A   0.22   0.09     0.09    0.01   0.32  0.321XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
72110  X-ray exam l-2 spine 4/>vws                       A   0.26   1.08     1.08NA  0.02   1.36  1.361XXX.00.00.0000000             36.0896 090 99      3.17   3.17   0.04
72110TCX-ray exam l-2 spine 4/>vws                       A   0.00   0.98     0.98NA  0.01   0.99  0.991XXX.00.00.0000000             36.0896 010 99      3.07   3.07   0.03
7211026X-ray exam l-2 spine 4/>vws                       A   0.26   0.10     0.10    0.01   0.37  0.371XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
72114  X-ray exam l-s spine bending                      A   0.30   1.35     1.35NA  0.02   1.67  1.671XXX.00.00.0000000             36.0896 090 99      3.20   3.20   0.03
72114TCX-ray exam l-s spine bending                      A   0.00   1.23     1.23NA  0.01   1.24  1.241XXX.00.00.0000000             36.0896 010 99      3.08   3.08   0.02
7211426X-ray exam l-s spine bending                      A   0.30   0.12     0.12    0.01   0.43  0.431XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
72120  X-ray bend only l-s spine                         A   0.22   0.87     0.87NA  0.02   1.11  1.111XXX.00.00.0000000             36.0896 090 99      3.16   3.16   0.05
72120TCX-ray bend only l-s spine                         A   0.00   0.78     0.78NA  0.01   0.79  0.791XXX.00.00.0000000             36.0896 010 99      3.07   3.07   0.04
7212026X-ray bend only l-s spine                         A   0.22   0.09     0.09    0.01   0.32  0.321XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
72125  Ct neck spine w/o dye                             A   1.00   3.32     3.32NA  0.06   4.38  4.381XXX.00.00.0040000             36.0896 090 88      3.46   3.46   0.06
72125TCCt neck spine w/o dye                             A   0.00   2.95     2.95NA  0.01   2.96  2.961XXX.00.00.0040000             36.0896 010 88      3.09   3.09   0.01
7212526Ct neck spine w/o dye                             A   1.00   0.37     0.37    0.05   1.42  1.421XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
72126  Ct neck spine w/dye                               A   1.22   4.21     4.21NA  0.07   5.50  5.501XXX.00.00.0040000             36.0896 090 88     11.00  11.00   0.09
72126TCCt neck spine w/dye                               A   0.00   3.76     3.76NA  0.01   3.77  3.771XXX.00.00.0040000             36.0896 020 88     10.55  10.55   0.03
7212626Ct neck spine w/dye                               A   1.22   0.45     0.45    0.06   1.73  1.731XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
72127  Ct neck spine w/o & w/dye                         A   1.27   5.14     5.14NA  0.07   6.48  6.481XXX.00.00.0040000             36.0896 090 88      5.51   5.51   0.07
72127TCCt neck spine w/o & w/dye                         A   0.00   4.67     4.67NA  0.01   4.68  4.681XXX.00.00.0040000             36.0896 020 88      5.04   5.04   0.01
7212726Ct neck spine w/o & w/dye                         A   1.27   0.47     0.47    0.06   1.80  1.801XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
72128  Ct chest spine w/o dye                            A   1.00   3.32     3.32NA  0.06   4.38  4.381XXX.00.00.0040000             36.0896 090 88      3.46   3.46   0.06
72128TCCt chest spine w/o dye                            A   0.00   2.95     2.95NA  0.01   2.96  2.961XXX.00.00.0040000             36.0896 010 88      3.09   3.09   0.01
7212826Ct chest spine w/o dye                            A   1.00   0.37     0.37    0.05   1.42  1.421XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
72129  Ct chest spine w/dye                              A   1.22   4.25     4.25NA  0.07   5.54  5.541XXX.00.00.0040000             36.0896 090 88      5.49   5.49   0.07
72129TCCt chest spine w/dye                              A   0.00   3.80     3.80NA  0.01   3.81  3.811XXX.00.00.0040000             36.0896 020 88      5.04   5.04   0.01
7212926Ct chest spine w/dye                              A   1.22   0.45     0.45    0.06   1.73  1.731XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
72130  Ct chest spine w/o & w/dye                        A   1.27   5.15     5.15NA  0.07   6.49  6.491XXX.00.00.0040000             36.0896 090 88      5.51   5.51   0.07
72130TCCt chest spine w/o & w/dye                        A   0.00   4.68     4.68NA  0.01   4.69  4.691XXX.00.00.0040000             36.0896 020 88      5.04   5.04   0.01
7213026Ct chest spine w/o & w/dye                        A   1.27   0.47     0.47    0.06   1.80  1.801XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
72131  Ct lumbar spine w/o dye                           A   1.00   3.30     3.30NA  0.06   4.36  4.361XXX.00.00.0040000             36.0896 090 88      3.46   3.46   0.06
72131TCCt lumbar spine w/o dye                           A   0.00   2.93     2.93NA  0.01   2.94  2.941XXX.00.00.0040000             36.0896 010 88      3.09   3.09   0.01
7213126Ct lumbar spine w/o dye                           A   1.00   0.37     0.37    0.05   1.42  1.421XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
72132  Ct lumbar spine w/dye                             A   1.22   4.22     4.22NA  0.07   5.51  5.511XXX.00.00.0040000             36.0896 090 88     11.00  11.00   0.09
72132TCCt lumbar spine w/dye                             A   0.00   3.77     3.77NA  0.01   3.78  3.781XXX.00.00.0040000             36.0896 020 88     10.55  10.55   0.03
7213226Ct lumbar spine w/dye                             A   1.22   0.45     0.45    0.06   1.73  1.731XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
72133  Ct lumbar spine w/o & w/dye                       A   1.27   5.11     5.11NA  0.07   6.45  6.451XXX.00.00.0040000             36.0896 090 88      5.50   5.50   0.07
72133TCCt lumbar spine w/o & w/dye                       A   0.00   4.65     4.65NA  0.01   4.66  4.661XXX.00.00.0040000             36.0896 020 88      5.04   5.04   0.01
7213326Ct lumbar spine w/o & w/dye                       A   1.27   0.46     0.46    0.06   1.79  1.791XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
72141  Mri neck spine w/o dye                            A   1.48   4.54     4.54NA  0.09   6.11  6.111XXX.00.00.0040000             36.0896 090 88      6.99   6.99   0.10
72141TCMri neck spine w/o dye                            A   0.00   3.99     3.99NA  0.01   4.00  4.001XXX.00.00.0040000             36.0896 010 88      6.44   6.44   0.02
7214126Mri neck spine w/o dye                            A   1.48   0.55     0.55    0.08   2.11  2.111XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
72142  Mri neck spine w/dye                              A   1.78   6.99     6.99NA  0.11   8.88  8.881XXX.00.00.0040000             36.0896 090 88     11.22  11.22   0.12
72142TCMri neck spine w/dye                              A   0.00   6.32     6.32NA  0.02   6.34  6.341XXX.00.00.0040000             36.0896 020 88     10.55  10.55   0.03
7214226Mri neck spine w/dye                              A   1.78   0.67     0.67    0.09   2.54  2.541XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
72146  Mri chest spine w/o dye                           A   1.48   4.54     4.54NA  0.09   6.11  6.111XXX.00.00.0040000             36.0896 090 88      6.99   6.99   0.10
72146TCMri chest spine w/o dye                           A   0.00   3.99     3.99NA  0.01   4.00  4.001XXX.00.00.0040000             36.0896 010 88      6.44   6.44   0.02
7214626Mri chest spine w/o dye                           A   1.48   0.55     0.55    0.08   2.11  2.111XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
72147  Mri chest spine w/dye                             A   1.78   6.93     6.93NA  0.11   8.82  8.821XXX.00.00.0040000             36.0896 090 88     11.21  11.21   0.12
72147TCMri chest spine w/dye                             A   0.00   6.27     6.27NA  0.02   6.29  6.291XXX.00.00.0040000             36.0896 020 88     10.55  10.55   0.03
7214726Mri chest spine w/dye                             A   1.78   0.66     0.66    0.09   2.53  2.531XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
72148  Mri lumbar spine w/o dye                          A   1.48   4.55     4.55NA  0.09   6.12  6.121XXX.00.00.0040000             36.0896 090 88      6.99   6.99   0.10
72148TCMri lumbar spine w/o dye                          A   0.00   4.00     4.00NA  0.01   4.01  4.011XXX.00.00.0040000             36.0896 010 88      6.44   6.44   0.02
7214826Mri lumbar spine w/o dye                          A   1.48   0.55     0.55    0.08   2.11  2.111XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
72149  Mri lumbar spine w/dye                            A   1.78   6.85     6.85NA  0.11   8.74  8.741XXX.00.00.0040000             36.0896 090 88     11.21  11.21   0.12
72149TCMri lumbar spine w/dye                            A   0.00   6.19     6.19NA  0.02   6.21  6.211XXX.00.00.0040000             36.0896 020 88     10.55  10.55   0.03
7214926Mri lumbar spine w/dye                            A   1.78   0.66     0.66    0.09   2.53  2.531XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
72156  Mri neck spine w/o & w/dye                        A   2.29   7.93     7.93NA  0.13  10.35 10.351XXX.00.00.0040000             36.0896 090 88     11.40  11.40   0.14
72156TCMri neck spine w/o & w/dye                        A   0.00   7.08     7.08NA  0.02   7.10  7.101XXX.00.00.0040000             36.0896 020 88     10.55  10.55   0.03
7215626Mri neck spine w/o & w/dye                        A   2.29   0.85     0.85    0.11   3.25  3.251XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
72157  Mri chest spine w/o & w/dye                       A   2.29   7.95     7.95NA  0.13  10.37 10.371XXX.00.00.0040000             36.0896 090 88     11.40  11.40   0.14
72157TCMri chest spine w/o & w/dye                       A   0.00   7.10     7.10NA  0.02   7.12  7.121XXX.00.00.0040000             36.0896 020 88     10.55  10.55   0.03
7215726Mri chest spine w/o & w/dye                       A   2.29   0.85     0.85    0.11   3.25  3.251XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
72158  Mri lumbar spine w/o & w/dye                      A   2.29   7.91     7.91NA  0.13  10.33 10.331XXX.00.00.0040000             36.0896 090 88     11.40  11.40   0.14
72158TCMri lumbar spine w/o & w/dye                      A   0.00   7.06     7.06NA  0.02   7.08  7.081XXX.00.00.0040000             36.0896 020 88     10.55  10.55   0.03
7215826Mri lumbar spine w/o & w/dye                      A   2.29   0.85     0.85    0.11   3.25  3.251XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
72159  Mr angio spine w/o&w/dye                          R   1.80   9.30     9.30NA  0.12  11.22 11.221XXX.00.00.0040000             36.0896 090 88     11.21  11.21   0.13
72159TCMr angio spine w/o&w/dye                          R   0.00   8.63     8.63NA  0.03   8.66  8.661XXX.00.00.0040900             36.0896 020 88     10.54  10.54   0.04
7215926Mr angio spine w/o&w/dye                          R   1.80   0.67     0.67    0.09   2.56  2.561XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
72170  X-ray exam of pelvis                              A   0.17   0.61     0.61NA  0.02   0.80  0.801XXX.00.00.0000000             36.0896 090 99      3.12   3.12   0.07
72170TCX-ray exam of pelvis                              A   0.00   0.54     0.54NA  0.01   0.55  0.551XXX.00.00.0000000             36.0896 010 99      3.05   3.05   0.06
7217026X-ray exam of pelvis                              A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
72190  X-ray exam of pelvis                              A   0.25   0.87     0.87NA  0.02   1.14  1.141XXX.00.00.0000000             36.0896 090 99      3.17   3.17   0.05
72190TCX-ray exam of pelvis                              A   0.00   0.77     0.77NA  0.01   0.78  0.781XXX.00.00.0000000             36.0896 010 99      3.07   3.07   0.04
7219026X-ray exam of pelvis                              A   0.25   0.10     0.10    0.01   0.36  0.361XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
72191  Ct angiograph pelv w/o&w/dye                      A   1.81   7.16     7.16NA  0.11   9.08  9.081XXX.00.00.0040000             36.0896 090 88      5.67   5.67   0.11
72191TCCt angiograph pelv w/o&w/dye                      A   0.00   6.52     6.52NA  0.02   6.54  6.541XXX.00.00.0040000             36.0896 020 88      5.03   5.03   0.02
7219126Ct angiograph pelv w/o&w/dye                      A   1.81   0.64     0.64    0.09   2.54  2.541XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
72192  Ct pelvis w/o dye                                 A   1.09   2.94     2.94NA  0.06   4.09  4.091XXX.00.00.0040000             36.0896 090 88      3.49   3.49   0.06
72192TCCt pelvis w/o dye                                 A   0.00   2.54     2.54NA  0.01   2.55  2.551XXX.00.00.0040000             36.0896 010 88      3.09   3.09   0.01
7219226Ct pelvis w/o dye                                 A   1.09   0.40     0.40    0.05   1.54  1.541XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
72193  Ct pelvis w/dye                                   A   1.16   5.59     5.59NA  0.06   6.81  6.811XXX.00.00.0040000             36.0896 090 88      5.47   5.47   0.06
72193TCCt pelvis w/dye                                   A   0.00   5.16     5.16NA  0.01   5.17  5.171XXX.00.00.0040000             36.0896 020 88      5.04   5.04   0.01
7219326Ct pelvis w/dye                                   A   1.16   0.43     0.43    0.05   1.64  1.641XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
72194  Ct pelvis w/o & w/dye                             A   1.22   6.36     6.36NA  0.08   7.66  7.661XXX.00.00.0040000             36.0896 090 88      5.48   5.48   0.08
72194TCCt pelvis w/o & w/dye                             A   0.00   5.91     5.91NA  0.02   5.93  5.931XXX.00.00.0040000             36.0896 020 88      5.03   5.03   0.02
7219426Ct pelvis w/o & w/dye                             A   1.22   0.45     0.45    0.06   1.73  1.731XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
72195  Mri pelvis w/o dye                                A   1.46   5.93     5.93NA  0.10   7.49  7.491XXX.00.00.0040000             36.0896 090 88      6.97   6.97   0.10
72195TCMri pelvis w/o dye                                A   0.00   5.39     5.39NA  0.02   5.41  5.411XXX.00.00.0040000             36.0896 010 88      6.43   6.43   0.02
7219526Mri pelvis w/o dye                                A   1.46   0.54     0.54    0.08   2.08  2.081XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
72196  Mri pelvis w/dye                                  A   1.73   6.90     6.90NA  0.11   8.74  8.741XXX.00.00.0040000             36.0896 090 88     11.19  11.19   0.12
72196TCMri pelvis w/dye                                  A   0.00   6.26     6.26NA  0.02   6.28  6.281XXX.00.00.0040000             36.0896 020 88     10.55  10.55   0.03
7219626Mri pelvis w/dye                                  A   1.73   0.64     0.64    0.09   2.46  2.461XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
72197  Mri pelvis w/o & w/dye                            A   2.20   8.68     8.68NA  0.11  10.99 10.991XXX.00.00.0040000             36.0896 090 88     11.36  11.36   0.12
72197TCMri pelvis w/o & w/dye                            A   0.00   7.87     7.87NA  0.02   7.89  7.891XXX.00.00.0040000             36.0896 020 88     10.55  10.55   0.03
7219726Mri pelvis w/o & w/dye                            A   2.20   0.81     0.81    0.09   3.10  3.101XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
72198  Mr angio pelvis w/o & w/dye                       A   1.80   8.94     8.94NA  0.12  10.86 10.861XXX.00.00.0040000             36.0896 090 88     11.17  11.17   0.13
72198TCMr angio pelvis w/o & w/dye                       A   0.00   8.31     8.31NA  0.03   8.34  8.341XXX.00.00.0040000             36.0896 020 88     10.54  10.54   0.04
7219826Mr angio pelvis w/o & w/dye                       A   1.80   0.63     0.63    0.09   2.52  2.521XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
72200  X-ray exam si joints                              A   0.17   0.71     0.71NA  0.02   0.90  0.901XXX.00.00.0000000             36.0896 090 99      3.13   3.13   0.06
72200TCX-ray exam si joints                              A   0.00   0.64     0.64NA  0.01   0.65  0.651XXX.00.00.0000000             36.0896 010 99      3.06   3.06   0.05
7220026X-ray exam si joints                              A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
72202  X-ray exam si joints 3/> vws                      A   0.23   0.82     0.82NA  0.02   1.07  1.071XXX.00.00.0000000             36.0896 090 99      3.15   3.15   0.05
72202TCX-ray exam si joints 3/> vws                      A   0.00   0.73     0.73NA  0.01   0.74  0.741XXX.00.00.0000000             36.0896 010 99      3.06   3.06   0.04
7220226X-ray exam si joints 3/> vws                      A   0.23   0.09     0.09    0.01   0.33  0.331XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
72220  X-ray exam sacrum tailbone                        A   0.17   0.69     0.69NA  0.02   0.88  0.881XXX.00.00.0000000             36.0896 090 99      2.25   2.25   0.04
72220TCX-ray exam sacrum tailbone                        A   0.00   0.62     0.62NA  0.01   0.63  0.631XXX.00.00.0000000             36.0896 010 99      2.18   2.18   0.03
7222026X-ray exam sacrum tailbone                        A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
72240  Myelography neck spine                            A   0.91   2.17     2.17NA  0.06   3.14  3.141XXX.00.00.0000000             36.0896 090 99     19.10  19.10   0.15
72240TCMyelography neck spine                            A   0.00   1.83     1.83NA  0.01   1.84  1.841XXX.00.00.0000000             36.0896 030 99     18.76  18.76   0.10
7224026Myelography neck spine                            A   0.91   0.34     0.34    0.05   1.30  1.301XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
72255  Myelography thoracic spine                        A   0.91   2.19     2.19NA  0.09   3.19  3.191XXX.00.00.0000000             36.0896 090 99     19.12  19.12   0.18
72255TCMyelography thoracic spine                        A   0.00   1.83     1.83NA  0.01   1.84  1.841XXX.00.00.0000000             36.0896 030 99     18.76  18.76   0.10
7225526Myelography thoracic spine                        A   0.91   0.36     0.36    0.08   1.35  1.351XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
72265  Myelography l-s spine                             A   0.83   2.01     2.01NA  0.06   2.90  2.901XXX.00.00.0000000             36.0896 090 99     19.03  19.03   0.16
72265TCMyelography l-s spine                             A   0.00   1.73     1.73NA  0.01   1.74  1.741XXX.00.00.0000000             36.0896 030 99     18.75  18.75   0.11
7226526Myelography l-s spine                             A   0.83   0.28     0.28    0.05   1.16  1.161XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
72270  Myelogphy 2/> spine regions                       A   1.33   2.60     2.60NA  0.07   4.00  4.001XXX.00.00.0000000             36.0896 090 99     19.29  19.29   0.15
72270TCMyelogphy 2/> spine regions                       A   0.00   2.08     2.08NA  0.01   2.09  2.091XXX.00.00.0000000             36.0896 030 99     18.77  18.77   0.09
7227026Myelogphy 2/> spine regions                       A   1.33   0.52     0.52    0.06   1.91  1.911XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
72275  Epidurography                                     A   0.76   2.87     2.87NA  0.06   3.69  3.691XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
72275TCEpidurography                                     A   0.00   2.56     2.56NA  0.01   2.57  2.571XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7227526Epidurography                                     A   0.76   0.31     0.31    0.05   1.12  1.121XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
72285  Discography cerv/thor spine                       A   1.16   2.22     2.22NA  0.07   3.45  3.451XXX.00.00.0000000             36.0896 090 99     47.83  47.83   0.33
72285TCDiscography cerv/thor spine                       A   0.00   1.76     1.76NA  0.01   1.77  1.771XXX.00.00.0000000             36.0896 030 99     47.37  47.37   0.27
7228526Discography cerv/thor spine                       A   1.16   0.46     0.46    0.06   1.68  1.681XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
72295  X-ray of lower spine disk                         A   0.83   2.13     2.13NA  0.06   3.02  3.021XXX.00.00.0000000             36.0896 090 99     47.70  47.70   0.31
72295TCX-ray of lower spine disk                         A   0.00   1.80     1.80NA  0.01   1.81  1.811XXX.00.00.0000000             36.0896 030 99     47.37  47.37   0.26
7229526X-ray of lower spine disk                         A   0.83   0.33     0.33    0.05   1.21  1.211XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
73000  X-ray exam of collar bone                         A   0.16   0.70     0.70NA  0.02   0.88  0.881XXX.00.00.0003000             36.0896 090 99      2.25   2.25   0.04
73000TCX-ray exam of collar bone                         A   0.00   0.63     0.63NA  0.01   0.64  0.641XXX.00.00.0003000             36.0896 010 99      2.18   2.18   0.03
7300026X-ray exam of collar bone                         A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73010  X-ray exam of shoulder blade                      A   0.17   0.59     0.59NA  0.02   0.78  0.781XXX.00.00.0003000             36.0896 090 99      3.13   3.13   0.07
73010TCX-ray exam of shoulder blade                      A   0.00   0.51     0.51NA  0.01   0.52  0.521XXX.00.00.0003000             36.0896 010 99      3.05   3.05   0.06
7301026X-ray exam of shoulder blade                      A   0.17   0.08     0.08    0.01   0.26  0.261XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73020  X-ray exam of shoulder                            A   0.15   0.43     0.43NA  0.02   0.60  0.601XXX.00.00.0003000             36.0896 090 99      2.21   2.21   0.07
73020TCX-ray exam of shoulder                            A   0.00   0.37     0.37NA  0.01   0.38  0.381XXX.00.00.0003000             36.0896 010 99      2.15   2.15   0.06
7302026X-ray exam of shoulder                            A   0.15   0.06     0.06    0.01   0.22  0.221XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73030  X-ray exam of shoulder                            A   0.18   0.73     0.73NA  0.02   0.93  0.931XXX.00.00.0003000             36.0896 090 99      2.26   2.26   0.04
73030TCX-ray exam of shoulder                            A   0.00   0.65     0.65NA  0.01   0.66  0.661XXX.00.00.0003000             36.0896 010 99      2.18   2.18   0.03
7303026X-ray exam of shoulder                            A   0.18   0.08     0.08    0.01   0.27  0.271XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73040  Contrast x-ray of shoulder                        A   0.54   2.81     2.81NA  0.04   3.39  3.391XXX.00.00.0003000             36.0896 090 99     10.75  10.75   0.07
73040TCContrast x-ray of shoulder                        A   0.00   2.60     2.60NA  0.01   2.61  2.611XXX.00.00.0003000             36.0896 030 99     10.54  10.54   0.04
7304026Contrast x-ray of shoulder                        A   0.54   0.21     0.21    0.03   0.78  0.781XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73050  X-ray exam of shoulders                           A   0.18   0.68     0.68NA  0.02   0.88  0.881XXX.00.00.0002000             36.0896 090 99      2.26   2.26   0.05
73050TCX-ray exam of shoulders                           A   0.00   0.60     0.60NA  0.01   0.61  0.611XXX.00.00.0002000             36.0896 010 99      2.18   2.18   0.04
7305026X-ray exam of shoulders                           A   0.18   0.08     0.08    0.01   0.27  0.271XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
73060  X-ray exam of humerus                             A   0.16   0.70     0.70NA  0.02   0.88  0.881XXX.00.00.0000000             36.0896 090 99      2.25   2.25   0.04
73060TCX-ray exam of humerus                             A   0.00   0.63     0.63NA  0.01   0.64  0.641XXX.00.00.0000000             36.0896 010 99      2.18   2.18   0.03
7306026X-ray exam of humerus                             A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
73070  X-ray exam of elbow                               A   0.16   0.62     0.62NA  0.02   0.80  0.801XXX.00.00.0003000             36.0896 090 99      2.24   2.24   0.05
73070TCX-ray exam of elbow                               A   0.00   0.55     0.55NA  0.01   0.56  0.561XXX.00.00.0003000             36.0896 010 99      2.17   2.17   0.04
7307026X-ray exam of elbow                               A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73080  X-ray exam of elbow                               A   0.17   0.68     0.68NA  0.02   0.87  0.871XXX.00.00.0003000             36.0896 090 99      2.25   2.25   0.05
73080TCX-ray exam of elbow                               A   0.00   0.61     0.61NA  0.01   0.62  0.621XXX.00.00.0003000             36.0896 010 99      2.18   2.18   0.04
7308026X-ray exam of elbow                               A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73085  Contrast x-ray of elbow                           A   0.54   2.58     2.58NA  0.06   3.18  3.181XXX.00.00.0003000             36.0896 090 99     10.77  10.77   0.09
73085TCContrast x-ray of elbow                           A   0.00   2.34     2.34NA  0.01   2.35  2.351XXX.00.00.0003000             36.0896 030 99     10.53  10.53   0.04
7308526Contrast x-ray of elbow                           A   0.54   0.24     0.24    0.05   0.83  0.831XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73090  X-ray exam of forearm                             A   0.16   0.63     0.63NA  0.02   0.81  0.811XXX.00.00.0003000             36.0896 090 99      2.24   2.24   0.05
73090TCX-ray exam of forearm                             A   0.00   0.56     0.56NA  0.01   0.57  0.571XXX.00.00.0003000             36.0896 010 99      2.17   2.17   0.04
7309026X-ray exam of forearm                             A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73092  X-ray exam of arm infant                          A   0.16   0.67     0.67NA  0.02   0.85  0.851XXX.00.00.0003000             36.0896 090 99      3.12   3.12   0.06
73092TCX-ray exam of arm infant                          A   0.00   0.61     0.61NA  0.01   0.62  0.621XXX.00.00.0003000             36.0896 010 99      3.06   3.06   0.05
7309226X-ray exam of arm infant                          A   0.16   0.06     0.06    0.01   0.23  0.231XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73100  X-ray exam of wrist                               A   0.16   0.74     0.74NA  0.02   0.92  0.921XXX.00.00.0003000             36.0896 090 99      2.25   2.25   0.04
73100TCX-ray exam of wrist                               A   0.00   0.67     0.67NA  0.01   0.68  0.681XXX.00.00.0003000             36.0896 010 99      2.18   2.18   0.03
7310026X-ray exam of wrist                               A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73110  X-ray exam of wrist                               A   0.17   0.90     0.90NA  0.02   1.09  1.091XXX.00.00.0003000             36.0896 090 99      2.26   2.26   0.04
73110TCX-ray exam of wrist                               A   0.00   0.83     0.83NA  0.01   0.84  0.841XXX.00.00.0003000             36.0896 010 99      2.19   2.19   0.03
7311026X-ray exam of wrist                               A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73115  Contrast x-ray of wrist                           A   0.54   2.98     2.98NA  0.04   3.56  3.561XXX.00.00.0003000             36.0896 090 99     10.77  10.77   0.07
73115TCContrast x-ray of wrist                           A   0.00   2.75     2.75NA  0.01   2.76  2.761XXX.00.00.0003000             36.0896 030 99     10.54  10.54   0.04
7311526Contrast x-ray of wrist                           A   0.54   0.23     0.23    0.03   0.80  0.801XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73120  X-ray exam of hand                                A   0.16   0.67     0.67NA  0.02   0.85  0.851XXX.00.00.0003000             36.0896 090 99      3.12   3.12   0.06
73120TCX-ray exam of hand                                A   0.00   0.60     0.60NA  0.01   0.61  0.611XXX.00.00.0003000             36.0896 010 99      3.05   3.05   0.05
7312026X-ray exam of hand                                A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73130  X-ray exam of hand                                A   0.17   0.79     0.79NA  0.02   0.98  0.981XXX.00.00.0003000             36.0896 090 99      2.25   2.25   0.04
73130TCX-ray exam of hand                                A   0.00   0.72     0.72NA  0.01   0.73  0.731XXX.00.00.0003000             36.0896 010 99      2.18   2.18   0.03
7313026X-ray exam of hand                                A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73140  X-ray exam of finger(s)                           A   0.13   0.85     0.85NA  0.02   1.00  1.001XXX.00.00.0003000             36.0896 090 99      2.24   2.24   0.04
73140TCX-ray exam of finger(s)                           A   0.00   0.79     0.79NA  0.01   0.80  0.801XXX.00.00.0003000             36.0896 010 99      2.18   2.18   0.03
7314026X-ray exam of finger(s)                           A   0.13   0.06     0.06    0.01   0.20  0.201XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73200  Ct upper extremity w/o dye                        A   1.00   3.97     3.97NA  0.06   5.03  5.031XXX.00.00.0043000             36.0896 090 88      3.47   3.47   0.06
73200TCCt upper extremity w/o dye                        A   0.00   3.60     3.60NA  0.01   3.61  3.611XXX.00.00.0043000             36.0896 010 88      3.10   3.10   0.01
7320026Ct upper extremity w/o dye                        A   1.00   0.37     0.37    0.05   1.42  1.421XXX.00.00.0043000             36.0896 090 88      0.00   0.00   0.00
73201  Ct upper extremity w/dye                          A   1.16   5.04     5.04NA  0.06   6.26  6.261XXX.00.00.0043000             36.0896 090 88     10.99  10.99   0.07
73201TCCt upper extremity w/dye                          A   0.00   4.61     4.61NA  0.01   4.62  4.621XXX.00.00.0043000             36.0896 020 88     10.56  10.56   0.02
7320126Ct upper extremity w/dye                          A   1.16   0.43     0.43    0.05   1.64  1.641XXX.00.00.0043000             36.0896 090 88      0.00   0.00   0.00
73202  Ct uppr extremity w/o&w/dye                       A   1.22   6.52     6.52NA  0.08   7.82  7.821XXX.00.00.0043000             36.0896 090 88      5.48   5.48   0.08
73202TCCt uppr extremity w/o&w/dye                       A   0.00   6.07     6.07NA  0.02   6.09  6.091XXX.00.00.0043000             36.0896 020 88      5.03   5.03   0.02
7320226Ct uppr extremity w/o&w/dye                       A   1.22   0.45     0.45    0.06   1.73  1.731XXX.00.00.0043000             36.0896 090 88      0.00   0.00   0.00
73206  Ct angio upr extrm w/o&w/dye                      A   1.81   7.31     7.31NA  0.12   9.24  9.241XXX.00.00.0040000             36.0896 090 88      5.67   5.67   0.11
73206TCCt angio upr extrm w/o&w/dye                      A   0.00   6.67     6.67NA  0.03   6.70  6.701XXX.00.00.0040000             36.0896 020 88      5.03   5.03   0.02
7320626Ct angio upr extrm w/o&w/dye                      A   1.81   0.64     0.64    0.09   2.54  2.541XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
73218  Mri upper extremity w/o dye                       A   1.35   8.50     8.50NA  0.08   9.93  9.931XXX.00.00.0043000             36.0896 090 88      6.95   6.95   0.08
73218TCMri upper extremity w/o dye                       A   0.00   7.99     7.99NA  0.02   8.01  8.011XXX.00.00.0043000             36.0896 010 88      6.44   6.44   0.02
7321826Mri upper extremity w/o dye                       A   1.35   0.51     0.51    0.06   1.92  1.921XXX.00.00.0043000             36.0896 090 88      0.00   0.00   0.00
73219  Mri upper extremity w/dye                         A   1.62   9.25     9.25NA  0.11  10.98 10.981XXX.00.00.0043000             36.0896 090 88     11.17  11.17   0.11
73219TCMri upper extremity w/dye                         A   0.00   8.64     8.64NA  0.02   8.66  8.661XXX.00.00.0043000             36.0896 020 88     10.56  10.56   0.02
7321926Mri upper extremity w/dye                         A   1.62   0.61     0.61    0.09   2.32  2.321XXX.00.00.0043000             36.0896 090 88      0.00   0.00   0.00
73220  Mri uppr extremity w/o&w/dye                      A   2.15  11.21    11.21NA  0.12  13.48 13.481XXX.00.00.0043000             36.0896 090 88     11.35  11.35   0.12
73220TCMri uppr extremity w/o&w/dye                      A   0.00  10.41    10.41NA  0.03  10.44 10.441XXX.00.00.0043000             36.0896 020 88     10.55  10.55   0.03
7322026Mri uppr extremity w/o&w/dye                      A   2.15   0.80     0.80    0.09   3.04  3.041XXX.00.00.0043000             36.0896 090 88      0.00   0.00   0.00
73221  Mri joint upr extrem w/o dye                      A   1.35   5.02     5.02NA  0.10   6.47  6.471XXX.00.00.0043000             36.0896 090 88      6.95   6.95   0.11
73221TCMri joint upr extrem w/o dye                      A   0.00   4.50     4.50NA  0.02   4.52  4.521XXX.00.00.0043000             36.0896 010 88      6.43   6.43   0.03
7322126Mri joint upr extrem w/o dye                      A   1.35   0.52     0.52    0.08   1.95  1.951XXX.00.00.0043000             36.0896 090 88      0.00   0.00   0.00
73222  Mri joint upr extrem w/dye                        A   1.62   8.56     8.56NA  0.11  10.29 10.291XXX.00.00.0043000             36.0896 090 88     19.43  19.43   0.14
73222TCMri joint upr extrem w/dye                        A   0.00   7.95     7.95NA  0.02   7.97  7.971XXX.00.00.0043000             36.0896 020 88     18.82  18.82   0.05
7322226Mri joint upr extrem w/dye                        A   1.62   0.61     0.61    0.09   2.32  2.321XXX.00.00.0043000             36.0896 090 88      0.00   0.00   0.00
73223  Mri joint upr extr w/o&w/dye                      A   2.15  10.46    10.46NA  0.11  12.72 12.721XXX.00.00.0043000             36.0896 090 88     11.36  11.36   0.11
73223TCMri joint upr extr w/o&w/dye                      A   0.00   9.66     9.66NA  0.02   9.68  9.681XXX.00.00.0043000             36.0896 020 88     10.56  10.56   0.02
7322326Mri joint upr extr w/o&w/dye                      A   2.15   0.80     0.80    0.09   3.04  3.041XXX.00.00.0043000             36.0896 090 88      0.00   0.00   0.00
73225  Mr angio upr extr w/o&w/dye                       R   1.73   9.28     9.28NA  0.12  11.13 11.131XXX.00.00.0040000             36.0896 090 88     11.19  11.19   0.13
73225TCMr angio upr extr w/o&w/dye                       R   0.00   8.63     8.63NA  0.03   8.66  8.661XXX.00.00.0040900             36.0896 020 88     10.54  10.54   0.04
7322526Mr angio upr extr w/o&w/dye                       R   1.73   0.65     0.65    0.09   2.47  2.471XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
73501  X-ray exam hip uni 1 view                         A   0.18   0.69     0.69NA  0.02   0.89  0.891XXX.00.00.0000000             36.0896 090 99      2.26   2.26   0.05
73501TCX-ray exam hip uni 1 view                         A   0.00   0.61     0.61NA  0.01   0.62  0.621XXX.00.00.0000000             36.0896 010 99      2.18   2.18   0.04
7350126X-ray exam hip uni 1 view                         A   0.18   0.08     0.08    0.01   0.27  0.271XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
73502  X-ray exam hip uni 2-3 views                      A   0.22   1.03     1.03NA  0.02   1.27  1.271XXX.00.00.0000000             36.0896 090 99      2.28   2.28   0.03
73502TCX-ray exam hip uni 2-3 views                      A   0.00   0.94     0.94NA  0.01   0.95  0.951XXX.00.00.0000000             36.0896 010 99      2.19   2.19   0.02
7350226X-ray exam hip uni 2-3 views                      A   0.22   0.09     0.09    0.01   0.32  0.321XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
73503  X-ray exam hip uni 4/> views                      A   0.27   1.28     1.28NA  0.02   1.57  1.571XXX.00.00.0000000             36.0896 090 99      3.19   3.19   0.04
73503TCX-ray exam hip uni 4/> views                      A   0.00   1.17     1.17NA  0.01   1.18  1.181XXX.00.00.0000000             36.0896 010 99      3.08   3.08   0.03
7350326X-ray exam hip uni 4/> views                      A   0.27   0.11     0.11    0.01   0.39  0.391XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
73521  X-ray exam hips bi 2 views                        A   0.22   0.88     0.88NA  0.02   1.12  1.121XXX.00.00.0000000             36.0896 090 99      3.16   3.16   0.05
73521TCX-ray exam hips bi 2 views                        A   0.00   0.79     0.79NA  0.01   0.80  0.801XXX.00.00.0000000             36.0896 010 99      3.07   3.07   0.04
7352126X-ray exam hips bi 2 views                        A   0.22   0.09     0.09    0.01   0.32  0.321XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
73522  X-ray exam hips bi 3-4 views                      A   0.29   1.15     1.15NA  0.02   1.46  1.461XXX.00.00.0000000             36.0896 090 99      3.20   3.20   0.04
73522TCX-ray exam hips bi 3-4 views                      A   0.00   1.03     1.03NA  0.01   1.04  1.041XXX.00.00.0000000             36.0896 010 99      3.08   3.08   0.03
7352226X-ray exam hips bi 3-4 views                      A   0.29   0.12     0.12    0.01   0.42  0.421XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
73523  X-ray exam hips bi 5/> views                      A   0.31   1.33     1.33NA  0.02   1.66  1.661XXX.00.00.0000000             36.0896 090 99      3.21   3.21   0.04
73523TCX-ray exam hips bi 5/> views                      A   0.00   1.20     1.20NA  0.01   1.21  1.211XXX.00.00.0000000             36.0896 010 99      3.08   3.08   0.03
7352326X-ray exam hips bi 5/> views                      A   0.31   0.13     0.13    0.01   0.45  0.451XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
73525  Contrast x-ray of hip                             A   0.54   2.87     2.87NA  0.06   3.47  3.471XXX.00.00.0003000             36.0896 090 99     10.79  10.79   0.09
73525TCContrast x-ray of hip                             A   0.00   2.62     2.62NA  0.01   2.63  2.631XXX.00.00.0003000             36.0896 030 99     10.54  10.54   0.04
7352526Contrast x-ray of hip                             A   0.54   0.25     0.25    0.05   0.84  0.841XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73551  X-ray exam of femur 1                             A   0.16   0.64     0.64NA  0.02   0.82  0.821XXX.00.00.0003000             36.0896 090 99      2.24   2.24   0.05
73551TCX-ray exam of femur 1                             A   0.00   0.57     0.57NA  0.01   0.58  0.581XXX.00.00.0003000             36.0896 010 99      2.17   2.17   0.04
7355126X-ray exam of femur 1                             A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73552  X-ray exam of femur 2/>                           A   0.18   0.77     0.77NA  0.02   0.97  0.971XXX.00.00.0003000             36.0896 090 99      2.25   2.25   0.04
73552TCX-ray exam of femur 2/>                           A   0.00   0.70     0.70NA  0.01   0.71  0.711XXX.00.00.0003000             36.0896 010 99      2.18   2.18   0.03
7355226X-ray exam of femur 2/>                           A   0.18   0.07     0.07    0.01   0.26  0.261XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73560  X-ray exam of knee 1 or 2                         A   0.16   0.76     0.76NA  0.02   0.94  0.941XXX.00.00.0003000             36.0896 090 99      2.25   2.25   0.04
73560TCX-ray exam of knee 1 or 2                         A   0.00   0.69     0.69NA  0.01   0.70  0.701XXX.00.00.0003000             36.0896 010 99      2.18   2.18   0.03
7356026X-ray exam of knee 1 or 2                         A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73562  X-ray exam of knee 3                              A   0.18   0.90     0.90NA  0.02   1.10  1.101XXX.00.00.0003000             36.0896 090 99      2.26   2.26   0.04
73562TCX-ray exam of knee 3                              A   0.00   0.82     0.82NA  0.01   0.83  0.831XXX.00.00.0003000             36.0896 090 99      2.18   2.18   0.03
7356226X-ray exam of knee 3                              A   0.18   0.08     0.08    0.01   0.27  0.271XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73564  X-ray exam knee 4 or more                         A   0.22   0.99     0.99NA  0.02   1.23  1.231XXX.00.00.0003000             36.0896 090 99      3.16   3.16   0.04
73564TCX-ray exam knee 4 or more                         A   0.00   0.90     0.90NA  0.01   0.91  0.911XXX.00.00.0003000             36.0896 010 99      3.07   3.07   0.03
7356426X-ray exam knee 4 or more                         A   0.22   0.09     0.09    0.01   0.32  0.321XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73565  X-ray exam of knees                               A   0.16   0.91     0.91NA  0.02   1.09  1.091XXX.00.00.0002000             36.0896 090 99      2.27   2.27   0.04
73565TCX-ray exam of knees                               A   0.00   0.83     0.83NA  0.01   0.84  0.841XXX.00.00.0002000             36.0896 010 99      2.19   2.19   0.03
7356526X-ray exam of knees                               A   0.16   0.08     0.08    0.01   0.25  0.251XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
73580  Contrast x-ray of knee joint                      A   0.54   3.24     3.24NA  0.06   3.84  3.841XXX.00.00.0003000             36.0896 090 99     10.77  10.77   0.08
73580TCContrast x-ray of knee joint                      A   0.00   3.01     3.01NA  0.01   3.02  3.021XXX.00.00.0003000             36.0896 030 99     10.54  10.54   0.03
7358026Contrast x-ray of knee joint                      A   0.54   0.23     0.23    0.05   0.82  0.821XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73590  X-ray exam of lower leg                           A   0.16   0.68     0.68NA  0.02   0.86  0.861XXX.00.00.0003000             36.0896 090 99      2.24   2.24   0.04
73590TCX-ray exam of lower leg                           A   0.00   0.62     0.62NA  0.01   0.63  0.631XXX.00.00.0003000             36.0896 010 99      2.18   2.18   0.03
7359026X-ray exam of lower leg                           A   0.16   0.06     0.06    0.01   0.23  0.231XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73592  X-ray exam of leg infant                          A   0.16   0.67     0.67NA  0.02   0.85  0.851XXX.00.00.0003000             36.0896 090 99      2.24   2.24   0.05
73592TCX-ray exam of leg infant                          A   0.00   0.61     0.61NA  0.01   0.62  0.621XXX.00.00.0003000             36.0896 010 99      2.18   2.18   0.04
7359226X-ray exam of leg infant                          A   0.16   0.06     0.06    0.01   0.23  0.231XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73600  X-ray exam of ankle                               A   0.16   0.71     0.71NA  0.02   0.89  0.891XXX.00.00.0003000             36.0896 090 99      2.25   2.25   0.04
73600TCX-ray exam of ankle                               A   0.00   0.64     0.64NA  0.01   0.65  0.651XXX.00.00.0003000             36.0896 010 99      2.18   2.18   0.03
7360026X-ray exam of ankle                               A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73610  X-ray exam of ankle                               A   0.17   0.79     0.79NA  0.02   0.98  0.981XXX.00.00.0003000             36.0896 090 99      2.25   2.25   0.04
73610TCX-ray exam of ankle                               A   0.00   0.72     0.72NA  0.01   0.73  0.731XXX.00.00.0003000             36.0896 010 99      2.18   2.18   0.03
7361026X-ray exam of ankle                               A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73615  Contrast x-ray of ankle                           A   0.54   3.01     3.01NA  0.06   3.61  3.611XXX.00.00.0003000             36.0896 090 99     10.78  10.78   0.09
73615TCContrast x-ray of ankle                           A   0.00   2.77     2.77NA  0.01   2.78  2.781XXX.00.00.0003000             36.0896 030 99     10.54  10.54   0.04
7361526Contrast x-ray of ankle                           A   0.54   0.24     0.24    0.05   0.83  0.831XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73620  X-ray exam of foot                                A   0.16   0.60     0.60NA  0.02   0.78  0.781XXX.00.00.0003000             36.0896 090 99      2.22   2.22   0.05
73620TCX-ray exam of foot                                A   0.00   0.55     0.55NA  0.01   0.56  0.561XXX.00.00.0003000             36.0896 010 99      2.17   2.17   0.04
7362026X-ray exam of foot                                A   0.16   0.05     0.05    0.01   0.22  0.221XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73630  X-ray exam of foot                                A   0.17   0.73     0.73NA  0.02   0.92  0.921XXX.00.00.0003000             36.0896 090 99      2.24   2.24   0.04
73630TCX-ray exam of foot                                A   0.00   0.67     0.67NA  0.01   0.68  0.681XXX.00.00.0003000             36.0896 010 99      2.18   2.18   0.03
7363026X-ray exam of foot                                A   0.17   0.06     0.06    0.01   0.24  0.241XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73650  X-ray exam of heel                                A   0.16   0.61     0.61NA  0.02   0.79  0.791XXX.00.00.0003000             36.0896 090 99      2.23   2.23   0.05
73650TCX-ray exam of heel                                A   0.00   0.55     0.55NA  0.01   0.56  0.561XXX.00.00.0003000             36.0896 010 99      2.17   2.17   0.04
7365026X-ray exam of heel                                A   0.16   0.06     0.06    0.01   0.23  0.231XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73660  X-ray exam of toe(s)                              A   0.13   0.64     0.64NA  0.02   0.79  0.791XXX.00.00.0003000             36.0896 090 99      2.22   2.22   0.05
73660TCX-ray exam of toe(s)                              A   0.00   0.59     0.59NA  0.01   0.60  0.601XXX.00.00.0003000             36.0896 010 99      2.17   2.17   0.04
7366026X-ray exam of toe(s)                              A   0.13   0.05     0.05    0.01   0.19  0.191XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
73700  Ct lower extremity w/o dye                        A   1.00   3.30     3.30NA  0.06   4.36  4.361XXX.00.00.0043000             36.0896 090 88      3.46   3.46   0.06
73700TCCt lower extremity w/o dye                        A   0.00   2.93     2.93NA  0.01   2.94  2.941XXX.00.00.0043000             36.0896 010 88      3.09   3.09   0.01
7370026Ct lower extremity w/o dye                        A   1.00   0.37     0.37    0.05   1.42  1.421XXX.00.00.0043000             36.0896 090 88      0.00   0.00   0.00
73701  Ct lower extremity w/dye                          A   1.16   4.23     4.23NA  0.06   5.45  5.451XXX.00.00.0043000             36.0896 090 88      5.47   5.47   0.06
73701TCCt lower extremity w/dye                          A   0.00   3.80     3.80NA  0.01   3.81  3.811XXX.00.00.0043000             36.0896 020 88      5.04   5.04   0.01
7370126Ct lower extremity w/dye                          A   1.16   0.43     0.43    0.05   1.64  1.641XXX.00.00.0043000             36.0896 090 88      0.00   0.00   0.00
73702  Ct lwr extremity w/o&w/dye                        A   1.22   5.27     5.27NA  0.07   6.56  6.561XXX.00.00.0043000             36.0896 090 88      5.48   5.48   0.07
73702TCCt lwr extremity w/o&w/dye                        A   0.00   4.83     4.83NA  0.01   4.84  4.841XXX.00.00.0043000             36.0896 020 88      5.04   5.04   0.01
7370226Ct lwr extremity w/o&w/dye                        A   1.22   0.44     0.44    0.06   1.72  1.721XXX.00.00.0043000             36.0896 090 88      0.00   0.00   0.00
73706  Ct angio lwr extr w/o&w/dye                       A   1.90   7.98     7.98NA  0.12  10.00 10.001XXX.00.00.0043000             36.0896 090 88      5.70   5.70   0.11
73706TCCt angio lwr extr w/o&w/dye                       A   0.00   7.31     7.31NA  0.03   7.34  7.341XXX.00.00.0043000             36.0896 020 88      5.03   5.03   0.02
7370626Ct angio lwr extr w/o&w/dye                       A   1.90   0.67     0.67    0.09   2.66  2.661XXX.00.00.0043000             36.0896 090 88      0.00   0.00   0.00
73718  Mri lower extremity w/o dye                       A   1.35   5.82     5.82NA  0.08   7.25  7.251XXX.00.00.0043000             36.0896 090 88      6.93   6.93   0.08
73718TCMri lower extremity w/o dye                       A   0.00   5.32     5.32NA  0.02   5.34  5.341XXX.00.00.0043000             36.0896 010 88      6.43   6.43   0.02
7371826Mri lower extremity w/o dye                       A   1.35   0.50     0.50    0.06   1.91  1.911XXX.00.00.0043000             36.0896 090 88      0.00   0.00   0.00
73719  Mri lower extremity w/dye                         A   1.62   6.85     6.85NA  0.11   8.58  8.581XXX.00.00.0043000             36.0896 090 88     11.15  11.15   0.12
73719TCMri lower extremity w/dye                         A   0.00   6.25     6.25NA  0.02   6.27  6.271XXX.00.00.0043000             36.0896 020 88     10.55  10.55   0.03
7371926Mri lower extremity w/dye                         A   1.62   0.60     0.60    0.09   2.31  2.311XXX.00.00.0043000             36.0896 090 88      0.00   0.00   0.00
73720  Mri lwr extremity w/o&w/dye                       A   2.15   8.72     8.72NA  0.11  10.98 10.981XXX.00.00.0043000             36.0896 090 88     11.34  11.34   0.12
73720TCMri lwr extremity w/o&w/dye                       A   0.00   7.93     7.93NA  0.02   7.95  7.951XXX.00.00.0043000             36.0896 020 88     10.55  10.55   0.03
7372026Mri lwr extremity w/o&w/dye                       A   2.15   0.79     0.79    0.09   3.03  3.031XXX.00.00.0043000             36.0896 090 88      0.00   0.00   0.00
73721  Mri jnt of lwr extre w/o dye                      A   1.35   5.01     5.01NA  0.08   6.44  6.441XXX.00.00.0043000             36.0896 090 88      6.94   6.94   0.09
73721TCMri jnt of lwr extre w/o dye                      A   0.00   4.50     4.50NA  0.02   4.52  4.521XXX.00.00.0043000             36.0896 010 88      6.43   6.43   0.03
7372126Mri jnt of lwr extre w/o dye                      A   1.35   0.51     0.51    0.06   1.92  1.921XXX.00.00.0043000             36.0896 090 88      0.00   0.00   0.00
73722  Mri joint of lwr extr w/dye                       A   1.62   8.58     8.58NA  0.11  10.31 10.311XXX.00.00.0043000             36.0896 090 88     19.43  19.43   0.14
73722TCMri joint of lwr extr w/dye                       A   0.00   7.97     7.97NA  0.02   7.99  7.991XXX.00.00.0043000             36.0896 020 88     18.82  18.82   0.05
7372226Mri joint of lwr extr w/dye                       A   1.62   0.61     0.61    0.09   2.32  2.321XXX.00.00.0043000             36.0896 090 88      0.00   0.00   0.00
73723  Mri joint lwr extr w/o&w/dye                      A   2.15  10.44    10.44NA  0.11  12.70 12.701XXX.00.00.0043000             36.0896 090 88     11.36  11.36   0.11
73723TCMri joint lwr extr w/o&w/dye                      A   0.00   9.64     9.64NA  0.02   9.66  9.661XXX.00.00.0043000             36.0896 020 88     10.56  10.56   0.02
7372326Mri joint lwr extr w/o&w/dye                      A   2.15   0.80     0.80    0.09   3.04  3.041XXX.00.00.0043000             36.0896 090 88      0.00   0.00   0.00
73725  Mr ang lwr ext w or w/o dye                       R   1.82   8.94     8.94NA  0.12  10.88 10.881XXX.00.00.0043000             36.0896 090 88     11.18  11.18   0.13
73725TCMr ang lwr ext w or w/o dye                       R   0.00   8.30     8.30NA  0.03   8.33  8.331XXX.00.00.0043000             36.0896 020 88     10.54  10.54   0.04
7372526Mr ang lwr ext w or w/o dye                       R   1.82   0.64     0.64    0.09   2.55  2.551XXX.00.00.0043000             36.0896 090 88      0.00   0.00   0.00
74018  X-ray exam abdomen 1 view                         A   0.18   0.62     0.62NA  0.02   0.82  0.821XXX.00.00.0000000             36.0896 090 99      2.24   2.24   0.05
74018TCX-ray exam abdomen 1 view                         A   0.00   0.55     0.55NA  0.01   0.56  0.561XXX.00.00.0000000             36.0896 010 99      2.17   2.17   0.04
7401826X-ray exam abdomen 1 view                         A   0.18   0.07     0.07    0.01   0.26  0.261XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74019  X-ray exam abdomen 2 views                        A   0.23   0.76     0.76NA  0.02   1.01  1.011XXX.00.00.0000000             36.0896 090 99      3.15   3.15   0.06
74019TCX-ray exam abdomen 2 views                        A   0.00   0.67     0.67NA  0.01   0.68  0.681XXX.00.00.0000000             36.0896 010 99      3.06   3.06   0.05
7401926X-ray exam abdomen 2 views                        A   0.23   0.09     0.09    0.01   0.33  0.331XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74021  X-ray exam abdomen 3+ views                       A   0.27   0.88     0.88NA  0.02   1.17  1.171XXX.00.00.0000000             36.0896 090 99      3.17   3.17   0.05
74021TCX-ray exam abdomen 3+ views                       A   0.00   0.78     0.78NA  0.01   0.79  0.791XXX.00.00.0000000             36.0896 010 99      3.07   3.07   0.04
7402126X-ray exam abdomen 3+ views                       A   0.27   0.10     0.10    0.01   0.38  0.381XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74022  X-ray exam complete abdomen                       A   0.32   1.02     1.02NA  0.02   1.36  1.361XXX.00.00.0000000             36.0896 090 99      3.19   3.19   0.04
74022TCX-ray exam complete abdomen                       A   0.00   0.90     0.90NA  0.01   0.91  0.911XXX.00.00.0000000             36.0896 010 99      3.07   3.07   0.03
7402226X-ray exam complete abdomen                       A   0.32   0.12     0.12    0.01   0.45  0.451XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74150  Ct abdomen w/o dye                                A   1.19   2.94     2.94NA  0.07   4.20  4.201XXX.00.00.0040000             36.0896 090 88      3.53   3.53   0.07
74150TCCt abdomen w/o dye                                A   0.00   2.50     2.50NA  0.01   2.51  2.511XXX.00.00.0040000             36.0896 010 88      3.09   3.09   0.01
7415026Ct abdomen w/o dye                                A   1.19   0.44     0.44    0.06   1.69  1.691XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
74160  Ct abdomen w/dye                                  A   1.27   5.62     5.62NA  0.07   6.96  6.961XXX.00.00.0040000             36.0896 090 88      5.52   5.52   0.07
74160TCCt abdomen w/dye                                  A   0.00   5.14     5.14NA  0.01   5.15  5.151XXX.00.00.0040000             36.0896 020 88      5.04   5.04   0.01
7416026Ct abdomen w/dye                                  A   1.27   0.48     0.48    0.06   1.81  1.811XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
74170  Ct abdomen w/o & w/dye                            A   1.40   6.35     6.35NA  0.10   7.85  7.851XXX.00.00.0040000             36.0896 090 88      5.54   5.54   0.10
74170TCCt abdomen w/o & w/dye                            A   0.00   5.84     5.84NA  0.02   5.86  5.861XXX.00.00.0040000             36.0896 020 88      5.03   5.03   0.02
7417026Ct abdomen w/o & w/dye                            A   1.40   0.51     0.51    0.08   1.99  1.991XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
74174  Ct angio abd&pelv w/o&w/dye                       A   2.20   9.06     9.06NA  0.14  11.40 11.401XXX.00.00.0040000             36.0896 090 88     11.33  11.33   0.15
74174TCCt angio abd&pelv w/o&w/dye                       A   0.00   8.27     8.27NA  0.03   8.30  8.301XXX.00.00.0040000             36.0896 020 88     10.54  10.54   0.04
7417426Ct angio abd&pelv w/o&w/dye                       A   2.20   0.79     0.79    0.11   3.10  3.101XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
74175  Ct angio abdom w/o & w/dye                        A   1.82   7.17     7.17NA  0.11   9.10  9.101XXX.00.00.0040000             36.0896 090 88      5.69   5.69   0.11
74175TCCt angio abdom w/o & w/dye                        A   0.00   6.51     6.51NA  0.02   6.53  6.531XXX.00.00.0040000             36.0896 020 88      5.03   5.03   0.02
7417526Ct angio abdom w/o & w/dye                        A   1.82   0.66     0.66    0.09   2.57  2.571XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
74176  Ct abd & pelvis w/o contrast                      A   1.74   3.79     3.79NA  0.10   5.63  5.631XXX.00.00.0040900             36.0896 090 88      7.08   7.08   0.11
74176TCCt abd & pelvis w/o contrast                      A   0.00   3.15     3.15NA  0.01   3.16  3.161XXX.00.00.0040900             36.0896 010 88      6.44   6.44   0.02
7417626Ct abd & pelvis w/o contrast                      A   1.74   0.64     0.64    0.09   2.47  2.471XXX.00.00.0040900             36.0896 090 88      0.00   0.00   0.00
74177  Ct abd & pelv w/contrast                          A   1.82   7.28     7.28NA  0.11   9.21  9.211XXX.00.00.0040900             36.0896 090 88     11.23  11.23   0.12
74177TCCt abd & pelv w/contrast                          A   0.00   6.60     6.60NA  0.02   6.62  6.621XXX.00.00.0040900             36.0896 020 88     10.55  10.55   0.03
7417726Ct abd & pelv w/contrast                          A   1.82   0.68     0.68    0.09   2.59  2.591XXX.00.00.0040900             36.0896 090 88      0.00   0.00   0.00
74178  Ct abd & pelv 1/> regns                           A   2.01   8.23     8.23NA  0.11  10.35 10.351XXX.00.00.0040900             36.0896 090 88     11.29  11.29   0.12
74178TCCt abd & pelv 1/> regns                           A   0.00   7.49     7.49NA  0.02   7.51  7.511XXX.00.00.0040900             36.0896 020 88     10.55  10.55   0.03
7417826Ct abd & pelv 1/> regns                           A   2.01   0.74     0.74    0.09   2.84  2.841XXX.00.00.0040900             36.0896 090 88      0.00   0.00   0.00
74181  Mri abdomen w/o dye                               A   1.46   4.79     4.79NA  0.09   6.34  6.341XXX.00.00.0040000             36.0896 090 88      6.98   6.98   0.10
74181TCMri abdomen w/o dye                               A   0.00   4.25     4.25NA  0.01   4.26  4.261XXX.00.00.0040000             36.0896 010 88      6.44   6.44   0.02
7418126Mri abdomen w/o dye                               A   1.46   0.54     0.54    0.08   2.08  2.081XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
74182  Mri abdomen w/dye                                 A   1.73   8.06     8.06NA  0.11   9.90  9.901XXX.00.00.0040000             36.0896 090 88     11.19  11.19   0.12
74182TCMri abdomen w/dye                                 A   0.00   7.42     7.42NA  0.02   7.44  7.441XXX.00.00.0040000             36.0896 020 88     10.55  10.55   0.03
7418226Mri abdomen w/dye                                 A   1.73   0.64     0.64    0.09   2.46  2.461XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
74183  Mri abdomen w/o & w/dye                           A   2.20   8.70     8.70NA  0.11  11.01 11.011XXX.00.00.0040000             36.0896 090 88     11.36  11.36   0.12
74183TCMri abdomen w/o & w/dye                           A   0.00   7.89     7.89NA  0.02   7.91  7.911XXX.00.00.0040000             36.0896 020 88     10.55  10.55   0.03
7418326Mri abdomen w/o & w/dye                           A   2.20   0.81     0.81    0.09   3.10  3.101XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
74185  Mri angio abdom w orw/o dye                       R   1.80   8.99     8.99NA  0.12  10.91 10.911XXX.00.00.0040000             36.0896 090 88     11.18  11.18   0.13
74185TCMri angio abdom w orw/o dye                       R   0.00   8.35     8.35NA  0.03   8.38  8.381XXX.00.00.0040000             36.0896 020 88     10.54  10.54   0.04
7418526Mri angio abdom w orw/o dye                       R   1.80   0.64     0.64    0.09   2.53  2.531XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
74190  X-ray exam of peritoneum                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99     13.48  13.48   0.04
74190TCX-ray exam of peritoneum                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99     13.33  13.33   0.01
7419026X-ray exam of peritoneum                          A   0.48   0.15     0.15    0.03   0.66  0.661XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74210  X-ray xm phrnx&/crv esoph c+                      A   0.59   2.03     2.03NA  0.04   2.66  2.661XXX.00.00.0000000             36.0896 090 99      5.24   5.24   0.06
74210TCX-ray xm phrnx&/crv esoph c+                      A   0.00   1.81     1.81NA  0.01   1.82  1.821XXX.00.00.0000000             36.0896 030 99      5.02   5.02   0.03
7421026X-ray xm phrnx&/crv esoph c+                      A   0.59   0.22     0.22    0.03   0.84  0.841XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74220  X-ray xm esophagus 1cntrst                        A   0.60   2.07     2.07NA  0.04   2.71  2.711XXX.00.00.0000000             36.0896 090 99      5.24   5.24   0.06
74220TCX-ray xm esophagus 1cntrst                        A   0.00   1.85     1.85NA  0.01   1.86  1.861XXX.00.00.0000000             36.0896 030 99      5.02   5.02   0.03
7422026X-ray xm esophagus 1cntrst                        A   0.60   0.22     0.22    0.03   0.85  0.851XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74221  X-ray xm esophagus 2cntrst                        A   0.70   2.32     2.32NA  0.04   3.06  3.061XXX.00.00.0000000             36.0896 090 99      5.28   5.28   0.05
74221TCX-ray xm esophagus 2cntrst                        A   0.00   2.06     2.06NA  0.01   2.07  2.071XXX.00.00.0000000             36.0896 030 99      5.02   5.02   0.02
7422126X-ray xm esophagus 2cntrst                        A   0.70   0.26     0.26    0.03   0.99  0.991XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74230  X-ray xm swlng funcj c+                           A   0.53   3.08     3.08NA  0.03   3.64  3.641XXX.00.00.0000000             36.0896 090 99      5.23   5.23   0.04
74230TCX-ray xm swlng funcj c+                           A   0.00   2.88     2.88NA  0.01   2.89  2.891XXX.00.00.0000000             36.0896 030 99      5.03   5.03   0.02
7423026X-ray xm swlng funcj c+                           A   0.53   0.20     0.20    0.02   0.75  0.751XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74235  Remove esophagus obstruction                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74235TCRemove esophagus obstruction                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7423526Remove esophagus obstruction                      A   1.19   0.44     0.44    0.06   1.69  1.691XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74240  X-ray xm upr gi trc 1cntrst                       A   0.80   2.53     2.53NA  0.06   3.39  3.391XXX.00.00.0000000             36.0896 090 99      5.33   5.33   0.07
74240TCX-ray xm upr gi trc 1cntrst                       A   0.00   2.23     2.23NA  0.01   2.24  2.241XXX.00.00.0000000             36.0896 030 99      5.03   5.03   0.02
7424026X-ray xm upr gi trc 1cntrst                       A   0.80   0.30     0.30    0.05   1.15  1.151XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74246  X-ray xm upr gi trc 2cntrst                       A   0.90   2.94     2.94NA  0.06   3.90  3.901XXX.00.00.0000000             36.0896 090 99      5.36   5.36   0.07
74246TCX-ray xm upr gi trc 2cntrst                       A   0.00   2.61     2.61NA  0.01   2.62  2.621XXX.00.00.0000000             36.0896 030 99      5.03   5.03   0.02
7424626X-ray xm upr gi trc 2cntrst                       A   0.90   0.33     0.33    0.05   1.28  1.281XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74248  X-ray sm int f-thru std                           A   0.70   1.59     1.59NA  0.03   2.32  2.321ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74248TCX-ray sm int f-thru std                           A   0.00   1.33     1.33NA  0.00   1.33  1.331ZZZ.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7424826X-ray sm int f-thru std                           A   0.70   0.26     0.26    0.03   0.99  0.991ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74250  X-ray xm sm int 1cntrst std                       A   0.81   2.54     2.54NA  0.06   3.41  3.411XXX.00.00.0000000             36.0896 090 99      5.33   5.33   0.07
74250TCX-ray xm sm int 1cntrst std                       A   0.00   2.24     2.24NA  0.01   2.25  2.251XXX.00.00.0000000             36.0896 020 99      5.03   5.03   0.02
7425026X-ray xm sm int 1cntrst std                       A   0.81   0.30     0.30    0.05   1.16  1.161XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74251  X-ray xm sm int 2cntrst std                       A   1.17  10.07    10.07NA  0.07  11.31 11.311XXX.00.00.0000000             36.0896 090 99      5.47   5.47   0.07
74251TCX-ray xm sm int 2cntrst std                       A   0.00   9.64     9.64NA  0.01   9.65  9.651XXX.00.00.0000000             36.0896 030 99      5.04   5.04   0.01
7425126X-ray xm sm int 2cntrst std                       A   1.17   0.43     0.43    0.06   1.66  1.661XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74261  Ct colonography dx                                A   2.40  10.91    10.91NA  0.13  13.44 13.441XXX.00.00.0040000             36.0896 090 88      3.99   3.99   0.12
74261TCCt colonography dx                                A   0.00  10.02    10.02NA  0.02  10.04 10.041XXX.00.00.0040000             36.0896 020 88      3.10   3.10   0.01
7426126Ct colonography dx                                A   2.40   0.89     0.89    0.11   3.40  3.401XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
74262  Ct colonography dx w/dye                          A   2.50  12.48    12.48NA  0.13  15.11 15.111XXX.00.00.0040000             36.0896 090 88      5.97   5.97   0.12
74262TCCt colonography dx w/dye                          A   0.00  11.55    11.55NA  0.02  11.57 11.571XXX.00.00.0040000             36.0896 020 88      5.04   5.04   0.01
7426226Ct colonography dx w/dye                          A   2.50   0.93     0.93    0.11   3.54  3.541XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
74263  Ct colonography screening                         N+  2.28  18.76    18.76NA  0.11  21.15 21.151XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
74263TCCt colonography screening                         N+  0.00  17.88    17.88NA  0.02  17.90 17.901XXX.00.00.0099999             36.0896 020 99      0.00   0.00   0.00
7426326Ct colonography screening                         N+  2.28   0.88     0.88    0.09   3.25  3.251XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
74270  X-ray xm colon 1cntrst std                        A   1.04   3.24     3.24NA  0.06   4.34  4.341XXX.00.00.0000000             36.0896 090 99      5.41   5.41   0.07
74270TCX-ray xm colon 1cntrst std                        A   0.00   2.86     2.86NA  0.01   2.87  2.871XXX.00.00.0000000             36.0896 030 99      5.03   5.03   0.02
7427026X-ray xm colon 1cntrst std                        A   1.04   0.38     0.38    0.05   1.47  1.471XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74280  X-ray xm colon 2cntrst std                        A   1.26   4.91     4.91NA  0.07   6.24  6.241XXX.00.00.0000000             36.0896 090 99      5.50   5.50   0.07
74280TCX-ray xm colon 2cntrst std                        A   0.00   4.45     4.45NA  0.01   4.46  4.461XXX.00.00.0000000             36.0896 030 99      5.04   5.04   0.01
7428026X-ray xm colon 2cntrst std                        A   1.26   0.46     0.46    0.06   1.78  1.781XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74283  Ther nma rdctj intus/obstrcj                      A   2.02   4.88     4.88NA  0.10   7.00  7.001XXX.00.00.0000000             36.0896 090 99      5.87   5.87   0.10
74283TCTher nma rdctj intus/obstrcj                      A   0.00   4.05     4.05NA  0.01   4.06  4.061XXX.00.00.0000000             36.0896 030 99      5.04   5.04   0.01
7428326Ther nma rdctj intus/obstrcj                      A   2.02   0.83     0.83    0.09   2.94  2.941XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74290  Contrast x-ray gallbladder                        A   0.32   1.97     1.97NA  0.02   2.31  2.311XXX.00.00.0000000             36.0896 090 99      5.14   5.14   0.04
74290TCContrast x-ray gallbladder                        A   0.00   1.85     1.85NA  0.01   1.86  1.861XXX.00.00.0000000             36.0896 010 99      5.02   5.02   0.03
7429026Contrast x-ray gallbladder                        A   0.32   0.12     0.12    0.01   0.45  0.451XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74300  X-ray bile ducts/pancreas                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74300TCX-ray bile ducts/pancreas                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7430026X-ray bile ducts/pancreas                         A   0.36   0.13     0.13    0.02   0.51  0.511XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74301  X-rays at surgery add-on                          C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74301TCX-rays at surgery add-on                          C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7430126X-rays at surgery add-on                          A   0.21   0.08     0.08    0.01   0.30  0.301ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74328  X-ray bile duct endoscopy                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74328TCX-ray bile duct endoscopy                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7432826X-ray bile duct endoscopy                         A   0.70   0.28     0.28    0.03   1.01  1.011XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74329  X-ray for pancreas endoscopy                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74329TCX-ray for pancreas endoscopy                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7432926X-ray for pancreas endoscopy                      A   0.70   0.28     0.28    0.03   1.01  1.011XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74330  X-ray bile/panc endoscopy                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74330TCX-ray bile/panc endoscopy                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7433026X-ray bile/panc endoscopy                         A   0.90   0.35     0.35    0.05   1.30  1.301XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74340  X-ray guide for gi tube                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74340TCX-ray guide for gi tube                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7434026X-ray guide for gi tube                           A   0.54   0.20     0.20    0.03   0.77  0.771XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74355  X-ray guide intestinal tube                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74355TCX-ray guide intestinal tube                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7435526X-ray guide intestinal tube                       A   0.76   0.28     0.28    0.05   1.09  1.091XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74360  X-ray guide gi dilation                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74360TCX-ray guide gi dilation                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7436026X-ray guide gi dilation                           A   0.54   0.21     0.21    0.05   0.80  0.801XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74363  X-ray bile duct dilation                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74363TCX-ray bile duct dilation                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7436326X-ray bile duct dilation                          A   0.88   0.31     0.31    0.05   1.24  1.241XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74400  Contrst x-ray urinary tract                       A   0.49   3.08     3.08NA  0.03   3.60  3.601XXX.00.00.0000000             36.0896 090 99      5.21   5.21   0.04
74400TCContrst x-ray urinary tract                       A   0.00   2.90     2.90NA  0.01   2.91  2.911XXX.00.00.0000000             36.0896 020 99      5.03   5.03   0.02
7440026Contrst x-ray urinary tract                       A   0.49   0.18     0.18    0.02   0.69  0.691XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74410  Contrst x-ray urinary tract                       A   0.49   3.14     3.14NA  0.03   3.66  3.661XXX.00.00.0000000             36.0896 090 99      5.20   5.20   0.04
74410TCContrst x-ray urinary tract                       A   0.00   2.97     2.97NA  0.01   2.98  2.981XXX.00.00.0000000             36.0896 020 99      5.03   5.03   0.02
7441026Contrst x-ray urinary tract                       A   0.49   0.17     0.17    0.02   0.68  0.681XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74415  Contrst x-ray urinary tract                       A   0.49   3.76     3.76NA  0.03   4.28  4.281XXX.00.00.0000000             36.0896 090 99      5.21   5.21   0.03
74415TCContrst x-ray urinary tract                       A   0.00   3.58     3.58NA  0.01   3.59  3.591XXX.00.00.0000000             36.0896 020 99      5.03   5.03   0.01
7441526Contrst x-ray urinary tract                       A   0.49   0.18     0.18    0.02   0.69  0.691XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74420  Contrst x-ray urinary tract                       A   0.52   1.53     1.53NA  0.03   2.08  2.081XXX.00.00.0000000             36.0896 090 99     10.68  10.68   0.10
74420TCContrst x-ray urinary tract                       A   0.00   1.35     1.35NA  0.01   1.36  1.361XXX.00.00.0000000             36.0896 030 99     10.50  10.50   0.08
7442026Contrst x-ray urinary tract                       A   0.52   0.18     0.18    0.02   0.72  0.721XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74425  Contrst x-ray urinary tract                       A   0.51   3.12     3.12NA  0.03   3.66  3.661XXX.00.00.0000000             36.0896 090 99     10.72  10.72   0.06
74425TCContrst x-ray urinary tract                       A   0.00   2.94     2.94NA  0.01   2.95  2.951XXX.00.00.0000000             36.0896 030 99     10.54  10.54   0.04
7442526Contrst x-ray urinary tract                       A   0.51   0.18     0.18    0.02   0.71  0.711XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74430  Contrast x-ray bladder                            A   0.32   0.79     0.79NA  0.02   1.13  1.131XXX.00.00.0000000             36.0896 090 99     10.55  10.55   0.16
74430TCContrast x-ray bladder                            A   0.00   0.67     0.67NA  0.01   0.68  0.681XXX.00.00.0000000             36.0896 030 99     10.43  10.43   0.15
7443026Contrast x-ray bladder                            A   0.32   0.12     0.12    0.01   0.45  0.451XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74440  X-ray male genital tract                          A   0.38   2.19     2.19NA  0.02   2.59  2.591XXX.00.00.0000000             36.0896 090 99      6.56   6.56   0.04
74440TCX-ray male genital tract                          A   0.00   2.06     2.06NA  0.01   2.07  2.071XXX.00.00.0000000             36.0896 030 99      6.43   6.43   0.03
7444026X-ray male genital tract                          A   0.38   0.13     0.13    0.01   0.52  0.521XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74445  X-ray exam of penis                               C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      3.49   3.49   0.04
74445TCX-ray exam of penis                               C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99      3.10   3.10   0.01
7444526X-ray exam of penis                               A   1.14   0.39     0.39    0.03   1.56  1.561XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74450  X-ray urethra/bladder                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      6.57   6.57   0.02
74450TCX-ray urethra/bladder                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99      6.45   6.45   0.01
7445026X-ray urethra/bladder                             A   0.33   0.12     0.12    0.01   0.46  0.461XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74455  X-ray urethra/bladder                             A   0.33   2.39     2.39NA  0.02   2.74  2.741XXX.00.00.0000000             36.0896 090 99      6.55   6.55   0.04
74455TCX-ray urethra/bladder                             A   0.00   2.27     2.27NA  0.01   2.28  2.281XXX.00.00.0000000             36.0896 030 99      6.43   6.43   0.03
7445526X-ray urethra/bladder                             A   0.33   0.12     0.12    0.01   0.46  0.461XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74470  X-ray exam of kidney lesion                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99     13.51  13.51   0.04
74470TCX-ray exam of kidney lesion                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99     13.33  13.33   0.01
7447026X-ray exam of kidney lesion                       A   0.54   0.18     0.18    0.03   0.75  0.751XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74485  Dilation urtr/urt rs&i                            A   0.83   2.32     2.32NA  0.04   3.19  3.191XXX.00.00.0000000             36.0896 090 99     49.12  49.12   0.27
74485TCDilation urtr/urt rs&i                            A   0.00   2.04     2.04NA  0.01   2.05  2.051XXX.00.00.0000000             36.0896 030 99     48.84  48.84   0.24
7448526Dilation urtr/urt rs&i                            A   0.83   0.28     0.28    0.03   1.14  1.141XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74710  X-ray measurement of pelvis                       A   0.34   0.75     0.75NA  0.03   1.12  1.121XXX.00.00.0000000             36.0896 090 99      2.31   2.31   0.05
74710TCX-ray measurement of pelvis                       A   0.00   0.62     0.62NA  0.01   0.63  0.631XXX.00.00.0000000             36.0896 010 99      2.18   2.18   0.03
7471026X-ray measurement of pelvis                       A   0.34   0.13     0.13    0.02   0.49  0.491XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74712  Mri fetal sngl/1st gestation                      A   3.00  10.17    10.17NA  0.15  13.32 13.321XXX.00.00.0040000             36.0896 090 88      7.55   7.55   0.14
74712TCMri fetal sngl/1st gestation                      A   0.00   9.06     9.06NA  0.02   9.08  9.081XXX.00.00.0040000             36.0896 020 88      6.44   6.44   0.01
7471226Mri fetal sngl/1st gestation                      A   3.00   1.11     1.11    0.13   4.24  4.241XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
74713  Mri fetal ea addl gestation                       A   1.85   4.51     4.51NA  0.10   6.46  6.461ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74713TCMri fetal ea addl gestation                       A   0.00   3.82     3.82NA  0.01   3.83  3.831ZZZ.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
7471326Mri fetal ea addl gestation                       A   1.85   0.69     0.69    0.09   2.63  2.631ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74740  X-ray female genital tract                        A   0.38   2.13     2.13NA  0.03   2.54  2.541XXX.00.00.0000000             36.0896 090 99      6.56   6.56   0.05
74740TCX-ray female genital tract                        A   0.00   1.99     1.99NA  0.01   2.00  2.001XXX.00.00.0000000             36.0896 030 99      6.42   6.42   0.03
7474026X-ray female genital tract                        A   0.38   0.14     0.14    0.02   0.54  0.541XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74742  X-ray fallopian tube                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74742TCX-ray fallopian tube                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7474226X-ray fallopian tube                              A   0.61   0.23     0.23    0.03   0.87  0.871XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
74775  X-ray exam of perineum                            C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      6.68   6.68   0.04
74775TCX-ray exam of perineum                            C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99      6.45   6.45   0.01
7477526X-ray exam of perineum                            A   0.62   0.23     0.23    0.03   0.88  0.881XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
75557  Cardiac mri for morph                             A   2.35   6.56     6.56NA  0.10   9.01  9.011XXX.00.00.0040000             36.0896 090 88      7.29   7.29   0.10
75557TCCardiac mri for morph                             A   0.00   5.72     5.72NA  0.01   5.73  5.731XXX.00.00.0040000             36.0896 010 88      6.45   6.45   0.01
7555726Cardiac mri for morph                             A   2.35   0.84     0.84    0.09   3.28  3.281XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
75559  Cardiac mri w/stress img                          A   2.95   9.45     9.45NA  0.11  12.51 12.511XXX.00.00.0040000             36.0896 090 88     14.30  14.30   0.12
75559TCCardiac mri w/stress img                          A   0.00   8.46     8.46NA  0.02   8.48  8.481XXX.00.00.0040000             36.0896 020 88     13.31  13.31   0.03
7555926Cardiac mri w/stress img                          A   2.95   0.99     0.99    0.09   4.03  4.031XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
75561  Cardiac mri for morph w/dye                       A   2.60   9.11     9.11NA  0.11  11.82 11.821XXX.00.00.0040000             36.0896 090 88     11.47  11.47   0.12
75561TCCardiac mri for morph w/dye                       A   0.00   8.19     8.19NA  0.02   8.21  8.211XXX.00.00.0040000             36.0896 010 88     10.55  10.55   0.03
7556126Cardiac mri for morph w/dye                       A   2.60   0.92     0.92    0.09   3.61  3.611XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
75563  Card mri w/stress img & dye                       A   3.00  10.87    10.87NA  0.13  14.00 14.001XXX.00.00.0040000             36.0896 090 88     19.88  19.88   0.15
75563TCCard mri w/stress img & dye                       A   0.00   9.81     9.81NA  0.02   9.83  9.831XXX.00.00.0040000             36.0896 010 88     18.82  18.82   0.04
7556326Card mri w/stress img & dye                       A   3.00   1.06     1.06    0.11   4.17  4.171XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
75565  Card mri veloc flow mapping                       A   0.25   1.22     1.22NA  0.01   1.48  1.481ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
75565TCCard mri veloc flow mapping                       A   0.00   1.13     1.13NA  0.00   1.13  1.131ZZZ.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
7556526Card mri veloc flow mapping                       A   0.25   0.09     0.09    0.01   0.35  0.351ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
75571  Ct hrt w/o dye w/ca test                          A   0.58   2.33     2.33NA  0.04   2.95  2.951XXX.00.00.0040000             36.0896 090 88      2.41   2.41   0.04
75571TCCt hrt w/o dye w/ca test                          A   0.00   2.12     2.12NA  0.01   2.13  2.131XXX.00.00.0040000             36.0896 020 88      2.20   2.20   0.01
7557126Ct hrt w/o dye w/ca test                          A   0.58   0.21     0.21    0.03   0.82  0.821XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
75572  Ct hrt w/3d image                                 A   1.75   5.16     5.16NA  0.10   7.01  7.011XXX.00.00.0040000             36.0896 090 88      5.66   5.66   0.10
75572TCCt hrt w/3d image                                 A   0.00   4.53     4.53NA  0.02   4.55  4.551XXX.00.00.0040000             36.0896 020 88      5.03   5.03   0.02
7557226Ct hrt w/3d image                                 A   1.75   0.63     0.63    0.08   2.46  2.461XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
75573  Ct hrt w/3d image congen                          A   2.55   6.74     6.74NA  0.14   9.43  9.431XXX.00.00.0040000             36.0896 090 88      5.95   5.95   0.14
75573TCCt hrt w/3d image congen                          A   0.00   5.81     5.81NA  0.03   5.84  5.841XXX.00.00.0040000             36.0896 020 88      5.02   5.02   0.03
7557326Ct hrt w/3d image congen                          A   2.55   0.93     0.93    0.11   3.59  3.591XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
75574  Ct angio hrt w/3d image                           A   2.40   7.61     7.61NA  0.12  10.13 10.131XXX.00.00.0040000             36.0896 090 88      5.89   5.89   0.11
75574TCCt angio hrt w/3d image                           A   0.00   6.75     6.75NA  0.03   6.78  6.781XXX.00.00.0040000             36.0896 020 88      5.03   5.03   0.02
7557426Ct angio hrt w/3d image                           A   2.40   0.86     0.86    0.09   3.35  3.351XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
75600  Contrast exam thoracic aorta                      A   0.49   5.07     5.07NA  0.09   5.65  5.651XXX.00.00.0060000             36.0896 090 99     76.77  76.77   0.23
75600TCContrast exam thoracic aorta                      A   0.00   4.93     4.93NA  0.01   4.94  4.941XXX.00.00.0060000             36.0896 030 99     76.63  76.63   0.15
7560026Contrast exam thoracic aorta                      A   0.49   0.14     0.14    0.08   0.71  0.711XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
75605  Contrast exam thoracic aorta                      A   1.14   2.43     2.43NA  0.10   3.67  3.671XXX.00.00.0060000             36.0896 090 99    127.07 127.07   0.69
75605TCContrast exam thoracic aorta                      A   0.00   2.10     2.10NA  0.01   2.11  2.111XXX.00.00.0060000             36.0896 030 99    126.74 126.74   0.60
7560526Contrast exam thoracic aorta                      A   1.14   0.33     0.33    0.09   1.56  1.561XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
75625  Contrast exam abdominl aorta                      A   1.44   2.29     2.29NA  0.19   3.92  3.921XXX.00.00.0060000             36.0896 090 99     76.76  76.76   0.57
75625TCContrast exam abdominl aorta                      A   0.00   1.92     1.92NA  0.01   1.93  1.931XXX.00.00.0060000             36.0896 030 99     76.39  76.39   0.39
7562526Contrast exam abdominl aorta                      A   1.44   0.37     0.37    0.18   1.99  1.991XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
75630  X-ray aorta leg arteries                          A   2.00   2.61     2.61NA  0.20   4.81  4.811XXX.00.00.0060000             36.0896 090 99     76.99  76.99   0.56
75630TCX-ray aorta leg arteries                          A   0.00   2.03     2.03NA  0.01   2.04  2.041XXX.00.00.0060000             36.0896 030 99     76.41  76.41   0.37
7563026X-ray aorta leg arteries                          A   2.00   0.58     0.58    0.19   2.77  2.771XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
75635  Ct angio abdominal arteries                       A   2.40   9.95     9.95NA  0.14  12.49 12.491XXX.00.00.0040000             36.0896 090 88      5.87   5.87   0.13
75635TCCt angio abdominal arteries                       A   0.00   9.11     9.11NA  0.03   9.14  9.141XXX.00.00.0040000             36.0896 020 88      5.03   5.03   0.02
7563526Ct angio abdominal arteries                       A   2.40   0.84     0.84    0.11   3.35  3.351XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
75705  Artery x-rays spine                               A   2.18   4.55     4.55NA  0.36   7.09  7.091XXX.00.00.0060000             36.0896 090 99    127.46 127.46   1.01
75705TCArtery x-rays spine                               A   0.00   3.76     3.76NA  0.02   3.78  3.781XXX.00.00.0060000             36.0896 030 99    126.67 126.67   0.67
7570526Artery x-rays spine                               A   2.18   0.79     0.79    0.34   3.31  3.311XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
75710  Artery x-rays arm/leg                             A   1.75   2.65     2.65NA  0.23   4.63  4.631XXX.00.00.0060000             36.0896 090 99     76.91  76.91   0.57
75710TCArtery x-rays arm/leg                             A   0.00   2.17     2.17NA  0.01   2.18  2.181XXX.00.00.0060000             36.0896 030 99     76.43  76.43   0.35
7571026Artery x-rays arm/leg                             A   1.75   0.48     0.48    0.22   2.45  2.451XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
75716  Artery x-rays arms/legs                           A   1.97   2.76     2.76NA  0.21   4.94  4.941XXX.00.00.0062000             36.0896 090 99     76.65  76.65   0.87
75716TCArtery x-rays arms/legs                           A   0.00   2.21     2.21NA  0.02   2.23  2.231XXX.00.00.0062000             36.0896 030 99     76.10  76.10   0.68
7571626Artery x-rays arms/legs                           A   1.97   0.55     0.55    0.19   2.71  2.711XXX.00.00.0062000             36.0896 090 99      0.00   0.00   0.00
75726  Artery x-rays abdomen                             A   2.05   3.02     3.02NA  0.13   5.20  5.201XXX.00.00.0060000             36.0896 090 99    127.43 127.43   0.64
75726TCArtery x-rays abdomen                             A   0.00   2.41     2.41NA  0.01   2.42  2.421XXX.00.00.0060000             36.0896 030 99    126.82 126.82   0.52
7572626Artery x-rays abdomen                             A   2.05   0.61     0.61    0.12   2.78  2.781XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
75731  Artery x-rays adrenal gland                       A   1.14   3.39     3.39NA  0.07   4.60  4.601XXX.00.00.0060000             36.0896 090 99     45.32  45.32   0.35
75731TCArtery x-rays adrenal gland                       A   0.00   2.96     2.96NA  0.02   2.98  2.981XXX.00.00.0060000             36.0896 030 99     44.89  44.89   0.30
7573126Artery x-rays adrenal gland                       A   1.14   0.43     0.43    0.05   1.62  1.621XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
75733  Artery x-rays adrenals                            A   1.31   3.58     3.58NA  0.08   4.97  4.971XXX.00.00.0062000             36.0896 090 99     76.51  76.51   0.77
75733TCArtery x-rays adrenals                            A   0.00   3.13     3.13NA  0.03   3.16  3.161XXX.00.00.0062000             36.0896 030 99     76.06  76.06   0.72
7573326Artery x-rays adrenals                            A   1.31   0.45     0.45    0.05   1.81  1.811XXX.00.00.0062000             36.0896 090 99      0.00   0.00   0.00
75736  Artery x-rays pelvis                              A   1.14   3.00     3.00NA  0.11   4.25  4.251XXX.00.00.0060000             36.0896 090 99    126.72 126.72   1.02
75736TCArtery x-rays pelvis                              A   0.00   2.69     2.69NA  0.02   2.71  2.711XXX.00.00.0060000             36.0896 030 99    126.41 126.41   0.93
7573626Artery x-rays pelvis                              A   1.14   0.31     0.31    0.09   1.54  1.541XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
75741  Artery x-rays lung                                A   1.31   2.62     2.62NA  0.10   4.03  4.031XXX.00.00.0060000             36.0896 090 99     76.83  76.83   0.43
75741TCArtery x-rays lung                                A   0.00   2.23     2.23NA  0.01   2.24  2.241XXX.00.00.0060000             36.0896 030 99     76.44  76.44   0.34
7574126Artery x-rays lung                                A   1.31   0.39     0.39    0.09   1.79  1.791XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
75743  Artery x-rays lungs                               A   1.66   2.77     2.77NA  0.12   4.55  4.551XXX.00.00.0062000             36.0896 090 99     76.95  76.95   0.45
75743TCArtery x-rays lungs                               A   0.00   2.26     2.26NA  0.01   2.27  2.271XXX.00.00.0062000             36.0896 030 99     76.44  76.44   0.34
7574326Artery x-rays lungs                               A   1.66   0.51     0.51    0.11   2.28  2.281XXX.00.00.0062000             36.0896 090 99      0.00   0.00   0.00
75746  Artery x-rays lung                                A   1.14   2.85     2.85NA  0.08   4.07  4.071XXX.00.00.0060000             36.0896 090 99     45.20  45.20   0.42
75746TCArtery x-rays lung                                A   0.00   2.48     2.48NA  0.02   2.50  2.501XXX.00.00.0060000             36.0896 030 99     44.83  44.83   0.36
7574626Artery x-rays lung                                A   1.14   0.37     0.37    0.06   1.57  1.571XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
75756  Artery x-rays chest                               A   1.14   3.34     3.34NA  0.14   4.62  4.621XXX.00.00.0060000             36.0896 090 99     76.61  76.61   0.62
75756TCArtery x-rays chest                               A   0.00   3.01     3.01NA  0.02   3.03  3.031XXX.00.00.0060000             36.0896 030 99     76.28  76.28   0.50
7575626Artery x-rays chest                               A   1.14   0.33     0.33    0.12   1.59  1.591XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
75774  Artery x-ray each vessel                          A   1.01   1.93     1.93NA  0.10   3.04  3.041ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
75774TCArtery x-ray each vessel                          A   0.00   1.65     1.65NA  0.01   1.66  1.661ZZZ.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7577426Artery x-ray each vessel                          A   1.01   0.28     0.28    0.09   1.38  1.381ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
75801  Lymph vessel x-ray arm/leg                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99     17.77  17.77   0.12
75801TCLymph vessel x-ray arm/leg                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99     17.46  17.46   0.01
7580126Lymph vessel x-ray arm/leg                        A   0.81   0.31     0.31    0.11   1.23  1.231XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
75803  Lymph vessel x-ray arms/legs                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0002000             36.0896 090 99     45.62  45.62   0.06
75803TCLymph vessel x-ray arms/legs                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0002000             36.0896 030 99     45.18  45.18   0.01
7580326Lymph vessel x-ray arms/legs                      A   1.17   0.44     0.44    0.05   1.66  1.661XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
75805  Lymph vessel x-ray trunk                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99     45.48  45.48   0.06
75805TCLymph vessel x-ray trunk                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99     45.18  45.18   0.01
7580526Lymph vessel x-ray trunk                          A   0.81   0.30     0.30    0.05   1.16  1.161XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
75807  Lymph vessel x-ray trunk                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0002000             36.0896 090 99     77.12  77.12   0.07
75807TCLymph vessel x-ray trunk                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0002000             36.0896 030 99     76.77  76.77   0.01
7580726Lymph vessel x-ray trunk                          A   1.17   0.35     0.35    0.06   1.58  1.581XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
75809  Nonvascular shunt x-ray                           A   0.47   2.06     2.06NA  0.04   2.57  2.571XXX.00.00.0060000             36.0896 090 99      3.26   3.26   0.05
75809TCNonvascular shunt x-ray                           A   0.00   1.89     1.89NA  0.01   1.90  1.901XXX.00.00.0060000             36.0896 030 99      3.09   3.09   0.02
7580926Nonvascular shunt x-ray                           A   0.47   0.17     0.17    0.03   0.67  0.671XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
75810  Vein x-ray spleen/liver                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99     45.37  45.37   0.09
75810TCVein x-ray spleen/liver                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99     45.18  45.18   0.01
7581026Vein x-ray spleen/liver                           A   1.14   0.19     0.19    0.08   1.41  1.411XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
75820  Vein x-ray arm/leg                                A   0.70   2.27     2.27NA  0.07   3.04  3.041XXX.00.00.0060000             36.0896 090 99     17.60  17.60   0.14
75820TCVein x-ray arm/leg                                A   0.00   2.05     2.05NA  0.01   2.06  2.061XXX.00.00.0060000             36.0896 030 99     17.38  17.38   0.08
7582026Vein x-ray arm/leg                                A   0.70   0.22     0.22    0.06   0.98  0.981XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
75822  Vein x-ray arms/legs                              A   1.06   2.40     2.40NA  0.10   3.56  3.561XXX.00.00.0062000             36.0896 090 99     45.30  45.30   0.30
75822TCVein x-ray arms/legs                              A   0.00   2.08     2.08NA  0.01   2.09  2.091XXX.00.00.0062000             36.0896 030 99     44.98  44.98   0.21
7582226Vein x-ray arms/legs                              A   1.06   0.32     0.32    0.09   1.47  1.471XXX.00.00.0062000             36.0896 090 99      0.00   0.00   0.00
75825  Vein x-ray trunk                                  A   1.14   2.28     2.28NA  0.13   3.55  3.551XXX.00.00.0060000             36.0896 090 99     76.71  76.71   0.50
75825TCVein x-ray trunk                                  A   0.00   1.97     1.97NA  0.01   1.98  1.981XXX.00.00.0060000             36.0896 030 99     76.40  76.40   0.38
7582526Vein x-ray trunk                                  A   1.14   0.31     0.31    0.12   1.57  1.571XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
75827  Vein x-ray chest                                  A   1.14   2.41     2.41NA  0.14   3.69  3.691XXX.00.00.0060000             36.0896 090 99     17.70  17.70   0.21
75827TCVein x-ray chest                                  A   0.00   2.10     2.10NA  0.01   2.11  2.111XXX.00.00.0060000             36.0896 030 99     17.39  17.39   0.08
7582726Vein x-ray chest                                  A   1.14   0.31     0.31    0.13   1.58  1.581XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
75831  Vein x-ray kidney                                 A   1.14   2.46     2.46NA  0.10   3.70  3.701XXX.00.00.0060000             36.0896 090 99     76.74  76.74   0.44
75831TCVein x-ray kidney                                 A   0.00   2.15     2.15NA  0.01   2.16  2.161XXX.00.00.0060000             36.0896 030 99     76.43  76.43   0.35
7583126Vein x-ray kidney                                 A   1.14   0.31     0.31    0.09   1.54  1.541XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
75833  Vein x-ray kidneys                                A   1.49   2.76     2.76NA  0.20   4.45  4.451XXX.00.00.0062000             36.0896 090 99     76.53  76.53   0.82
75833TCVein x-ray kidneys                                A   0.00   2.37     2.37NA  0.02   2.39  2.391XXX.00.00.0062000             36.0896 030 99     76.14  76.14   0.64
7583326Vein x-ray kidneys                                A   1.49   0.39     0.39    0.18   2.06  2.061XXX.00.00.0062000             36.0896 090 99      0.00   0.00   0.00
75840  Vein x-ray adrenal gland                          A   1.14   2.77     2.77NA  0.06   3.97  3.971XXX.00.00.0060000             36.0896 090 99     76.89  76.89   0.37
75840TCVein x-ray adrenal gland                          A   0.00   2.34     2.34NA  0.01   2.35  2.351XXX.00.00.0060000             36.0896 030 99     76.46  76.46   0.32
7584026Vein x-ray adrenal gland                          A   1.14   0.43     0.43    0.05   1.62  1.621XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
75842  Vein x-ray adrenal glands                         A   1.49   3.25     3.25NA  0.10   4.84  4.841XXX.00.00.0062000             36.0896 090 99    126.97 126.97   1.01
75842TCVein x-ray adrenal glands                         A   0.00   2.69     2.69NA  0.02   2.71  2.711XXX.00.00.0062000             36.0896 030 99    126.41 126.41   0.93
7584226Vein x-ray adrenal glands                         A   1.49   0.56     0.56    0.08   2.13  2.131XXX.00.00.0062000             36.0896 090 99      0.00   0.00   0.00
75860  Vein x-ray neck                                   A   1.14   2.65     2.65NA  0.10   3.89  3.891XXX.00.00.0060000             36.0896 090 99     76.81  76.81   0.42
75860TCVein x-ray neck                                   A   0.00   2.29     2.29NA  0.01   2.30  2.301XXX.00.00.0060000             36.0896 030 99     76.45  76.45   0.33
7586026Vein x-ray neck                                   A   1.14   0.36     0.36    0.09   1.59  1.591XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
75870  Vein x-ray skull                                  A   1.14   3.80     3.80NA  0.23   5.17  5.171XXX.00.00.0060000             36.0896 090 99     45.51  45.51   0.35
75870TCVein x-ray skull                                  A   0.00   3.35     3.35NA  0.01   3.36  3.361XXX.00.00.0060000             36.0896 030 99     45.06  45.06   0.13
7587026Vein x-ray skull                                  A   1.14   0.45     0.45    0.22   1.81  1.811XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
75872  Vein x-ray skull epidural                         A   1.14   2.77     2.77NA  0.06   3.97  3.971XXX.00.00.0060000             36.0896 090 99     17.83  17.83   0.12
75872TCVein x-ray skull epidural                         A   0.00   2.34     2.34NA  0.01   2.35  2.351XXX.00.00.0060000             36.0896 030 99     17.40  17.40   0.07
7587226Vein x-ray skull epidural                         A   1.14   0.43     0.43    0.05   1.62  1.621XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
75880  Vein x-ray eye socket                             A   0.70   2.60     2.60NA  0.04   3.34  3.341XXX.00.00.0060000             36.0896 090 99     17.66  17.66   0.10
75880TCVein x-ray eye socket                             A   0.00   2.34     2.34NA  0.01   2.35  2.351XXX.00.00.0060000             36.0896 030 99     17.40  17.40   0.07
7588026Vein x-ray eye socket                             A   0.70   0.26     0.26    0.03   0.99  0.991XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
75885  Vein x-ray liver w/hemodynam                      A   1.44   2.67     2.67NA  0.10   4.21  4.211XXX.00.00.0060000             36.0896 090 99     76.85  76.85   0.42
75885TCVein x-ray liver w/hemodynam                      A   0.00   2.27     2.27NA  0.01   2.28  2.281XXX.00.00.0060000             36.0896 030 99     76.45  76.45   0.33
7588526Vein x-ray liver w/hemodynam                      A   1.44   0.40     0.40    0.09   1.93  1.931XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
75887  Vein x-ray liver w/o hemodyn                      A   1.44   2.70     2.70NA  0.10   4.24  4.241XXX.00.00.0060000             36.0896 090 99     45.42  45.42   0.29
75887TCVein x-ray liver w/o hemodyn                      A   0.00   2.28     2.28NA  0.01   2.29  2.291XXX.00.00.0060000             36.0896 030 99     45.00  45.00   0.20
7588726Vein x-ray liver w/o hemodyn                      A   1.44   0.42     0.42    0.09   1.95  1.951XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
75889  Vein x-ray liver w/hemodynam                      A   1.14   2.60     2.60NA  0.07   3.81  3.811XXX.00.00.0060000             36.0896 090 99     76.78  76.78   0.39
75889TCVein x-ray liver w/hemodynam                      A   0.00   2.27     2.27NA  0.01   2.28  2.281XXX.00.00.0060000             36.0896 030 99     76.45  76.45   0.33
7588926Vein x-ray liver w/hemodynam                      A   1.14   0.33     0.33    0.06   1.53  1.531XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
75891  Vein x-ray liver                                  A   1.14   2.66     2.66NA  0.07   3.87  3.871XXX.00.00.0060000             36.0896 090 99     76.81  76.81   0.39
75891TCVein x-ray liver                                  A   0.00   2.30     2.30NA  0.01   2.31  2.311XXX.00.00.0060000             36.0896 030 99     76.45  76.45   0.33
7589126Vein x-ray liver                                  A   1.14   0.36     0.36    0.06   1.56  1.561XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
75893  Venous sampling by catheter                       A   0.54   2.65     2.65NA  0.06   3.25  3.251XXX.00.00.0060000             36.0896 090 99    127.01 127.01   0.56
75893TCVenous sampling by catheter                       A   0.00   2.47     2.47NA  0.01   2.48  2.481XXX.00.00.0060000             36.0896 030 99    126.83 126.83   0.51
7589326Venous sampling by catheter                       A   0.54   0.18     0.18    0.05   0.77  0.771XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
75894  X-rays transcath therapy                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
75894TCX-rays transcath therapy                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7589426X-rays transcath therapy                          A   1.31   0.51     0.51    0.22   2.04  2.041XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
75898  Follow-up angiography                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99     45.82  45.82   0.28
75898TCFollow-up angiography                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99     45.18  45.18   0.01
7589826Follow-up angiography                             A   1.65   0.64     0.64    0.27   2.56  2.561XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
75901  Remove cva device obstruct                        A   0.49   5.61     5.61NA  0.05   6.15  6.151XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
75901TCRemove cva device obstruct                        A   0.00   5.46     5.46NA  0.02   5.48  5.481XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7590126Remove cva device obstruct                        A   0.49   0.15     0.15    0.03   0.67  0.671XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
75902  Remove cva lumen obstruct                         A   0.39   1.97     1.97NA  0.04   2.40  2.401XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
75902TCRemove cva lumen obstruct                         A   0.00   1.85     1.85NA  0.01   1.86  1.861XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7590226Remove cva lumen obstruct                         A   0.39   0.12     0.12    0.03   0.54  0.541XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
75956  Xray endovasc thor ao repr                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
75956TCXray endovasc thor ao repr                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7595626Xray endovasc thor ao repr                        A   7.00   1.55     1.55    1.25   9.80  9.801XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
75957  Xray endovasc thor ao repr                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
75957TCXray endovasc thor ao repr                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7595726Xray endovasc thor ao repr                        A   6.00   1.30     1.30    1.09   8.39  8.391XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
75958  Xray place prox ext thor ao                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
75958TCXray place prox ext thor ao                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7595826Xray place prox ext thor ao                       A   4.00   0.88     0.88    0.68   5.56  5.561XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
75959  Xray place dist ext thor ao                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
75959TCXray place dist ext thor ao                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7595926Xray place dist ext thor ao                       A   3.50   0.77     0.77    0.62   4.89  4.891XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
75970  Vascular biopsy                                   C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
75970TCVascular biopsy                                   C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7597026Vascular biopsy                                   A   0.83   0.25     0.25    0.05   1.13  1.131XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
75984  Xray control catheter change                      A   0.72   2.01     2.01NA  0.06   2.79  2.791XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
75984TCXray control catheter change                      A   0.00   1.79     1.79NA  0.01   1.80  1.801XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7598426Xray control catheter change                      A   0.72   0.22     0.22    0.05   0.99  0.991XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
75989  Abscess drainage under x-ray                      A   1.19   2.15     2.15NA  0.09   3.43  3.431XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
75989TCAbscess drainage under x-ray                      A   0.00   1.76     1.76NA  0.01   1.77  1.771XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7598926Abscess drainage under x-ray                      A   1.19   0.39     0.39    0.08   1.66  1.661XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76000  Fluoroscopy <1 hr phys/qhp                        A   0.30   0.84     0.84NA  0.04   1.18  1.181XXX.00.00.0000000             36.0896 090 99      6.48   6.48   0.12
76000TCFluoroscopy <1 hr phys/qhp                        A   0.00   0.73     0.73NA  0.01   0.74  0.741XXX.00.00.0000000             36.0896 030 99      6.37   6.37   0.09
7600026Fluoroscopy <1 hr phys/qhp                        A   0.30   0.11     0.11    0.03   0.44  0.441XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76010  X-ray nose to rectum                              A   0.18   0.61     0.61NA  0.02   0.81  0.811XXX.00.00.0000000             36.0896 090 99      2.24   2.24   0.05
76010TCX-ray nose to rectum                              A   0.00   0.54     0.54NA  0.01   0.55  0.551XXX.00.00.0000000             36.0896 010 99      2.17   2.17   0.04
7601026X-ray nose to rectum                              A   0.18   0.07     0.07    0.01   0.26  0.261XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76080  X-ray exam of fistula                             A   0.54   1.09     1.09NA  0.04   1.67  1.671XXX.00.00.0000000             36.0896 090 99     13.37  13.37   0.17
76080TCX-ray exam of fistula                             A   0.00   0.92     0.92NA  0.01   0.93  0.931XXX.00.00.0000000             36.0896 030 99     13.20  13.20   0.14
7608026X-ray exam of fistula                             A   0.54   0.17     0.17    0.03   0.74  0.741XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76098  X-ray exam surgical specimen                      A   0.31   0.87     0.87NA  0.03   1.21  1.211XXX.00.00.0000000             36.0896 090 99     13.29  13.29   0.19
76098TCX-ray exam surgical specimen                      A   0.00   0.75     0.75NA  0.01   0.76  0.761XXX.00.00.0000000             36.0896 010 99     13.17  13.17   0.17
7609826X-ray exam surgical specimen                      A   0.31   0.12     0.12    0.02   0.45  0.451XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76100  X-ray exam of body section                        A   0.58   2.11     2.11NA  0.06   2.75  2.751XXX.00.00.0000000             36.0896 090 99      3.34   3.34   0.07
76100TCX-ray exam of body section                        A   0.00   1.86     1.86NA  0.01   1.87  1.871XXX.00.00.0000000             36.0896 010 99      3.09   3.09   0.02
7610026X-ray exam of body section                        A   0.58   0.25     0.25    0.05   0.88  0.881XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76101  Complex body section x-ray                        A   0.58   2.06     2.06NA  0.13   2.77  2.771XXX.00.00.0000000             36.0896 090 99      3.16   3.16   0.14
76101TCComplex body section x-ray                        A   0.00   1.97     1.97NA  0.02   1.99  1.991XXX.00.00.0000000             36.0896 020 99      3.07   3.07   0.03
7610126Complex body section x-ray                        A   0.58   0.09     0.09    0.11   0.78  0.781XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76102  Complex body section x-rays                       A   0.58   4.33     4.33NA  0.05   4.96  4.961XXX.00.00.0002000             36.0896 090 99      3.37   3.37   0.05
76102TCComplex body section x-rays                       A   0.00   4.05     4.05NA  0.02   4.07  4.071XXX.00.00.0002000             36.0896 020 99      3.09   3.09   0.02
7610226Complex body section x-rays                       A   0.58   0.28     0.28    0.03   0.89  0.891XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
76120  Cine/video x-rays                                 A   0.38   2.64     2.64NA  0.04   3.06  3.061XXX.00.00.0000000             36.0896 090 99      3.22   3.22   0.04
76120TCCine/video x-rays                                 A   0.00   2.51     2.51NA  0.01   2.52  2.521XXX.00.00.0000000             36.0896 020 99      3.09   3.09   0.01
7612026Cine/video x-rays                                 A   0.38   0.13     0.13    0.03   0.54  0.541XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76125  Cine/video x-rays add-on                          C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76125TCCine/video x-rays add-on                          C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
7612526Cine/video x-rays add-on                          A   0.27   0.10     0.10    0.01   0.38  0.381ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76140  X-ray consultation                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
76376  3d render w/intrp postproces                      A   0.20   0.43     0.43NA  0.02   0.65  0.651XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76376TC3d render w/intrp postproces                      A   0.00   0.36     0.36NA  0.01   0.37  0.371XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
76376263d render w/intrp postproces                      A   0.20   0.07     0.07    0.01   0.28  0.281XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76377  3d render w/intrp postproces                      A   0.79   1.18     1.18NA  0.06   2.03  2.031XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76377TC3d render w/intrp postproces                      A   0.00   0.89     0.89NA  0.01   0.90  0.901XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
76377263d render w/intrp postproces                      A   0.79   0.29     0.29    0.05   1.13  1.131XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76380  Cat scan follow-up study                          A   0.98   3.03     3.03NA  0.06   4.07  4.071XXX.00.00.0000000             36.0896 090 99      2.54   2.54   0.06
76380TCCat scan follow-up study                          A   0.00   2.69     2.69NA  0.01   2.70  2.701XXX.00.00.0000000             36.0896 010 99      2.20   2.20   0.01
7638026Cat scan follow-up study                          A   0.98   0.34     0.34    0.05   1.37  1.371XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76390  Mr spectroscopy                                   N+  1.40  10.51    10.51NA  0.07  11.98 11.981XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
76390TCMr spectroscopy                                   N+  0.00   9.97     9.97NA  0.01   9.98  9.981XXX.00.00.0099999             36.0896 010 99      0.00   0.00   0.00
7639026Mr spectroscopy                                   N+  1.40   0.54     0.54    0.06   2.00  2.001XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
76391  Mr elastography                                   A   1.10   5.38     5.38NA  0.06   6.54  6.541XXX.00.00.0040000             36.0896 090 88      6.87   6.87   0.06
76391TCMr elastography                                   A   0.00   4.95     4.95NA  0.01   4.96  4.961XXX.00.00.0040000             36.0896 020 88      6.44   6.44   0.01
7639126Mr elastography                                   A   1.10   0.43     0.43    0.05   1.58  1.581XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
76496  Fluoroscopic procedure                            C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
76496TCFluoroscopic procedure                            C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99      2.20   2.20   0.01
7649626Fluoroscopic procedure                            C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76497  Ct procedure                                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
76497TCCt procedure                                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 020 99      2.20   2.20   0.01
7649726Ct procedure                                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76498  Mri procedure                                     C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
76498TCMri procedure                                     C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 020 99      2.20   2.20   0.01
7649826Mri procedure                                     C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76499  Radiographic procedure                            C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76499TCRadiographic procedure                            C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7649926Radiographic procedure                            C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76506  Echo exam of head                                 A   0.63   2.56     2.56NA  0.06   3.25  3.251XXX.00.00.0000000             36.0896 090 99      3.32   3.32   0.06
76506TCEcho exam of head                                 A   0.00   2.33     2.33NA  0.01   2.34  2.341XXX.00.00.0000000             36.0896 010 99      3.09   3.09   0.01
7650626Echo exam of head                                 A   0.63   0.23     0.23    0.05   0.91  0.911XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76510  Ophth us b & quant a                              A   0.70   1.84     1.84NA  0.02   2.56  2.561XXX.00.00.0073000             36.0896 090 99      3.63   3.63   0.03
76510TCOphth us b & quant a                              A   0.00   1.21     1.21NA  0.01   1.22  1.221XXX.00.00.0073000             36.0896 020 99      3.00   3.00   0.02
7651026Ophth us b & quant a                              A   0.70   0.63     0.63    0.01   1.34  1.341XXX.00.00.0073000             36.0896 090 99      0.00   0.00   0.00
76511  Ophth us quant a only                             A   0.64   1.09     1.09NA  0.02   1.75  1.751XXX.00.00.0073000             36.0896 090 99      3.43   3.43   0.05
76511TCOphth us quant a only                             A   0.00   0.72     0.72NA  0.01   0.73  0.731XXX.00.00.0073000             36.0896 020 99      3.06   3.06   0.04
7651126Ophth us quant a only                             A   0.64   0.37     0.37    0.01   1.02  1.021XXX.00.00.0073000             36.0896 090 99      0.00   0.00   0.00
76512  Ophth us b w/non-quant a                          A   0.56   0.91     0.91NA  0.02   1.49  1.491XXX.00.00.0073000             36.0896 090 99      3.37   3.37   0.06
76512TCOphth us b w/non-quant a                          A   0.00   0.59     0.59NA  0.01   0.60  0.601XXX.00.00.0073000             36.0896 020 99      3.05   3.05   0.05
7651226Ophth us b w/non-quant a                          A   0.56   0.32     0.32    0.01   0.89  0.891XXX.00.00.0073000             36.0896 090 99      0.00   0.00   0.00
76513  Echo exam of eye water bath                       A   0.66   2.13     2.13NA  0.02   2.81  2.811XXX.00.00.0073000             36.0896 090 99      3.44   3.44   0.03
76513TCEcho exam of eye water bath                       A   0.00   1.78     1.78NA  0.01   1.79  1.791XXX.00.00.0073000             36.0896 020 99      3.09   3.09   0.02
7651326Echo exam of eye water bath                       A   0.66   0.35     0.35    0.01   1.02  1.021XXX.00.00.0073000             36.0896 090 99      0.00   0.00   0.00
76514  Echo exam of eye thickness                        A   0.14   0.18     0.18NA  0.02   0.34  0.341XXX.00.00.0072000             36.0896 090 99      0.66   0.66   0.07
76514TCEcho exam of eye thickness                        A   0.00   0.10     0.10NA  0.01   0.11  0.111XXX.00.00.0072000             36.0896 010 99      0.58   0.58   0.06
7651426Echo exam of eye thickness                        A   0.14   0.08     0.08    0.01   0.23  0.231XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
76516  Echo exam of eye                                  A   0.40   0.94     0.94NA  0.02   1.36  1.361XXX.00.00.0072000             36.0896 090 99      3.30   3.30   0.05
76516TCEcho exam of eye                                  A   0.00   0.70     0.70NA  0.01   0.71  0.711XXX.00.00.0072000             36.0896 010 99      3.06   3.06   0.04
7651626Echo exam of eye                                  A   0.40   0.24     0.24    0.01   0.65  0.651XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
76519  Echo exam of eye                                  A   0.54   1.32     1.32NA  0.02   1.88  1.881XXX.00.00.0072000             36.0896 090 99      3.40   3.40   0.04
76519TCEcho exam of eye                                  A   0.00   0.99     0.99NA  0.01   1.00  1.001XXX.00.00.0072000             36.0896 010 99      3.07   3.07   0.03
7651926Echo exam of eye                                  A   0.54   0.33     0.33    0.01   0.88  0.881XXX.00.00.0073000             36.0896 090 99      0.00   0.00   0.00
76529  Echo exam of eye                                  A   0.57   1.76     1.76NA  0.02   2.35  2.351XXX.00.00.0003000             36.0896 090 99      2.55   2.55   0.03
76529TCEcho exam of eye                                  A   0.00   1.41     1.41NA  0.01   1.42  1.421XXX.00.00.0003000             36.0896 010 99      2.20   2.20   0.02
7652926Echo exam of eye                                  A   0.57   0.35     0.35    0.01   0.93  0.931XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
76536  Us exam of head and neck                          A   0.56   2.67     2.67NA  0.04   3.27  3.271XXX.00.00.0000000             36.0896 090 99      3.30   3.30   0.04
76536TCUs exam of head and neck                          A   0.00   2.46     2.46NA  0.01   2.47  2.471XXX.00.00.0000000             36.0896 010 99      3.09   3.09   0.01
7653626Us exam of head and neck                          A   0.56   0.21     0.21    0.03   0.80  0.801XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76604  Us exam chest                                     A   0.59   1.60     1.60NA  0.04   2.23  2.231XXX.00.00.0040000             36.0896 090 88      3.28   3.28   0.05
76604TCUs exam chest                                     A   0.00   1.40     1.40NA  0.01   1.41  1.411XXX.00.00.0040000             36.0896 010 88      3.08   3.08   0.02
7660426Us exam chest                                     A   0.59   0.20     0.20    0.03   0.82  0.821XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
76641  Ultrasound breast complete                        A   0.73   2.25     2.25NA  0.04   3.02  3.021XXX.00.00.0001000             36.0896 090 99      3.36   3.36   0.05
76641TCUltrasound breast complete                        A   0.00   1.98     1.98NA  0.01   1.99  1.991XXX.00.00.0001000             36.0896 010 99      3.09   3.09   0.02
7664126Ultrasound breast complete                        A   0.73   0.27     0.27    0.03   1.03  1.031XXX.00.00.0001000             36.0896 090 99      0.00   0.00   0.00
76642  Ultrasound breast limited                         A   0.68   1.75     1.75NA  0.04   2.47  2.471XXX.00.00.0001000             36.0896 090 99      2.45   2.45   0.04
76642TCUltrasound breast limited                         A   0.00   1.50     1.50NA  0.01   1.51  1.511XXX.00.00.0001000             36.0896 010 99      2.20   2.20   0.01
7664226Ultrasound breast limited                         A   0.68   0.25     0.25    0.03   0.96  0.961XXX.00.00.0001000             36.0896 090 99      0.00   0.00   0.00
76700  Us exam abdom complete                            A   0.81   2.60     2.60NA  0.06   3.47  3.471XXX.00.00.0040000             36.0896 090 88      3.39   3.39   0.06
76700TCUs exam abdom complete                            A   0.00   2.30     2.30NA  0.01   2.31  2.311XXX.00.00.0040000             36.0896 010 88      3.09   3.09   0.01
7670026Us exam abdom complete                            A   0.81   0.30     0.30    0.05   1.16  1.161XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
76705  Echo exam of abdomen                              A   0.59   1.94     1.94NA  0.04   2.57  2.571XXX.00.00.0040000             36.0896 090 88      3.30   3.30   0.05
76705TCEcho exam of abdomen                              A   0.00   1.73     1.73NA  0.01   1.74  1.741XXX.00.00.0040000             36.0896 010 88      3.09   3.09   0.02
7670526Echo exam of abdomen                              A   0.59   0.21     0.21    0.03   0.83  0.831XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
76706  Us abdl aorta screen aaa                          A   0.55   2.62     2.62NA  0.04   3.21  3.211XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76706TCUs abdl aorta screen aaa                          A   0.00   2.42     2.42NA  0.01   2.43  2.431XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7670626Us abdl aorta screen aaa                          A   0.55   0.20     0.20    0.03   0.78  0.781XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76770  Us exam abdo back wall comp                       A   0.74   2.41     2.41NA  0.04   3.19  3.191XXX.00.00.0040000             36.0896 090 88      3.36   3.36   0.04
76770TCUs exam abdo back wall comp                       A   0.00   2.14     2.14NA  0.01   2.15  2.151XXX.00.00.0040000             36.0896 010 88      3.09   3.09   0.01
7677026Us exam abdo back wall comp                       A   0.74   0.27     0.27    0.03   1.04  1.041XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
76775  Us exam abdo back wall lim                        A   0.58   1.04     1.04NA  0.04   1.66  1.661XXX.00.00.0040000             36.0896 090 88      3.28   3.28   0.07
76775TCUs exam abdo back wall lim                        A   0.00   0.83     0.83NA  0.01   0.84  0.841XXX.00.00.0040000             36.0896 010 88      3.07   3.07   0.04
7677526Us exam abdo back wall lim                        A   0.58   0.21     0.21    0.03   0.82  0.821XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
76776  Us exam k transpl w/doppler                       A   0.76   3.58     3.58NA  0.07   4.41  4.411XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
76776TCUs exam k transpl w/doppler                       A   0.00   3.30     3.30NA  0.02   3.32  3.321XXX.00.00.0040000             36.0896 010 88      0.00   0.00   0.00
7677626Us exam k transpl w/doppler                       A   0.76   0.28     0.28    0.05   1.09  1.091XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
76800  Us exam spinal canal                              A   1.13   2.77     2.77NA  0.14   4.04  4.041XXX.00.00.0000000             36.0896 090 99      3.49   3.49   0.14
76800TCUs exam spinal canal                              A   0.00   2.37     2.37NA  0.01   2.38  2.381XXX.00.00.0000000             36.0896 010 99      3.09   3.09   0.01
7680026Us exam spinal canal                              A   1.13   0.40     0.40    0.13   1.66  1.661XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76801  Ob us < 14 wks single fetus                       A   0.99   2.40     2.40NA  0.06   3.45  3.451XXX.00.00.0000000             36.0896 010 99      3.46   3.46   0.07
76801TCOb us < 14 wks single fetus                       A   0.00   2.03     2.03NA  0.01   2.04  2.041XXX.00.00.0000000             36.0896 010 99      3.09   3.09   0.02
7680126Ob us < 14 wks single fetus                       A   0.99   0.37     0.37    0.05   1.41  1.411XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76802  Ob us < 14 wks addl fetus                         A   0.83   0.92     0.92NA  0.03   1.78  1.781ZZZ.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
76802TCOb us < 14 wks addl fetus                         A   0.00   0.61     0.61NA  0.00   0.61  0.611ZZZ.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
7680226Ob us < 14 wks addl fetus                         A   0.83   0.31     0.31    0.03   1.17  1.171ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76805  Ob us >= 14 wks sngl fetus                        A   0.99   2.90     2.90NA  0.06   3.95  3.951XXX.00.00.0000000             36.0896 090 99      3.46   3.46   0.06
76805TCOb us >= 14 wks sngl fetus                        A   0.00   2.53     2.53NA  0.01   2.54  2.541XXX.00.00.0000000             36.0896 010 99      3.09   3.09   0.01
7680526Ob us >= 14 wks sngl fetus                        A   0.99   0.37     0.37    0.05   1.41  1.411XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76810  Ob us >= 14 wks addl fetus                        A   0.98   1.55     1.55NA  0.06   2.59  2.591ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76810TCOb us >= 14 wks addl fetus                        A   0.00   1.18     1.18NA  0.01   1.19  1.191ZZZ.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
7681026Ob us >= 14 wks addl fetus                        A   0.98   0.37     0.37    0.05   1.40  1.401ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76811  Ob us detailed sngl fetus                         A   1.90   3.03     3.03NA  0.08   5.01  5.011XXX.00.00.0000000             36.0896 010 99      7.12   7.12   0.11
76811TCOb us detailed sngl fetus                         A   0.00   2.31     2.31NA  0.02   2.33  2.331XXX.00.00.0000000             36.0896 010 99      6.40   6.40   0.05
7681126Ob us detailed sngl fetus                         A   1.90   0.72     0.72    0.06   2.68  2.681XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76812  Ob us detailed addl fetus                         A   1.78   3.75     3.75NA  0.08   5.61  5.611ZZZ.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
76812TCOb us detailed addl fetus                         A   0.00   3.08     3.08NA  0.02   3.10  3.101ZZZ.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
7681226Ob us detailed addl fetus                         A   1.78   0.67     0.67    0.06   2.51  2.511ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76813  Ob us nuchal meas 1 gest                          A   1.18   2.18     2.18NA  0.06   3.42  3.421XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
76813TCOb us nuchal meas 1 gest                          A   0.00   1.74     1.74NA  0.01   1.75  1.751XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
7681326Ob us nuchal meas 1 gest                          A   1.18   0.44     0.44    0.05   1.67  1.671XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76814  Ob us nuchal meas add-on                          A   0.99   1.19     1.19NA  0.04   2.22  2.221XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
76814TCOb us nuchal meas add-on                          A   0.00   0.81     0.81NA  0.01   0.82  0.821XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
7681426Ob us nuchal meas add-on                          A   0.99   0.38     0.38    0.03   1.40  1.401XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76815  Ob us limited fetus(s)                            A   0.65   1.68     1.68NA  0.04   2.37  2.371XXX.00.00.0000000             36.0896 090 99      3.32   3.32   0.05
76815TCOb us limited fetus(s)                            A   0.00   1.44     1.44NA  0.01   1.45  1.451XXX.00.00.0000000             36.0896 010 99      3.08   3.08   0.02
7681526Ob us limited fetus(s)                            A   0.65   0.24     0.24    0.03   0.92  0.921XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76816  Ob us follow-up per fetus                         A   0.85   2.30     2.30NA  0.04   3.19  3.191XXX.00.00.0000000             36.0896 090 99      3.41   3.41   0.05
76816TCOb us follow-up per fetus                         A   0.00   1.98     1.98NA  0.01   1.99  1.991XXX.00.00.0000000             36.0896 010 99      3.09   3.09   0.02
7681626Ob us follow-up per fetus                         A   0.85   0.32     0.32    0.03   1.20  1.201XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76817  Transvaginal us obstetric                         A   0.75   1.91     1.91NA  0.04   2.70  2.701XXX.00.00.0000000             36.0896 010 99      3.37   3.37   0.05
76817TCTransvaginal us obstetric                         A   0.00   1.63     1.63NA  0.01   1.64  1.641XXX.00.00.0000000             36.0896 010 99      3.09   3.09   0.02
7681726Transvaginal us obstetric                         A   0.75   0.28     0.28    0.03   1.06  1.061XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76818  Fetal biophys profile w/nst                       A   1.05   2.23     2.23NA  0.05   3.33  3.331XXX.00.00.0000000             36.0896 090 99      3.47   3.47   0.06
76818TCFetal biophys profile w/nst                       A   0.00   1.83     1.83NA  0.02   1.85  1.851XXX.00.00.0000000             36.0896 010 99      3.07   3.07   0.03
7681826Fetal biophys profile w/nst                       A   1.05   0.40     0.40    0.03   1.48  1.481XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76819  Fetal biophys profil w/o nst                      A   0.77   1.64     1.64NA  0.04   2.45  2.451XXX.00.00.0000000             36.0896 090 99      3.37   3.37   0.05
76819TCFetal biophys profil w/o nst                      A   0.00   1.35     1.35NA  0.01   1.36  1.361XXX.00.00.0000000             36.0896 010 99      3.08   3.08   0.02
7681926Fetal biophys profil w/o nst                      A   0.77   0.29     0.29    0.03   1.09  1.091XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76820  Umbilical artery echo                             A   0.50   0.79     0.79NA  0.03   1.32  1.321XXX.00.00.0000000             36.0896 090 99      3.24   3.24   0.07
76820TCUmbilical artery echo                             A   0.00   0.60     0.60NA  0.01   0.61  0.611XXX.00.00.0000000             36.0896 010 99      3.05   3.05   0.05
7682026Umbilical artery echo                             A   0.50   0.19     0.19    0.02   0.71  0.711XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76821  Middle cerebral artery echo                       A   0.70   1.82     1.82NA  0.03   2.55  2.551XXX.00.00.0000000             36.0896 090 99      3.35   3.35   0.04
76821TCMiddle cerebral artery echo                       A   0.00   1.56     1.56NA  0.01   1.57  1.571XXX.00.00.0000000             36.0896 010 99      3.09   3.09   0.02
7682126Middle cerebral artery echo                       A   0.70   0.26     0.26    0.02   0.98  0.981XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76825  Echo exam of fetal heart                          A   1.67   5.97     5.97NA  0.07   7.71  7.711XXX.00.00.0000000             36.0896 090 99     13.90  13.90   0.10
76825TCEcho exam of fetal heart                          A   0.00   5.36     5.36NA  0.02   5.38  5.381XXX.00.00.0000000             36.0896 010 99     13.29  13.29   0.05
7682526Echo exam of fetal heart                          A   1.67   0.61     0.61    0.05   2.33  2.331XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76826  Echo exam of fetal heart                          A   0.83   3.70     3.70NA  0.05   4.58  4.581XXX.00.00.0000000             36.0896 090 99      6.72   6.72   0.07
76826TCEcho exam of fetal heart                          A   0.00   3.40     3.40NA  0.02   3.42  3.421XXX.00.00.0000000             36.0896 010 99      6.42   6.42   0.04
7682626Echo exam of fetal heart                          A   0.83   0.30     0.30    0.03   1.16  1.161XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76827  Echo exam of fetal heart                          A   0.58   1.46     1.46NA  0.03   2.07  2.071XXX.00.00.0000000             36.0896 090 99      3.29   3.29   0.04
76827TCEcho exam of fetal heart                          A   0.00   1.25     1.25NA  0.01   1.26  1.261XXX.00.00.0000000             36.0896 010 99      3.08   3.08   0.02
7682726Echo exam of fetal heart                          A   0.58   0.21     0.21    0.02   0.81  0.811XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76828  Echo exam of fetal heart                          A   0.56   0.88     0.88NA  0.03   1.47  1.471XXX.00.00.0000000             36.0896 090 99      3.27   3.27   0.07
76828TCEcho exam of fetal heart                          A   0.00   0.67     0.67NA  0.01   0.68  0.681XXX.00.00.0000000             36.0896 010 99      3.06   3.06   0.05
7682826Echo exam of fetal heart                          A   0.56   0.21     0.21    0.02   0.79  0.791XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76830  Transvaginal us non-ob                            A   0.69   2.74     2.74NA  0.04   3.47  3.471XXX.00.00.0000000             36.0896 090 99      3.35   3.35   0.04
76830TCTransvaginal us non-ob                            A   0.00   2.48     2.48NA  0.01   2.49  2.491XXX.00.00.0000000             36.0896 010 99      3.09   3.09   0.01
7683026Transvaginal us non-ob                            A   0.69   0.26     0.26    0.03   0.98  0.981XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76831  Echo exam uterus                                  A   0.72   2.60     2.60NA  0.04   3.36  3.361XXX.00.00.0040000             36.0896 090 88      6.70   6.70   0.06
76831TCEcho exam uterus                                  A   0.00   2.33     2.33NA  0.01   2.34  2.341XXX.00.00.0040000             36.0896 030 88      6.43   6.43   0.03
7683126Echo exam uterus                                  A   0.72   0.27     0.27    0.03   1.02  1.021XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
76856  Us exam pelvic complete                           A   0.69   2.36     2.36NA  0.04   3.09  3.091XXX.00.00.0040000             36.0896 090 88      3.34   3.34   0.04
76856TCUs exam pelvic complete                           A   0.00   2.11     2.11NA  0.01   2.12  2.121XXX.00.00.0040000             36.0896 010 88      3.09   3.09   0.01
7685626Us exam pelvic complete                           A   0.69   0.25     0.25    0.03   0.97  0.971XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
76857  Us exam pelvic limited                            A   0.50   0.84     0.84NA  0.03   1.37  1.371XXX.00.00.0040000             36.0896 090 88      3.24   3.24   0.07
76857TCUs exam pelvic limited                            A   0.00   0.66     0.66NA  0.01   0.67  0.671XXX.00.00.0040000             36.0896 010 88      3.06   3.06   0.05
7685726Us exam pelvic limited                            A   0.50   0.18     0.18    0.02   0.70  0.701XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
76870  Us exam scrotum                                   A   0.64   2.28     2.28NA  0.04   2.96  2.961XXX.00.00.0040000             36.0896 090 88      3.32   3.32   0.04
76870TCUs exam scrotum                                   A   0.00   2.05     2.05NA  0.01   2.06  2.061XXX.00.00.0040000             36.0896 010 88      3.09   3.09   0.01
7687026Us exam scrotum                                   A   0.64   0.23     0.23    0.03   0.90  0.901XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
76872  Us transrectal                                    A   0.69   3.71     3.71NA  0.03   4.43  4.431XXX.00.00.0000000             36.0896 090 99      3.34   3.34   0.03
76872TCUs transrectal                                    A   0.00   3.47     3.47NA  0.01   3.48  3.481XXX.00.00.0000000             36.0896 010 99      3.10   3.10   0.01
7687226Us transrectal                                    A   0.69   0.24     0.24    0.02   0.95  0.951XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76873  Echograp trans r pros study                       A   1.55   3.35     3.35NA  0.06   4.96  4.961XXX.00.00.0000000             36.0896 090 99      3.71   3.71   0.06
76873TCEchograp trans r pros study                       A   0.00   2.73     2.73NA  0.01   2.74  2.741XXX.00.00.0000000             36.0896 020 99      3.09   3.09   0.01
7687326Echograp trans r pros study                       A   1.55   0.62     0.62    0.05   2.22  2.221XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76881  Us compl joint r-t w/img                          A   0.63   1.53     1.53NA  0.03   2.19  2.191XXX.00.00.0000000             36.0896 090 99      3.32   3.32   0.04
76881TCUs compl joint r-t w/img                          A   0.00   1.29     1.29NA  0.01   1.30  1.301XXX.00.00.0000000             36.0896 010 99      3.08   3.08   0.02
7688126Us compl joint r-t w/img                          A   0.63   0.24     0.24    0.02   0.89  0.891XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76882  Us lmtd jt/nonvasc xtr strux                      A   0.49   1.09     1.09NA  0.03   1.61  1.611XXX.00.00.0000000             36.0896 090 99      3.25   3.25   0.05
76882TCUs lmtd jt/nonvasc xtr strux                      A   0.00   0.91     0.91NA  0.01   0.92  0.921XXX.00.00.0000000             36.0896 010 99      3.07   3.07   0.03
7688226Us lmtd jt/nonvasc xtr strux                      A   0.49   0.18     0.18    0.02   0.69  0.691XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76885  Us exam infant hips dynamic                       A   0.74   3.27     3.27NA  0.04   4.05  4.051XXX.00.00.0000000             36.0896 090 99      2.48   2.48   0.04
76885TCUs exam infant hips dynamic                       A   0.00   2.99     2.99NA  0.01   3.00  3.001XXX.00.00.0000000             36.0896 010 99      2.20   2.20   0.01
7688526Us exam infant hips dynamic                       A   0.74   0.28     0.28    0.03   1.05  1.051XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76886  Us exam infant hips static                        A   0.62   2.31     2.31NA  0.04   2.97  2.971XXX.00.00.0000000             36.0896 090 99      2.43   2.43   0.04
76886TCUs exam infant hips static                        A   0.00   2.08     2.08NA  0.01   2.09  2.091XXX.00.00.0000000             36.0896 010 99      2.20   2.20   0.01
7688626Us exam infant hips static                        A   0.62   0.23     0.23    0.03   0.88  0.881XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76932  Echo guide for heart biopsy                       C   0.00   0.00     0.00NA  0.00   0.00  0.001YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76932TCEcho guide for heart biopsy                       C   0.00   0.00     0.00NA  0.00   0.00  0.001YYY.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7693226Echo guide for heart biopsy                       A   0.67   0.26     0.26    0.05   0.98  0.981XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76936  Echo guide for artery repair                      A   1.99   5.40     5.40NA  0.23   7.62  7.621XXX.00.00.0000000             36.0896 090 99      7.55   7.55   0.24
76936TCEcho guide for artery repair                      A   0.00   4.83     4.83NA  0.02   4.85  4.851XXX.00.00.0000000             36.0896 030 99      6.98   6.98   0.03
7693626Echo guide for artery repair                      A   1.99   0.57     0.57    0.21   2.77  2.771XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76937  Us guide vascular access                          A   0.30   0.71     0.71NA  0.02   1.03  1.031ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76937TCUs guide vascular access                          A   0.00   0.62     0.62NA  0.00   0.62  0.621ZZZ.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7693726Us guide vascular access                          A   0.30   0.09     0.09    0.02   0.41  0.411ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76940  Us guide tissue ablation                          C   0.00   0.00     0.00NA  0.00   0.00  0.001YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76940TCUs guide tissue ablation                          C   0.00   0.00     0.00NA  0.00   0.00  0.001YYY.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7694026Us guide tissue ablation                          A   2.00   0.70     0.70    0.23   2.93  2.931XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76941  Echo guide for transfusion                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76941TCEcho guide for transfusion                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7694126Echo guide for transfusion                        A   1.34   0.51     0.51    0.05   1.90  1.901XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76942  Echo guide for biopsy                             A   0.67   0.91     0.91NA  0.04   1.62  1.621XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76942TCEcho guide for biopsy                             A   0.00   0.71     0.71NA  0.01   0.72  0.721XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7694226Echo guide for biopsy                             A   0.67   0.20     0.20    0.03   0.90  0.901XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76945  Echo guide villus sampling                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76945TCEcho guide villus sampling                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7694526Echo guide villus sampling                        A   0.67   0.25     0.25    0.02   0.94  0.941XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76946  Echo guide for amniocentesis                      A   0.38   0.51     0.51NA  0.02   0.91  0.911XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76946TCEcho guide for amniocentesis                      A   0.00   0.37     0.37NA  0.01   0.38  0.381XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7694626Echo guide for amniocentesis                      A   0.38   0.14     0.14    0.01   0.53  0.531XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76948  Echo guide ova aspiration                         A   0.67   1.45     1.45NA  0.03   2.15  2.151XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76948TCEcho guide ova aspiration                         A   0.00   1.20     1.20NA  0.01   1.21  1.211XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7694826Echo guide ova aspiration                         A   0.67   0.25     0.25    0.02   0.94  0.941XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76965  Echo guidance radiotherapy                        A   1.34   1.24     1.24NA  0.06   2.64  2.641XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76965TCEcho guidance radiotherapy                        A   0.00   0.70     0.70NA  0.01   0.71  0.711XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7696526Echo guidance radiotherapy                        A   1.34   0.54     0.54    0.05   1.93  1.931XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76970  Ultrasound exam follow-up                         A   0.40   2.07     2.07NA  0.04   2.51  2.511XXX.00.00.0000000             36.0896 090 99      3.21   3.21   0.05
76970TCUltrasound exam follow-up                         A   0.00   1.95     1.95NA  0.01   1.96  1.961XXX.00.00.0000000             36.0896 010 99      3.09   3.09   0.02
7697026Ultrasound exam follow-up                         A   0.40   0.12     0.12    0.03   0.55  0.551XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76975  Gi endoscopic ultrasound                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      6.80   6.80   0.03
76975TCGi endoscopic ultrasound                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99      6.45   6.45   0.01
7697526Gi endoscopic ultrasound                          A   0.81   0.35     0.35    0.02   1.18  1.181XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76977  Us bone density measure                           A   0.05   0.13     0.13NA  0.02   0.20  0.201XXX.00.00.0000000             36.0896 090 99      2.87   2.87   0.27
76977TCUs bone density measure                           A   0.00   0.11     0.11NA  0.01   0.12  0.121XXX.00.00.0000000             36.0896 010 99      2.85   2.85   0.26
7697726Us bone density measure                           A   0.05   0.02     0.02    0.01   0.08  0.081XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76978  Us trgt dyn mbubb 1st les                         A   1.62   7.49     7.49NA  0.10   9.21  9.211XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
76978TCUs trgt dyn mbubb 1st les                         A   0.00   6.91     6.91NA  0.01   6.92  6.921XXX.00.00.0040000             36.0896 030 88      0.00   0.00   0.00
7697826Us trgt dyn mbubb 1st les                         A   1.62   0.58     0.58    0.09   2.29  2.291XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
76979  Us trgt dyn mbubb ea addl                         A   0.85   5.34     5.34NA  0.07   6.26  6.261ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76979TCUs trgt dyn mbubb ea addl                         A   0.00   5.03     5.03NA  0.01   5.04  5.041ZZZ.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7697926Us trgt dyn mbubb ea addl                         A   0.85   0.31     0.31    0.06   1.22  1.221ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76981  Use parenchyma                                    A   0.59   2.41     2.41NA  0.04   3.04  3.041XXX.00.00.0040000             36.0896 090 88      3.31   3.31   0.04
76981TCUse parenchyma                                    A   0.00   2.19     2.19NA  0.01   2.20  2.201XXX.00.00.0040000             36.0896 020 88      3.09   3.09   0.01
7698126Use parenchyma                                    A   0.59   0.22     0.22    0.03   0.84  0.841XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
76982  Use 1st target lesion                             A   0.59   2.08     2.08NA  0.04   2.71  2.711XXX.00.00.0040000             36.0896 090 88      3.31   3.31   0.05
76982TCUse 1st target lesion                             A   0.00   1.86     1.86NA  0.01   1.87  1.871XXX.00.00.0040000             36.0896 020 88      3.09   3.09   0.02
7698226Use 1st target lesion                             A   0.59   0.22     0.22    0.03   0.84  0.841XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
76983  Use ea addl target lesion                         A   0.50   1.15     1.15NA  0.02   1.67  1.671ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76983TCUse ea addl target lesion                         A   0.00   0.96     0.96NA  0.00   0.96  0.961ZZZ.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
7698326Use ea addl target lesion                         A   0.50   0.19     0.19    0.02   0.71  0.711ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76998  Us guide intraop                                  C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76998TCUs guide intraop                                  C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7699826Us guide intraop                                  A   1.20   0.39     0.39    0.21   1.80  1.801XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76999  Echo examination procedure                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
76999TCEcho examination procedure                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7699926Echo examination procedure                        C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77001  Fluoroguide for vein device                       A   0.38   2.29     2.29NA  0.04   2.71  2.711ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77001TCFluoroguide for vein device                       A   0.00   2.17     2.17NA  0.01   2.18  2.181ZZZ.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7700126Fluoroguide for vein device                       A   0.38   0.12     0.12    0.03   0.53  0.531ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77002  Needle localization by xray                       A   0.54   2.47     2.47NA  0.04   3.05  3.051ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77002TCNeedle localization by xray                       A   0.00   2.25     2.25NA  0.01   2.26  2.261ZZZ.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7700226Needle localization by xray                       A   0.54   0.22     0.22    0.03   0.79  0.791ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77003  Fluoroguide for spine inject                      A   0.60   2.21     2.21NA  0.04   2.85  2.851ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77003TCFluoroguide for spine inject                      A   0.00   1.99     1.99NA  0.01   2.00  2.001ZZZ.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
7700326Fluoroguide for spine inject                      A   0.60   0.22     0.22    0.03   0.85  0.851ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77011  Ct scan for localization                          A   1.21   5.26     5.26NA  0.10   6.57  6.571XXX.00.00.0000900             36.0896 090 99      0.00   0.00   0.00
77011TCCt scan for localization                          A   0.00   4.75     4.75NA  0.01   4.76  4.761XXX.00.00.0000900             36.0896 030 99      0.00   0.00   0.00
7701126Ct scan for localization                          A   1.21   0.51     0.51    0.09   1.81  1.811XXX.00.00.0000900             36.0896 090 99      0.00   0.00   0.00
77012  Ct scan for needle biopsy                         A   1.50   2.66     2.66NA  0.10   4.26  4.261XXX.00.00.0000900             36.0896 090 99      0.00   0.00   0.00
77012TCCt scan for needle biopsy                         A   0.00   2.15     2.15NA  0.01   2.16  2.161XXX.00.00.0000900             36.0896 030 99      0.00   0.00   0.00
7701226Ct scan for needle biopsy                         A   1.50   0.51     0.51    0.09   2.10  2.101XXX.00.00.0000900             36.0896 090 99      0.00   0.00   0.00
77013  Ct guide for tissue ablation                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77013TCCt guide for tissue ablation                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7701326Ct guide for tissue ablation                      A   3.99   1.22     1.22    0.21   5.42  5.421XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77014  Ct scan for therapy guide                         A   0.85   2.56     2.56NA  0.04   3.45  3.451XXX.00.00.0000900             36.0896 090 99      0.00   0.00   0.00
77014TCCt scan for therapy guide                         A   0.00   2.16     2.16NA  0.01   2.17  2.171XXX.00.00.0000900             36.0896 020 99      0.00   0.00   0.00
7701426Ct scan for therapy guide                         A   0.85   0.40     0.40    0.03   1.28  1.281XXX.00.00.0000900             36.0896 090 99      0.00   0.00   0.00
77021  Mri guidance ndl plmt rs&i                        A   1.50  11.52    11.52NA  0.08  13.10 13.101XXX.00.00.0000900             36.0896 090 99      0.00   0.00   0.00
77021TCMri guidance ndl plmt rs&i                        A   0.00  11.01    11.01NA  0.02  11.03 11.031XXX.00.00.0000900             36.0896 030 99      0.00   0.00   0.00
7702126Mri guidance ndl plmt rs&i                        A   1.50   0.51     0.51    0.06   2.07  2.071XXX.00.00.0000900             36.0896 090 99      0.00   0.00   0.00
77022  Mri gdn parnchyma tiss abltj                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77022TCMri gdn parnchyma tiss abltj                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7702226Mri gdn parnchyma tiss abltj                      A   4.24   1.70     1.70    0.18   6.12  6.121XXX.00.00.0000900             36.0896 090 99      0.00   0.00   0.00
77046  Mri breast c- unilateral                          A   1.45   5.36     5.36NA  0.09   6.90  6.901XXX.00.00.0040000             36.0896 090 88      6.97   6.97   0.09
77046TCMri breast c- unilateral                          A   0.00   4.83     4.83NA  0.01   4.84  4.841XXX.00.00.0040000             36.0896 020 88      6.44   6.44   0.01
7704626Mri breast c- unilateral                          A   1.45   0.53     0.53    0.08   2.06  2.061XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
77047  Mri breast c- bilateral                           A   1.60   5.39     5.39NA  0.09   7.08  7.081XXX.00.00.0042000             36.0896 090 88      7.03   7.03   0.09
77047TCMri breast c- bilateral                           A   0.00   4.80     4.80NA  0.01   4.81  4.811XXX.00.00.0042000             36.0896 020 88      6.44   6.44   0.01
7704726Mri breast c- bilateral                           A   1.60   0.59     0.59    0.08   2.27  2.271XXX.00.00.0042000             36.0896 090 88      0.00   0.00   0.00
77048  Mri breast c-+ w/cad uni                          A   2.10   8.72     8.72NA  0.11  10.93 10.931XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
77048TCMri breast c-+ w/cad uni                          A   0.00   7.94     7.94NA  0.02   7.96  7.961XXX.00.00.0040000             36.0896 020 88      0.00   0.00   0.00
7704826Mri breast c-+ w/cad uni                          A   2.10   0.78     0.78    0.09   2.97  2.971XXX.00.00.0040000             36.0896 090 88      0.00   0.00   0.00
77049  Mri breast c-+ w/cad bi                           A   2.30   8.76     8.76NA  0.13  11.19 11.191XXX.00.00.0042000             36.0896 090 88      0.00   0.00   0.00
77049TCMri breast c-+ w/cad bi                           A   0.00   7.91     7.91NA  0.02   7.93  7.931XXX.00.00.0042000             36.0896 020 88      0.00   0.00   0.00
7704926Mri breast c-+ w/cad bi                           A   2.30   0.85     0.85    0.11   3.26  3.261XXX.00.00.0042000             36.0896 090 88      0.00   0.00   0.00
77053  X-ray of mammary duct                             A   0.36   1.21     1.21NA  0.03   1.60  1.601XXX.00.00.0000900             36.0896 090 99      6.53   6.53   0.08
77053TCX-ray of mammary duct                             A   0.00   1.08     1.08NA  0.01   1.09  1.091XXX.00.00.0000900             36.0896 030 99      6.40   6.40   0.06
7705326X-ray of mammary duct                             A   0.36   0.13     0.13    0.02   0.51  0.511XXX.00.00.0000900             36.0896 090 99      0.00   0.00   0.00
77054  X-ray of mammary ducts                            A   0.45   1.59     1.59NA  0.03   2.07  2.071XXX.00.00.0000900             36.0896 090 99      6.58   6.58   0.06
77054TCX-ray of mammary ducts                            A   0.00   1.42     1.42NA  0.01   1.43  1.431XXX.00.00.0000900             36.0896 030 99      6.41   6.41   0.04
7705426X-ray of mammary ducts                            A   0.45   0.17     0.17    0.02   0.64  0.641XXX.00.00.0000900             36.0896 090 99      0.00   0.00   0.00
77061  Breast tomosynthesis uni                          I   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000900             36.0896 090 99      0.00   0.00   0.00
77061TCBreast tomosynthesis uni                          I   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000900             36.0896 090 99      0.00   0.00   0.00
7706126Breast tomosynthesis uni                          I   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000900             36.0896 090 99      0.00   0.00   0.00
77062  Breast tomosynthesis bi                           I   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000900             36.0896 090 99      0.00   0.00   0.00
77062TCBreast tomosynthesis bi                           I   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000900             36.0896 090 99      0.00   0.00   0.00
7706226Breast tomosynthesis bi                           I   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000900             36.0896 090 99      0.00   0.00   0.00
77063  Breast tomosynthesis bi                           A   0.60   0.92     0.92NA  0.03   1.55  1.551ZZZ.00.00.0002900             36.0896 090 99      0.00   0.00   0.00
77063TCBreast tomosynthesis bi                           A   0.00   0.70     0.70NA  0.00   0.70  0.701ZZZ.00.00.0002900             36.0896 090 99      0.00   0.00   0.00
7706326Breast tomosynthesis bi                           A   0.60   0.22     0.22    0.03   0.85  0.851ZZZ.00.00.0002900             36.0896 090 99      0.00   0.00   0.00
77065  Dx mammo incl cad uni                             A   0.81   2.91     2.91NA  0.06   3.78  3.781XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77065TCDx mammo incl cad uni                             A   0.00   2.61     2.61NA  0.01   2.62  2.621XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7706526Dx mammo incl cad uni                             A   0.81   0.30     0.30    0.05   1.16  1.161XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77066  Dx mammo incl cad bi                              A   1.00   3.70     3.70NA  0.06   4.76  4.761XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
77066TCDx mammo incl cad bi                              A   0.00   3.33     3.33NA  0.01   3.34  3.341XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
7706626Dx mammo incl cad bi                              A   1.00   0.37     0.37    0.05   1.42  1.421XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
77067  Scr mammo bi incl cad                             A   0.76   3.04     3.04NA  0.06   3.86  3.861XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
77067TCScr mammo bi incl cad                             A   0.00   2.76     2.76NA  0.01   2.77  2.771XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
7706726Scr mammo bi incl cad                             A   0.76   0.28     0.28    0.05   1.09  1.091XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
77071  X-ray stress view                                 A   0.41   1.01     1.01    0.08   1.50  1.502XXX.00.00.0002000             36.0896 030 99      0.00   0.00   0.00
77072  X-rays for bone age                               A   0.19   0.50     0.50NA  0.02   0.71  0.711XXX.00.00.0000000             36.0896 090 99      3.11   3.11   0.08
77072TCX-rays for bone age                               A   0.00   0.43     0.43NA  0.01   0.44  0.441XXX.00.00.0000000             36.0896 010 99      3.04   3.04   0.07
7707226X-rays for bone age                               A   0.19   0.07     0.07    0.01   0.27  0.271XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77073  X-rays bone length studies                        A   0.26   0.95     0.95NA  0.03   1.24  1.241XXX.00.00.0000000             36.0896 090 99      3.18   3.18   0.06
77073TCX-rays bone length studies                        A   0.00   0.84     0.84NA  0.01   0.85  0.851XXX.00.00.0000000             36.0896 010 99      3.07   3.07   0.04
7707326X-rays bone length studies                        A   0.26   0.11     0.11    0.02   0.39  0.391XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77074  X-rays bone survey limited                        A   0.44   1.31     1.31NA  0.03   1.78  1.781XXX.00.00.0000000             36.0896 090 99      3.25   3.25   0.05
77074TCX-rays bone survey limited                        A   0.00   1.14     1.14NA  0.01   1.15  1.151XXX.00.00.0000000             36.0896 010 99      3.08   3.08   0.03
7707426X-rays bone survey limited                        A   0.44   0.17     0.17    0.02   0.63  0.631XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77075  X-rays bone survey complete                       A   0.55   2.09     2.09NA  0.04   2.68  2.681XXX.00.00.0000000             36.0896 090 99      3.30   3.30   0.05
77075TCX-rays bone survey complete                       A   0.00   1.88     1.88NA  0.01   1.89  1.891XXX.00.00.0000000             36.0896 010 99      3.09   3.09   0.02
7707526X-rays bone survey complete                       A   0.55   0.21     0.21    0.03   0.79  0.791XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77076  X-rays bone survey infant                         A   0.70   2.16     2.16NA  0.04   2.90  2.901XXX.00.00.0000000             36.0896 090 99      3.35   3.35   0.05
77076TCX-rays bone survey infant                         A   0.00   1.90     1.90NA  0.01   1.91  1.911XXX.00.00.0000000             36.0896 010 99      3.09   3.09   0.02
7707626X-rays bone survey infant                         A   0.70   0.26     0.26    0.03   0.99  0.991XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77077  Joint survey single view                          A   0.33   0.93     0.93NA  0.03   1.29  1.291XXX.00.00.0000000             36.0896 090 99      3.21   3.21   0.06
77077TCJoint survey single view                          A   0.00   0.79     0.79NA  0.01   0.80  0.801XXX.00.00.0000000             36.0896 010 99      3.07   3.07   0.04
7707726Joint survey single view                          A   0.33   0.14     0.14    0.02   0.49  0.491XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77078  Ct bone density axial                             A   0.25   2.95     2.95NA  0.02   3.22  3.221XXX.00.00.0000000             36.0896 090 99      2.29   2.29   0.02
77078TCCt bone density axial                             A   0.00   2.86     2.86NA  0.01   2.87  2.871XXX.00.00.0000000             36.0896 010 99      2.20   2.20   0.01
7707826Ct bone density axial                             A   0.25   0.09     0.09    0.01   0.35  0.351XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77080  Dxa bone density axial                            A   0.20   0.89     0.89NA  0.02   1.11  1.111XXX.00.00.0000000             36.0896 090 99      3.14   3.14   0.05
77080TCDxa bone density axial                            A   0.00   0.82     0.82NA  0.01   0.83  0.831XXX.00.00.0000000             36.0896 010 99      3.07   3.07   0.04
7708026Dxa bone density axial                            A   0.20   0.07     0.07    0.01   0.28  0.281XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77081  Dxa bone density/peripheral                       A   0.20   0.69     0.69NA  0.02   0.91  0.911XXX.00.00.0000000             36.0896 090 99      2.26   2.26   0.05
77081TCDxa bone density/peripheral                       A   0.00   0.61     0.61NA  0.01   0.62  0.621XXX.00.00.0000000             36.0896 010 99      2.18   2.18   0.04
7708126Dxa bone density/peripheral                       A   0.20   0.08     0.08    0.01   0.29  0.291XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77084  Magnetic image bone marrow                        A   1.60   8.76     8.76NA  0.10  10.46 10.461XXX.00.00.0000000             36.0896 090 99      7.04   7.04   0.10
77084TCMagnetic image bone marrow                        A   0.00   8.16     8.16NA  0.02   8.18  8.181XXX.00.00.0000000             36.0896 010 99      6.44   6.44   0.02
7708426Magnetic image bone marrow                        A   1.60   0.60     0.60    0.08   2.28  2.281XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77085  Dxa bone density study                            A   0.30   1.18     1.18NA  0.02   1.50  1.501XXX.00.00.0000000             36.0896 090 99      3.19   3.19   0.04
77085TCDxa bone density study                            A   0.00   1.07     1.07NA  0.01   1.08  1.081XXX.00.00.0000000             36.0896 010 99      3.08   3.08   0.03
7708526Dxa bone density study                            A   0.30   0.11     0.11    0.01   0.42  0.421XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77086  Fracture assessment via dxa                       A   0.17   0.78     0.78NA  0.02   0.97  0.971XXX.00.00.0000000             36.0896 090 99      2.24   2.24   0.04
77086TCFracture assessment via dxa                       A   0.00   0.72     0.72NA  0.01   0.73  0.731XXX.00.00.0000000             36.0896 010 99      2.18   2.18   0.03
7708626Fracture assessment via dxa                       A   0.17   0.06     0.06    0.01   0.24  0.241XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77261  Radiation therapy planning                        A   1.30   0.65     0.65    0.09   2.04  2.042XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77262  Radiation therapy planning                        A   2.00   0.96     0.96    0.13   3.09  3.092XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77263  Radiation therapy planning                        A   3.14   1.46     1.46    0.23   4.83  4.832XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77280  Set radiation therapy field                       A   0.70   7.11     7.11NA  0.04   7.85  7.851XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77280TCSet radiation therapy field                       A   0.00   6.77     6.77NA  0.01   6.78  6.781XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7728026Set radiation therapy field                       A   0.70   0.34     0.34    0.03   1.07  1.071XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77285  Set radiation therapy field                       A   1.05  12.03    12.03NA  0.07  13.15 13.151XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77285TCSet radiation therapy field                       A   0.00  11.48    11.48NA  0.02  11.50 11.501XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7728526Set radiation therapy field                       A   1.05   0.55     0.55    0.05   1.65  1.651XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77290  Set radiation therapy field                       A   1.56  12.44    12.44NA  0.08  14.08 14.081XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77290TCSet radiation therapy field                       A   0.00  11.70    11.70NA  0.02  11.72 11.721XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7729026Set radiation therapy field                       A   1.56   0.74     0.74    0.06   2.36  2.361XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77293  Respirator motion mgmt simul                      A   2.00  10.65    10.65NA  0.12  12.77 12.771ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77293TCRespirator motion mgmt simul                      A   0.00   9.71     9.71NA  0.03   9.74  9.741ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7729326Respirator motion mgmt simul                      A   2.00   0.94     0.94    0.09   3.03  3.031ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77295  3-d radiotherapy plan                             A   4.29   9.30     9.30NA  0.21  13.80 13.801XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77295TC3-d radiotherapy plan                             A   0.00   7.30     7.30NA  0.06   7.36  7.361XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77295263-d radiotherapy plan                             A   4.29   2.00     2.00    0.15   6.44  6.441XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77299  Radiation therapy planning                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77299TCRadiation therapy planning                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7729926Radiation therapy planning                        C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77300  Radiation therapy dose plan                       A   0.62   1.23     1.23NA  0.03   1.88  1.881XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77300TCRadiation therapy dose plan                       A   0.00   0.94     0.94NA  0.01   0.95  0.951XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7730026Radiation therapy dose plan                       A   0.62   0.29     0.29    0.02   0.93  0.931XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77301  Radiotherapy dose plan imrt                       A   7.99  45.46    45.46NA  0.56  54.01 54.011XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77301TCRadiotherapy dose plan imrt                       A   0.00  41.74    41.74NA  0.28  42.02 42.021XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7730126Radiotherapy dose plan imrt                       A   7.99   3.72     3.72    0.28  11.99 11.991XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77306  Telethx isodose plan simple                       A   1.40   2.76     2.76NA  0.07   4.23  4.231XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77306TCTelethx isodose plan simple                       A   0.00   2.10     2.10NA  0.02   2.12  2.121XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7730626Telethx isodose plan simple                       A   1.40   0.66     0.66    0.05   2.11  2.111XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77307  Telethx isodose plan cplx                         A   2.90   5.14     5.14NA  0.16   8.20  8.201XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77307TCTelethx isodose plan cplx                         A   0.00   3.79     3.79NA  0.05   3.84  3.841XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7730726Telethx isodose plan cplx                         A   2.90   1.35     1.35    0.11   4.36  4.361XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77316  Brachytx isodose plan simple                      A   1.40   4.67     4.67NA  0.10   6.17  6.171XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77316TCBrachytx isodose plan simple                      A   0.00   4.01     4.01NA  0.05   4.06  4.061XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7731626Brachytx isodose plan simple                      A   1.40   0.66     0.66    0.05   2.11  2.111XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77317  Brachytx isodose intermed                         A   1.83   6.13     6.13NA  0.13   8.09  8.091XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77317TCBrachytx isodose intermed                         A   0.00   5.27     5.27NA  0.05   5.32  5.321XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7731726Brachytx isodose intermed                         A   1.83   0.86     0.86    0.08   2.77  2.771XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77318  Brachytx isodose complex                          A   2.90   8.48     8.48NA  0.19  11.57 11.571XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77318TCBrachytx isodose complex                          A   0.00   7.14     7.14NA  0.08   7.22  7.221XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7731826Brachytx isodose complex                          A   2.90   1.34     1.34    0.11   4.35  4.351XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77321  Special teletx port plan                          A   0.95   1.67     1.67NA  0.06   2.68  2.681XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77321TCSpecial teletx port plan                          A   0.00   1.22     1.22NA  0.01   1.23  1.231XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7732126Special teletx port plan                          A   0.95   0.45     0.45    0.05   1.45  1.451XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77331  Special radiation dosimetry                       A   0.87   0.93     0.93NA  0.04   1.84  1.841XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77331TCSpecial radiation dosimetry                       A   0.00   0.52     0.52NA  0.01   0.53  0.531XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7733126Special radiation dosimetry                       A   0.87   0.41     0.41    0.03   1.31  1.311XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77332  Radiation treatment aid(s)                        A   0.45   0.86     0.86NA  0.03   1.34  1.341XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77332TCRadiation treatment aid(s)                        A   0.00   0.65     0.65NA  0.01   0.66  0.661XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7733226Radiation treatment aid(s)                        A   0.45   0.21     0.21    0.02   0.68  0.681XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77333  Radiation treatment aid(s)                        A   0.75   2.62     2.62NA  0.04   3.41  3.411XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77333TCRadiation treatment aid(s)                        A   0.00   2.27     2.27NA  0.01   2.28  2.281XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7733326Radiation treatment aid(s)                        A   0.75   0.35     0.35    0.03   1.13  1.131XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77334  Radiation treatment aid(s)                        A   1.15   2.40     2.40NA  0.06   3.61  3.611XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77334TCRadiation treatment aid(s)                        A   0.00   1.86     1.86NA  0.01   1.87  1.871XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7733426Radiation treatment aid(s)                        A   1.15   0.54     0.54    0.05   1.74  1.741XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77336  Radiation physics consult                         A   0.00   2.19     2.19NA  0.06   2.25  2.253XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77338  Design mlc device for imrt                        A   4.29   9.26     9.26NA  0.23  13.78 13.781XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77338TCDesign mlc device for imrt                        A   0.00   7.26     7.26NA  0.08   7.34  7.341XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7733826Design mlc device for imrt                        A   4.29   2.00     2.00    0.15   6.44  6.441XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77370  Radiation physics consult                         A   0.00   3.40     3.40NA  0.11   3.51  3.513XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77371  Srs multisource                                   C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77372  Srs linear based                                  A   0.00  29.48    29.48NA  0.15  29.63 29.633XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77373  Sbrt delivery                                     A   0.00  33.91    33.91NA  0.19  34.10 34.103XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77385  Ntsty modul rad tx dlvr smpl                      I   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77386  Ntsty modul rad tx dlvr cplx                      I   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77387  Guidance for radj tx dlvr                         I   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77399  External radiation dosimetry                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77399TCExternal radiation dosimetry                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7739926External radiation dosimetry                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77401  Radiation treatment delivery                      A   0.00   0.68     0.68NA  0.01   0.69  0.693XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77402  Radiation treatment delivery                      I   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77407  Radiation treatment delivery                      I   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77412  Radiation treatment delivery                      I   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77417  Radiology port images(s)                          A   0.00   0.31     0.31NA  0.01   0.32  0.323XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
77423  Neutron beam tx complex                           C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77424  Io rad tx delivery by x-ray                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
77425  Io rad tx deliver by elctrns                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
77427  Radiation tx management x5                        A   3.37   1.82     1.82    0.25   5.44  5.442XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
77431  Radiation therapy management                      A   1.81   1.08     1.08    0.13   3.02  3.022XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77432  Stereotactic radiation trmt                       A   7.92   3.68     3.68    0.56  12.16 12.162XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77435  Sbrt management                                   A  11.87   5.64     5.64    0.85  18.36 18.362XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77469  Io radiation tx management                        A   5.75   2.93NA   2.93    0.42   9.10  9.100XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77470  Special radiation treatment                       A   2.03   1.66     1.66NA  0.10   3.79  3.791XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77470TCSpecial radiation treatment                       A   0.00   0.71     0.71NA  0.01   0.72  0.721XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7747026Special radiation treatment                       A   2.03   0.95     0.95    0.09   3.07  3.071XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77499  Radiation therapy management                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77499TCRadiation therapy management                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7749926Radiation therapy management                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77520  Proton trmt simple w/o comp                       C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77522  Proton trmt simple w/comp                         C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77523  Proton trmt intermediate                          C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77525  Proton treatment complex                          C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77600  Hyperthermia treatment                            R   1.31  11.75    11.75NA  0.11  13.17 13.171XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77600TCHyperthermia treatment                            R   0.00  11.09    11.09NA  0.05  11.14 11.141XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7760026Hyperthermia treatment                            R   1.31   0.66     0.66    0.06   2.03  2.031XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77605  Hyperthermia treatment                            R   1.84  21.80    21.80NA  0.36  24.00 24.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77605TCHyperthermia treatment                            R   0.00  21.01    21.01NA  0.05  21.06 21.061XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7760526Hyperthermia treatment                            R   1.84   0.79     0.79    0.31   2.94  2.941XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77610  Hyperthermia treatment                            R   1.31  17.88    17.88NA  0.10  19.29 19.291XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77610TCHyperthermia treatment                            R   0.00  17.27    17.27NA  0.05  17.32 17.321XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7761026Hyperthermia treatment                            R   1.31   0.61     0.61    0.05   1.97  1.971XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77615  Hyperthermia treatment                            R   1.84  28.15    28.15NA  0.19  30.18 30.181XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77615TCHyperthermia treatment                            R   0.00  27.29    27.29NA  0.11  27.40 27.401XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7761526Hyperthermia treatment                            R   1.84   0.86     0.86    0.08   2.78  2.781XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77620  Hyperthermia treatment                            R   1.56  15.38    15.38NA  0.37  17.31 17.311XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77620TCHyperthermia treatment                            R   0.00  14.82    14.82NA  0.05  14.87 14.871XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7762026Hyperthermia treatment                            R   1.56   0.56     0.56    0.32   2.44  2.441XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77750  Infuse radioactive materials                      A   5.00   5.67     5.67NA  0.23  10.90 10.901090.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77750TCInfuse radioactive materials                      A   0.00   3.35     3.35NA  0.05   3.40  3.401090.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7775026Infuse radioactive materials                      A   5.00   2.32     2.32    0.18   7.50  7.501090.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77761  Apply intrcav radiat simple                       A   3.85   7.40     7.40NA  0.19  11.44 11.441090.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77761TCApply intrcav radiat simple                       A   0.00   5.60     5.60NA  0.06   5.66  5.661090.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7776126Apply intrcav radiat simple                       A   3.85   1.80     1.80    0.13   5.78  5.781090.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77762  Apply intrcav radiat interm                       A   5.76   9.10     9.10NA  0.30  15.16 15.161090.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77762TCApply intrcav radiat interm                       A   0.00   6.41     6.41NA  0.08   6.49  6.491090.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7776226Apply intrcav radiat interm                       A   5.76   2.69     2.69    0.22   8.67  8.671090.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77763  Apply intrcav radiat compl                        A   8.66  12.31    12.31NA  0.43  21.40 21.401090.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77763TCApply intrcav radiat compl                        A   0.00   8.27     8.27NA  0.11   8.38  8.381090.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7776326Apply intrcav radiat compl                        A   8.66   4.04     4.04    0.32  13.02 13.021090.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77767  Hdr rdncl skn surf brachytx                       A   1.05   5.63     5.63NA  0.10   6.78  6.781XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77767TCHdr rdncl skn surf brachytx                       A   0.00   5.14     5.14NA  0.05   5.19  5.191XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7776726Hdr rdncl skn surf brachytx                       A   1.05   0.49     0.49    0.05   1.59  1.591XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77768  Hdr rdncl skn surf brachytx                       A   1.40   8.65     8.65NA  0.11  10.16 10.161XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77768TCHdr rdncl skn surf brachytx                       A   0.00   7.99     7.99NA  0.06   8.05  8.051XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7776826Hdr rdncl skn surf brachytx                       A   1.40   0.66     0.66    0.05   2.11  2.111XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77770  Hdr rdncl ntrstl/icav brchtx                      A   1.95   7.43     7.43NA  0.13   9.51  9.511XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77770TCHdr rdncl ntrstl/icav brchtx                      A   0.00   6.52     6.52NA  0.05   6.57  6.571XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7777026Hdr rdncl ntrstl/icav brchtx                      A   1.95   0.91     0.91    0.08   2.94  2.941XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77771  Hdr rdncl ntrstl/icav brchtx                      A   3.80  12.95    12.95NA  0.22  16.97 16.971XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77771TCHdr rdncl ntrstl/icav brchtx                      A   0.00  11.18    11.18NA  0.09  11.27 11.271XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7777126Hdr rdncl ntrstl/icav brchtx                      A   3.80   1.77     1.77    0.13   5.70  5.701XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77772  Hdr rdncl ntrstl/icav brchtx                      A   5.40  19.84    19.84NA  0.32  25.56 25.561XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77772TCHdr rdncl ntrstl/icav brchtx                      A   0.00  17.37    17.37NA  0.13  17.50 17.501XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7777226Hdr rdncl ntrstl/icav brchtx                      A   5.40   2.47     2.47    0.19   8.06  8.061XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77778  Apply interstit radiat compl                      A   8.78  15.33    15.33NA  0.45  24.56 24.561000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77778TCApply interstit radiat compl                      A   0.00  11.28    11.28NA  0.13  11.41 11.411000.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
7777826Apply interstit radiat compl                      A   8.78   4.05     4.05    0.32  13.15 13.151000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77789  Apply surf ldr radionuclide                       A   1.14   2.42     2.42NA  0.07   3.63  3.631000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77789TCApply surf ldr radionuclide                       A   0.00   1.87     1.87NA  0.02   1.89  1.891000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7778926Apply surf ldr radionuclide                       A   1.14   0.55     0.55    0.05   1.74  1.741000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77790  Radiation handling                                A   0.00   0.42     0.42NA  0.01   0.43  0.433XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77799  Radium/radioisotope therapy                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
77799TCRadium/radioisotope therapy                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7779926Radium/radioisotope therapy                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78012  Thyroid uptake measurement                        A   0.19   2.10     2.10NA  0.04   2.33  2.331XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78012TCThyroid uptake measurement                        A   0.00   2.03     2.03NA  0.03   2.06  2.061XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7801226Thyroid uptake measurement                        A   0.19   0.07     0.07    0.01   0.27  0.271XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78013  Thyroid imaging w/blood flow                      A   0.37   5.08     5.08NA  0.04   5.49  5.491XXX.00.00.0000000             36.0896 090 99     10.27  10.27   0.07
78013TCThyroid imaging w/blood flow                      A   0.00   4.95     4.95NA  0.03   4.98  4.981XXX.00.00.0000000             36.0896 090 99     10.14  10.14   0.06
7801326Thyroid imaging w/blood flow                      A   0.37   0.13     0.13    0.01   0.51  0.511XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78014  Thyroid imaging w/blood flow                      A   0.50   6.29     6.29NA  0.07   6.86  6.861XXX.00.00.0000000             36.0896 090 99     10.29  10.29   0.10
78014TCThyroid imaging w/blood flow                      A   0.00   6.12     6.12NA  0.05   6.17  6.171XXX.00.00.0000000             36.0896 090 99     10.12  10.12   0.08
7801426Thyroid imaging w/blood flow                      A   0.50   0.17     0.17    0.02   0.69  0.691XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78015  Thyroid met imaging                               A   0.67   5.68     5.68NA  0.08   6.43  6.431XXX.00.00.0000000             36.0896 090 99     10.35  10.35   0.12
78015TCThyroid met imaging                               A   0.00   5.44     5.44NA  0.05   5.49  5.491XXX.00.00.0000000             36.0896 010 99     10.11  10.11   0.09
7801526Thyroid met imaging                               A   0.67   0.24     0.24    0.03   0.94  0.941XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78016  Thyroid met imaging/studies                       A   0.82   7.20     7.20NA  0.06   8.08  8.081XXX.00.00.0000000             36.0896 090 99     10.27  10.27   0.08
78016TCThyroid met imaging/studies                       A   0.00   7.06     7.06NA  0.05   7.11  7.111XXX.00.00.0000000             36.0896 010 99     10.13  10.13   0.07
7801626Thyroid met imaging/studies                       A   0.82   0.14     0.14    0.01   0.97  0.971XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78018  Thyroid met imaging body                          A   0.86   8.02     8.02NA  0.08   8.96  8.961XXX.00.00.0000000             36.0896 090 99     13.27  13.27   0.11
78018TCThyroid met imaging body                          A   0.00   7.74     7.74NA  0.05   7.79  7.791XXX.00.00.0000000             36.0896 010 99     12.99  12.99   0.08
7801826Thyroid met imaging body                          A   0.86   0.28     0.28    0.03   1.17  1.171XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78020  Thyroid met uptake                                A   0.60   1.73     1.73NA  0.04   2.37  2.371ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78020TCThyroid met uptake                                A   0.00   1.56     1.56NA  0.02   1.58  1.581ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7802026Thyroid met uptake                                A   0.60   0.17     0.17    0.02   0.79  0.791ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78070  Parathyroid planar imaging                        A   0.80   7.60     7.60NA  0.08   8.48  8.481XXX.00.00.0000000             36.0896 090 99     10.40  10.40   0.10
78070TCParathyroid planar imaging                        A   0.00   7.33     7.33NA  0.05   7.38  7.381XXX.00.00.0000000             36.0896 010 99     10.13  10.13   0.07
7807026Parathyroid planar imaging                        A   0.80   0.27     0.27    0.03   1.10  1.101XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78071  Parathyrd planar w/wo subtrj                      A   1.20   8.82     8.82NA  0.10  10.12 10.121XXX.00.00.0000000             36.0896 090 99     10.55  10.55   0.11
78071TCParathyrd planar w/wo subtrj                      A   0.00   8.41     8.41NA  0.05   8.46  8.461XXX.00.00.0000000             36.0896 090 99     10.14  10.14   0.06
7807126Parathyrd planar w/wo subtrj                      A   1.20   0.41     0.41    0.05   1.66  1.661XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78072  Parathyrd planar w/spect&ct                       A   1.60  11.05    11.05NA  0.11  12.76 12.761XXX.00.00.0000000             36.0896 090 99     13.54  13.54   0.12
78072TCParathyrd planar w/spect&ct                       A   0.00  10.53    10.53NA  0.05  10.58 10.581XXX.00.00.0000000             36.0896 090 99     13.02  13.02   0.06
7807226Parathyrd planar w/spect&ct                       A   1.60   0.52     0.52    0.06   2.18  2.181XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78075  Adrenal cortex & medulla img                      A   0.74  11.99    11.99NA  0.09  12.82 12.821XXX.00.00.0000000             36.0896 090 99     35.35  35.35   0.21
78075TCAdrenal cortex & medulla img                      A   0.00  11.71    11.71NA  0.06  11.77 11.771XXX.00.00.0000000             36.0896 010 99     35.07  35.07   0.18
7807526Adrenal cortex & medulla img                      A   0.74   0.28     0.28    0.03   1.05  1.051XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78099  Endocrine nuclear procedure                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78099TCEndocrine nuclear procedure                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7809926Endocrine nuclear procedure                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78102  Bone marrow imaging ltd                           A   0.55   4.27     4.27NA  0.05   4.87  4.871XXX.00.00.0000000             36.0896 090 99     10.31  10.31   0.09
78102TCBone marrow imaging ltd                           A   0.00   4.09     4.09NA  0.03   4.12  4.121XXX.00.00.0000000             36.0896 010 99     10.13  10.13   0.07
7810226Bone marrow imaging ltd                           A   0.55   0.18     0.18    0.02   0.75  0.751XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78103  Bone marrow imaging mult                          A   0.75   5.38     5.38NA  0.07   6.20  6.201XXX.00.00.0000000             36.0896 090 99     10.32  10.32   0.12
78103TCBone marrow imaging mult                          A   0.00   5.16     5.16NA  0.05   5.21  5.211XXX.00.00.0000000             36.0896 010 99     10.10  10.10   0.10
7810326Bone marrow imaging mult                          A   0.75   0.22     0.22    0.02   0.99  0.991XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78104  Bone marrow imaging body                          A   0.80   6.26     6.26NA  0.08   7.14  7.141XXX.00.00.0000000             36.0896 090 99     10.39  10.39   0.11
78104TCBone marrow imaging body                          A   0.00   5.99     5.99NA  0.05   6.04  6.041XXX.00.00.0000000             36.0896 010 99     10.12  10.12   0.08
7810426Bone marrow imaging body                          A   0.80   0.27     0.27    0.03   1.10  1.101XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78110  Plasma volume single                              A   0.19   1.76     1.76NA  0.04   1.99  1.991XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78110TCPlasma volume single                              A   0.00   1.73     1.73NA  0.03   1.76  1.761XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
7811026Plasma volume single                              A   0.19   0.03     0.03    0.01   0.23  0.231XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78111  Plasma volume multiple                            A   0.22   1.85     1.85NA  0.04   2.11  2.111XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78111TCPlasma volume multiple                            A   0.00   1.81     1.81NA  0.03   1.84  1.841XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
7811126Plasma volume multiple                            A   0.22   0.04     0.04    0.01   0.27  0.271XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78120  Red cell mass single                              A   0.23   1.77     1.77NA  0.04   2.04  2.041XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78120TCRed cell mass single                              A   0.00   1.73     1.73NA  0.03   1.76  1.761XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
7812026Red cell mass single                              A   0.23   0.04     0.04    0.01   0.28  0.281XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78121  Red cell mass multiple                            A   0.32   1.87     1.87NA  0.04   2.23  2.231XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78121TCRed cell mass multiple                            A   0.00   1.81     1.81NA  0.03   1.84  1.841XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
7812126Red cell mass multiple                            A   0.32   0.06     0.06    0.01   0.39  0.391XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78122  Blood volume                                      A   0.45   2.26     2.26NA  0.04   2.75  2.751XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78122TCBlood volume                                      A   0.00   2.12     2.12NA  0.03   2.15  2.151XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
7812226Blood volume                                      A   0.45   0.14     0.14    0.01   0.60  0.601XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78130  Red cell survival study                           A   0.61   2.92     2.92NA  0.06   3.59  3.591XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78130TCRed cell survival study                           A   0.00   2.81     2.81NA  0.05   2.86  2.861XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
7813026Red cell survival study                           A   0.61   0.11     0.11    0.01   0.73  0.731XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78135  Red cell survival kinetics                        A   0.64   7.30     7.30NA  0.06   8.00  8.001XXX.00.00.0000000             36.0896 090 99     10.24  10.24   0.08
78135TCRed cell survival kinetics                        A   0.00   7.19     7.19NA  0.05   7.24  7.241XXX.00.00.0000000             36.0896 010 99     10.13  10.13   0.07
7813526Red cell survival kinetics                        A   0.64   0.11     0.11    0.01   0.76  0.761XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78140  Red cell sequestration                            A   0.61   2.52     2.52NA  0.06   3.19  3.191XXX.00.00.0000000             36.0896 090 99     10.10  10.10   0.22
78140TCRed cell sequestration                            A   0.00   2.41     2.41NA  0.05   2.46  2.461XXX.00.00.0000000             36.0896 010 99      9.99   9.99   0.21
7814026Red cell sequestration                            A   0.61   0.11     0.11    0.01   0.73  0.731XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78185  Spleen imaging                                    A   0.40   4.42     4.42NA  0.06   4.88  4.881XXX.00.00.0000000             36.0896 090 99     10.15  10.15   0.12
78185TCSpleen imaging                                    A   0.00   4.35     4.35NA  0.05   4.40  4.401XXX.00.00.0000000             36.0896 010 99     10.08  10.08   0.11
7818526Spleen imaging                                    A   0.40   0.07     0.07    0.01   0.48  0.481XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78191  Platelet survival                                 A   0.61   2.92     2.92NA  0.06   3.59  3.591XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78191TCPlatelet survival                                 A   0.00   2.81     2.81NA  0.05   2.86  2.861XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
7819126Platelet survival                                 A   0.61   0.11     0.11    0.01   0.73  0.731XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78195  Lymph system imaging                              A   1.20   8.85     8.85NA  0.10  10.15 10.151XXX.00.00.0000000             36.0896 090 99     13.40  13.40   0.13
78195TCLymph system imaging                              A   0.00   8.45     8.45NA  0.05   8.50  8.501XXX.00.00.0000000             36.0896 010 99     13.00  13.00   0.08
7819526Lymph system imaging                              A   1.20   0.40     0.40    0.05   1.65  1.651XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78199  Blood/lymph nuclear exam                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78199TCBlood/lymph nuclear exam                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7819926Blood/lymph nuclear exam                          C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78201  Liver imaging                                     A   0.44   4.95     4.95NA  0.07   5.46  5.461XXX.00.00.0000000             36.0896 090 99     35.03  35.03   0.38
78201TCLiver imaging                                     A   0.00   4.81     4.81NA  0.05   4.86  4.861XXX.00.00.0000000             36.0896 010 99     34.89  34.89   0.36
7820126Liver imaging                                     A   0.44   0.14     0.14    0.02   0.60  0.601XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78202  Liver imaging with flow                           A   0.51   5.30     5.30NA  0.07   5.88  5.881XXX.00.00.0000000             36.0896 090 99     35.06  35.06   0.36
78202TCLiver imaging with flow                           A   0.00   5.15     5.15NA  0.05   5.20  5.201XXX.00.00.0000000             36.0896 010 99     34.91  34.91   0.34
7820226Liver imaging with flow                           A   0.51   0.15     0.15    0.02   0.68  0.681XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78215  Liver and spleen imaging                          A   0.49   5.03     5.03NA  0.07   5.59  5.591XXX.00.00.0000000             36.0896 090 99     10.27  10.27   0.12
78215TCLiver and spleen imaging                          A   0.00   4.86     4.86NA  0.05   4.91  4.911XXX.00.00.0000000             36.0896 010 99     10.10  10.10   0.10
7821526Liver and spleen imaging                          A   0.49   0.17     0.17    0.02   0.68  0.681XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78216  Liver & spleen image/flow                         A   0.57   3.05     3.05NA  0.07   3.69  3.691XXX.00.00.0000000             36.0896 090 99     10.21  10.21   0.19
78216TCLiver & spleen image/flow                         A   0.00   2.87     2.87NA  0.05   2.92  2.921XXX.00.00.0000000             36.0896 010 99     10.03  10.03   0.17
7821626Liver & spleen image/flow                         A   0.57   0.18     0.18    0.02   0.77  0.771XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78226  Hepatobiliary system imaging                      A   0.74   8.56     8.56NA  0.08   9.38  9.381XXX.00.00.0000000             36.0896 090 99     10.40  10.40   0.09
78226TCHepatobiliary system imaging                      A   0.00   8.30     8.30NA  0.05   8.35  8.351XXX.00.00.0000000             36.0896 010 99     10.14  10.14   0.06
7822626Hepatobiliary system imaging                      A   0.74   0.26     0.26    0.03   1.03  1.031XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78227  Hepatobil syst image w/drug                       A   0.90  11.66    11.66NA  0.11  12.67 12.671XXX.00.00.0000000             36.0896 090 99     13.33  13.33   0.12
78227TCHepatobil syst image w/drug                       A   0.00  11.34    11.34NA  0.06  11.40 11.401XXX.00.00.0000000             36.0896 010 99     13.01  13.01   0.07
7822726Hepatobil syst image w/drug                       A   0.90   0.32     0.32    0.05   1.27  1.271XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78230  Salivary gland imaging                            A   0.45   4.49     4.49NA  0.05   4.99  4.991XXX.00.00.0000000             36.0896 090 99     10.30  10.30   0.09
78230TCSalivary gland imaging                            A   0.00   4.32     4.32NA  0.03   4.35  4.351XXX.00.00.0000000             36.0896 010 99     10.13  10.13   0.07
7823026Salivary gland imaging                            A   0.45   0.17     0.17    0.02   0.64  0.641XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78231  Serial salivary imaging                           A   0.52   2.44     2.44NA  0.06   3.02  3.021XXX.00.00.0000000             36.0896 090 99     10.08  10.08   0.22
78231TCSerial salivary imaging                           A   0.00   2.35     2.35NA  0.05   2.40  2.401XXX.00.00.0000000             36.0896 010 99      9.99   9.99   0.21
7823126Serial salivary imaging                           A   0.52   0.09     0.09    0.01   0.62  0.621XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78232  Salivary gland function exam                      A   0.47   2.43     2.43NA  0.06   2.96  2.961XXX.00.00.0000000             36.0896 090 99     10.07  10.07   0.22
78232TCSalivary gland function exam                      A   0.00   2.35     2.35NA  0.05   2.40  2.401XXX.00.00.0000000             36.0896 010 99      9.99   9.99   0.21
7823226Salivary gland function exam                      A   0.47   0.08     0.08    0.01   0.56  0.561XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78258  Esophageal motility study                         A   0.74   5.38     5.38NA  0.07   6.19  6.191XXX.00.00.0000000             36.0896 090 99     10.33  10.33   0.12
78258TCEsophageal motility study                         A   0.00   5.15     5.15NA  0.05   5.20  5.201XXX.00.00.0000000             36.0896 010 99     10.10  10.10   0.10
7825826Esophageal motility study                         A   0.74   0.23     0.23    0.02   0.99  0.991XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78261  Gastric mucosa imaging                            A   0.69   5.09     5.09NA  0.06   5.84  5.841XXX.00.00.0000000             36.0896 090 99     10.22  10.22   0.11
78261TCGastric mucosa imaging                            A   0.00   4.97     4.97NA  0.05   5.02  5.021XXX.00.00.0000000             36.0896 010 99     10.10  10.10   0.10
7826126Gastric mucosa imaging                            A   0.69   0.12     0.12    0.01   0.82  0.821XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78262  Gastroesophageal reflux exam                      A   0.68   6.10     6.10NA  0.08   6.86  6.861XXX.00.00.0000000             36.0896 090 99     10.35  10.35   0.12
78262TCGastroesophageal reflux exam                      A   0.00   5.86     5.86NA  0.05   5.91  5.911XXX.00.00.0000000             36.0896 010 99     10.11  10.11   0.09
7826226Gastroesophageal reflux exam                      A   0.68   0.24     0.24    0.03   0.95  0.951XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78264  Gastric emptying imag study                       A   0.79   8.65     8.65NA  0.08   9.52  9.521XXX.00.00.0000000             36.0896 090 99     10.42  10.42   0.09
78264TCGastric emptying imag study                       A   0.00   8.37     8.37NA  0.05   8.42  8.421XXX.00.00.0000000             36.0896 010 99     10.14  10.14   0.06
7826426Gastric emptying imag study                       A   0.79   0.28     0.28    0.03   1.10  1.101XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78265  Gastric emptying imag study                       A   0.98  10.17    10.17NA  0.11  11.26 11.261XXX.00.00.0000000             36.0896 090 99     10.48  10.48   0.11
78265TCGastric emptying imag study                       A   0.00   9.83     9.83NA  0.06   9.89  9.891XXX.00.00.0000000             36.0896 010 99     10.14  10.14   0.06
7826526Gastric emptying imag study                       A   0.98   0.34     0.34    0.05   1.37  1.371XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78266  Gastric emptying imag study                       A   1.08  11.14    11.14NA  0.09  12.31 12.311XXX.00.00.0000000             36.0896 090 99     13.30  13.30   0.10
78266TCGastric emptying imag study                       A   0.00  10.85    10.85NA  0.06  10.91 10.911XXX.00.00.0000000             36.0896 010 99     13.01  13.01   0.07
7826626Gastric emptying imag study                       A   1.08   0.29     0.29    0.03   1.40  1.401XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78267  Breath tst attain/anal c-14                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
78268  Breath test analysis c-14                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
78278  Acute gi blood loss imaging                       A   0.99   8.88     8.88NA  0.10   9.97  9.971XXX.00.00.0000000             36.0896 090 99     10.49  10.49   0.11
78278TCAcute gi blood loss imaging                       A   0.00   8.53     8.53NA  0.05   8.58  8.581XXX.00.00.0000000             36.0896 010 99     10.14  10.14   0.06
7827826Acute gi blood loss imaging                       A   0.99   0.35     0.35    0.05   1.39  1.391XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78282  Gi protein loss exam                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99     10.26  10.26   0.02
78282TCGi protein loss exam                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 010 99     10.19  10.19   0.01
7828226Gi protein loss exam                              A   0.38   0.07     0.07    0.01   0.46  0.461XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78290  Meckels divert exam                               A   0.68   8.68     8.68NA  0.08   9.44  9.441XXX.00.00.0000000             36.0896 090 99     10.37  10.37   0.09
78290TCMeckels divert exam                               A   0.00   8.45     8.45NA  0.05   8.50  8.501XXX.00.00.0000000             36.0896 010 99     10.14  10.14   0.06
7829026Meckels divert exam                               A   0.68   0.23     0.23    0.03   0.94  0.941XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78291  Leveen/shunt patency exam                         A   0.88   6.32     6.32NA  0.10   7.30  7.301XXX.00.00.0000000             36.0896 090 99     10.41  10.41   0.13
78291TCLeveen/shunt patency exam                         A   0.00   6.03     6.03NA  0.05   6.08  6.081XXX.00.00.0000000             36.0896 010 99     10.12  10.12   0.08
7829126Leveen/shunt patency exam                         A   0.88   0.29     0.29    0.05   1.22  1.221XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78299  Gi nuclear procedure                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78299TCGi nuclear procedure                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7829926Gi nuclear procedure                              C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78300  Bone imaging limited area                         A   0.62   5.88     5.88NA  0.06   6.56  6.561XXX.00.00.0000000             36.0896 090 99     10.38  10.38   0.08
78300TCBone imaging limited area                         A   0.00   5.65     5.65NA  0.03   5.68  5.681XXX.00.00.0000000             36.0896 010 99     10.15  10.15   0.05
7830026Bone imaging limited area                         A   0.62   0.23     0.23    0.03   0.88  0.881XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78305  Bone imaging multiple areas                       A   0.83   7.04     7.04NA  0.08   7.95  7.951XXX.00.00.0000000             36.0896 090 99     10.44  10.44   0.09
78305TCBone imaging multiple areas                       A   0.00   6.75     6.75NA  0.03   6.78  6.781XXX.00.00.0000000             36.0896 010 99     10.15  10.15   0.04
7830526Bone imaging multiple areas                       A   0.83   0.29     0.29    0.05   1.17  1.171XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78306  Bone imaging whole body                           A   0.86   7.66     7.66NA  0.10   8.62  8.621XXX.00.00.0020000             36.0896 090 99     10.43  10.43   0.12
78306TCBone imaging whole body                           A   0.00   7.36     7.36NA  0.05   7.41  7.411XXX.00.00.0020000             36.0896 010 99     10.13  10.13   0.07
7830626Bone imaging whole body                           A   0.86   0.30     0.30    0.05   1.21  1.211XXX.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
78315  Bone imaging 3 phase                              A   1.02   8.79     8.79NA  0.10   9.91  9.911XXX.00.00.0000000             36.0896 090 99     10.50  10.50   0.11
78315TCBone imaging 3 phase                              A   0.00   8.43     8.43NA  0.05   8.48  8.481XXX.00.00.0000000             36.0896 010 99     10.14  10.14   0.06
7831526Bone imaging 3 phase                              A   1.02   0.36     0.36    0.05   1.43  1.431XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78350  Bone mineral single photon                        N+  0.22   0.67     0.67NA  0.02   0.91  0.911XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
78350TCBone mineral single photon                        N+  0.00   0.59     0.59NA  0.01   0.60  0.601XXX.00.00.0099999             36.0896 010 99      0.00   0.00   0.00
7835026Bone mineral single photon                        N+  0.22   0.08     0.08    0.01   0.31  0.311XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
78351  Bone mineral dual photon                          N+  0.30   0.12NA   0.12    0.02   0.44  0.449XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
78399  Musculoskeletal nuclear exam                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78399TCMusculoskeletal nuclear exam                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7839926Musculoskeletal nuclear exam                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78414  Non-imaging heart function                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78414TCNon-imaging heart function                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
7841426Non-imaging heart function                        A   0.45   0.16     0.16    0.01   0.62  0.621XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78428  Cardiac shunt imaging                             A   0.78   4.46     4.46NA  0.06   5.30  5.301XXX.00.00.0060000             36.0896 090 99     10.39  10.39   0.10
78428TCCardiac shunt imaging                             A   0.00   4.20     4.20NA  0.03   4.23  4.231XXX.00.00.0060000             36.0896 010 99     10.13  10.13   0.07
7842826Cardiac shunt imaging                             A   0.78   0.26     0.26    0.03   1.07  1.071XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
78429  Myocrd img pet 1 std w/ct                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99     40.52  40.52   0.07
78429TCMyocrd img pet 1 std w/ct                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 010 99     39.97  39.97   0.01
7842926Myocrd img pet 1 std w/ct                         A   1.76   0.55     0.55    0.06   2.37  2.371XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78430  Myocrd img pet rst/strs w/ct                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99     40.49  40.49   0.07
78430TCMyocrd img pet rst/strs w/ct                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 010 99     39.97  39.97   0.01
7843026Myocrd img pet rst/strs w/ct                      A   1.67   0.52     0.52    0.06   2.25  2.251XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78431  Myocrd img pet rst&strs ct                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99     62.99  62.99   0.09
78431TCMyocrd img pet rst&strs ct                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 010 99     62.35  62.35   0.01
7843126Myocrd img pet rst&strs ct                        A   1.90   0.64     0.64    0.08   2.62  2.621XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78432  Myocrd img pet 2rtracer                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99     76.84  76.84   0.09
78432TCMyocrd img pet 2rtracer                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 010 99     76.20  76.20   0.01
7843226Myocrd img pet 2rtracer                           A   2.07   0.64     0.64    0.08   2.79  2.791XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78433  Myocrd img pet 2rtracer ct                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99     76.90  76.90   0.10
78433TCMyocrd img pet 2rtracer ct                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 010 99     76.20  76.20   0.01
7843326Myocrd img pet 2rtracer ct                        A   2.26   0.70     0.70    0.09   3.05  3.051XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78434  Aqmbf pet rest & rx stress                        C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78434TCAqmbf pet rest & rx stress                        C   0.00   0.00     0.00    0.00   0.00  0.001ZZZ.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
7843426Aqmbf pet rest & rx stress                        A   0.63   0.23     0.23    0.02   0.88  0.881ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78445  Vascular flow imaging                             A   0.49   5.03     5.03NA  0.08   5.60  5.601XXX.00.00.0060000             36.0896 090 99     10.32  10.32   0.11
78445TCVascular flow imaging                             A   0.00   4.85     4.85NA  0.03   4.88  4.881XXX.00.00.0060000             36.0896 010 99     10.14  10.14   0.06
7844526Vascular flow imaging                             A   0.49   0.18     0.18    0.05   0.72  0.721XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
78451  Ht muscle image spect sing                        A   1.38   8.15     8.15NA  0.10   9.63  9.631XXX.00.00.0060000             36.0896 090 99     35.49  35.49   0.28
78451TCHt muscle image spect sing                        A   0.00   7.68     7.68NA  0.05   7.73  7.731XXX.00.00.0060000             36.0896 010 99     35.02  35.02   0.23
7845126Ht muscle image spect sing                        A   1.38   0.47     0.47    0.05   1.90  1.901XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
78452  Ht muscle image spect mult                        A   1.62  11.67    11.67NA  0.14  13.43 13.431XXX.00.00.0060000             36.0896 090 99     35.56  35.56   0.31
78452TCHt muscle image spect mult                        A   0.00  11.11    11.11NA  0.08  11.19 11.191XXX.00.00.0060000             36.0896 010 99     35.00  35.00   0.25
7845226Ht muscle image spect mult                        A   1.62   0.56     0.56    0.06   2.24  2.241XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
78453  Ht muscle image planar sing                       A   1.00   7.56     7.56NA  0.10   8.66  8.661XXX.00.00.0060000             36.0896 090 99     35.37  35.37   0.29
78453TCHt muscle image planar sing                       A   0.00   7.20     7.20NA  0.05   7.25  7.251XXX.00.00.0060000             36.0896 010 99     35.01  35.01   0.24
7845326Ht muscle image planar sing                       A   1.00   0.36     0.36    0.05   1.41  1.411XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
78454  Ht musc image planar mult                         A   1.34  10.96    10.96NA  0.12  12.42 12.421XXX.00.00.0060000             36.0896 090 99     35.54  35.54   0.26
78454TCHt musc image planar mult                         A   0.00  10.47    10.47NA  0.06  10.53 10.531XXX.00.00.0060000             36.0896 010 99     35.05  35.05   0.20
7845426Ht musc image planar mult                         A   1.34   0.49     0.49    0.06   1.89  1.891XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
78456  Acute venous thrombus image                       A   1.00   7.74     7.74NA  0.08   8.82  8.821XXX.00.00.0069999             36.0896 090 99     35.35  35.35   0.26
78456TCAcute venous thrombus image                       A   0.00   7.40     7.40NA  0.05   7.45  7.451XXX.00.00.0069999             36.0896 090 99     35.01  35.01   0.23
7845626Acute venous thrombus image                       A   1.00   0.34     0.34    0.03   1.37  1.371XXX.00.00.0069999             36.0896 090 99      0.00   0.00   0.00
78457  Venous thrombosis imaging                         A   0.77   4.19     4.19NA  0.06   5.02  5.021XXX.00.00.0060000             36.0896 090 99     35.24  35.24   0.29
78457TCVenous thrombosis imaging                         A   0.00   3.93     3.93NA  0.03   3.96  3.961XXX.00.00.0060000             36.0896 010 99     34.98  34.98   0.26
7845726Venous thrombosis imaging                         A   0.77   0.26     0.26    0.03   1.06  1.061XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
78458  Ven thrombosis images bilat                       A   0.90   4.90     4.90NA  0.08   5.88  5.881XXX.00.00.0062000             36.0896 090 99     10.47  10.47   0.12
78458TCVen thrombosis images bilat                       A   0.00   4.56     4.56NA  0.03   4.59  4.591XXX.00.00.0062000             36.0896 010 99     10.13  10.13   0.07
7845826Ven thrombosis images bilat                       A   0.90   0.34     0.34    0.05   1.29  1.291XXX.00.00.0062000             36.0896 090 99      0.00   0.00   0.00
78459  Myocrd img pet single study                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99     35.73  35.73   0.06
78459TCMyocrd img pet single study                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 010 99     35.24  35.24   0.01
7845926Myocrd img pet single study                       A   1.61   0.49     0.49    0.05   2.15  2.151XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78466  Heart infarct image                               A   0.69   4.97     4.97NA  0.06   5.72  5.721XXX.00.00.0060000             36.0896 090 99     10.41  10.41   0.09
78466TCHeart infarct image                               A   0.00   4.69     4.69NA  0.03   4.72  4.721XXX.00.00.0060000             36.0896 010 99     10.13  10.13   0.06
7846626Heart infarct image                               A   0.69   0.28     0.28    0.03   1.00  1.001XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
78468  Heart infarct image (ef)                          A   0.80   4.63     4.63NA  0.08   5.51  5.511XXX.00.00.0060000             36.0896 090 99     13.20  13.20   0.18
78468TCHeart infarct image (ef)                          A   0.00   4.36     4.36NA  0.05   4.41  4.411XXX.00.00.0060000             36.0896 010 99     12.93  12.93   0.15
7846826Heart infarct image (ef)                          A   0.80   0.27     0.27    0.03   1.10  1.101XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
78469  Heart infarct image (3d)                          A   0.92   5.39     5.39NA  0.08   6.39  6.391XXX.00.00.0060000             36.0896 090 99     35.23  35.23   0.37
78469TCHeart infarct image (3d)                          A   0.00   5.06     5.06NA  0.05   5.11  5.111XXX.00.00.0060000             36.0896 010 99     34.90  34.90   0.34
7846926Heart infarct image (3d)                          A   0.92   0.33     0.33    0.03   1.28  1.281XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
78472  Gated heart planar single                         A   0.98   5.45     5.45NA  0.08   6.51  6.511XXX.00.00.0060000             36.0896 090 99     10.48  10.48   0.11
78472TCGated heart planar single                         A   0.00   5.11     5.11NA  0.03   5.14  5.141XXX.00.00.0060000             36.0896 010 99     10.14  10.14   0.06
7847226Gated heart planar single                         A   0.98   0.34     0.34    0.05   1.37  1.371XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
78473  Gated heart multiple                              A   1.47   6.69     6.69NA  0.10   8.26  8.261XXX.00.00.0060000             36.0896 090 99     10.61  10.61   0.13
78473TCGated heart multiple                              A   0.00   6.20     6.20NA  0.05   6.25  6.251XXX.00.00.0060000             36.0896 010 99     10.12  10.12   0.08
7847326Gated heart multiple                              A   1.47   0.49     0.49    0.05   2.01  2.011XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
78481  Heart first pass single                           A   0.98   3.97     3.97NA  0.08   5.03  5.031XXX.00.00.0060000             36.0896 090 99     13.31  13.31   0.16
78481TCHeart first pass single                           A   0.00   3.63     3.63NA  0.03   3.66  3.661XXX.00.00.0060000             36.0896 010 99     12.97  12.97   0.11
7848126Heart first pass single                           A   0.98   0.34     0.34    0.05   1.37  1.371XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
78483  Heart first pass multiple                         A   1.47   5.34     5.34NA  0.08   6.89  6.891XXX.00.00.0060000             36.0896 090 99     13.51  13.51   0.13
78483TCHeart first pass multiple                         A   0.00   4.83     4.83NA  0.03   4.86  4.861XXX.00.00.0060000             36.0896 010 99     13.00  13.00   0.08
7848326Heart first pass multiple                         A   1.47   0.51     0.51    0.05   2.03  2.031XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
78491  Myocrd img pet 1std rst/strs                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99     40.45  40.45   0.06
78491TCMyocrd img pet 1std rst/strs                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 010 99     39.97  39.97   0.01
7849126Myocrd img pet 1std rst/strs                      A   1.56   0.48     0.48    0.05   2.09  2.091XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78492  Myocrd img pet mlt rst&strs                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99     40.57  40.57   0.07
78492TCMyocrd img pet mlt rst&strs                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 010 99     39.97  39.97   0.01
7849226Myocrd img pet mlt rst&strs                       A   1.80   0.60     0.60    0.06   2.46  2.461XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78494  Heart image spect                                 A   1.19   5.18     5.18NA  0.10   6.47  6.471XXX.00.00.0060000             36.0896 090 99     10.50  10.50   0.15
78494TCHeart image spect                                 A   0.00   4.77     4.77NA  0.05   4.82  4.821XXX.00.00.0060000             36.0896 010 99     10.09  10.09   0.10
7849426Heart image spect                                 A   1.19   0.41     0.41    0.05   1.65  1.651XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
78496  Heart first pass add-on                           A   0.50   0.70     0.70NA  0.03   1.23  1.231ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78496TCHeart first pass add-on                           A   0.00   0.53     0.53NA  0.01   0.54  0.541ZZZ.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
7849626Heart first pass add-on                           A   0.50   0.17     0.17    0.02   0.69  0.691ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78499  Cardiovascular nuclear exam                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78499TCCardiovascular nuclear exam                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7849926Cardiovascular nuclear exam                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78579  Lung ventilation imaging                          A   0.49   4.82     4.82NA  0.05   5.36  5.361XXX.00.00.0000000             36.0896 090 99     10.30  10.30   0.08
78579TCLung ventilation imaging                          A   0.00   4.65     4.65NA  0.03   4.68  4.681XXX.00.00.0000000             36.0896 010 99     10.13  10.13   0.06
7857926Lung ventilation imaging                          A   0.49   0.17     0.17    0.02   0.68  0.681XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78580  Lung perfusion imaging                            A   0.74   5.97     5.97NA  0.06   6.77  6.771XXX.00.00.0000000             36.0896 090 99     10.41  10.41   0.08
78580TCLung perfusion imaging                            A   0.00   5.71     5.71NA  0.03   5.74  5.741XXX.00.00.0000000             36.0896 010 99     10.15  10.15   0.05
7858026Lung perfusion imaging                            A   0.74   0.26     0.26    0.03   1.03  1.031XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78582  Lung ventilat&perfus imaging                      A   1.07   8.37     8.37NA  0.10   9.54  9.541XXX.00.00.0000000             36.0896 090 99     13.37  13.37   0.13
78582TCLung ventilat&perfus imaging                      A   0.00   8.00     8.00NA  0.05   8.05  8.051XXX.00.00.0000000             36.0896 010 99     13.00  13.00   0.08
7858226Lung ventilat&perfus imaging                      A   1.07   0.37     0.37    0.05   1.49  1.491XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78597  Lung perfusion differential                       A   0.75   4.94     4.94NA  0.05   5.74  5.741XXX.00.00.0000000             36.0896 090 99     10.37  10.37   0.08
78597TCLung perfusion differential                       A   0.00   4.71     4.71NA  0.03   4.74  4.741XXX.00.00.0000000             36.0896 010 99     10.14  10.14   0.06
7859726Lung perfusion differential                       A   0.75   0.23     0.23    0.02   1.00  1.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78598  Lung perf&ventilat diferentl                      A   0.85   7.77     7.77NA  0.08   8.70  8.701XXX.00.00.0000000             36.0896 090 99     13.27  13.27   0.12
78598TCLung perf&ventilat diferentl                      A   0.00   7.49     7.49NA  0.05   7.54  7.541XXX.00.00.0000000             36.0896 010 99     12.99  12.99   0.09
7859826Lung perf&ventilat diferentl                      A   0.85   0.28     0.28    0.03   1.16  1.161XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78599  Respiratory nuclear exam                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78599TCRespiratory nuclear exam                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7859926Respiratory nuclear exam                          C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78600  Brain image < 4 views                             A   0.44   4.75     4.75NA  0.07   5.26  5.261XXX.00.00.0000000             36.0896 090 99     10.25  10.25   0.13
78600TCBrain image < 4 views                             A   0.00   4.59     4.59NA  0.05   4.64  4.641XXX.00.00.0000000             36.0896 010 99     10.09  10.09   0.11
7860026Brain image < 4 views                             A   0.44   0.16     0.16    0.02   0.62  0.621XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78601  Brain image w/flow < 4 views                      A   0.51   5.62     5.62NA  0.07   6.20  6.201XXX.00.00.0000000             36.0896 090 99     10.29  10.29   0.11
78601TCBrain image w/flow < 4 views                      A   0.00   5.44     5.44NA  0.05   5.49  5.491XXX.00.00.0000000             36.0896 010 99     10.11  10.11   0.09
7860126Brain image w/flow < 4 views                      A   0.51   0.18     0.18    0.02   0.71  0.711XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78605  Brain image 4+ views                              A   0.53   5.11     5.11NA  0.07   5.71  5.711XXX.00.00.0000000             36.0896 090 99     13.15  13.15   0.15
78605TCBrain image 4+ views                              A   0.00   4.91     4.91NA  0.05   4.96  4.961XXX.00.00.0000000             36.0896 010 99     12.95  12.95   0.13
7860526Brain image 4+ views                              A   0.53   0.20     0.20    0.02   0.75  0.751XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78606  Brain image w/flow 4 + views                      A   0.64   8.73     8.73NA  0.08   9.45  9.451XXX.00.00.0000000             36.0896 090 99     13.22  13.22   0.11
78606TCBrain image w/flow 4 + views                      A   0.00   8.51     8.51NA  0.05   8.56  8.561XXX.00.00.0000000             36.0896 010 99     13.00  13.00   0.08
7860626Brain image w/flow 4 + views                      A   0.64   0.22     0.22    0.03   0.89  0.891XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78608  Brain imaging (pet)                               C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99     40.45  40.45   0.06
78608TCBrain imaging (pet)                               C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 010 99     39.97  39.97   0.01
7860826Brain imaging (pet)                               A   1.50   0.48     0.48    0.05   2.03  2.031XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78609  Brain imaging (pet)                               N+  1.50   0.58     0.58NA  0.08   2.16  2.161XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
78609TCBrain imaging (pet)                               N   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             36.0896 010 99      0.00   0.00   0.00
7860926Brain imaging (pet)                               N+  1.50   0.58     0.58    0.08   2.16  2.161XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
78610  Brain flow imaging only                           A   0.30   4.63     4.63NA  0.04   4.97  4.971XXX.00.00.0000000             36.0896 090 99     13.10  13.10   0.10
78610TCBrain flow imaging only                           A   0.00   4.52     4.52NA  0.03   4.55  4.551XXX.00.00.0000000             36.0896 010 99     12.99  12.99   0.09
7861026Brain flow imaging only                           A   0.30   0.11     0.11    0.01   0.42  0.421XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78630  Cerebrospinal fluid scan                          A   0.68   8.90     8.90NA  0.08   9.66  9.661XXX.00.00.0000000             36.0896 090 99     13.24  13.24   0.10
78630TCCerebrospinal fluid scan                          A   0.00   8.66     8.66NA  0.05   8.71  8.711XXX.00.00.0000000             36.0896 010 99     13.00  13.00   0.07
7863026Cerebrospinal fluid scan                          A   0.68   0.24     0.24    0.03   0.95  0.951XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78635  Csf ventriculography                              A   0.61   8.97     8.97NA  0.08   9.66  9.661XXX.00.00.0000000             36.0896 090 99     13.23  13.23   0.10
78635TCCsf ventriculography                              A   0.00   8.74     8.74NA  0.05   8.79  8.791XXX.00.00.0000000             36.0896 010 99     13.00  13.00   0.07
7863526Csf ventriculography                              A   0.61   0.23     0.23    0.03   0.87  0.871XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78645  Csf shunt evaluation                              A   0.57   8.64     8.64NA  0.07   9.28  9.281XXX.00.00.0000000             36.0896 090 99     13.19  13.19   0.10
78645TCCsf shunt evaluation                              A   0.00   8.45     8.45NA  0.05   8.50  8.501XXX.00.00.0000000             36.0896 010 99     13.00  13.00   0.08
7864526Csf shunt evaluation                              A   0.57   0.19     0.19    0.02   0.78  0.781XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78650  Csf leakage imaging                               A   0.61   7.22     7.22NA  0.06   7.89  7.891XXX.00.00.0000000             36.0896 090 99     35.11  35.11   0.25
78650TCCsf leakage imaging                               A   0.00   7.11     7.11NA  0.05   7.16  7.161XXX.00.00.0000000             36.0896 010 99     35.00  35.00   0.24
7865026Csf leakage imaging                               A   0.61   0.11     0.11    0.01   0.73  0.731XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78660  Nuclear exam of tear flow                         A   0.53   4.69     4.69NA  0.05   5.27  5.271XXX.00.00.0000000             36.0896 090 99     10.33  10.33   0.09
78660TCNuclear exam of tear flow                         A   0.00   4.49     4.49NA  0.03   4.52  4.521XXX.00.00.0000000             36.0896 010 99     10.13  10.13   0.07
7866026Nuclear exam of tear flow                         A   0.53   0.20     0.20    0.02   0.75  0.751XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78699  Nervous system nuclear exam                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78699TCNervous system nuclear exam                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7869926Nervous system nuclear exam                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78700  Kidney imaging morphol                            A   0.45   4.39     4.39NA  0.05   4.89  4.891XXX.00.00.0000000             36.0896 090 99     10.28  10.28   0.09
78700TCKidney imaging morphol                            A   0.00   4.24     4.24NA  0.03   4.27  4.271XXX.00.00.0000000             36.0896 010 99     10.13  10.13   0.07
7870026Kidney imaging morphol                            A   0.45   0.15     0.15    0.02   0.62  0.621XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78701  Kidney imaging with flow                          A   0.49   5.69     5.69NA  0.07   6.25  6.251XXX.00.00.0000000             36.0896 090 99     10.28  10.28   0.11
78701TCKidney imaging with flow                          A   0.00   5.52     5.52NA  0.05   5.57  5.571XXX.00.00.0000000             36.0896 010 99     10.11  10.11   0.09
7870126Kidney imaging with flow                          A   0.49   0.17     0.17    0.02   0.68  0.681XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78707  K flow/funct image w/o drug                       A   0.96   5.60     5.60NA  0.10   6.66  6.661XXX.00.00.0000000             36.0896 090 99     13.27  13.27   0.17
78707TCK flow/funct image w/o drug                       A   0.00   5.28     5.28NA  0.05   5.33  5.331XXX.00.00.0000000             36.0896 010 99     12.95  12.95   0.12
7870726K flow/funct image w/o drug                       A   0.96   0.32     0.32    0.05   1.33  1.331XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78708  K flow/funct image w/drug                         A   1.21   3.75     3.75NA  0.10   5.06  5.061XXX.00.00.0000000             36.0896 090 99     13.30  13.30   0.24
78708TCK flow/funct image w/drug                         A   0.00   3.34     3.34NA  0.05   3.39  3.391XXX.00.00.0000000             36.0896 010 99     12.89  12.89   0.19
7870826K flow/funct image w/drug                         A   1.21   0.41     0.41    0.05   1.67  1.671XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78709  K flow/funct image multiple                       A   1.41   8.99     8.99NA  0.10  10.50 10.501XXX.00.00.0000000             36.0896 090 99     13.47  13.47   0.13
78709TCK flow/funct image multiple                       A   0.00   8.52     8.52NA  0.05   8.57  8.571XXX.00.00.0000000             36.0896 010 99     13.00  13.00   0.08
7870926K flow/funct image multiple                       A   1.41   0.47     0.47    0.05   1.93  1.931XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78725  Kidney function study                             A   0.38   2.68     2.68NA  0.04   3.10  3.101XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78725TCKidney function study                             A   0.00   2.56     2.56NA  0.03   2.59  2.591XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
7872526Kidney function study                             A   0.38   0.12     0.12    0.01   0.51  0.511XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78730  Urinary bladder retention                         A   0.15   2.01     2.01NA  0.01   2.17  2.171ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78730TCUrinary bladder retention                         A   0.00   1.94     1.94NA  0.01   1.95  1.951ZZZ.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
7873026Urinary bladder retention                         A   0.15   0.07     0.07    0.00   0.22  0.221ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78740  Ureteral reflux study                             A   0.57   5.57     5.57NA  0.07   6.21  6.211XXX.00.00.0000000             36.0896 090 99     10.29  10.29   0.11
78740TCUreteral reflux study                             A   0.00   5.39     5.39NA  0.05   5.44  5.441XXX.00.00.0000000             36.0896 010 99     10.11  10.11   0.09
7874026Ureteral reflux study                             A   0.57   0.18     0.18    0.02   0.77  0.771XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78761  Testicular imaging w/flow                         A   0.71   5.27     5.27NA  0.08   6.06  6.061XXX.00.00.0000000             36.0896 090 99     10.37  10.37   0.13
78761TCTesticular imaging w/flow                         A   0.00   5.00     5.00NA  0.05   5.05  5.051XXX.00.00.0000000             36.0896 010 99     10.10  10.10   0.10
7876126Testicular imaging w/flow                         A   0.71   0.27     0.27    0.03   1.01  1.011XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78799  Genitourinary nuclear exam                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78799TCGenitourinary nuclear exam                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7879926Genitourinary nuclear exam                        C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78800  Rp loclzj tum 1 area 1 d img                      A   0.64   6.68     6.68NA  0.08   7.40  7.401XXX.00.00.0000000             36.0896 090 99     10.37  10.37   0.10
78800TCRp loclzj tum 1 area 1 d img                      A   0.00   6.46     6.46NA  0.03   6.49  6.491XXX.00.00.0000000             36.0896 010 99     10.15  10.15   0.05
7880026Rp loclzj tum 1 area 1 d img                      A   0.64   0.22     0.22    0.05   0.91  0.911XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78801  Rp loclzj tum 2+area 1+d img                      A   0.73   7.30     7.30NA  0.10   8.13  8.131XXX.00.00.0000000             36.0896 090 99     10.38  10.38   0.12
78801TCRp loclzj tum 2+area 1+d img                      A   0.00   7.05     7.05NA  0.05   7.10  7.101XXX.00.00.0000000             36.0896 010 99     10.13  10.13   0.07
7880126Rp loclzj tum 2+area 1+d img                      A   0.73   0.25     0.25    0.05   1.03  1.031XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78802  Rp loclzj tum whbdy 1 d img                       A   0.80   8.05     8.05NA  0.08   8.93  8.931XXX.00.00.0020000             36.0896 090 99     35.28  35.28   0.25
78802TCRp loclzj tum whbdy 1 d img                       A   0.00   7.79     7.79NA  0.05   7.84  7.841XXX.00.00.0020000             36.0896 010 99     35.02  35.02   0.22
7880226Rp loclzj tum whbdy 1 d img                       A   0.80   0.26     0.26    0.03   1.09  1.091XXX.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
78803  Rp loclzj tum spect 1 area                        A   1.09   9.93     9.93NA  0.10  11.12 11.121XXX.00.00.0020000             36.0896 090 99     35.42  35.42   0.23
78803TCRp loclzj tum spect 1 area                        A   0.00   9.58     9.58NA  0.05   9.63  9.631XXX.00.00.0020000             36.0896 010 99     35.07  35.07   0.18
7880326Rp loclzj tum spect 1 area                        A   1.09   0.35     0.35    0.05   1.49  1.491XXX.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
78804  Rp loclzj tum whbdy 2+d img                       A   1.01  17.72    17.72NA  0.14  18.87 18.871XXX.00.00.0000000             36.0896 090 99     35.41  35.41   0.23
78804TCRp loclzj tum whbdy 2+d img                       A   0.00  17.38    17.38NA  0.09  17.47 17.471XXX.00.00.0000000             36.0896 010 99     35.07  35.07   0.18
7880426Rp loclzj tum whbdy 2+d img                       A   1.01   0.34     0.34    0.05   1.40  1.401XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78808  Iv inj ra drug dx study                           A   0.18   0.94     0.94NA  0.02   1.14  1.145XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78811  Pet image ltd area                                C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99     35.76  35.76   0.09
78811TCPet image ltd area                                C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 010 99     35.24  35.24   0.01
7881126Pet image ltd area                                A   1.54   0.52     0.52    0.08   2.14  2.141XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78812  Pet image skull-thigh                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99     40.59  40.59   0.09
78812TCPet image skull-thigh                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 010 99     39.97  39.97   0.01
7881226Pet image skull-thigh                             A   1.93   0.62     0.62    0.08   2.63  2.631XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78813  Pet image full body                               C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99     40.55  40.55   0.07
78813TCPet image full body                               C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 010 99     39.97  39.97   0.01
7881326Pet image full body                               A   2.00   0.58     0.58    0.06   2.64  2.641XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78814  Pet image w/ct lmtd                               C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99     40.69  40.69   0.10
78814TCPet image w/ct lmtd                               C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 010 99     39.97  39.97   0.01
7881426Pet image w/ct lmtd                               A   2.20   0.72     0.72    0.09   3.01  3.011XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78815  Pet image w/ct skull-thigh                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99     40.81  40.81   0.10
78815TCPet image w/ct skull-thigh                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 010 99     39.97  39.97   0.01
7881526Pet image w/ct skull-thigh                        A   2.44   0.84     0.84    0.09   3.37  3.371XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78816  Pet image w/ct full body                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99     40.78  40.78   0.10
78816TCPet image w/ct full body                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 010 99     39.97  39.97   0.01
7881626Pet image w/ct full body                          A   2.50   0.81     0.81    0.09   3.40  3.401XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78830  Rp loclzj tum spect w/ct 1                        A   1.49  12.47    12.47NA  0.11  14.07 14.071XXX.00.00.0000000             36.0896 090 99     35.59  35.59   0.21
78830TCRp loclzj tum spect w/ct 1                        A   0.00  11.98    11.98NA  0.05  12.03 12.031XXX.00.00.0000000             36.0896 010 99     35.10  35.10   0.15
7883026Rp loclzj tum spect w/ct 1                        A   1.49   0.49     0.49    0.06   2.04  2.041XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78831  Rp loclzj tum spect 2 areas                       A   1.82  18.36    18.36NA  0.17  20.35 20.351XXX.00.00.0000000             36.0896 090 99     35.66  35.66   0.26
78831TCRp loclzj tum spect 2 areas                       A   0.00  17.77    17.77NA  0.09  17.86 17.861XXX.00.00.0000000             36.0896 010 99     35.07  35.07   0.18
7883126Rp loclzj tum spect 2 areas                       A   1.82   0.59     0.59    0.08   2.49  2.491XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78832  Rp loclzj tum spect w/ct 2                        A   2.12  24.18    24.18NA  0.18  26.48 26.481XXX.00.00.0000000             36.0896 090 99     40.52  40.52   0.24
78832TCRp loclzj tum spect w/ct 2                        A   0.00  23.49    23.49NA  0.09  23.58 23.581XXX.00.00.0000000             36.0896 010 99     39.83  39.83   0.15
7883226Rp loclzj tum spect w/ct 2                        A   2.12   0.69     0.69    0.09   2.90  2.901XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78835  Rp quan meas single area                          A   0.47   2.45     2.45NA  0.03   2.95  2.951ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78835TCRp quan meas single area                          A   0.00   2.30     2.30NA  0.01   2.31  2.311ZZZ.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
7883526Rp quan meas single area                          A   0.47   0.15     0.15    0.02   0.64  0.641ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78999  Nuclear diagnostic exam                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
78999TCNuclear diagnostic exam                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7899926Nuclear diagnostic exam                           C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
79005  Nuclear rx oral admin                             A   1.80   2.02     2.02NA  0.10   3.92  3.921XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
79005TCNuclear rx oral admin                             A   0.00   1.40     1.40NA  0.02   1.42  1.421XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7900526Nuclear rx oral admin                             A   1.80   0.62     0.62    0.08   2.50  2.501XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
79101  Nuclear rx iv admin                               A   1.96   2.17     2.17NA  0.10   4.23  4.231XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
79101TCNuclear rx iv admin                               A   0.00   1.42     1.42NA  0.02   1.44  1.441XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7910126Nuclear rx iv admin                               A   1.96   0.75     0.75    0.08   2.79  2.791XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
79200  Nuclear rx intracav admin                         A   1.99   1.83     1.83NA  0.04   3.86  3.861XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
79200TCNuclear rx intracav admin                         A   0.00   1.48     1.48NA  0.02   1.50  1.501XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7920026Nuclear rx intracav admin                         A   1.99   0.35     0.35    0.02   2.36  2.361XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
79300  Nuclr rx interstit colloid                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
79300TCNuclr rx interstit colloid                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7930026Nuclr rx interstit colloid                        A   1.60   0.28     0.28    0.01   1.89  1.891XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
79403  Hematopoietic nuclear tx                          A   2.25   3.03     3.03NA  0.11   5.39  5.391XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
79403TCHematopoietic nuclear tx                          A   0.00   2.27     2.27NA  0.03   2.30  2.301XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7940326Hematopoietic nuclear tx                          A   2.25   0.76     0.76    0.08   3.09  3.091XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
79440  Nuclear rx intra-articular                        A   1.99   1.45     1.45NA  0.04   3.48  3.481XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
79440TCNuclear rx intra-articular                        A   0.00   1.10     1.10NA  0.02   1.12  1.121XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7944026Nuclear rx intra-articular                        A   1.99   0.35     0.35    0.02   2.36  2.361XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
79445  Nuclear rx intra-arterial                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
79445TCNuclear rx intra-arterial                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7944526Nuclear rx intra-arterial                         A   2.40   0.73     0.73    0.11   3.24  3.241XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
79999  Nuclear medicine therapy                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
79999TCNuclear medicine therapy                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
7999926Nuclear medicine therapy                          C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
80047  Metabolic panel ionized ca                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80048  Metabolic panel total ca                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80050  General health panel                              N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80051  Electrolyte panel                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80053  Comprehen metabolic panel                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80055  Obstetric panel                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80061  Lipid panel                                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80069  Renal function panel                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80074  Acute hepatitis panel                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80076  Hepatic function panel                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80081  Obstetric panel                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80145  Drug assay adalimumab                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80150  Assay of amikacin                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80155  Drug assay caffeine                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80156  Assay carbamazepine total                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80157  Assay carbamazepine free                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80158  Drug assay cyclosporine                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80159  Drug assay clozapine                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80162  Assay of digoxin total                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80163  Assay of digoxin free                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80164  Assay dipropylacetic acd tot                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80165  Dipropylacetic acid free                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80168  Assay of ethosuximide                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80169  Drug assay everolimus                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80170  Assay of gentamicin                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80171  Drug screen quant gabapentin                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80173  Assay of haloperidol                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80175  Drug screen quan lamotrigine                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80176  Assay of lidocaine                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80177  Drug scrn quan levetiracetam                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80178  Assay of lithium                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80180  Drug scrn quan mycophenolate                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80183  Drug scrn quant oxcarbazepin                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80184  Assay of phenobarbital                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80185  Assay of phenytoin total                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80186  Assay of phenytoin free                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80187  Drug assay posaconazole                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80188  Assay of primidone                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80190  Assay of procainamide                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80192  Assay of procainamide                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80194  Assay of quinidine                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80195  Assay of sirolimus                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80197  Assay of tacrolimus                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80198  Assay of theophylline                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80199  Drug screen quant tiagabine                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80200  Assay of tobramycin                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80201  Assay of topiramate                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80202  Assay of vancomycin                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80203  Drug screen quant zonisamide                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80230  Drug assay infliximab                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80235  Drug assay lacosamide                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80280  Drug assay vedolizumab                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80285  Drug assay voriconazole                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80299  Quantitative assay drug                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80305  Drug test prsmv dir opt obs                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80306  Drug test prsmv instrmnt                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80307  Drug test prsmv chem anlyzr                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80320  Drug screen quantalcohols                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80321  Alcohols biomarkers 1or 2                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80322  Alcohols biomarkers 3/more                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80323  Alkaloids nos                                     I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80324  Drug screen amphetamines 1/2                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80325  Amphetamines 3or 4                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80326  Amphetamines 5 or more                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80327  Anabolic steroid 1 or 2                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80328  Anabolic steroid 3 or more                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80329  Analgesics non-opioid 1 or 2                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80330  Analgesics non-opioid 3-5                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80331  Analgesics non-opioid 6/more                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80332  Antidepressants class 1 or 2                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80333  Antidepressants class 3-5                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80334  Antidepressants class 6/more                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80335  Antidepressant tricyclic 1/2                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80336  Antidepressant tricyclic 3-5                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80337  Tricyclic & cyclicals 6/more                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80338  Antidepressant not specified                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80339  Antiepileptics nos 1-3                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80340  Antiepileptics nos 4-6                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80341  Antiepileptics nos 7/more                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80342  Antipsychotics nos 1-3                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80343  Antipsychotics nos 4-6                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80344  Antipsychotics nos 7/more                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80345  Drug screening barbiturates                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80346  Benzodiazepines1-12                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80347  Benzodiazepines 13 or more                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80348  Drug screening buprenorphine                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80349  Cannabinoids natural                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80350  Cannabinoids synthetic 1-3                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80351  Cannabinoids synthetic 4-6                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80352  Cannabinoid synthetic 7/more                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80353  Drug screening cocaine                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80354  Drug screening fentanyl                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80355  Gabapentin non-blood                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80356  Heroin metabolite                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80357  Ketamine and norketamine                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80358  Drug screening methadone                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80359  Methylenedioxyamphetamines                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80360  Methylphenidate                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80361  Opiates 1 or more                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80362  Opioids & opiate analogs 1/2                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80363  Opioids & opiate analogs 3/4                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80364  Opioid &opiate analog 5/more                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80365  Drug screening oxycodone                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80366  Drug screening pregabalin                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80367  Drug screening propoxyphene                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80368  Sedative hypnotics                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80369  Skeletal muscle relaxant 1/2                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80370  Skel musc relaxant 3 or more                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80371  Stimulants synthetic                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80372  Drug screening tapentadol                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80373  Drug screening tramadol                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80374  Stereoisomer analysis                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80375  Drug/substance nos 1-3                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80376  Drug/substance nos 4-6                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80377  Drug/substance nos 7/more                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80400  Acth stimulation panel                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80402  Acth stimulation panel                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80406  Acth stimulation panel                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80408  Aldosterone suppression eval                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80410  Calcitonin stimul panel                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80412  Crh stimulation panel                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80414  Testosterone response                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80415  Estradiol response panel                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80416  Renin stimulation panel                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80417  Renin stimulation panel                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80418  Pituitary evaluation panel                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80420  Dexamethasone panel                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80422  Glucagon tolerance panel                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80424  Glucagon tolerance panel                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80426  Gonadotropin hormone panel                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80428  Growth hormone panel                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80430  Growth hormone panel                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80432  Insulin suppression panel                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80434  Insulin tolerance panel                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80435  Insulin tolerance panel                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80436  Metyrapone panel                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80438  Trh stimulation panel                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80439  Trh stimulation panel                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
80500  Lab pathology consultation                        A   0.37   0.25     0.17    0.02   0.64  0.560XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
80502  Lab pathology consultation                        A   1.33   0.70     0.61    0.08   2.11  2.020XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
81000  Urinalysis nonauto w/scope                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81001  Urinalysis auto w/scope                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81002  Urinalysis nonauto w/o scope                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81003  Urinalysis auto w/o scope                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81005  Urinalysis                                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81007  Urine screen for bacteria                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81015  Microscopic exam of urine                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81020  Urinalysis glass test                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81025  Urine pregnancy test                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81050  Urinalysis volume measure                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81099  Urinalysis test procedure                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81105  Hpa-1 genotyping                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81106  Hpa-2 genotyping                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81107  Hpa-3 genotyping                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81108  Hpa-4 genotyping                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81109  Hpa-5 genotyping                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81110  Hpa-6 genotyping                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81111  Hpa-9 genotyping                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81112  Hpa-15 genotyping                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81120  Idh1 common variants                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81121  Idh2 common variants                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81161  Dmd dup/delet analysis                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81162  Brca1&2 gen full seq dup/del                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81163  Brca1&2 gene full seq alys                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81164  Brca1&2 gen ful dup/del alys                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81165  Brca1 gene full seq alys                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81166  Brca1 gene full dup/del alys                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81167  Brca2 gene full dup/del alys                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81170  Abl1 gene                                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81171  Aff2 gene detc abnor alleles                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81172  Aff2 gene charac alleles                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81173  Ar gene full gene sequence                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81174  Ar gene known famil variant                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81175  Asxl1 full gene sequence                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81176  Asxl1 gene target seq alys                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81177  Atn1 gene detc abnor alleles                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81178  Atxn1 gene detc abnor allele                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81179  Atxn2 gene detc abnor allele                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81180  Atxn3 gene detc abnor allele                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81181  Atxn7 gene detc abnor allele                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81182  Atxn8os gen detc abnor allel                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81183  Atxn10 gene detc abnor allel                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81184  Cacna1a gen detc abnor allel                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81185  Cacna1a gene full gene seq                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81186  Cacna1a gen known famil vrnt                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81187  Cnbp gene detc abnor allele                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81188  Cstb gene detc abnor allele                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81189  Cstb gene full gene sequence                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81190  Cstb gene known famil vrnt                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81200  Aspa gene                                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81201  Apc gene full sequence                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81202  Apc gene known fam variants                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81203  Apc gene dup/delet variants                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81204  Ar gene charac alleles                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81205  Bckdhb gene                                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81206  Bcr/abl1 gene major bp                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81207  Bcr/abl1 gene minor bp                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81208  Bcr/abl1 gene other bp                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81209  Blm gene                                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81210  Braf gene                                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81212  Brca1&2 185&5385&6174 vrnt                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81215  Brca1 gene known famil vrnt                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81216  Brca2 gene full seq alys                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81217  Brca2 gene known famil vrnt                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81218  Cebpa gene full sequence                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81219  Calr gene com variants                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81220  Cftr gene com variants                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81221  Cftr gene known fam variants                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81222  Cftr gene dup/delet variants                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81223  Cftr gene full sequence                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81224  Cftr gene intron poly t                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81225  Cyp2c19 gene com variants                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81226  Cyp2d6 gene com variants                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81227  Cyp2c9 gene com variants                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81228  Cytogen micrarray copy nmbr                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81229  Cytogen m array copy no&snp                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81230  Cyp3a4 gene common variants                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81231  Cyp3a5 gene common variants                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81232  Dpyd gene common variants                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81233  Btk gene common variants                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81234  Dmpk gene detc abnor allele                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81235  Egfr gene com variants                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81236  Ezh2 gene full gene sequence                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81237  Ezh2 gene common variants                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81238  F9 full gene sequence                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81239  Dmpk gene charac alleles                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81240  F2 gene                                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81241  F5 gene                                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81242  Fancc gene                                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81243  Fmr1 gene detection                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81244  Fmr1 gene charac alleles                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81245  Flt3 gene                                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81246  Flt3 gene analysis                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81247  G6pd gene alys cmn variant                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81248  G6pd known familial variant                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81249  G6pd full gene sequence                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81250  G6pc gene                                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81251  Gba gene                                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81252  Gjb2 gene full sequence                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81253  Gjb2 gene known fam variants                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81254  Gjb6 gene com variants                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81255  Hexa gene                                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81256  Hfe gene                                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81257  Hba1/hba2 gene                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81258  Hba1/hba2 gene fam vrnt                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81259  Hba1/hba2 full gene sequence                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81260  Ikbkap gene                                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81261  Igh gene rearrange amp meth                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81262  Igh gene rearrang dir probe                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81263  Igh vari regional mutation                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81264  Igk rearrangeabn clonal pop                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81265  Str markers specimen anal                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81266  Str markers spec anal addl                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81267  Chimerism anal no cell selec                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81268  Chimerism anal w/cell select                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81269  Hba1/hba2 gene dup/del vrnts                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81270  Jak2 gene                                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81271  Htt gene detc abnor alleles                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81272  Kit gene targeted seq analys                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81273  Kit gene analys d816 variant                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81274  Htt gene charac alleles                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81275  Kras gene variants exon 2                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81276  Kras gene addl variants                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81277  Cytogenomic neo microra alys                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81283  Ifnl3 gene                                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81284  Fxn gene detc abnor alleles                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81285  Fxn gene charac alleles                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81286  Fxn gene full gene sequence                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81287  Mgmt gene prmtr mthyltn alys                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81288  Mlh1 gene                                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81289  Fxn gene known famil variant                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81290  Mcoln1 gene                                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81291  Mthfr gene                                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81292  Mlh1 gene full seq                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81293  Mlh1 gene known variants                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81294  Mlh1 gene dup/delete variant                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81295  Msh2 gene full seq                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81296  Msh2 gene known variants                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81297  Msh2 gene dup/delete variant                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81298  Msh6 gene full seq                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81299  Msh6 gene known variants                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81300  Msh6 gene dup/delete variant                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81301  Microsatellite instability                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81302  Mecp2 gene full seq                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81303  Mecp2 gene known variant                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81304  Mecp2 gene dup/delet variant                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81305  Myd88 gene p.leu265pro vrnt                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81306  Nudt15 gene common variants                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81307  Palb2 gene full gene seq                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81308  Palb2 gene known famil vrnt                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81309  Pik3ca gene trgt seq alys                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81310  Npm1 gene                                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81311  Nras gene variants exon 2&3                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81312  Pabpn1 gene detc abnor allel                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81313  Pca3/klk3 antigen                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81314  Pdgfra gene                                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81315  Pml/raralpha com breakpoints                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81316  Pml/raralpha 1 breakpoint                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81317  Pms2 gene full seq analysis                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81318  Pms2 known familial variants                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81319  Pms2 gene dup/delet variants                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81320  Plcg2 gene common variants                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81321  Pten gene full sequence                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81322  Pten gene known fam variant                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81323  Pten gene dup/delet variant                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81324  Pmp22 gene dup/delet                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81325  Pmp22 gene full sequence                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81326  Pmp22 gene known fam variant                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81327  Sept9 gen prmtr mthyltn alys                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81328  Slco1b1 gene com variants                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81329  Smn1 gene dos/deletion alys                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81330  Smpd1 gene common variants                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81331  Snrpn/ube3a gene                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81332  Serpina1 gene                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81333  Tgfbi gene common variants                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81334  Runx1 gene targeted seq alys                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81335  Tpmt gene com variants                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81336  Smn1 gene full gene sequence                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81337  Smn1 gen nown famil seq vrnt                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81340  Trb@ gene rearrange amplify                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81341  Trb@ gene rearrange dirprobe                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81342  Trg gene rearrangement anal                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81343  Ppp2r2b gen detc abnor allel                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81344  Tbp gene detc abnor alleles                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81345  Tert gene targeted seq alys                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81346  Tyms gene com variants                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81350  Ugt1a1 gene common variants                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81355  Vkorc1 gene                                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81361  Hbb gene com variants                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81362  Hbb gene known fam variant                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81363  Hbb gene dup/del variants                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81364  Hbb full gene sequence                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81370  Hla i & ii typing lr                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81371  Hla i & ii type verify lr                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81372  Hla i typing complete lr                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81373  Hla i typing 1 locus lr                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81374  Hla i typing 1 antigen lr                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81375  Hla ii typing ag equiv lr                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81376  Hla ii typing 1 locus lr                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81377  Hla ii type 1 ag equiv lr                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81378  Hla i & ii typing hr                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81379  Hla i typing complete hr                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81380  Hla i typing 1 locus hr                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81381  Hla i typing 1 allele hr                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81382  Hla ii typing 1 loc hr                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81383  Hla ii typing 1 allele hr                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81400  Mopath procedure level 1                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81401  Mopath procedure level 2                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81402  Mopath procedure level 3                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81403  Mopath procedure level 4                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81404  Mopath procedure level 5                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81405  Mopath procedure level 6                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81406  Mopath procedure level 7                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81407  Mopath procedure level 8                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81408  Mopath procedure level 9                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81410  Aortic dysfunction/dilation                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81411  Aortic dysfunction/dilation                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81412  Ashkenazi jewish assoc dis                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81413  Car ion chnnlpath inc 10 gns                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81414  Car ion chnnlpath inc 2 gns                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81415  Exome sequence analysis                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81416  Exome sequence analysis                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81417  Exome re-evaluation                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81420  Fetal chrmoml aneuploidy                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81422  Fetal chrmoml microdeltj                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81425  Genome sequence analysis                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81426  Genome sequence analysis                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81427  Genome re-evaluation                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81430  Hearing loss sequence analys                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81431  Hearing loss dup/del analys                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81432  Hrdtry brst ca-rlatd dsordrs                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81433  Hrdtry brst ca-rlatd dsordrs                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81434  Hereditary retinal disorders                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81435  Hereditary colon ca dsordrs                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81436  Hereditary colon ca dsordrs                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81437  Heredtry nurondcrn tum dsrdr                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81438  Heredtry nurondcrn tum dsrdr                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81439  Hrdtry cardmypy gene panel                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81440  Mitochondrial gene                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81442  Noonan spectrum disorders                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81443  Genetic tstg severe inh cond                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81445  Targeted genomic seq analys                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81448  Hrdtry perph neurphy panel                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81450  Targeted genomic seq analys                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81455  Targeted genomic seq analys                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81460  Whole mitochondrial genome                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81465  Whole mitochondrial genome                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81470  X-linked intellectual dblt                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81471  X-linked intellectual dblt                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81479  Unlisted molecular pathology                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81490  Autoimmune rheumatoid arthr                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81493  Cor artery disease mrna                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81500  Onco (ovar) two proteins                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81503  Onco (ovar) five proteins                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81504  Oncology tissue of origin                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81506  Endo assay seven anal                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81507  Fetal aneuploidy trisom risk                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81508  Ftl cgen abnor two proteins                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81509  Ftl cgen abnor 3 proteins                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81510  Ftl cgen abnor three anal                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81511  Ftl cgen abnor four anal                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81512  Ftl cgen abnor five anal                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81518  Onc brst mrna 11 genes                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81519  Oncology breast mrna                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81520  Onc breast mrna 58 genes                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81521  Onc breast mrna 70 genes                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81522  Onc breast mrna 12 genes                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81525  Oncology colon mrna                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81528  Oncology colorectal scr                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81535  Oncology gynecologic                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81536  Oncology gynecologic                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81538  Oncology lung                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81539  Oncology prostate prob score                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81540  Oncology tum unknown origin                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81541  Onc prostate mrna 46 genes                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81542  Onc prostate mrna 22 cnt gen                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81545  Oncology thyroid                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81551  Onc prostate 3 genes                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81552  Onc uveal mlnma mrna 15 gene                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81595  Cardiology hrt trnspl mrna                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81596  Nfct ds chrnc hcv 6 assays                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
81599  Unlisted maaa                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82009  Test for acetone/ketones                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82010  Acetone assay                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82013  Acetylcholinesterase assay                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82016  Acylcarnitines qual                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82017  Acylcarnitines quant                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82024  Assay of acth                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82030  Assay of adp & amp                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82040  Assay of serum albumin                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82042  Other source albumin quan ea                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82043  Ur albumin quantitative                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82044  Ur albumin semiquantitative                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82045  Albumin ischemia modified                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82075  Assay of breath ethanol                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82085  Assay of aldolase                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82088  Assay of aldosterone                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82103  Alpha-1-antitrypsin total                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82104  Alpha-1-antitrypsin pheno                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82105  Alpha-fetoprotein serum                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82106  Alpha-fetoprotein amniotic                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82107  Alpha-fetoprotein l3                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82108  Assay of aluminum                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82120  Amines vaginal fluid qual                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82127  Amino acid single qual                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82128  Amino acids mult qual                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82131  Amino acids single quant                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82135  Assay aminolevulinic acid                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82136  Amino acids quant 2-5                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82139  Amino acids quan 6 or more                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82140  Assay of ammonia                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82143  Amniotic fluid scan                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82150  Assay of amylase                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82154  Androstanediol glucuronide                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82157  Assay of androstenedione                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82160  Assay of androsterone                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82163  Assay of angiotensin ii                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82164  Angiotensin i enzyme test                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82172  Assay of apolipoprotein                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82175  Assay of arsenic                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82180  Assay of ascorbic acid                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82190  Atomic absorption                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82232  Assay of beta-2 protein                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82239  Bile acids total                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82240  Bile acids cholylglycine                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82247  Bilirubin total                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82248  Bilirubin direct                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82252  Fecal bilirubin test                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82261  Assay of biotinidase                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82270  Occult blood feces                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82271  Occult blood other sources                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82272  Occult bld feces 1-3 tests                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82274  Assay test for blood fecal                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82286  Assay of bradykinin                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82300  Assay of cadmium                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82306  Vitamin d 25 hydroxy                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82308  Assay of calcitonin                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82310  Assay of calcium                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82330  Assay of calcium                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82331  Calcium infusion test                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82340  Assay of calcium in urine                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82355  Calculus analysis qual                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82360  Calculus assay quant                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82365  Calculus spectroscopy                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82370  X-ray assay calculus                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82373  Assay c-d transfer measure                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82374  Assay blood carbon dioxide                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82375  Assay carboxyhb quant                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82376  Assay carboxyhb qual                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82378  Carcinoembryonic antigen                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82379  Assay of carnitine                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82380  Assay of carotene                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82382  Assay urine catecholamines                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82383  Assay blood catecholamines                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82384  Assay three catecholamines                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82387  Assay of cathepsin-d                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82390  Assay of ceruloplasmin                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82397  Chemiluminescent assay                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82415  Assay of chloramphenicol                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82435  Assay of blood chloride                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82436  Assay of urine chloride                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82438  Assay other fluid chlorides                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82441  Test for chlorohydrocarbons                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82465  Assay bld/serum cholesterol                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82480  Assay serum cholinesterase                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82482  Assay rbc cholinesterase                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82485  Assay chondroitin sulfate                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82495  Assay of chromium                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82507  Assay of citrate                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82523  Collagen crosslinks                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82525  Assay of copper                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82528  Assay of corticosterone                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82530  Cortisol free                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82533  Total cortisol                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82540  Assay of creatine                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82542  Col chromotography qual/quan                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82550  Assay of ck (cpk)                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82552  Assay of cpk in blood                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82553  Creatine mb fraction                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82554  Creatine isoforms                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82565  Assay of creatinine                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82570  Assay of urine creatinine                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82575  Creatinine clearance test                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82585  Assay of cryofibrinogen                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82595  Assay of cryoglobulin                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82600  Assay of cyanide                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82607  Vitamin b-12                                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82608  B-12 binding capacity                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82610  Cystatin c                                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82615  Test for urine cystines                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82626  Dehydroepiandrosterone                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82627  Dehydroepiandrosterone                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82633  Desoxycorticosterone                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82634  Deoxycortisol                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82638  Assay of dibucaine number                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82642  Dihydrotestosterone                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82652  Vit d 1 25-dihydroxy                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82656  Pancreatic elastase fecal                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82657  Enzyme cell activity                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82658  Enzyme cell activity ra                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82664  Electrophoretic test                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82668  Assay of erythropoietin                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82670  Assay of estradiol                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82671  Assay of estrogens                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82672  Assay of estrogen                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82677  Assay of estriol                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82679  Assay of estrone                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82693  Assay of ethylene glycol                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82696  Assay of etiocholanolone                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82705  Fats/lipids feces qual                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82710  Fats/lipids feces quant                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82715  Assay of fecal fat                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82725  Assay of blood fatty acids                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82726  Long chain fatty acids                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82728  Assay of ferritin                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82731  Assay of fetal fibronectin                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82735  Assay of fluoride                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82746  Assay of folic acid serum                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82747  Assay of folic acid rbc                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82757  Assay of semen fructose                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82759  Assay of rbc galactokinase                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82760  Assay of galactose                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82775  Assay galactose transferase                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82776  Galactose transferase test                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82777  Galectin-3                                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82784  Assay iga/igd/igg/igm each                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82785  Assay of ige                                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82787  Igg 1 2 3 or 4 each                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82800  Blood ph                                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82803  Blood gases any combination                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82805  Blood gases w/o2 saturation                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82810  Blood gases o2 sat only                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82820  Hemoglobin-oxygen affinity                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82930  Gastric analy w/ph ea spec                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82938  Gastrin test                                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82941  Assay of gastrin                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82943  Assay of glucagon                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82945  Glucose other fluid                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82946  Glucagon tolerance test                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82947  Assay glucose blood quant                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82948  Reagent strip/blood glucose                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82950  Glucose test                                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82951  Glucose tolerance test (gtt)                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82952  Gtt-added samples                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82955  Assay of g6pd enzyme                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82960  Test for g6pd enzyme                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82962  Glucose blood test                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82963  Assay of glucosidase                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82965  Assay of gdh enzyme                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82977  Assay of ggt                                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82978  Assay of glutathione                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82979  Assay rbc glutathione                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
82985  Assay of glycated protein                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83001  Assay of gonadotropin (fsh)                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83002  Assay of gonadotropin (lh)                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83003  Assay growth hormone (hgh)                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83006  Growth stimulation gene 2                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83009  H pylori (c-13) blood                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83010  Assay of haptoglobin quant                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83012  Assay of haptoglobins                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83013  H pylori (c-13) breath                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83014  H pylori drug admin                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83015  Heavy metal qual any anal                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83018  Heavy metal quant each nes                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83020  Hemoglobin electrophoresis                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
8302026Hemoglobin electrophoresis                        A   0.37   0.14     0.14    0.02   0.53  0.536XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
83021  Hemoglobin chromotography                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83026  Hemoglobin copper sulfate                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83030  Fetal hemoglobin chemical                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83033  Fetal hemoglobin assay qual                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83036  Glycosylated hemoglobin test                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83037  Glycosylated hb home device                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83045  Blood methemoglobin test                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83050  Blood methemoglobin assay                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83051  Assay of plasma hemoglobin                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83060  Blood sulfhemoglobin assay                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83065  Assay of hemoglobin heat                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83068  Hemoglobin stability screen                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83069  Assay of urine hemoglobin                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83070  Assay of hemosiderin qual                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83080  Assay of b hexosaminidase                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83088  Assay of histamine                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83090  Assay of homocystine                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83150  Assay of homovanillic acid                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83491  Assay of corticosteroids 17                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83497  Assay of 5-hiaa                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83498  Assay of progesterone 17-d                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83500  Assay free hydroxyproline                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83505  Assay total hydroxyproline                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83516  Immunoassay nonantibody                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83518  Immunoassay dipstick                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83519  Ria nonantibody                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83520  Immunoassay quant nos nonab                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83525  Assay of insulin                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83527  Assay of insulin                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83528  Assay of intrinsic factor                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83540  Assay of iron                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83550  Iron binding test                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83570  Assay of idh enzyme                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83582  Assay of ketogenic steroids                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83586  Assay 17- ketosteroids                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83593  Fractionation ketosteroids                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83605  Assay of lactic acid                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83615  Lactate (ld) (ldh) enzyme                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83625  Assay of ldh enzymes                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83630  Lactoferrin fecal (qual)                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83631  Lactoferrin fecal (quant)                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83632  Placental lactogen                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83633  Test urine for lactose                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83655  Assay of lead                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83661  L/s ratio fetal lung                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83662  Foam stability fetal lung                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83663  Fluoro polarize fetal lung                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83664  Lamellar bdy fetal lung                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83670  Assay of lap enzyme                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83690  Assay of lipase                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83695  Assay of lipoprotein(a)                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83698  Assay lipoprotein pla2                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83700  Lipopro bld electrophoretic                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83701  Lipoprotein bld hr fraction                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83704  Lipoprotein bld quan part                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83718  Assay of lipoprotein                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83719  Assay of blood lipoprotein                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83721  Assay of blood lipoprotein                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83722  Lipoprtn dir meas sd ldl chl                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83727  Assay of lrh hormone                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83735  Assay of magnesium                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83775  Assay malate dehydrogenase                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83785  Assay of manganese                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83789  Mass spectrometry qual/quan                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83825  Assay of mercury                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83835  Assay of metanephrines                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83857  Assay of methemalbumin                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83861  Microfluid analy tears                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83864  Mucopolysaccharides                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83872  Assay synovial fluid mucin                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83873  Assay of csf protein                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83874  Assay of myoglobin                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83876  Assay myeloperoxidase                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83880  Assay of natriuretic peptide                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83883  Assay nephelometry not spec                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83885  Assay of nickel                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83915  Assay of nucleotidase                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83916  Oligoclonal bands                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83918  Organic acids total quant                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83919  Organic acids qual each                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83921  Organic acid single quant                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83930  Assay of blood osmolality                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83935  Assay of urine osmolality                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83937  Assay of osteocalcin                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83945  Assay of oxalate                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83950  Oncoprotein her-2/neu                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83951  Oncoprotein dcp                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83970  Assay of parathormone                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83986  Assay ph body fluid nos                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83987  Exhaled breath condensate                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83992  Assay for phencyclidine                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
83993  Assay for calprotectin fecal                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84030  Assay of blood pku                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84035  Assay of phenylketones                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84060  Assay acid phosphatase                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84066  Assay prostate phosphatase                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84075  Assay alkaline phosphatase                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84078  Assay alkaline phosphatase                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84080  Assay alkaline phosphatases                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84081  Assay phosphatidylglycerol                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84085  Assay of rbc pg6d enzyme                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84087  Assay phosphohexose enzymes                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84100  Assay of phosphorus                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84105  Assay of urine phosphorus                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84106  Test for porphobilinogen                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84110  Assay of porphobilinogen                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84112  Eval amniotic fluid protein                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84119  Test urine for porphyrins                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84120  Assay of urine porphyrins                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84126  Assay of feces porphyrins                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84132  Assay of serum potassium                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84133  Assay of urine potassium                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84134  Assay of prealbumin                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84135  Assay of pregnanediol                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84138  Assay of pregnanetriol                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84140  Assay of pregnenolone                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84143  Assay of 17-hydroxypregneno                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84144  Assay of progesterone                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84145  Procalcitonin (pct)                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84146  Assay of prolactin                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84150  Assay of prostaglandin                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84152  Assay of psa complexed                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84153  Assay of psa total                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84154  Assay of psa free                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84155  Assay of protein serum                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84156  Assay of protein urine                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84157  Assay of protein other                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84160  Assay of protein any source                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84163  Pappa serum                                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84165  Protein e-phoresis serum                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
8416526Protein e-phoresis serum                          A   0.37   0.14     0.14    0.02   0.53  0.536XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
84166  Protein e-phoresis/urine/csf                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
8416626Protein e-phoresis/urine/csf                      A   0.37   0.14     0.14    0.02   0.53  0.536XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
84181  Western blot test                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
8418126Western blot test                                 A   0.37   0.14     0.14    0.02   0.53  0.536XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
84182  Protein western blot test                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
8418226Protein western blot test                         A   0.37   0.14     0.14    0.02   0.53  0.536XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
84202  Assay rbc protoporphyrin                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84203  Test rbc protoporphyrin                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84206  Assay of proinsulin                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84207  Assay of vitamin b-6                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84210  Assay of pyruvate                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84220  Assay of pyruvate kinase                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84228  Assay of quinine                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84233  Assay of estrogen                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84234  Assay of progesterone                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84235  Assay of endocrine hormone                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84238  Assay nonendocrine receptor                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84244  Assay of renin                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84252  Assay of vitamin b-2                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84255  Assay of selenium                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84260  Assay of serotonin                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84270  Assay of sex hormone globul                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84275  Assay of sialic acid                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84285  Assay of silica                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84295  Assay of serum sodium                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84300  Assay of urine sodium                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84302  Assay of sweat sodium                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84305  Assay of somatomedin                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84307  Assay of somatostatin                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84311  Spectrophotometry                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84315  Body fluid specific gravity                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84375  Chromatogram assay sugars                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84376  Sugars single qual                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84377  Sugars multiple qual                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84378  Sugars single quant                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84379  Sugars multiple quant                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84392  Assay of urine sulfate                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84402  Assay of free testosterone                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84403  Assay of total testosterone                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84410  Testosterone bioavailable                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84425  Assay of vitamin b-1                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84430  Assay of thiocyanate                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84431  Thromboxane urine                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84432  Assay of thyroglobulin                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84436  Assay of total thyroxine                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84437  Assay of neonatal thyroxine                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84439  Assay of free thyroxine                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84442  Assay of thyroid activity                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84443  Assay thyroid stim hormone                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84445  Assay of tsi globulin                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84446  Assay of vitamin e                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84449  Assay of transcortin                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84450  Transferase (ast) (sgot)                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84460  Alanine amino (alt) (sgpt)                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84466  Assay of transferrin                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84478  Assay of triglycerides                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84479  Assay of thyroid (t3 or t4)                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84480  Assay triiodothyronine (t3)                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84481  Free assay (ft-3)                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84482  T3 reverse                                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84484  Assay of troponin quant                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84485  Assay duodenal fluid trypsin                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84488  Test feces for trypsin                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84490  Assay of feces for trypsin                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84510  Assay of tyrosine                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84512  Assay of troponin qual                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84520  Assay of urea nitrogen                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84525  Urea nitrogen semi-quant                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84540  Assay of urine/urea-n                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84545  Urea-n clearance test                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84550  Assay of blood/uric acid                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84560  Assay of urine/uric acid                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84577  Assay of feces/urobilinogen                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84578  Test urine urobilinogen                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84580  Assay of urine urobilinogen                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84583  Assay of urine urobilinogen                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84585  Assay of urine vma                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84586  Assay of vip                                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84588  Assay of vasopressin                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84590  Assay of vitamin a                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84591  Assay of nos vitamin                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84597  Assay of vitamin k                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84600  Assay of volatiles                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84620  Xylose tolerance test                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84630  Assay of zinc                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84681  Assay of c-peptide                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84702  Chorionic gonadotropin test                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84703  Chorionic gonadotropin assay                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84704  Hcg free betachain test                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84830  Ovulation tests                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
84999  Clinical chemistry test                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85002  Bleeding time test                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85004  Automated diff wbc count                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85007  Bl smear w/diff wbc count                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85008  Bl smear w/o diff wbc count                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85009  Manual diff wbc count b-coat                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85013  Spun microhematocrit                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85014  Hematocrit                                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85018  Hemoglobin                                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85025  Complete cbc w/auto diff wbc                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85027  Complete cbc automated                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85032  Manual cell count each                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85041  Automated rbc count                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85044  Manual reticulocyte count                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85045  Automated reticulocyte count                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85046  Reticyte/hgb concentrate                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85048  Automated leukocyte count                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85049  Automated platelet count                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85055  Reticulated platelet assay                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85060  Blood smear interpretation                        A   0.45   0.22NA   0.22    0.03   0.70  0.708XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
85097  Bone marrow interpretation                        A   0.94   0.99     0.43    0.05   1.98  1.420XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
85130  Chromogenic substrate assay                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85170  Blood clot retraction                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85175  Blood clot lysis time                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85210  Clot factor ii prothrom spec                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85220  Blooc clot factor v test                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85230  Clot factor vii proconvertin                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85240  Clot factor viii ahg 1 stage                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85244  Clot factor viii reltd antgn                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85245  Clot factor viii vw ristoctn                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85246  Clot factor viii vw antigen                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85247  Clot factor viii multimetric                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85250  Clot factor ix ptc/chrstmas                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85260  Clot factor x stuart-power                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85270  Clot factor xi pta                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85280  Clot factor xii hageman                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85290  Clot factor xiii fibrin stab                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85291  Clot factor xiii fibrin scrn                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85292  Clot factor fletcher fact                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85293  Clot factor wght kininogen                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85300  Antithrombin iii activity                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85301  Antithrombin iii antigen                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85302  Clot inhibit prot c antigen                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85303  Clot inhibit prot c activity                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85305  Clot inhibit prot s total                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85306  Clot inhibit prot s free                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85307  Assay activated protein c                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85335  Factor inhibitor test                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85337  Thrombomodulin                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85345  Coagulation time lee & white                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85347  Coagulation time activated                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85348  Coagulation time otr method                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85360  Euglobulin lysis                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85362  Fibrin degradation products                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85366  Fibrinogen test                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85370  Fibrinogen test                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85378  Fibrin degrade semiquant                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85379  Fibrin degradation quant                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85380  Fibrin degradj d-dimer                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85384  Fibrinogen activity                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85385  Fibrinogen antigen                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85390  Fibrinolysins screen i&r                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
8539026Fibrinolysins screen i&r                          A   0.75   0.29     0.29    0.03   1.07  1.076XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
85396  Clotting assay whole blood                        A   0.37   0.19NA   0.19    0.02   0.58  0.580XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
85397  Clotting funct activity                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85400  Fibrinolytic plasmin                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85410  Fibrinolytic antiplasmin                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85415  Fibrinolytic plasminogen                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85420  Fibrinolytic plasminogen                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85421  Fibrinolytic plasminogen                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85441  Heinz bodies direct                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85445  Heinz bodies induced                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85460  Hemoglobin fetal                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85461  Hemoglobin fetal                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85475  Hemolysin acid                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85520  Heparin assay                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85525  Heparin neutralization                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85530  Heparin-protamine tolerance                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85536  Iron stain peripheral blood                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85540  Wbc alkaline phosphatase                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85547  Rbc mechanical fragility                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85549  Muramidase                                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85555  Rbc osmotic fragility                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85557  Rbc osmotic fragility                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85576  Blood platelet aggregation                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
8557626Blood platelet aggregation                        A   0.37   0.14     0.14    0.02   0.53  0.536XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
85597  Phospholipid pltlt neutraliz                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85598  Hexagnal phosph pltlt neutrl                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85610  Prothrombin time                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85611  Prothrombin test                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85612  Viper venom prothrombin time                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85613  Russell viper venom diluted                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85635  Reptilase test                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85651  Rbc sed rate nonautomated                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85652  Rbc sed rate automated                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85660  Rbc sickle cell test                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85670  Thrombin time plasma                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85675  Thrombin time titer                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85705  Thromboplastin inhibition                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85730  Thromboplastin time partial                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85732  Thromboplastin time partial                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85810  Blood viscosity examination                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
85999  Hematology procedure                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86000  Agglutinins febrile antigen                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86001  Allergen specific igg                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86003  Allg spec ige crude xtrc ea                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86005  Allg spec ige multiallg scr                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86008  Allg spec ige recomb ea                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86021  Wbc antibody identification                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86022  Platelet antibodies                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86023  Immunoglobulin assay                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86038  Antinuclear antibodies                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86039  Antinuclear antibodies (ana)                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86060  Antistreptolysin o titer                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86063  Antistreptolysin o screen                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86077  Phys blood bank serv xmatch                       A   0.94   0.57     0.47    0.05   1.56  1.460XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
86078  Phys blood bank serv reactj                       A   0.94   0.57     0.47    0.05   1.56  1.460XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
86079  Phys blood bank serv authrj                       A   0.94   0.57     0.46    0.05   1.56  1.450XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
86140  C-reactive protein                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86141  C-reactive protein hs                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86146  Beta-2 glycoprotein antibody                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86147  Cardiolipin antibody ea ig                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86148  Anti-phospholipid antibody                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86152  Cell enumeration & id                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
8615326Cell enumeration phys interp                      A   0.69   0.27     0.27    0.03   0.99  0.996XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
86155  Chemotaxis assay                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86156  Cold agglutinin screen                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86157  Cold agglutinin titer                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86160  Complement antigen                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86161  Complement/function activity                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86162  Complement total (ch50)                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86171  Complement fixation each                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86200  Ccp antibody                                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86215  Deoxyribonuclease antibody                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86225  Dna antibody native                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86226  Dna antibody single strand                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86235  Nuclear antigen antibody                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86255  Fluorescent antibody screen                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
8625526Fluorescent antibody screen                       A   0.37   0.14     0.14    0.02   0.53  0.536XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
86256  Fluorescent antibody titer                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
8625626Fluorescent antibody titer                        A   0.37   0.14     0.14    0.02   0.53  0.536XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
86277  Growth hormone antibody                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86280  Hemagglutination inhibition                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86294  Immunoassay tumor qual                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86300  Immunoassay tumor ca 15-3                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86301  Immunoassay tumor ca 19-9                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86304  Immunoassay tumor ca 125                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86305  Human epididymis protein 4                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86308  Heterophile antibody screen                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86309  Heterophile antibody titer                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86310  Heterophile antibody absrbj                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86316  Immunoassay tumor other                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86317  Immunoassay infectious agent                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86318  Ia infectious agent antibody                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86320  Serum immunoelectrophoresis                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
8632026Serum immunoelectrophoresis                       A   0.37   0.14     0.14    0.02   0.53  0.536XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
86325  Other immunoelectrophoresis                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
8632526Other immunoelectrophoresis                       A   0.37   0.14     0.14    0.02   0.53  0.536XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
86327  Immunoelectrophoresis assay                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
8632726Immunoelectrophoresis assay                       A   0.42   0.21     0.21    0.01   0.64  0.646XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
86328  Ia nfct ab sarscov2 covid19                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86329  Immunodiffusion nes                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86331  Immunodiffusion ouchterlony                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86332  Immune complex assay                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86334  Immunofix e-phoresis serum                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
8633426Immunofix e-phoresis serum                        A   0.37   0.14     0.14    0.02   0.53  0.536XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
86335  Immunfix e-phorsis/urine/csf                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
8633526Immunfix e-phorsis/urine/csf                      A   0.37   0.14     0.14    0.02   0.53  0.536XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
86336  Inhibin a                                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86337  Insulin antibodies                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86340  Intrinsic factor antibody                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86341  Islet cell antibody                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86343  Leukocyte histamine release                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86344  Leukocyte phagocytosis                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86352  Cell function assay w/stim                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86353  Lymphocyte transformation                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86355  B cells total count                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86356  Mononuclear cell antigen                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86357  Nk cells total count                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86359  T cells total count                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86360  T cell absolute count/ratio                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86361  T cell absolute count                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86367  Stem cells total count                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86376  Microsomal antibody each                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86382  Neutralization test viral                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86384  Nitroblue tetrazolium dye                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86386  Nuclear matrix protein 22                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86403  Particle agglut antbdy scrn                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86406  Particle agglut antbdy titr                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86408  Neutrlzg antb sarscov2 scr                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86409  Neutrlzg antb sarscov2 titer                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86413  SARS-COV-2 ANTB QUANTITATIVE                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86430  Rheumatoid factor test qual                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86431  Rheumatoid factor quant                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86480  Tb test cell immun measure                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86481  Tb ag response t-cell susp                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86485  Skin test candida                                 C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
86486  Skin test nos antigen                             A   0.00   0.14     0.14NA  0.01   0.15  0.153XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
86490  Coccidioidomycosis skin test                      A   0.00   2.47     2.47NA  0.01   2.48  2.483XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
86510  Histoplasmosis skin test                          A   0.00   0.18     0.18NA  0.01   0.19  0.193XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
86580  Tb intradermal test                               A   0.00   0.25     0.25NA  0.01   0.26  0.263XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
86590  Streptokinase antibody                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86592  Syphilis test non-trep qual                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86593  Syphilis test non-trep quant                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86602  Antinomyces antibody                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86603  Adenovirus antibody                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86606  Aspergillus antibody                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86609  Bacterium antibody                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86611  Bartonella antibody                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86612  Blastomyces antibody                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86615  Bordetella antibody                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86617  Lyme disease antibody                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86618  Lyme disease antibody                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86619  Borrelia antibody                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86622  Brucella antibody                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86625  Campylobacter antibody                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86628  Candida antibody                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86631  Chlamydia antibody                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86632  Chlamydia igm antibody                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86635  Coccidioides antibody                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86638  Q fever antibody                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86641  Cryptococcus antibody                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86644  Cmv antibody                                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86645  Cmv antibody igm                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86648  Diphtheria antibody                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86651  Encephalitis californ antbdy                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86652  Encephaltis east eqne anbdy                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86653  Encephaltis st louis antbody                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86654  Encephaltis west eqne antbdy                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86658  Enterovirus antibody                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86663  Epstein-barr antibody                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86664  Epstein-barr nuclear antigen                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86665  Epstein-barr capsid vca                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86666  Ehrlichia antibody                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86668  Francisella tularensis                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86671  Fungus nes antibody                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86674  Giardia lamblia antibody                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86677  Helicobacter pylori antibody                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86682  Helminth antibody                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86684  Hemophilus influenza antibdy                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86687  Htlv-i antibody                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86688  Htlv-ii antibody                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86689  Htlv/hiv confirmj antibody                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86692  Hepatitis delta agent antbdy                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86694  Herpes simplex nes antbdy                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86695  Herpes simplex type 1 test                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86696  Herpes simplex type 2 test                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86698  Histoplasma antibody                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86701  Hiv-1antibody                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86702  Hiv-2 antibody                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86703  Hiv-1/hiv-2 1 result antbdy                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86704  Hep b core antibody total                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86705  Hep b core antibody igm                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86706  Hep b surface antibody                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86707  Hepatitis be antibody                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86708  Hepatitis a antibody                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86709  Hepatitis a igm antibody                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86710  Influenza virus antibody                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86711  John cunningham antibody                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86713  Legionella antibody                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86717  Leishmania antibody                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86720  Leptospira antibody                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86723  Listeria monocytogenes                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86727  Lymph choriomeningitis ab                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86732  Mucormycosis antibody                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86735  Mumps antibody                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86738  Mycoplasma antibody                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86741  Neisseria meningitidis                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86744  Nocardia antibody                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86747  Parvovirus antibody                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86750  Malaria antibody                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86753  Protozoa antibody nos                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86756  Respiratory virus antibody                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86757  Rickettsia antibody                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86759  Rotavirus antibody                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86762  Rubella antibody                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86765  Rubeola antibody                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86768  Salmonella antibody                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86769  Sars-cov-2 covid-19 antibody                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86771  Shigella antibody                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86774  Tetanus antibody                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86777  Toxoplasma antibody                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86778  Toxoplasma antibody igm                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86780  Treponema pallidum                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86784  Trichinella antibody                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86787  Varicella-zoster antibody                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86788  West nile virus ab igm                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86789  West nile virus antibody                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86790  Virus antibody nos                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86793  Yersinia antibody                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86794  Zika virus igm antibody                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86800  Thyroglobulin antibody                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86803  Hepatitis c ab test                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86804  Hep c ab test confirm                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86805  Lymphocytotoxicity assay                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86806  Lymphocytotoxicity assay                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86807  Cytotoxic antibody screening                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86808  Cytotoxic antibody screening                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86812  Hla typing a b or c                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86813  Hla typing a b or c                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86816  Hla typing dr/dq                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86817  Hla typing dr/dq                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86821  Lymphocyte culture mixed                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86825  Hla x-math non-cytotoxic                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86826  Hla x-match noncytotoxc addl                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86828  Hla class i&ii antibody qual                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86829  Hla class i/ii antibody qual                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86830  Hla class i phenotype qual                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86831  Hla class ii phenotype qual                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86832  Hla class i high defin qual                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86833  Hla class ii high defin qual                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86834  Hla class i semiquant panel                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86835  Hla class ii semiquant panel                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86849  Immunology procedure                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86850  Rbc antibody screen                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86860  Rbc antibody elution                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86870  Rbc antibody identification                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86880  Coombs test direct                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86885  Coombs test indirect qual                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86886  Coombs test indirect titer                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86890  Autologous blood process                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86891  Autologous blood op salvage                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86900  Blood typing serologic abo                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86901  Blood typing serologic rh(d)                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86902  Blood type antigen donor ea                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86904  Blood typing patient serum                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86905  Blood typing rbc antigens                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86906  Bld typing serologic rh phnt                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86910  Blood typing paternity test                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86911  Blood typing antigen system                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86920  Compatibility test spin                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86921  Compatibility test incubate                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86922  Compatibility test antiglob                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86923  Compatibility test electric                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86927  Plasma fresh frozen                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86930  Frozen blood prep                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86931  Frozen blood thaw                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86932  Frozen blood freeze/thaw                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86940  Hemolysins/agglutinins auto                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86941  Hemolysins/agglutinins                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86945  Blood product/irradiation                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86950  Leukacyte transfusion                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86960  Vol reduction of blood/prod                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86965  Pooling blood platelets                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86970  Rbc pretx incubatj w/chemicl                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86971  Rbc pretx incubatj w/enzymes                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86972  Rbc pretx incubatj w/density                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86975  Rbc serum pretx incubj drugs                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86976  Rbc serum pretx id dilution                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86977  Rbc serum pretx incubj/inhib                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86978  Rbc pretreatment serum                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86985  Split blood or products                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
86999  Transfusion procedure                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87003  Small animal inoculation                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87015  Specimen infect agnt concntj                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87040  Blood culture for bacteria                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87045  Feces culture aerobic bact                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87046  Stool cultr aerobic bact ea                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87070  Culture othr specimn aerobic                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87071  Culture aerobic quant other                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87073  Culture bacteria anaerobic                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87075  Cultr bacteria except blood                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87076  Culture anaerobe ident each                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87077  Culture aerobic identify                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87081  Culture screen only                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87084  Culture of specimen by kit                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87086  Urine culture/colony count                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87088  Urine bacteria culture                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87101  Skin fungi culture                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87102  Fungus isolation culture                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87103  Blood fungus culture                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87106  Fungi identification yeast                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87107  Fungi identification mold                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87109  Mycoplasma                                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87110  Chlamydia culture                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87116  Mycobacteria culture                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87118  Mycobacteric identification                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87140  Culture type immunofluoresc                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87143  Culture typing glc/hplc                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87147  Culture type immunologic                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87149  Dna/rna direct probe                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87150  Dna/rna amplified probe                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87152  Culture type pulse field gel                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87153  Dna/rna sequencing                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87158  Culture typing added method                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87164  Dark field examination                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
8716426Dark field examination                            A   0.37   0.19     0.19    0.01   0.57  0.576XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
87166  Dark field examination                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87168  Macroscopic exam arthropod                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87169  Macroscopic exam parasite                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87172  Pinworm exam                                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87176  Tissue homogenization cultr                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87177  Ova and parasites smears                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87181  Microbe susceptible diffuse                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87184  Microbe susceptible disk                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87185  Microbe susceptible enzyme                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87186  Microbe susceptible mic                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87187  Microbe susceptible mlc                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87188  Microbe suscept macrobroth                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87190  Microbe suscept mycobacteri                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87197  Bactericidal level serum                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87205  Smear gram stain                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87206  Smear fluorescent/acid stai                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87207  Smear special stain                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
8720726Smear special stain                               A   0.37   0.14     0.14    0.02   0.53  0.536XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
87209  Smear complex stain                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87210  Smear wet mount saline/ink                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87220  Tissue exam for fungi                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87230  Assay toxin or antitoxin                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87250  Virus inoculate eggs/animal                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87252  Virus inoculation tissue                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87253  Virus inoculate tissue addl                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87254  Virus inoculation shell via                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87255  Genet virus isolate hsv                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87260  Adenovirus ag if                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87265  Pertussis ag if                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87267  Enterovirus antibody dfa                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87269  Giardia ag if                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87270  Chlamydia trachomatis ag if                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87271  Cytomegalovirus dfa                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87272  Cryptosporidium ag if                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87273  Herpes simplex 2 ag if                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87274  Herpes simplex 1 ag if                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87275  Influenza b ag if                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87276  Influenza a ag if                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87278  Legion pneumophilia ag if                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87279  Parainfluenza ag if                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87280  Respiratory syncytial ag if                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87281  Pneumocystis carinii ag if                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87283  Rubeola ag if                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87285  Treponema pallidum ag if                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87290  Varicella zoster ag if                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87299  Antibody detection nos if                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87300  Ag detection polyval if                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87301  Adenovirus ag ia                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87305  Aspergillus ag ia                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87320  Chylmd trach ag ia                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87324  Clostridium ag ia                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87327  Cryptococcus neoform ag ia                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87328  Cryptosporidium ag ia                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87329  Giardia ag ia                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87332  Cytomegalovirus ag ia                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87335  E coli 0157 ag ia                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87336  Entamoeb hist dispr ag ia                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87337  Entamoeb hist group ag ia                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87338  Hpylori stool ia                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87339  H pylori ag ia                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87340  Hepatitis b surface ag ia                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87341  Hepatitis b surface ag ia                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87350  Hepatitis be ag ia                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87380  Hepatitis delta ag ia                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87385  Histoplasma capsul ag ia                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87389  Hiv-1 ag w/hiv-1 & hiv-2 ab                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87390  Hiv-1 ag ia                                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87391  Hiv-2 ag ia                                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87400  Influenza a/b ag ia                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87420  Resp syncytial ag ia                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87425  Rotavirus ag ia                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87426  Coronavirus ag ia                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87427  Shiga-like toxin ag ia                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87430  Strep a ag ia                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87449  Ag detect nos ia mult                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87450  Ag detect nos ia single                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87451  Ag detect polyval ia mult                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87471  Bartonella dna amp probe                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87472  Bartonella dna quant                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87475  Lyme dis dna dir probe                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87476  Lyme dis dna amp probe                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87480  Candida dna dir probe                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87481  Candida dna amp probe                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87482  Candida dna quant                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87483  Cns dna amp probe type 12-25                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87485  Chylmd pneum dna dir probe                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87486  Chylmd pneum dna amp probe                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87487  Chylmd pneum dna quant                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87490  Chylmd trach dna dir probe                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87491  Chylmd trach dna amp probe                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87492  Chylmd trach dna quant                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87493  C diff amplified probe                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87495  Cytomeg dna dir probe                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87496  Cytomeg dna amp probe                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87497  Cytomeg dna quant                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87498  Enterovirus probe&revrs trns                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87500  Vanomycin dna amp probe                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87501  Influenza dna amp prob 1+                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87502  Influenza dna amp probe                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87503  Influenza dna amp prob addl                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87505  Nfct agent detection gi                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87506  Iadna-dna/rna probe tq 6-11                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87507  Iadna-dna/rna probe tq 12-25                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87510  Gardner vag dna dir probe                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87511  Gardner vag dna amp probe                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87512  Gardner vag dna quant                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87516  Hepatitis b dna amp probe                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87517  Hepatitis b dna quant                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87520  Hepatitis c rna dir probe                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87521  Hepatitis c probe&rvrs trnsc                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87522  Hepatitis c revrs trnscrpj                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87525  Hepatitis g dna dir probe                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87526  Hepatitis g dna amp probe                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87527  Hepatitis g dna quant                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87528  Hsv dna dir probe                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87529  Hsv dna amp probe                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87530  Hsv dna quant                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87531  Hhv-6 dna dir probe                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87532  Hhv-6 dna amp probe                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87533  Hhv-6 dna quant                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87534  Hiv-1 dna dir probe                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87535  Hiv-1 probe&reverse trnscrpj                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87536  Hiv-1 quant&revrse trnscrpj                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87537  Hiv-2 dna dir probe                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87538  Hiv-2 probe&revrse trnscripj                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87539  Hiv-2 quant&revrse trnscripj                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87540  Legion pneumo dna dir prob                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87541  Legion pneumo dna amp prob                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87542  Legion pneumo dna quant                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87550  Mycobacteria dna dir probe                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87551  Mycobacteria dna amp probe                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87552  Mycobacteria dna quant                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87555  M.tuberculo dna dir probe                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87556  M.tuberculo dna amp probe                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87557  M.tuberculo dna quant                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87560  M.avium-intra dna dir prob                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87561  M.avium-intra dna amp prob                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87562  M.avium-intra dna quant                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87563  M. genitalium amp probe                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87580  M.pneumon dna dir probe                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87581  M.pneumon dna amp probe                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87582  M.pneumon dna quant                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87590  N.gonorrhoeae dna dir prob                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87591  N.gonorrhoeae dna amp prob                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87592  N.gonorrhoeae dna quant                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87623  Hpv low-risk types                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87624  Hpv high-risk types                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87625  Hpv types 16 & 18 only                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87631  Resp virus 3-5 targets                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87632  Resp virus 6-11 targets                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87633  Resp virus 12-25 targets                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87634  Rsv dna/rna amp probe                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87635  Sars-cov-2 covid-19 amp prb                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87640  Staph a dna amp probe                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87641  Mr-staph dna amp probe                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87650  Strep a dna dir probe                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87651  Strep a dna amp probe                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87652  Strep a dna quant                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87653  Strep b dna amp probe                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87660  Trichomonas vagin dir probe                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87661  Trichomonas vaginalis amplif                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87662  Zika virus dna/rna amp probe                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87797  Detect agent nos dna dir                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87798  Detect agent nos dna amp                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87799  Detect agent nos dna quant                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87800  Detect agnt mult dna direc                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87801  Detect agnt mult dna ampli                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87802  Strep b assay w/optic                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87803  Clostridium toxin a w/optic                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87804  Influenza assay w/optic                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87806  Hiv antigen w/hiv antibodies                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87807  Rsv assay w/optic                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87808  Trichomonas assay w/optic                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87809  Adenovirus assay w/optic                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87810  Chylmd trach assay w/optic                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87850  N. gonorrhoeae assay w/optic                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87880  Strep a assay w/optic                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87899  Agent nos assay w/optic                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87900  Phenotype infect agent drug                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87901  Genotype dna hiv reverse t                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87902  Genotype dna/rna hep c                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87903  Phenotype dna hiv w/culture                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87904  Phenotype dna hiv w/clt add                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87905  Sialidase enzyme assay                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87906  Genotype dna/rna hiv                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87910  Genotype cytomegalovirus                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87912  Genotype dna hepatitis b                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
87999  Microbiology procedure                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88000  Autopsy (necropsy) gross                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88005  Autopsy (necropsy) gross                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88007  Autopsy (necropsy) gross                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88012  Autopsy (necropsy) gross                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88014  Autopsy (necropsy) gross                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88016  Autopsy (necropsy) gross                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88020  Autopsy (necropsy) complete                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88025  Autopsy (necropsy) complete                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88027  Autopsy (necropsy) complete                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88028  Autopsy (necropsy) complete                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88029  Autopsy (necropsy) complete                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88036  Limited autopsy                                   N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88037  Limited autopsy                                   N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88040  Forensic autopsy (necropsy)                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88045  Coroners autopsy (necropsy)                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88099  Necropsy (autopsy) procedure                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88104  Cytopath fl nongyn smears                         A   0.56   1.35     1.35NA  0.02   1.93  1.931XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88104TCCytopath fl nongyn smears                         A   0.00   1.11     1.11NA  0.01   1.12  1.121XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8810426Cytopath fl nongyn smears                         A   0.56   0.24     0.24    0.01   0.81  0.811XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88106  Cytopath fl nongyn filter                         A   0.37   1.44     1.44NA  0.02   1.83  1.831XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88106TCCytopath fl nongyn filter                         A   0.00   1.26     1.26NA  0.01   1.27  1.271XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8810626Cytopath fl nongyn filter                         A   0.37   0.18     0.18    0.01   0.56  0.561XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88108  Cytopath concentrate tech                         A   0.44   1.29     1.29NA  0.02   1.75  1.751XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88108TCCytopath concentrate tech                         A   0.00   1.09     1.09NA  0.01   1.10  1.101XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8810826Cytopath concentrate tech                         A   0.44   0.20     0.20    0.01   0.65  0.651XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88112  Cytopath cell enhance tech                        A   0.56   1.32     1.32NA  0.02   1.90  1.901XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88112TCCytopath cell enhance tech                        A   0.00   1.09     1.09NA  0.01   1.10  1.101XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8811226Cytopath cell enhance tech                        A   0.56   0.23     0.23    0.01   0.80  0.801XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88120  Cytp urne 3-5 probes ea spec                      A   1.20  15.09    15.09NA  0.04  16.33 16.331XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88120TCCytp urne 3-5 probes ea spec                      A   0.00  14.64    14.64NA  0.02  14.66 14.661XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8812026Cytp urne 3-5 probes ea spec                      A   1.20   0.45     0.45    0.02   1.67  1.671XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88121  Cytp urine 3-5 probes cmptr                       A   1.00  11.45    11.45NA  0.03  12.48 12.481XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88121TCCytp urine 3-5 probes cmptr                       A   0.00  11.06    11.06NA  0.01  11.07 11.071XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8812126Cytp urine 3-5 probes cmptr                       A   1.00   0.39     0.39    0.02   1.41  1.411XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88125  Forensic cytopathology                            A   0.26   0.47     0.47NA  0.02   0.75  0.751XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88125TCForensic cytopathology                            A   0.00   0.34     0.34NA  0.01   0.35  0.351XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8812526Forensic cytopathology                            A   0.26   0.13     0.13    0.01   0.40  0.401XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88130  Sex chromatin identification                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88140  Sex chromatin identification                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88141  Cytopath c/v interpret                            A   0.26   0.46     0.46    0.01   0.73  0.732XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88142  Cytopath c/v thin layer                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88143  Cytopath c/v thin layer redo                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88147  Cytopath c/v automated                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88148  Cytopath c/v auto rescreen                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88150  Cytopath c/v manual                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88152  Cytopath c/v auto redo                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88153  Cytopath c/v redo                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88155  Cytopath c/v index add-on                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88160  Cytopath smear other source                       A   0.50   1.49     1.49NA  0.02   2.01  2.011XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88160TCCytopath smear other source                       A   0.00   1.25     1.25NA  0.01   1.26  1.261XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8816026Cytopath smear other source                       A   0.50   0.24     0.24    0.01   0.75  0.751XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88161  Cytopath smear other source                       A   0.50   1.41     1.41NA  0.02   1.93  1.931XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88161TCCytopath smear other source                       A   0.00   1.19     1.19NA  0.01   1.20  1.201XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8816126Cytopath smear other source                       A   0.50   0.22     0.22    0.01   0.73  0.731XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88162  Cytopath smear other source                       A   0.76   2.01     2.01NA  0.03   2.80  2.801XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88162TCCytopath smear other source                       A   0.00   1.67     1.67NA  0.02   1.69  1.691XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8816226Cytopath smear other source                       A   0.76   0.34     0.34    0.01   1.11  1.111XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88164  Cytopath tbs c/v manual                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88165  Cytopath tbs c/v redo                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88166  Cytopath tbs c/v auto redo                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88167  Cytopath tbs c/v select                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88172  Cytp dx eval fna 1st ea site                      A   0.69   0.87     0.87NA  0.02   1.58  1.581XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88172TCCytp dx eval fna 1st ea site                      A   0.00   0.53     0.53NA  0.01   0.54  0.541XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8817226Cytp dx eval fna 1st ea site                      A   0.69   0.34     0.34    0.01   1.04  1.041XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88173  Cytopath eval fna report                          A   1.39   2.92     2.92NA  0.05   4.36  4.361XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88173TCCytopath eval fna report                          A   0.00   2.29     2.29NA  0.02   2.31  2.311XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8817326Cytopath eval fna report                          A   1.39   0.63     0.63    0.03   2.05  2.051XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88174  Cytopath c/v auto in fluid                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88175  Cytopath c/v auto fluid redo                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88177  Cytp fna eval ea addl                             A   0.42   0.41     0.41NA  0.01   0.84  0.841ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88177TCCytp fna eval ea addl                             A   0.00   0.20     0.20NA  0.00   0.20  0.201ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8817726Cytp fna eval ea addl                             A   0.42   0.21     0.21    0.01   0.64  0.641ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88182  Cell marker study                                 A   0.77   3.08     3.08NA  0.04   3.89  3.891XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88182TCCell marker study                                 A   0.00   2.74     2.74NA  0.03   2.77  2.771XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8818226Cell marker study                                 A   0.77   0.34     0.34    0.01   1.12  1.121XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88184  Flowcytometry/ tc 1 marker                        A   0.00   1.87     1.87NA  0.02   1.89  1.893XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88185  Flowcytometry/tc add-on                           A   0.00   0.62     0.62NA  0.00   0.62  0.623ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88187  Flowcytometry/read 2-8                            A   0.74   0.30     0.30    0.05   1.09  1.092XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88188  Flowcytometry/read 9-15                           A   1.20   0.57     0.57    0.06   1.83  1.832XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88189  Flowcytometry/read 16 & >                         A   1.70   0.67     0.67    0.09   2.46  2.462XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88199  Cytopathology procedure                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88199TCCytopathology procedure                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8819926Cytopathology procedure                           C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88230  Tissue culture lymphocyte                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88233  Tissue culture skin/biopsy                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88235  Tissue culture placenta                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88237  Tissue culture bone marrow                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88239  Tissue culture tumor                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88240  Cell cryopreserve/storage                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88241  Frozen cell preparation                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88245  Chromosome analysis 20-25                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88248  Chromosome analysis 50-100                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88249  Chromosome analysis 100                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88261  Chromosome analysis 5                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88262  Chromosome analysis 15-20                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88263  Chromosome analysis 45                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88264  Chromosome analysis 20-25                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88267  Chromosome analys placenta                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88269  Chromosome analys amniotic                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88271  Cytogenetics dna probe                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88272  Cytogenetics 3-5                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88273  Cytogenetics 10-30                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88274  Cytogenetics 25-99                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88275  Cytogenetics 100-300                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88280  Chromosome karyotype study                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88283  Chromosome banding study                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88285  Chromosome count additional                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88289  Chromosome study additional                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88291  Cyto/molecular report                             A   0.52   0.41     0.41    0.03   0.96  0.962XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88299  Cytogenetic study                                 C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88300  Surgical path gross                               A   0.08   0.34     0.34NA  0.02   0.44  0.441XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88300TCSurgical path gross                               A   0.00   0.30     0.30NA  0.01   0.31  0.311XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8830026Surgical path gross                               A   0.08   0.04     0.04    0.01   0.13  0.131XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88302  Tissue exam by pathologist                        A   0.13   0.72     0.72NA  0.02   0.87  0.871XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88302TCTissue exam by pathologist                        A   0.00   0.66     0.66NA  0.01   0.67  0.671XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8830226Tissue exam by pathologist                        A   0.13   0.06     0.06    0.01   0.20  0.201XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88304  Tissue exam by pathologist                        A   0.22   0.92     0.92NA  0.02   1.16  1.161XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88304TCTissue exam by pathologist                        A   0.00   0.82     0.82NA  0.01   0.83  0.831XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8830426Tissue exam by pathologist                        A   0.22   0.10     0.10    0.01   0.33  0.331XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88305  Tissue exam by pathologist                        A   0.75   1.21     1.21NA  0.02   1.98  1.981XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88305TCTissue exam by pathologist                        A   0.00   0.88     0.88NA  0.01   0.89  0.891XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8830526Tissue exam by pathologist                        A   0.75   0.33     0.33    0.01   1.09  1.091XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88307  Tissue exam by pathologist                        A   1.59   6.15     6.15NA  0.06   7.80  7.801XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88307TCTissue exam by pathologist                        A   0.00   5.37     5.37NA  0.03   5.40  5.401XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8830726Tissue exam by pathologist                        A   1.59   0.78     0.78    0.03   2.40  2.401XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88309  Tissue exam by pathologist                        A   2.80   8.97     8.97NA  0.08  11.85 11.851XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88309TCTissue exam by pathologist                        A   0.00   7.59     7.59NA  0.03   7.62  7.621XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8830926Tissue exam by pathologist                        A   2.80   1.38     1.38    0.05   4.23  4.231XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88311  Decalcify tissue                                  A   0.24   0.35     0.35NA  0.02   0.61  0.611XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88311TCDecalcify tissue                                  A   0.00   0.24     0.24NA  0.01   0.25  0.251XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8831126Decalcify tissue                                  A   0.24   0.11     0.11    0.01   0.36  0.361XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88312  Special stains group 1                            A   0.54   2.41     2.41NA  0.02   2.97  2.971XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88312TCSpecial stains group 1                            A   0.00   2.19     2.19NA  0.01   2.20  2.201XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8831226Special stains group 1                            A   0.54   0.22     0.22    0.01   0.77  0.771XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88313  Special stains group 2                            A   0.24   1.88     1.88NA  0.02   2.14  2.141XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88313TCSpecial stains group 2                            A   0.00   1.78     1.78NA  0.01   1.79  1.791XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8831326Special stains group 2                            A   0.24   0.10     0.10    0.01   0.35  0.351XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88314  Histochemical stains add-on                       A   0.45   2.26     2.26NA  0.02   2.73  2.731XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88314TCHistochemical stains add-on                       A   0.00   2.08     2.08NA  0.01   2.09  2.091XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8831426Histochemical stains add-on                       A   0.45   0.18     0.18    0.01   0.64  0.641XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88319  Enzyme histochemistry                             A   0.53   2.60     2.60NA  0.02   3.15  3.151XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88319TCEnzyme histochemistry                             A   0.00   2.36     2.36NA  0.01   2.37  2.371XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8831926Enzyme histochemistry                             A   0.53   0.24     0.24    0.01   0.78  0.781XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88321  Microslide consultation                           A   1.63   1.12     0.72    0.09   2.84  2.440XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88323  Microslide consultation                           A   1.83   1.40     1.40NA  0.03   3.26  3.261XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88323TCMicroslide consultation                           A   0.00   0.73     0.73NA  0.01   0.74  0.741XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8832326Microslide consultation                           A   1.83   0.67     0.67    0.02   2.52  2.521XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88325  Comprehensive review of data                      A   2.85   1.99     1.21    0.12   4.96  4.180XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88329  Path consult introp                               A   0.67   0.79     0.33    0.05   1.51  1.050XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88331  Path consult intraop 1 bloc                       A   1.19   1.56     1.56NA  0.03   2.78  2.781XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88331TCPath consult intraop 1 bloc                       A   0.00   0.96     0.96NA  0.01   0.97  0.971XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8833126Path consult intraop 1 bloc                       A   1.19   0.60     0.60    0.02   1.81  1.811XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88332  Path consult intraop addl                         A   0.59   0.93     0.93NA  0.02   1.54  1.541XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88332TCPath consult intraop addl                         A   0.00   0.63     0.63NA  0.01   0.64  0.641XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8833226Path consult intraop addl                         A   0.59   0.30     0.30    0.01   0.90  0.901XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88333  Intraop cyto path consult 1                       A   1.20   1.32     1.32NA  0.03   2.55  2.551XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88333TCIntraop cyto path consult 1                       A   0.00   0.73     0.73NA  0.01   0.74  0.741XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8833326Intraop cyto path consult 1                       A   1.20   0.59     0.59    0.02   1.81  1.811XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88334  Intraop cyto path consult 2                       A   0.73   0.86     0.86NA  0.01   1.60  1.601ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88334TCIntraop cyto path consult 2                       A   0.00   0.50     0.50NA  0.00   0.50  0.501ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8833426Intraop cyto path consult 2                       A   0.73   0.36     0.36    0.01   1.10  1.101ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88341  Immunohisto antb addl slide                       A   0.56   2.04     2.04NA  0.01   2.61  2.611ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88341TCImmunohisto antb addl slide                       A   0.00   1.79     1.79NA  0.00   1.79  1.791ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8834126Immunohisto antb addl slide                       A   0.56   0.25     0.25    0.01   0.82  0.821ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88342  Immunohisto antb 1st stain                        A   0.70   2.25     2.25NA  0.02   2.97  2.971XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88342TCImmunohisto antb 1st stain                        A   0.00   1.94     1.94NA  0.01   1.95  1.951XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8834226Immunohisto antb 1st stain                        A   0.70   0.31     0.31    0.01   1.02  1.021XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88344  Immunohisto antibody slide                        A   0.77   4.07     4.07NA  0.02   4.86  4.861XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88344TCImmunohisto antibody slide                        A   0.00   3.74     3.74NA  0.01   3.75  3.751XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8834426Immunohisto antibody slide                        A   0.77   0.33     0.33    0.01   1.11  1.111XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88346  Immunofluor antb 1st stain                        A   0.74   2.80     2.80NA  0.02   3.56  3.561XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88346TCImmunofluor antb 1st stain                        A   0.00   2.51     2.51NA  0.01   2.52  2.521XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8834626Immunofluor antb 1st stain                        A   0.74   0.29     0.29    0.01   1.04  1.041XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88348  Electron microscopy                               A   1.51   9.33     9.33NA  0.08  10.92 10.921XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88348TCElectron microscopy                               A   0.00   8.65     8.65NA  0.06   8.71  8.711XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8834826Electron microscopy                               A   1.51   0.68     0.68    0.02   2.21  2.211XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88350  Immunofluor antb addl stain                       A   0.59   2.00     2.00NA  0.02   2.61  2.611ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88350TCImmunofluor antb addl stain                       A   0.00   1.76     1.76NA  0.01   1.77  1.771ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8835026Immunofluor antb addl stain                       A   0.59   0.24     0.24    0.01   0.84  0.841ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88355  Analysis skeletal muscle                          A   1.85   2.01     2.01NA  0.02   3.88  3.881XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88355TCAnalysis skeletal muscle                          A   0.00   1.49     1.49NA  0.01   1.50  1.501XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8835526Analysis skeletal muscle                          A   1.85   0.52     0.52    0.01   2.38  2.381XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88356  Analysis nerve                                    A   2.80   3.76     3.76NA  0.10   6.66  6.661XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88356TCAnalysis nerve                                    A   0.00   2.90     2.90NA  0.05   2.95  2.951XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8835626Analysis nerve                                    A   2.80   0.86     0.86    0.05   3.71  3.711XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88358  Analysis tumor                                    A   0.95   2.79     2.79NA  0.03   3.77  3.771XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88358TCAnalysis tumor                                    A   0.00   2.31     2.31NA  0.01   2.32  2.321XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8835826Analysis tumor                                    A   0.95   0.48     0.48    0.02   1.45  1.451XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88360  Tumor immunohistochem/manual                      A   0.85   2.66     2.66NA  0.02   3.53  3.531XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88360TCTumor immunohistochem/manual                      A   0.00   2.30     2.30NA  0.01   2.31  2.311XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8836026Tumor immunohistochem/manual                      A   0.85   0.36     0.36    0.01   1.22  1.221XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88361  Tumor immunohistochem/comput                      A   0.95   2.61     2.61NA  0.02   3.58  3.581XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88361TCTumor immunohistochem/comput                      A   0.00   2.28     2.28NA  0.01   2.29  2.291XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8836126Tumor immunohistochem/comput                      A   0.95   0.33     0.33    0.01   1.29  1.291XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88362  Nerve teasing preparations                        A   2.17   4.19     4.19NA  0.08   6.44  6.441XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88362TCNerve teasing preparations                        A   0.00   3.15     3.15NA  0.02   3.17  3.171XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8836226Nerve teasing preparations                        A   2.17   1.04     1.04    0.06   3.27  3.271XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88363  Xm archive tissue molec anal                      A   0.37   0.28     0.18    0.02   0.67  0.570XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88364  Insitu hybridization (fish)                       A   0.70   3.17     3.17NA  0.02   3.89  3.891ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88364TCInsitu hybridization (fish)                       A   0.00   2.88     2.88NA  0.01   2.89  2.891ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8836426Insitu hybridization (fish)                       A   0.70   0.29     0.29    0.01   1.00  1.001ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88365  Insitu hybridization (fish)                       A   0.88   4.18     4.18NA  0.04   5.10  5.101XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88365TCInsitu hybridization (fish)                       A   0.00   3.81     3.81NA  0.02   3.83  3.831XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8836526Insitu hybridization (fish)                       A   0.88   0.37     0.37    0.02   1.27  1.271XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88366  Insitu hybridization (fish)                       A   1.24   6.52     6.52NA  0.04   7.80  7.801XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88366TCInsitu hybridization (fish)                       A   0.00   5.98     5.98NA  0.02   6.00  6.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8836626Insitu hybridization (fish)                       A   1.24   0.54     0.54    0.02   1.80  1.801XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88367  Insitu hybridization auto                         A   0.73   2.44     2.44NA  0.02   3.19  3.191XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88367TCInsitu hybridization auto                         A   0.00   2.19     2.19NA  0.01   2.20  2.201XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8836726Insitu hybridization auto                         A   0.73   0.25     0.25    0.01   0.99  0.991XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88368  Insitu hybridization manual                       A   0.88   2.80     2.80NA  0.03   3.71  3.711XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88368TCInsitu hybridization manual                       A   0.00   2.49     2.49NA  0.02   2.51  2.511XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8836826Insitu hybridization manual                       A   0.88   0.31     0.31    0.01   1.20  1.201XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88369  M/phmtrc alysishquant/semiq                       A   0.70   2.51     2.51NA  0.02   3.23  3.231ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88369TCM/phmtrc alysishquant/semiq                       A   0.00   2.28     2.28NA  0.01   2.29  2.291ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8836926M/phmtrc alysishquant/semiq                       A   0.70   0.23     0.23    0.01   0.94  0.941ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88371  Protein western blot tissue                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
8837126Protein western blot tissue                       A   0.37   0.19     0.19    0.01   0.57  0.576XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88372  Protein analysis w/probe                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
8837226Protein analysis w/probe                          A   0.37   0.14     0.14    0.02   0.53  0.536XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88373  M/phmtrc alys ishquant/semiq                      A   0.58   1.49     1.49NA  0.01   2.08  2.081ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88373TCM/phmtrc alys ishquant/semiq                      A   0.00   1.31     1.31NA  0.00   1.31  1.311ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8837326M/phmtrc alys ishquant/semiq                      A   0.58   0.18     0.18    0.01   0.77  0.771ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88374  M/phmtrc alys ishquant/semiq                      A   0.93   8.70     8.70NA  0.02   9.65  9.651XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88374TCM/phmtrc alys ishquant/semiq                      A   0.00   8.36     8.36NA  0.01   8.37  8.371XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8837426M/phmtrc alys ishquant/semiq                      A   0.93   0.34     0.34    0.01   1.28  1.281XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88375  Optical endomicroscpy interp                      A   0.91   0.46     0.46    0.05   1.42  1.422XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88377  M/phmtrc alys ishquant/semiq                      A   1.40   9.97     9.97NA  0.04  11.41 11.411XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88377TCM/phmtrc alys ishquant/semiq                      A   0.00   9.52     9.52NA  0.02   9.54  9.541XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8837726M/phmtrc alys ishquant/semiq                      A   1.40   0.45     0.45    0.02   1.87  1.871XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88380  Microdissection laser                             A   1.14   2.64     2.64NA  0.04   3.82  3.821XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88380TCMicrodissection laser                             A   0.00   2.20     2.20NA  0.02   2.22  2.221XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8838026Microdissection laser                             A   1.14   0.44     0.44    0.02   1.60  1.601XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88381  Microdissection manual                            A   0.53   4.50     4.50NA  0.04   5.07  5.071XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88381TCMicrodissection manual                            A   0.00   4.32     4.32NA  0.03   4.35  4.351XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8838126Microdissection manual                            A   0.53   0.18     0.18    0.01   0.72  0.721XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88387  Tiss exam molecular study                         A   0.62   0.36     0.36NA  0.02   1.00  1.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88387TCTiss exam molecular study                         A   0.00   0.19     0.19NA  0.01   0.20  0.201XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8838726Tiss exam molecular study                         A   0.62   0.17     0.17    0.01   0.80  0.801XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88388  Tiss ex molecul study add-on                      A   0.45   0.57     0.57NA  0.02   1.04  1.041XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88388TCTiss ex molecul study add-on                      A   0.00   0.34     0.34NA  0.01   0.35  0.351XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8838826Tiss ex molecul study add-on                      A   0.45   0.23     0.23    0.01   0.69  0.691XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88399  Surgical pathology procedure                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88399TCSurgical pathology procedure                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
8839926Surgical pathology procedure                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
88720  Bilirubin total transcut                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88738  Hgb quant transcutaneous                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88740  Transcutaneous carboxyhb                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88741  Transcutaneous methb                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
88749  In vivo lab service                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89049  Chct for mal hyperthermia                         A   1.40   5.62     0.24    0.11   7.13  1.750XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
89050  Body fluid cell count                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89051  Body fluid cell count                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89055  Leukocyte assessment fecal                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89060  Exam synovial fluid crystals                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
8906026Exam synovial fluid crystals                      A   0.37   0.14     0.14    0.02   0.53  0.536XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
89125  Specimen fat stain                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89160  Exam feces for meat fibers                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89190  Nasal smear for eosinophils                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89220  Sputum specimen collection                        A   0.00   0.45     0.45NA  0.01   0.46  0.463XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
89230  Collect sweat for test                            A   0.00   0.06     0.06NA  0.01   0.07  0.073XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
89240  Pathology lab procedure                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
89250  Cultr oocyte/embryo <4 days                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89251  Cultr oocyte/embryo <4 days                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89253  Embryo hatching                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89254  Oocyte identification                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89255  Prepare embryo for transfer                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89257  Sperm identification                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89258  Cryopreservation embryo(s)                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89259  Cryopreservation sperm                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89260  Sperm isolation simple                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89261  Sperm isolation complex                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89264  Identify sperm tissue                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89268  Insemination of oocytes                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89272  Extended culture of oocytes                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89280  Assist oocyte fertilization                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89281  Assist oocyte fertilization                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89290  Biopsy oocyte polar body                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89291  Biopsy oocyte polar body                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89300  Semen analysis w/huhner                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89310  Semen analysis w/count                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89320  Semen anal vol/count/mot                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89321  Semen anal sperm detection                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89322  Semen anal strict criteria                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89325  Sperm antibody test                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89329  Sperm evaluation test                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89330  Evaluation cervical mucus                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89331  Retrograde ejaculation anal                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89335  Cryopreserve testicular tiss                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89337  Cryopreservation oocyte(s)                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89342  Storage/year embryo(s)                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89343  Storage/year sperm/semen                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89344  Storage/year reprod tissue                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89346  Storage/year oocyte(s)                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89352  Thawing cryopresrved embryo                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89353  Thawing cryopresrved sperm                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89354  Thaw cryoprsvrd reprod tiss                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89356  Thawing cryopresrved oocyte                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
89398  Unlisted reprod med lab proc                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
9001F  Aortic aneurysm<5cm diam ct                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
9002F  Aortic aneurysm 5-5.4cm diam                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
9003F  Aortic anrysm5.5-5.9cm diam                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
9004F  Aortic anrysm 6/> cm diam                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
9005F  Asympt carot/vrtbrbas sten                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
9006F  Sympt sten-tia/strk<120days                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
9007F  Other carot sten 120 days/>                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90281  Human ig im                                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90283  Human ig iv                                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90284  Human ig sc                                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90287  Botulinum antitoxin                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90288  Botulism ig iv                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90291  Cmv ig iv                                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90296  Diphtheria antitoxin                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90371  Hep b ig im                                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90375  Rabies ig im/sc                                   E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90376  Rabies ig heat treated                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90378  Rsv mab im 50mg                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90384  Rh ig full-dose im                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90385  Rh ig minidose im                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90386  Rh ig iv                                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90389  Tetanus ig im                                     I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90393  Vaccina ig im                                     E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90396  Varicella-zoster ig im                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90399  Immune globulin                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90460  Im admin 1st/only component                       A   0.17   0.22     0.22NA  0.01   0.40  0.400XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90461  Im admin each addl component                      A   0.15   0.20     0.20NA  0.01   0.36  0.360ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90471  Immunization admin                                A   0.17   0.22     0.22NA  0.01   0.40  0.405XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90472  Immunization admin each add                       A   0.15   0.20     0.20NA  0.01   0.36  0.365ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90473  Immune admin oral/nasal                           R   0.17   0.22     0.22NA  0.01   0.40  0.400XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90474  Immune admin oral/nasal addl                      R   0.15   0.20     0.20NA  0.01   0.36  0.360ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90476  Adenovirus vaccine type 4                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90477  Adenovirus vaccine type 7                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90581  Anthrax vaccine sc or im                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90585  Bcg vaccine percut                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90586  Bcg vaccine intravesical                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90587  Dengue vacc quad 3 dose subq                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90619  Menacwy-tt vaccine im                             N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90620  Menb-4c vacc 2 dose im                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90621  Menb-fhbp vacc 2/3 dose im                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90625  Cholera vaccine live oral                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90630  Flu vacc iiv4 no preserv id                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90632  Hepa vaccine adult im                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90633  Hepa vacc ped/adol 2 dose im                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90634  Hepa vacc ped/adol 3 dose                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90636  Hep a/hep b vacc adult im                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90644  Hib-mency vacc 6wk-18m0 im                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90647  Hib prp-omp vacc 3 dose im                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90648  Hib prp-t vaccine 4 dose im                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90649  4vhpv vaccine 3 dose im                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90650  2vhpv vaccine 3 dose im                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90651  9vhpv vaccine 2/3 dose im                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90653  Iiv adjuvant vaccine im                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90654  Flu vacc iiv3 no preserv id                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90655  Iiv3 vacc no prsv 0.25 ml im                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90656  Iiv3 vacc no prsv 0.5 ml im                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90657  Iiv3 vaccine splt 0.25 ml im                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90658  Iiv3 vaccine splt 0.5 ml im                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90660  Laiv3 vaccine intranasal                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90661  Cciiv3 vac no prsv 0.5 ml im                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90662  Iiv no prsv increased ag im                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90664  Laiv vacc pandemic intranasl                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90666  Flu vac pandem prsrv free im                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90667  Iiv vacc pandemic adjuvt im                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90668  Iiv vaccine pandemic im                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90670  Pcv13 vaccine im                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90672  Laiv4 vaccine intranasal                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90673  Riv3 vaccine no preserv im                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90674  Cciiv4 vac no prsv 0.5 ml im                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90675  Rabies vaccine im                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90676  Rabies vaccine id                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90680  Rv5 vacc 3 dose live oral                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90681  Rv1 vacc 2 dose live oral                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90682  Riv4 vacc recombinant dna im                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90685  Iiv4 vacc no prsv 0.25 ml im                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90686  Iiv4 vacc no prsv 0.5 ml im                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90687  Iiv4 vaccine splt 0.25 ml im                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90688  Iiv4 vaccine splt 0.5 ml im                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90689  Vacc iiv4 no prsrv 0.25ml im                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90690  Typhoid vaccine oral                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90691  Typhoid vaccine im                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90694  Vacc aiiv4 no prsrv 0.5ml im                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90696  Dtap-ipv vaccine 4-6 yrs im                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90697  Dtap-ipv-hib-hepb vaccine im                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90698  Dtap-ipv/hib vaccine im                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90700  Dtap vaccine < 7 yrs im                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90702  Dt vaccine under 7 yrs im                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90707  Mmr vaccine sc                                    E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90710  Mmrv vaccine sc                                   E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90713  Poliovirus ipv sc/im                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90714  Td vacc no presv 7 yrs+ im                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90715  Tdap vaccine 7 yrs/> im                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90716  Var vaccine live subq                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90717  Yellow fever vaccine subq                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90723  Dtap-hep b-ipv vaccine im                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90732  Ppsv23 vacc 2 yrs+ subq/im                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90733  Mpsv4 vaccine subq                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90734  Menacwyd/menacwycrm vacc im                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90736  Hzv vaccine live subq                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90738  Inactivated je vacc im                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90739  Hepb vacc 2 dose adult im                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90740  Hepb vacc 3 dose immunsup im                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90743  Hepb vacc 2 dose adolesc im                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90744  Hepb vacc 3 dose ped/adol im                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90746  Hepb vaccine 3 dose adult im                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90747  Hepb vacc 4 dose immunsup im                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90748  Hib-hepb vaccine im                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90749  Vaccine toxoid                                    E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90750  Hzv vacc recombinant im                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90756  Cciiv4 vacc abx free im                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90785  Psytx complex interactive                         A   0.33   0.09     0.05    0.01   0.43  0.390ZZZ.00.00.0000900             36.0896 090 99      0.00   0.00   0.00
90791  Psych diagnostic evaluation                       A   3.00   0.92     0.43    0.11   4.03  3.540XXX.00.00.0000900             36.0896 090 99      0.00   0.00   0.00
90792  Psych diag eval w/med srvcs                       A   3.25   1.10     0.60    0.11   4.46  3.960XXX.00.00.0000900             36.0896 090 99      0.00   0.00   0.00
90832  Psytx w pt 30 minutes                             A   1.50   0.41     0.21    0.06   1.97  1.770XXX.00.00.0000900             36.0896 090 99      0.00   0.00   0.00
90833  Psytx w pt w e/m 30 min                           A   1.50   0.46     0.28    0.06   2.02  1.840ZZZ.00.00.0000900             36.0896 090 99      0.00   0.00   0.00
90834  Psytx w pt 45 minutes                             A   2.00   0.54     0.28    0.08   2.62  2.360XXX.00.00.0000900             36.0896 090 99      0.00   0.00   0.00
90836  Psytx w pt w e/m 45 min                           A   1.90   0.58     0.35    0.08   2.56  2.330ZZZ.00.00.0000900             36.0896 090 99      0.00   0.00   0.00
90837  Psytx w pt 60 minutes                             A   3.00   0.81     0.42    0.11   3.92  3.530XXX.00.00.0000900             36.0896 090 99      0.00   0.00   0.00
90838  Psytx w pt w e/m 60 min                           A   2.50   0.77     0.47    0.09   3.36  3.060ZZZ.00.00.0000900             36.0896 090 99      0.00   0.00   0.00
90839  Psytx crisis initial 60 min                       A   3.13   0.85     0.45    0.11   4.09  3.690XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90840  Psytx crisis ea addl 30 min                       A   1.50   0.40     0.21    0.06   1.96  1.770ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90845  Psychoanalysis                                    A   2.10   0.59     0.34    0.09   2.78  2.530XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90846  Family psytx w/o pt 50 min                        R   2.40   0.38     0.36    0.09   2.87  2.850XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90847  Family psytx w/pt 50 min                          R   2.50   0.38     0.37    0.09   2.97  2.960XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90849  Multiple family group psytx                       R   0.59   0.41     0.21    0.02   1.02  0.820XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90853  Group psychotherapy                               A   0.59   0.17     0.09    0.02   0.78  0.700XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90863  Pharmacologic mgmt w/psytx                        I+  0.48   0.23     0.18    0.05   0.76  0.719XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90865  Narcosynthesis                                    A   2.84   1.85     0.66    0.11   4.80  3.610XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90867  Tcranial magn stim tx plan                        C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
90868  Tcranial magn stim tx deli                        C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
90869  Tcran magn stim redetemine                        C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
90870  Electroconvulsive therapy                         A   2.50   2.40     0.52    0.09   4.99  3.110000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90875  Psychophysiological therapy                       N+  1.20   0.47     0.46    0.09   1.76  1.759XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90876  Psychophysiological therapy                       N+  1.90   1.03     0.73    0.15   3.08  2.789XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90880  Hypnotherapy                                      A   2.19   0.80     0.32    0.09   3.08  2.600XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90882  Environmental manipulation                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90885  Psy evaluation of records                         B+  0.97   0.37     0.37    0.09   1.43  1.439XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90887  Consultation with family                          B+  1.48   0.91     0.57    0.11   2.50  2.169XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90889  Preparation of report                             B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90899  Psychiatric service/therapy                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90901  Biofeedback train any meth                        A   0.41   0.72     0.14    0.02   1.15  0.570000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90912  Bfb training 1st 15 min                           A   0.90   1.32     0.31    0.05   2.27  1.260000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90913  Bfb training ea addl 15 min                       A   0.50   0.39     0.17    0.03   0.92  0.700ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90935  Hemodialysis one evaluation                       A   1.48   0.51NA   0.51    0.09   2.08  2.080000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90937  Hemodialysis repeated eval                        A   2.11   0.74NA   0.74    0.12   2.97  2.970000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90940  Hemodialysis access study                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90945  Dialysis one evaluation                           A   1.56   0.79NA   0.79    0.09   2.44  2.440000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90947  Dialysis repeated eval                            A   2.52   0.87NA   0.87    0.15   3.54  3.540000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90951  Esrd serv 4 visits p mo <2yr                      A  18.46   6.96     6.96    1.18  26.60 26.600XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90952  Esrd serv 2-3 vsts p mo <2yr                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90953  Esrd serv 1 visit p mo <2yrs                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90954  Esrd serv 4 vsts p mo 2-11                        A  15.98   6.10     6.10    0.99  23.07 23.070XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90955  Esrd srv 2-3 vsts p mo 2-11                       A   8.79   3.69     3.69    0.52  13.00 13.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90956  Esrd srv 1 visit p mo 2-11                        A   5.95   2.73     2.73    0.37   9.05  9.050XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90957  Esrd srv 4 vsts p mo 12-19                        A  12.52   5.00     5.00    0.78  18.30 18.300XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90958  Esrd srv 2-3 vsts p mo 12-19                      A   8.34   3.58     3.58    0.51  12.43 12.430XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90959  Esrd serv 1 vst p mo 12-19                        A   5.50   2.57     2.57    0.34   8.41  8.410XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90960  Esrd srv 4 visits p mo 20+                        A   5.18   2.58     2.58    0.31   8.07  8.070XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90961  Esrd srv 2-3 vsts p mo 20+                        A   4.26   2.26     2.26    0.26   6.78  6.780XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90962  Esrd serv 1 visit p mo 20+                        A   3.15   1.89     1.89    0.19   5.23  5.230XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90963  Esrd home pt serv p mo <2yrs                      A  10.56   4.26     4.26    0.64  15.46 15.460XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90964  Esrd home pt serv p mo 2-11                       A   9.14   3.82     3.82    0.56  13.52 13.520XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90965  Esrd home pt serv p mo 12-19                      A   8.69   3.70     3.70    0.53  12.92 12.920XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90966  Esrd home pt serv p mo 20+                        A   4.26   2.25     2.25    0.26   6.77  6.770XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90967  Esrd svc pr day pt <2                             A   0.35   0.14     0.14    0.02   0.51  0.510XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90968  Esrd svc pr day pt 2-11                           A   0.30   0.13     0.13    0.02   0.45  0.450XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90969  Esrd svc pr day pt 12-19                          A   0.29   0.12     0.12    0.02   0.43  0.430XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90970  Esrd svc pr day pt 20+                            A   0.14   0.08     0.08    0.01   0.23  0.230XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90989  Dialysis training complete                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90993  Dialysis training incompl                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
90997  Hemoperfusion                                     A   1.84   0.61NA   0.61    0.11   2.56  2.560000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
90999  Dialysis procedure                                C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91010  Esophagus motility study                          A   1.28   4.34     4.34NA  0.08   5.70  5.701000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91010TCEsophagus motility study                          A   0.00   3.79     3.79NA  0.02   3.81  3.811000.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9101026Esophagus motility study                          A   1.28   0.55     0.55    0.06   1.89  1.891000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91013  Esophgl motil w/stim/perfus                       A   0.18   0.54     0.54NA  0.01   0.73  0.731ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91013TCEsophgl motil w/stim/perfus                       A   0.00   0.46     0.46NA  0.00   0.46  0.461ZZZ.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9101326Esophgl motil w/stim/perfus                       A   0.18   0.08     0.08    0.01   0.27  0.271ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91020  Gastric motility studies                          A   1.44   5.84     5.84NA  0.07   7.35  7.351000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91020TCGastric motility studies                          A   0.00   5.21     5.21NA  0.02   5.23  5.231000.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9102026Gastric motility studies                          A   1.44   0.63     0.63    0.05   2.12  2.121000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91022  Duodenal motility study                           A   1.44   3.26     3.26NA  0.07   4.77  4.771000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91022TCDuodenal motility study                           A   0.00   2.63     2.63NA  0.02   2.65  2.651000.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9102226Duodenal motility study                           A   1.44   0.63     0.63    0.05   2.12  2.121000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91030  Acid perfusion of esophagus                       A   0.91   2.98     2.98NA  0.05   3.94  3.941000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91030TCAcid perfusion of esophagus                       A   0.00   2.58     2.58NA  0.02   2.60  2.601000.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9103026Acid perfusion of esophagus                       A   0.91   0.40     0.40    0.03   1.34  1.341000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91034  Gastroesophageal reflux test                      A   0.97   4.37     4.37NA  0.07   5.41  5.411000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91034TCGastroesophageal reflux test                      A   0.00   3.96     3.96NA  0.01   3.97  3.971000.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9103426Gastroesophageal reflux test                      A   0.97   0.41     0.41    0.06   1.44  1.441000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91035  G-esoph reflx tst w/electrod                      A   1.59  12.00    12.00NA  0.12  13.71 13.711000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91035TCG-esoph reflx tst w/electrod                      A   0.00  11.33    11.33NA  0.01  11.34 11.341000.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9103526G-esoph reflx tst w/electrod                      A   1.59   0.67     0.67    0.11   2.37  2.371000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91037  Esoph imped function test                         A   0.97   3.68     3.68NA  0.06   4.71  4.711000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91037TCEsoph imped function test                         A   0.00   3.27     3.27NA  0.01   3.28  3.281000.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9103726Esoph imped function test                         A   0.97   0.41     0.41    0.05   1.43  1.431000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91038  Esoph imped funct test > 1hr                      A   1.10  11.29    11.29NA  0.06  12.45 12.451000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91038TCEsoph imped funct test > 1hr                      A   0.00  10.82    10.82NA  0.01  10.83 10.831000.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9103826Esoph imped funct test > 1hr                      A   1.10   0.47     0.47    0.05   1.62  1.621000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91040  Esoph balloon distension tst                      A   0.97  13.34    13.34NA  0.09  14.40 14.401000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91040TCEsoph balloon distension tst                      A   0.00  12.93    12.93NA  0.01  12.94 12.941000.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9104026Esoph balloon distension tst                      A   0.97   0.41     0.41    0.08   1.46  1.461000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91065  Breath hydrogen/methane test                      A   0.20   2.04     2.04NA  0.02   2.26  2.261000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91065TCBreath hydrogen/methane test                      A   0.00   1.96     1.96NA  0.01   1.97  1.971000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
9106526Breath hydrogen/methane test                      A   0.20   0.08     0.08    0.01   0.29  0.291000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91110  Gi tract capsule endoscopy                        A   2.49  21.78    21.78NA  0.10  24.37 24.371XXX.00.00.0000000             36.0896 090 99     22.84  22.84   0.10
91110TCGi tract capsule endoscopy                        A   0.00  20.70    20.70NA  0.01  20.71 20.711XXX.00.00.0000000             36.0896 090 99     21.76  21.76   0.01
9111026Gi tract capsule endoscopy                        A   2.49   1.08     1.08    0.09   3.66  3.661XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91111  Esophageal capsule endoscopy                      A   1.00  23.42    23.42NA  0.06  24.48 24.481XXX.00.00.0000000             36.0896 090 99     22.20  22.20   0.06
91111TCEsophageal capsule endoscopy                      A   0.00  22.99    22.99NA  0.01  23.00 23.001XXX.00.00.0000000             36.0896 090 99     21.77  21.77   0.01
9111126Esophageal capsule endoscopy                      A   1.00   0.43     0.43    0.05   1.48  1.481XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91112  Gi wireless capsule measure                       A   2.10  38.80    38.80NA  0.09  40.99 40.991XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91112TCGi wireless capsule measure                       A   0.00  37.89    37.89NA  0.01  37.90 37.901XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
9111226Gi wireless capsule measure                       A   2.10   0.91     0.91    0.08   3.09  3.091XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91117  Colon motility 6 hr study                         A   2.45   1.32NA   1.32    0.15   3.92  3.920000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91120  Rectal sensation test                             A   0.97  12.76    12.76NA  0.06  13.79 13.791XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91120TCRectal sensation test                             A   0.00  12.37    12.37NA  0.01  12.38 12.381XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9112026Rectal sensation test                             A   0.97   0.39     0.39    0.05   1.41  1.411XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91122  Anal pressure record                              A   1.77   5.25     5.25NA  0.11   7.13  7.131000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91122TCAnal pressure record                              A   0.00   4.56     4.56NA  0.02   4.58  4.581000.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9112226Anal pressure record                              A   1.77   0.69     0.69    0.09   2.55  2.551000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91132  Electrogastrography                               A   0.52   8.61     8.61NA  0.03   9.16  9.161XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91132TCElectrogastrography                               A   0.00   8.38     8.38NA  0.01   8.39  8.391XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9113226Electrogastrography                               A   0.52   0.23     0.23    0.02   0.77  0.771XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91133  Electrogastrography w/test                        A   0.66   9.13     9.13NA  0.03   9.82  9.821XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91133TCElectrogastrography w/test                        A   0.00   8.84     8.84NA  0.01   8.85  8.851XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9113326Electrogastrography w/test                        A   0.66   0.29     0.29    0.02   0.97  0.971XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91200  Liver elastography                                A   0.27   0.76     0.76NA  0.02   1.05  1.051XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91200TCLiver elastography                                A   0.00   0.64     0.64NA  0.01   0.65  0.651XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9120026Liver elastography                                A   0.27   0.12     0.12    0.01   0.40  0.401XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91299  Gastroenterology procedure                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
91299TCGastroenterology procedure                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
9129926Gastroenterology procedure                        C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92002  Eye exam new patient                              A   0.88   1.47     0.44    0.02   2.37  1.340XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
92004  Eye exam new patient                              A   1.82   2.36     0.90    0.05   4.23  2.770XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
92012  Eye exam establish patient                        A   0.92   1.54     0.52    0.03   2.49  1.470XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
92014  Eye exam&tx estab pt 1/>vst                       A   1.42   2.08     0.76    0.05   3.55  2.230XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
92015  Determine refractive state                        N+  0.38   0.16     0.15    0.03   0.57  0.569XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92018  New eye exam & treatment                          A   2.50   1.45NA   1.45    0.11   4.06  4.060XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92019  Eye exam & treatment                              A   1.31   0.71NA   0.71    0.05   2.07  2.070XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92020  Special eye evaluation                            A   0.37   0.40     0.21    0.01   0.78  0.590XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
92025  Corneal topography                                A   0.35   0.67     0.67NA  0.02   1.04  1.041XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92025TCCorneal topography                                A   0.00   0.47     0.47NA  0.01   0.48  0.481XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
9202526Corneal topography                                A   0.35   0.20     0.20    0.01   0.56  0.561XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92060  Special eye evaluation                            A   0.69   1.08     1.08NA  0.02   1.79  1.791XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92060TCSpecial eye evaluation                            A   0.00   0.71     0.71NA  0.01   0.72  0.721XXX.00.00.0072000             36.0896 010 99      0.00   0.00   0.00
9206026Special eye evaluation                            A   0.69   0.37     0.37    0.01   1.07  1.071XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92065  Orthoptic/pleoptic training                       A   0.37   1.10     1.10NA  0.02   1.49  1.491XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
92065TCOrthoptic/pleoptic training                       A   0.00   0.97     0.97NA  0.01   0.98  0.981XXX.00.00.0002000             36.0896 010 99      0.00   0.00   0.00
9206526Orthoptic/pleoptic training                       A   0.37   0.13     0.13    0.01   0.51  0.511XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
92071  Contact lens fitting for tx                       A   0.61   0.43     0.31    0.02   1.06  0.940XXX.00.00.0001000             36.0896 090 99      0.00   0.00   0.00
92072  Fit contac lens for managmnt                      A   1.97   1.62     0.76    0.03   3.62  2.760XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
92081  Visual field examination(s)                       A   0.30   0.63     0.63NA  0.02   0.95  0.951XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92081TCVisual field examination(s)                       A   0.00   0.48     0.48NA  0.01   0.49  0.491XXX.00.00.0072000             36.0896 010 99      0.00   0.00   0.00
9208126Visual field examination(s)                       A   0.30   0.15     0.15    0.01   0.46  0.461XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92082  Visual field examination(s)                       A   0.40   0.92     0.92NA  0.02   1.34  1.341XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92082TCVisual field examination(s)                       A   0.00   0.72     0.72NA  0.01   0.73  0.731XXX.00.00.0072000             36.0896 010 99      0.00   0.00   0.00
9208226Visual field examination(s)                       A   0.40   0.20     0.20    0.01   0.61  0.611XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92083  Visual field examination(s)                       A   0.50   1.26     1.26NA  0.02   1.78  1.781XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92083TCVisual field examination(s)                       A   0.00   0.99     0.99NA  0.01   1.00  1.001XXX.00.00.0072000             36.0896 010 99      0.00   0.00   0.00
9208326Visual field examination(s)                       A   0.50   0.27     0.27    0.01   0.78  0.781XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92100  Serial tonometry exam(s)                          A   0.61   1.70     0.31    0.02   2.33  0.940XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
92132  Cmptr ophth dx img ant segmt                      A   0.30   0.57     0.57NA  0.02   0.89  0.891XXX.00.00.0072000             36.0896 090 99      1.65   1.65   0.05
92132TCCmptr ophth dx img ant segmt                      A   0.00   0.41     0.41NA  0.01   0.42  0.421XXX.00.00.0072000             36.0896 010 99      1.49   1.49   0.04
9213226Cmptr ophth dx img ant segmt                      A   0.30   0.16     0.16    0.01   0.47  0.471XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92133  Cmptr ophth img optic nerve                       A   0.40   0.63     0.63NA  0.02   1.05  1.051XXX.00.00.0072000             36.0896 090 99      1.71   1.71   0.05
92133TCCmptr ophth img optic nerve                       A   0.00   0.41     0.41NA  0.01   0.42  0.421XXX.00.00.0072000             36.0896 010 99      1.49   1.49   0.04
9213326Cmptr ophth img optic nerve                       A   0.40   0.22     0.22    0.01   0.63  0.631XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92134  Cptr ophth dx img post segmt                      A   0.45   0.68     0.68NA  0.02   1.15  1.151XXX.00.00.0072000             36.0896 090 99      1.75   1.75   0.05
92134TCCptr ophth dx img post segmt                      A   0.00   0.42     0.42NA  0.01   0.43  0.431XXX.00.00.0072000             36.0896 010 99      1.49   1.49   0.04
9213426Cptr ophth dx img post segmt                      A   0.45   0.26     0.26    0.01   0.72  0.721XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92136  Ophthalmic biometry                               A   0.54   1.20     1.20NA  0.02   1.76  1.761XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92136TCOphthalmic biometry                               A   0.00   0.87     0.87NA  0.01   0.88  0.881XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
9213626Ophthalmic biometry                               A   0.54   0.33     0.33    0.01   0.88  0.881XXX.00.00.0073000             36.0896 090 99      0.00   0.00   0.00
92145  Corneal hysteresis deter                          A   0.10   0.30     0.30NA  0.02   0.42  0.421XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92145TCCorneal hysteresis deter                          A   0.00   0.19     0.19NA  0.01   0.20  0.201XXX.00.00.0072000             36.0896 010 99      0.00   0.00   0.00
9214526Corneal hysteresis deter                          A   0.10   0.11     0.11    0.01   0.22  0.221XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92201  Opscpy extnd rta draw uni/bi                      A   0.40   0.29     0.23    0.02   0.71  0.650XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
92202  Opscpy extnd on/mac draw                          A   0.26   0.18     0.15    0.01   0.45  0.420XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
92227  Remote dx retinal imaging                         A   0.00   0.37     0.37NA  0.01   0.38  0.383XXX.00.00.0002000             36.0896 090 99      0.90   0.90   0.02
92228  Remote retinal imaging mgmt                       A   0.37   0.57     0.57NA  0.02   0.96  0.961XXX.00.00.0072000             36.0896 090 99      1.11   1.11   0.03
92228TCRemote retinal imaging mgmt                       A   0.00   0.36     0.36NA  0.01   0.37  0.371XXX.00.00.0072000             36.0896 010 99      0.90   0.90   0.02
9222826Remote retinal imaging mgmt                       A   0.37   0.21     0.21    0.01   0.59  0.591XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92230  Eye exam with photos                              A   0.60   1.55     0.32    0.03   2.18  0.950XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
92235  Fluorescein angrph uni/bi                         A   0.75   2.16     2.16NA  0.02   2.93  2.931XXX.00.00.0072000             36.0896 090 99      7.43   7.43   0.05
92235TCFluorescein angrph uni/bi                         A   0.00   1.70     1.70NA  0.01   1.71  1.711XXX.00.00.0072000             36.0896 020 99      6.97   6.97   0.04
9223526Fluorescein angrph uni/bi                         A   0.75   0.46     0.46    0.01   1.22  1.221XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92240  Icg angiography uni/bi                            A   0.80   4.83     4.83NA  0.06   5.69  5.691XXX.00.00.0072000             36.0896 090 99      7.49   7.49   0.07
92240TCIcg angiography uni/bi                            A   0.00   4.34     4.34NA  0.01   4.35  4.351XXX.00.00.0072000             36.0896 020 99      7.00   7.00   0.02
9224026Icg angiography uni/bi                            A   0.80   0.49     0.49    0.05   1.34  1.341XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92242  Fluorescein icg angiography                       A   0.95   5.74     5.74NA  0.02   6.71  6.711XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92242TCFluorescein icg angiography                       A   0.00   5.16     5.16NA  0.01   5.17  5.171XXX.00.00.0072000             36.0896 020 99      0.00   0.00   0.00
9224226Fluorescein icg angiography                       A   0.95   0.58     0.58    0.01   1.54  1.541XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92250  Eye exam with photos                              A   0.40   0.85     0.85NA  0.02   1.27  1.271XXX.00.00.0072000             36.0896 090 99      3.18   3.18   0.06
92250TCEye exam with photos                              A   0.00   0.65     0.65NA  0.01   0.66  0.661XXX.00.00.0072000             36.0896 010 99      2.98   2.98   0.05
9225026Eye exam with photos                              A   0.40   0.20     0.20    0.01   0.61  0.611XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92260  Ophthalmoscopy/dynamometry                        A   0.20   0.34     0.10    0.01   0.55  0.310XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
92265  Eye muscle evaluation                             A   0.81   1.62     1.62NA  0.02   2.45  2.451XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92265TCEye muscle evaluation                             A   0.00   1.12     1.12NA  0.01   1.13  1.131XXX.00.00.0072000             36.0896 030 99      0.00   0.00   0.00
9226526Eye muscle evaluation                             A   0.81   0.50     0.50    0.01   1.32  1.321XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92270  Electro-oculography                               A   0.81   1.88     1.88NA  0.04   2.73  2.731XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92270TCElectro-oculography                               A   0.00   1.51     1.51NA  0.01   1.52  1.521XXX.00.00.0072000             36.0896 010 99      0.00   0.00   0.00
9227026Electro-oculography                               A   0.81   0.37     0.37    0.03   1.21  1.211XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92273  Full field erg w/i&r                              A   0.69   2.96     2.96NA  0.03   3.68  3.681XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92273TCFull field erg w/i&r                              A   0.00   2.61     2.61NA  0.02   2.63  2.631XXX.00.00.0072000             36.0896 010 99      0.00   0.00   0.00
9227326Full field erg w/i&r                              A   0.69   0.35     0.35    0.01   1.05  1.051XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92274  Multifocal erg w/i&r                              A   0.61   1.86     1.86NA  0.02   2.49  2.491XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92274TCMultifocal erg w/i&r                              A   0.00   1.55     1.55NA  0.01   1.56  1.561XXX.00.00.0072000             36.0896 010 99      0.00   0.00   0.00
9227426Multifocal erg w/i&r                              A   0.61   0.31     0.31    0.01   0.93  0.931XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92283  Color vision examination                          A   0.17   1.30     1.30NA  0.02   1.49  1.491XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92283TCColor vision examination                          A   0.00   1.22     1.22NA  0.01   1.23  1.231XXX.00.00.0072000             36.0896 010 99      0.00   0.00   0.00
9228326Color vision examination                          A   0.17   0.08     0.08    0.01   0.26  0.261XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92284  Dark adaptation eye exam                          A   0.24   1.41     1.41NA  0.03   1.68  1.681XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92284TCDark adaptation eye exam                          A   0.00   1.30     1.30NA  0.02   1.32  1.321XXX.00.00.0072000             36.0896 010 99      0.00   0.00   0.00
9228426Dark adaptation eye exam                          A   0.24   0.11     0.11    0.01   0.36  0.361XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92285  Eye photography                                   A   0.05   0.55     0.55NA  0.02   0.62  0.621XXX.00.00.0072000             36.0896 090 99      1.53   1.53   0.04
92285TCEye photography                                   A   0.00   0.52     0.52NA  0.01   0.53  0.531XXX.00.00.0072000             36.0896 010 99      1.50   1.50   0.03
9228526Eye photography                                   A   0.05   0.03     0.03    0.01   0.09  0.091XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92286  Internal eye photography                          A   0.40   0.68     0.68NA  0.02   1.10  1.101XXX.00.00.0072000             36.0896 090 99      3.18   3.18   0.07
92286TCInternal eye photography                          A   0.00   0.46     0.46NA  0.01   0.47  0.471XXX.00.00.0072000             36.0896 010 99      2.96   2.96   0.06
9228626Internal eye photography                          A   0.40   0.22     0.22    0.01   0.63  0.631XXX.00.00.0072000             36.0896 090 99      0.00   0.00   0.00
92287  Internal eye photography                          A   0.81   3.62     3.62NA  0.03   4.46  4.461XXX.00.00.0002000             36.0896 090 99      3.50   3.50   0.03
92287TCInternal eye photography                          A   0.00   3.12     3.12NA  0.02   3.14  3.141XXX.00.00.0002000             36.0896 090 99      3.00   3.00   0.02
9228726Internal eye photography                          A   0.81   0.50     0.50    0.01   1.32  1.321XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
92310  Contact lens fitting                              N+  1.17   1.60     0.45    0.09   2.86  1.719XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92311  Contact lens fitting                              A   1.08   1.85     0.44    0.02   2.95  1.540XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92312  Contact lens fitting                              A   1.26   2.14     0.49    0.02   3.42  1.770XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
92313  Contact lens fitting                              A   0.92   1.84     0.34    0.01   2.77  1.270XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92314  Prescription of contact lens                      N+  0.69   1.68     0.27    0.06   2.43  1.029XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92315  Rx cntact lens aphakia 1 eye                      A   0.45   1.76     0.15    0.01   2.22  0.610XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92316  Rx cntact lens aphakia 2 eye                      A   0.68   2.07     0.23    0.01   2.76  0.920XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
92317  Rx corneoscleral cntact lens                      A   0.45   1.86     0.15    0.01   2.32  0.610XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92325  Modification of contact lens                      A   0.00   1.24     1.24NA  0.01   1.25  1.255XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92326  Replacement of contact lens                       A   0.00   1.05     1.05NA  0.01   1.06  1.065XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92340  Fit spectacles monofocal                          N+  0.37   0.59     0.14    0.03   0.99  0.549XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92341  Fit spectacles bifocal                            N+  0.47   0.63     0.18    0.05   1.15  0.709XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92342  Fit spectacles multifocal                         N+  0.53   0.65     0.20    0.05   1.23  0.789XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92352  Fit aphakia spectcl monofocl                      B+  0.37   0.84     0.14    0.03   1.24  0.549XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92353  Fit aphakia spectcl multifoc                      B+  0.50   0.89     0.19    0.05   1.44  0.749XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92354  Fit spectacles single system                      B+  0.00   0.36     0.36NA  0.01   0.37  0.379XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92355  Fit spectacles compound lens                      B+  0.00   0.56     0.56NA  0.02   0.58  0.589XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92358  Aphakia prosth service temp                       B+  0.00   0.30     0.30NA  0.01   0.31  0.319XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92370  Repair & adjust spectacles                        N+  0.32   0.53     0.12    0.03   0.88  0.479XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92371  Repair & adjust spectacles                        B+  0.00   0.31     0.31NA  0.01   0.32  0.329XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92499  Eye service or procedure                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92499TCEye service or procedure                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
9249926Eye service or procedure                          C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92502  Ear and throat examination                        A   1.51   1.09NA   1.09    0.09   2.69  2.690000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92504  Ear microscopy examination                        A   0.18   0.63     0.08    0.01   0.82  0.270XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92507  Speech/hearing therapy                            A   1.30   0.90     0.90NA  0.05   2.25  2.257XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
92508  Speech/hearing therapy                            A   0.33   0.34     0.34NA  0.01   0.68  0.687XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
92511  Nasopharyngoscopy                                 A   0.61   2.52     0.42    0.05   3.18  1.080000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
92512  Nasal function studies                            A   0.55   1.09     0.21    0.05   1.69  0.810XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92516  Facial nerve function test                        A   0.43   1.48     0.19    0.03   1.94  0.650XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92520  Laryngeal function studies                        A   0.75   1.48     0.37    0.05   2.28  1.170XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92521  Evaluation of speech fluency                      A   1.75   1.38     1.38NA  0.08   3.21  3.217XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
92522  Evaluate speech production                        A   1.50   1.04     1.04NA  0.08   2.62  2.627XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
92523  Speech sound lang comprehen                       A   3.00   2.39     2.39NA  0.11   5.50  5.507XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
92524  Behavral qualit analys voice                      A   1.50   0.98     0.98NA  0.08   2.56  2.567XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
92526  Oral function therapy                             A   1.34   1.09     1.09NA  0.05   2.48  2.487XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
92531  Spontaneous nystagmus study                       B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92532  Positional nystagmus test                         B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92533  Caloric vestibular test                           B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92534  Optokinetic nystagmus test                        B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92537  Caloric vstblr test w/rec                         A   0.60   0.56     0.56NA  0.02   1.18  1.181XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
92537TCCaloric vstblr test w/rec                         A   0.00   0.27     0.27NA  0.01   0.28  0.281XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
9253726Caloric vstblr test w/rec                         A   0.60   0.29     0.29    0.01   0.90  0.901XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
92538  Caloric vstblr test w/rec                         A   0.30   0.32     0.32NA  0.02   0.64  0.641XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
92538TCCaloric vstblr test w/rec                         A   0.00   0.17     0.17NA  0.01   0.18  0.181XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
9253826Caloric vstblr test w/rec                         A   0.30   0.15     0.15    0.01   0.46  0.461XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
92540  Basic vestibular evaluation                       A   1.50   1.48     1.48NA  0.06   3.04  3.041XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92540TCBasic vestibular evaluation                       A   0.00   0.77     0.77NA  0.01   0.78  0.781XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9254026Basic vestibular evaluation                       A   1.50   0.71     0.71    0.05   2.26  2.261XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92541  Spontaneous nystagmus test                        A   0.40   0.30     0.30NA  0.02   0.72  0.721XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92541TCSpontaneous nystagmus test                        A   0.00   0.11     0.11NA  0.01   0.12  0.121XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9254126Spontaneous nystagmus test                        A   0.40   0.19     0.19    0.01   0.60  0.601XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92542  Positional nystagmus test                         A   0.48   0.34     0.34NA  0.02   0.84  0.841XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92542TCPositional nystagmus test                         A   0.00   0.11     0.11NA  0.01   0.12  0.121XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9254226Positional nystagmus test                         A   0.48   0.23     0.23    0.01   0.72  0.721XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92544  Optokinetic nystagmus test                        A   0.27   0.21     0.21NA  0.02   0.50  0.501XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92544TCOptokinetic nystagmus test                        A   0.00   0.08     0.08NA  0.01   0.09  0.091XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9254426Optokinetic nystagmus test                        A   0.27   0.13     0.13    0.01   0.41  0.411XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92545  Oscillating tracking test                         A   0.25   0.20     0.20NA  0.02   0.47  0.471XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92545TCOscillating tracking test                         A   0.00   0.08     0.08NA  0.01   0.09  0.091XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9254526Oscillating tracking test                         A   0.25   0.12     0.12    0.01   0.38  0.381XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92546  Sinusoidal rotational test                        A   0.29   2.83     2.83NA  0.03   3.15  3.151XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92546TCSinusoidal rotational test                        A   0.00   2.70     2.70NA  0.02   2.72  2.721XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9254626Sinusoidal rotational test                        A   0.29   0.13     0.13    0.01   0.43  0.431XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92547  Supplemental electrical test                      A   0.00   0.24     0.24NA  0.00   0.24  0.243ZZZ.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
92548  Cdp-sot 6 cond w/i&r                              A   0.67   0.71     0.71NA  0.03   1.41  1.411XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92548TCCdp-sot 6 cond w/i&r                              A   0.00   0.41     0.41NA  0.01   0.42  0.421XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9254826Cdp-sot 6 cond w/i&r                              A   0.67   0.30     0.30    0.02   0.99  0.991XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92549  Cdp-sot 6 cond w/i&r mct&adt                      A   0.87   0.90     0.90NA  0.03   1.80  1.801XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92549TCCdp-sot 6 cond w/i&r mct&adt                      A   0.00   0.51     0.51NA  0.01   0.52  0.521XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9254926Cdp-sot 6 cond w/i&r mct&adt                      A   0.87   0.39     0.39    0.02   1.28  1.281XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92550  Tympanometry & reflex thresh                      A   0.35   0.26     0.26NA  0.02   0.63  0.637XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
92551  Pure tone hearing test air                        N+  0.00   0.32     0.32NA  0.01   0.33  0.339XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92552  Pure tone audiometry air                          A   0.00   0.88     0.88NA  0.01   0.89  0.893XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
92553  Audiometry air & bone                             A   0.00   1.07     1.07NA  0.01   1.08  1.083XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
92555  Speech threshold audiometry                       A   0.00   0.66     0.66NA  0.01   0.67  0.673XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
92556  Speech audiometry complete                        A   0.00   1.06     1.06NA  0.01   1.07  1.073XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
92557  Comprehensive hearing test                        A   0.60   0.45     0.30    0.03   1.08  0.937XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
92558  Evoked auditory test qual                         X+  0.17   0.10     0.07    0.01   0.28  0.259XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92559  Group audiometric testing                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92560  Bekesy audiometry screen                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92561  Bekesy audiometry diagnosis                       A   0.00   1.08     1.08NA  0.02   1.10  1.103XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
92562  Loudness balance test                             A   0.00   1.24     1.24NA  0.01   1.25  1.253XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
92563  Tone decay hearing test                           A   0.00   0.85     0.85NA  0.01   0.86  0.863XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
92564  Sisi hearing test                                 A   0.00   0.66     0.66NA  0.01   0.67  0.673XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
92565  Stenger test pure tone                            A   0.00   0.43     0.43NA  0.01   0.44  0.443XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
92567  Tympanometry                                      A   0.20   0.24     0.10    0.01   0.45  0.317XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
92568  Acoustic refl threshold tst                       A   0.29   0.14     0.13    0.02   0.45  0.447XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
92570  Acoustic immitance testing                        A   0.55   0.36     0.27    0.03   0.94  0.857XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
92571  Filtered speech hearing test                      A   0.00   0.75     0.75NA  0.01   0.76  0.763XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
92572  Staggered spondaic word test                      A   0.00   0.96     0.96NA  0.02   0.98  0.983XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
92575  Sensorineural acuity test                         A   0.00   1.82     1.82NA  0.02   1.84  1.843XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
92576  Synthetic sentence test                           A   0.00   1.01     1.01NA  0.01   1.02  1.023XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
92577  Stenger test speech                               A   0.00   0.38     0.38NA  0.01   0.39  0.393XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
92579  Visual audiometry (vra)                           A   0.70   0.59     0.36    0.03   1.32  1.097XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
92582  Conditioning play audiometry                      A   0.00   2.05     2.05NA  0.02   2.07  2.073XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
92583  Select picture audiometry                         A   0.00   1.35     1.35NA  0.01   1.36  1.363XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
92584  Electrocochleography                              A   0.00   2.06     2.06NA  0.02   2.08  2.083XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
92585  Auditor evoke potent compre                       A   0.50   3.28     3.28NA  0.04   3.82  3.821XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
92585TCAuditor evoke potent compre                       A   0.00   3.04     3.04NA  0.02   3.06  3.061XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
9258526Auditor evoke potent compre                       A   0.50   0.24     0.24    0.02   0.76  0.761XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
92586  Auditor evoke potent limit                        A   0.00   2.66     2.66NA  0.02   2.68  2.683XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
92587  Evoked auditory test limited                      A   0.35   0.26     0.26NA  0.02   0.63  0.631XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
92587TCEvoked auditory test limited                      A   0.00   0.09     0.09NA  0.01   0.10  0.101XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
9258726Evoked auditory test limited                      A   0.35   0.17     0.17    0.01   0.53  0.531XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
92588  Evoked auditory tst complete                      A   0.55   0.39     0.39NA  0.02   0.96  0.961XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
92588TCEvoked auditory tst complete                      A   0.00   0.12     0.12NA  0.01   0.13  0.131XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
9258826Evoked auditory tst complete                      A   0.55   0.27     0.27    0.01   0.83  0.831XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
92590  Hearing aid exam one ear                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92591  Hearing aid exam both ears                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92592  Hearing aid check one ear                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92593  Hearing aid check both ears                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92594  Electro hearng aid test one                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92595  Electro hearng aid tst both                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92596  Ear protector evaluation                          A   0.00   1.83     1.83NA  0.01   1.84  1.843XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
92597  Oral speech device eval                           A   1.26   0.76     0.76NA  0.06   2.08  2.087XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
92601  Cochlear implt f/up exam <7                       A   2.30   2.34     1.20    0.09   4.73  3.597XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
92602  Reprogram cochlear implt <7                       A   1.30   1.61     0.68    0.05   2.96  2.037XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
92603  Cochlear implt f/up exam 7/>                      A   2.25   2.07     1.14    0.09   4.41  3.487XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
92604  Reprogram cochlear implt 7/>                      A   1.25   1.34     0.64    0.05   2.64  1.947XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
92605  Ex for nonspeech device rx                        B+  1.75   0.82     0.67    0.13   2.70  2.559XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92606  Non-speech device service                         B+  1.40   0.88     0.54    0.11   2.39  2.059XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92607  Ex for speech device rx 1hr                       A   1.85   1.73     1.73NA  0.08   3.66  3.667XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
92608  Ex for speech device rx addl                      A   0.70   0.74     0.74NA  0.03   1.47  1.477ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92609  Use of speech device service                      A   1.50   1.52     1.52NA  0.06   3.08  3.087XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
92610  Evaluate swallowing function                      A   1.30   1.11     0.71    0.06   2.47  2.077XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92611  Motion fluoroscopy/swallow                        A   1.34   1.19     1.19NA  0.09   2.62  2.627XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92612  Endoscopy swallow (fees) vid                      A   1.27   4.32     0.60    0.08   5.67  1.950XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92613  Endoscopy swallow (fees) i&r                      A   0.71   0.32     0.32    0.05   1.08  1.080XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92614  Laryngoscopic sensory vid                         A   1.27   2.86     0.55    0.09   4.22  1.910XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92615  Laryngoscopic sensory i&r                         A   0.63   0.27     0.27    0.05   0.95  0.950XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92616  Fees w/laryngeal sense test                       A   1.88   4.15     0.86    0.11   6.14  2.850XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92617  Fees w/laryngeal sense i&r                        A   0.79   0.34     0.34    0.05   1.18  1.180XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92618  Ex for nonspeech dev rx add                       B+  0.65   0.26     0.25    0.05   0.96  0.959ZZZ.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92620  Auditory function 60 min                          A   1.50   1.11     0.77    0.06   2.67  2.339XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
92621  Auditory function + 15 min                        A   0.35   0.28     0.18    0.01   0.64  0.549ZZZ.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
92625  Tinnitus assessment                               A   1.15   0.80     0.58    0.05   2.00  1.789XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
92626  Eval aud funcj 1st hour                           A   1.40   1.11     0.72    0.05   2.56  2.170XXX.00.00.0002000             36.0896 020 99      0.00   0.00   0.00
92627  Eval aud funcj ea addl 15                         A   0.33   0.27     0.17    0.01   0.61  0.510ZZZ.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
92630  Aud rehab pre-ling hear loss                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92633  Aud rehab postling hear loss                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92640  Aud brainstem implt programg                      A   1.76   1.42     0.92    0.06   3.24  2.749XXX.00.00.0002000             36.0896 050 99      0.00   0.00   0.00
92700  Ent procedure/service                             C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92920  Prq cardiac angioplast 1 art                      A   9.85   3.40NA   3.40    2.16  15.41 15.410000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
92921  Prq cardiac angio addl art                        B   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92924  Prq card angio/athrect 1 art                      A  11.74   4.04NA   4.04    2.59  18.37 18.370000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
92925  Prq card angio/athrect addl                       B   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92928  Prq card stent w/angio 1 vsl                      A  10.96   3.77NA   3.77    2.41  17.14 17.140000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
92929  Prq card stent w/angio addl                       B   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92933  Prq card stent/ath/angio                          A  12.29   4.22NA   4.22    2.73  19.24 19.240000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
92934  Prq card stent/ath/angio                          B   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92937  Prq revasc byp graft 1 vsl                        A  10.95   3.76NA   3.76    2.41  17.12 17.120000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
92938  Prq revasc byp graft addl                         B   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92941  Prq card revasc mi 1 vsl                          A  12.31   4.24NA   4.24    2.72  19.27 19.270000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
92943  Prq card revasc chronic 1vsl                      A  12.31   4.24NA   4.24    2.72  19.27 19.270000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
92944  Prq card revasc chronic addl                      B   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92950  Heart/lung resuscitation cpr                      A   4.00   4.77     0.97    0.39   9.16  5.360000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92953  Temporary external pacing                         A   0.01   0.01NA   0.01    0.01   0.03  0.030000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92960  Cardioversion electric ext                        A   2.00   2.38     0.99    0.13   4.51  3.120000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92961  Cardioversion electric int                        A   4.34   1.90NA   1.90    0.93   7.17  7.170000.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
92970  Cardioassist internal                             A   3.51   1.19NA   1.19    0.79   5.49  5.490000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92971  Cardioassist external                             A   1.77   0.76NA   0.76    0.38   2.91  2.910000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92973  Prq coronary mech thrombect                       A   3.28   1.12NA   1.12    0.72   5.12  5.120ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92974  Cath place cardio brachytx                        A   3.00   1.04NA   1.04    0.64   4.68  4.680ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92975  Dissolve clot heart vessel                        A   6.99   2.41NA   2.41    1.53  10.93 10.930000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
92977  Dissolve clot heart vessel                        A   0.00   1.40     1.40NA  0.11   1.51  1.515XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92978  Endoluminl ivus oct c 1st                         C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92978TCEndoluminl ivus oct c 1st                         C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9297826Endoluminl ivus oct c 1st                         A   1.80   0.62     0.62    0.32   2.74  2.741ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92979  Endoluminl ivus oct c ea                          C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92979TCEndoluminl ivus oct c ea                          C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9297926Endoluminl ivus oct c ea                          A   1.44   0.50     0.50    0.27   2.21  2.211ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
92986  Revision of aortic valve                          A  22.60  10.60NA  10.60    4.98  38.18 38.180090.09.84.0720000             36.0896 090 99      0.00   0.00   0.00
92987  Revision of mitral valve                          A  23.38  10.90NA  10.90    5.10  39.38 39.380090.09.84.0720000             36.0896 090 99      0.00   0.00   0.00
92990  Revision of pulmonary valve                       A  18.27   9.07NA   9.07    4.12  31.46 31.460090.09.84.0720000             36.0896 090 99      0.00   0.00   0.00
92992  Revision of heart chamber                         C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0020200             36.0896 090 99      0.00   0.00   0.00
92993  Revision of heart chamber                         C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0020200             36.0896 090 99      0.00   0.00   0.00
92997  Pul art balloon repr percut                       A  11.98   4.31NA   4.31    2.20  18.49 18.490000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
92998  Pul art balloon repr percut                       A   5.99   2.05NA   2.05    1.33   9.37  9.370ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93000  Electrocardiogram complete                        A   0.17   0.29     0.29NA  0.02   0.48  0.484XXX.00.00.0060000             36.0896 010 99      0.00   0.00   0.00
93005  Electrocardiogram tracing                         A   0.00   0.23     0.23NA  0.01   0.24  0.243XXX.00.00.0060000             36.0896 010 99      0.00   0.00   0.00
93010  Electrocardiogram report                          A   0.17   0.06     0.06    0.01   0.24  0.242XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93015  Cardiovascular stress test                        A   0.75   1.21     1.21NA  0.04   2.00  2.004XXX.00.00.0060000             36.0896 020 99      0.00   0.00   0.00
93016  Cardiovascular stress test                        A   0.45   0.16     0.16    0.02   0.63  0.632XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
93017  Cardiovascular stress test                        A   0.00   0.94     0.94NA  0.01   0.95  0.953XXX.00.00.0060000             36.0896 020 99      0.00   0.00   0.00
93018  Cardiovascular stress test                        A   0.30   0.11     0.11    0.01   0.42  0.422XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93024  Cardiac drug stress test                          A   1.17   1.86     1.86NA  0.07   3.10  3.101XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93024TCCardiac drug stress test                          A   0.00   1.45     1.45NA  0.02   1.47  1.471XXX.00.00.0060000             36.0896 030 99      0.00   0.00   0.00
9302426Cardiac drug stress test                          A   1.17   0.41     0.41    0.05   1.63  1.631XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93025  Microvolt t-wave assess                           A   0.75   3.19     3.19NA  0.04   3.98  3.981XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93025TCMicrovolt t-wave assess                           A   0.00   2.91     2.91NA  0.02   2.93  2.931XXX.00.00.0060000             36.0896 010 99      0.00   0.00   0.00
9302526Microvolt t-wave assess                           A   0.75   0.28     0.28    0.02   1.05  1.051XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93040  Rhythm ecg with report                            A   0.15   0.19     0.19NA  0.02   0.36  0.364XXX.00.00.0060000             36.0896 010 99      0.00   0.00   0.00
93041  Rhythm ecg tracing                                A   0.00   0.15     0.15NA  0.01   0.16  0.163XXX.00.00.0060000             36.0896 010 99      0.00   0.00   0.00
93042  Rhythm ecg report                                 A   0.15   0.04     0.04    0.01   0.20  0.202XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93050  Art pressure waveform analys                      A   0.17   0.27     0.27NA  0.02   0.46  0.461XXX.00.00.0062000             36.0896 090 99      0.00   0.00   0.00
93050TCArt pressure waveform analys                      A   0.00   0.21     0.21NA  0.01   0.22  0.221XXX.00.00.0062000             36.0896 090 99      0.00   0.00   0.00
9305026Art pressure waveform analys                      A   0.17   0.06     0.06    0.01   0.24  0.241XXX.00.00.0062000             36.0896 090 99      0.00   0.00   0.00
93224  Ecg monit/reprt up to 48 hrs                      A   0.52   1.93     1.93NA  0.04   2.49  2.494XXX.00.00.0060000             36.0896 010 99      0.00   0.00   0.00
93225  Ecg monit/reprt up to 48 hrs                      A   0.00   0.71     0.71NA  0.01   0.72  0.723XXX.00.00.0060000             36.0896 010 99      0.00   0.00   0.00
93226  Ecg monit/reprt up to 48 hrs                      A   0.00   1.01     1.01NA  0.01   1.02  1.023XXX.00.00.0060000             36.0896 010 99      0.00   0.00   0.00
93227  Ecg monit/reprt up to 48 hrs                      A   0.52   0.21     0.21    0.02   0.75  0.752XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93228  Remote 30 day ecg rev/report                      A   0.52   0.19     0.19    0.05   0.76  0.762XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93229  Remote 30 day ecg tech supp                       A   0.00  19.75    19.75NA  0.08  19.83 19.833XXX.00.00.0060000             36.0896 010 99      0.00   0.00   0.00
93260  Prgrmg dev eval impltbl sys                       A   0.85   1.15     1.15NA  0.04   2.04  2.041XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93260TCPrgrmg dev eval impltbl sys                       A   0.00   0.80     0.80NA  0.01   0.81  0.811XXX.00.00.0060000             36.0896 020 99      0.00   0.00   0.00
9326026Prgrmg dev eval impltbl sys                       A   0.85   0.35     0.35    0.03   1.23  1.231XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93261  Interrogate subq defib                            A   0.74   1.10     1.10NA  0.03   1.87  1.871XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93261TCInterrogate subq defib                            A   0.00   0.80     0.80NA  0.01   0.81  0.811XXX.00.00.0060000             36.0896 020 99      0.00   0.00   0.00
9326126Interrogate subq defib                            A   0.74   0.30     0.30    0.02   1.06  1.061XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93264  Rem mntr wrls p-art prs snr                       A   0.70   0.68     0.28    0.05   1.43  1.030XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93268  Ecg record/review                                 A   0.52   5.08     5.08NA  0.04   5.64  5.644XXX.00.00.0060000             36.0896 010 99      0.00   0.00   0.00
93270  Remote 30 day ecg rev/report                      A   0.00   0.24     0.24NA  0.01   0.25  0.253XXX.00.00.0060000             36.0896 010 99      0.00   0.00   0.00
93271  Ecg/monitoring and analysis                       A   0.00   4.66     4.66NA  0.01   4.67  4.673XXX.00.00.0060000             36.0896 010 99      0.00   0.00   0.00
93272  Ecg/review interpret only                         A   0.52   0.18     0.18    0.02   0.72  0.722XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93278  Ecg/signal-averaged                               A   0.25   0.58     0.58NA  0.02   0.85  0.851XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93278TCEcg/signal-averaged                               A   0.00   0.48     0.48NA  0.01   0.49  0.491XXX.00.00.0060000             36.0896 010 99      0.00   0.00   0.00
9327826Ecg/signal-averaged                               A   0.25   0.10     0.10    0.01   0.36  0.361XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93279  Prgrmg dev eval pm/ldls pm                        A   0.65   1.04     1.04NA  0.03   1.72  1.721XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93279TCPrgrmg dev eval pm/ldls pm                        A   0.00   0.79     0.79NA  0.01   0.80  0.801XXX.00.00.0060000             36.0896 020 99      0.00   0.00   0.00
9327926Prgrmg dev eval pm/ldls pm                        A   0.65   0.25     0.25    0.02   0.92  0.921XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93280  Pm device progr eval dual                         A   0.77   1.22     1.22NA  0.04   2.03  2.031XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93280TCPm device progr eval dual                         A   0.00   0.92     0.92NA  0.01   0.93  0.931XXX.00.00.0060000             36.0896 020 99      0.00   0.00   0.00
9328026Pm device progr eval dual                         A   0.77   0.30     0.30    0.03   1.10  1.101XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93281  Pm device progr eval multi                        A   0.85   1.28     1.28NA  0.04   2.17  2.171XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93281TCPm device progr eval multi                        A   0.00   0.94     0.94NA  0.01   0.95  0.951XXX.00.00.0060000             36.0896 020 99      0.00   0.00   0.00
9328126Pm device progr eval multi                        A   0.85   0.34     0.34    0.03   1.22  1.221XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93282  Prgrmg eval implantable dfb                       A   0.85   1.19     1.19NA  0.04   2.08  2.081XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93282TCPrgrmg eval implantable dfb                       A   0.00   0.85     0.85NA  0.01   0.86  0.861XXX.00.00.0060000             36.0896 020 99      0.00   0.00   0.00
9328226Prgrmg eval implantable dfb                       A   0.85   0.34     0.34    0.03   1.22  1.221XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93283  Prgrmg eval implantable dfb                       A   1.15   1.39     1.39NA  0.06   2.60  2.601XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93283TCPrgrmg eval implantable dfb                       A   0.00   0.93     0.93NA  0.01   0.94  0.941XXX.00.00.0060000             36.0896 020 99      0.00   0.00   0.00
9328326Prgrmg eval implantable dfb                       A   1.15   0.46     0.46    0.05   1.66  1.661XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93284  Prgrmg eval implantable dfb                       A   1.25   1.50     1.50NA  0.06   2.81  2.811XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93284TCPrgrmg eval implantable dfb                       A   0.00   1.00     1.00NA  0.01   1.01  1.011XXX.00.00.0060000             36.0896 020 99      0.00   0.00   0.00
9328426Prgrmg eval implantable dfb                       A   1.25   0.50     0.50    0.05   1.80  1.801XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93285  Prgrmg dev eval scrms ip                          A   0.52   0.97     0.97NA  0.03   1.52  1.521XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93285TCPrgrmg dev eval scrms ip                          A   0.00   0.76     0.76NA  0.01   0.77  0.771XXX.00.00.0060000             36.0896 020 99      0.00   0.00   0.00
9328526Prgrmg dev eval scrms ip                          A   0.52   0.21     0.21    0.02   0.75  0.751XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93286  Peri-px eval pm/ldls pm ip                        A   0.30   0.82     0.82NA  0.02   1.14  1.141XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93286TCPeri-px eval pm/ldls pm ip                        A   0.00   0.69     0.69NA  0.01   0.70  0.701XXX.00.00.0060000             36.0896 020 99      0.00   0.00   0.00
9328626Peri-px eval pm/ldls pm ip                        A   0.30   0.13     0.13    0.01   0.44  0.441XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93287  Peri-px device eval & prgr                        A   0.45   0.88     0.88NA  0.03   1.36  1.361XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93287TCPeri-px device eval & prgr                        A   0.00   0.69     0.69NA  0.01   0.70  0.701XXX.00.00.0060000             36.0896 020 99      0.00   0.00   0.00
9328726Peri-px device eval & prgr                        A   0.45   0.19     0.19    0.02   0.66  0.661XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93288  Interrog evl pm/ldls pm ip                        A   0.43   0.94     0.94NA  0.02   1.39  1.391XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93288TCInterrog evl pm/ldls pm ip                        A   0.00   0.78     0.78NA  0.01   0.79  0.791XXX.00.00.0060000             36.0896 020 99      0.00   0.00   0.00
9328826Interrog evl pm/ldls pm ip                        A   0.43   0.16     0.16    0.01   0.60  0.601XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93289  Interrog device eval heart                        A   0.75   1.08     1.08NA  0.04   1.87  1.871XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93289TCInterrog device eval heart                        A   0.00   0.79     0.79NA  0.01   0.80  0.801XXX.00.00.0060000             36.0896 020 99      0.00   0.00   0.00
9328926Interrog device eval heart                        A   0.75   0.29     0.29    0.03   1.07  1.071XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93290  Interrog dev eval icpms ip                        A   0.43   0.88     0.88NA  0.03   1.34  1.341XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93290TCInterrog dev eval icpms ip                        A   0.00   0.71     0.71NA  0.01   0.72  0.721XXX.00.00.0060000             36.0896 020 99      0.00   0.00   0.00
9329026Interrog dev eval icpms ip                        A   0.43   0.17     0.17    0.02   0.62  0.621XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93291  Interrog dev eval scrms ip                        A   0.37   0.83     0.83NA  0.02   1.22  1.221XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93291TCInterrog dev eval scrms ip                        A   0.00   0.68     0.68NA  0.01   0.69  0.691XXX.00.00.0060000             36.0896 020 99      0.00   0.00   0.00
9329126Interrog dev eval scrms ip                        A   0.37   0.15     0.15    0.01   0.53  0.531XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93292  Wcd device interrogate                            A   0.43   0.81     0.81NA  0.03   1.27  1.271XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93292TCWcd device interrogate                            A   0.00   0.65     0.65NA  0.01   0.66  0.661XXX.00.00.0060000             36.0896 020 99      0.00   0.00   0.00
9329226Wcd device interrogate                            A   0.43   0.16     0.16    0.02   0.61  0.611XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93293  Pm phone r-strip device eval                      A   0.31   1.13     1.13NA  0.02   1.46  1.461XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93293TCPm phone r-strip device eval                      A   0.00   1.02     1.02NA  0.01   1.03  1.031XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9329326Pm phone r-strip device eval                      A   0.31   0.11     0.11    0.01   0.43  0.431XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93294  Rem interrog evl pm/ldls pm                       A   0.60   0.24     0.24    0.05   0.89  0.892XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93295  Dev interrog remote 1/2/mlt                       A   0.74   0.30     0.30    0.05   1.09  1.092XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93296  Rem interrog evl pm/ids                           A   0.00   0.71     0.71NA  0.01   0.72  0.723XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
93297  Rem interrog dev eval icpms                       A   0.52   0.20     0.20    0.05   0.77  0.772XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93298  Rem interrog dev eval scrms                       A   0.52   0.21     0.21    0.05   0.78  0.782XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93303  Echo transthoracic                                A   1.30   5.21     5.21NA  0.07   6.58  6.581XXX.00.00.0060000             36.0896 090 99     13.75  13.75   0.11
93303TCEcho transthoracic                                A   0.00   4.75     4.75NA  0.02   4.77  4.771XXX.00.00.0060000             36.0896 010 99     13.29  13.29   0.06
9330326Echo transthoracic                                A   1.30   0.46     0.46    0.05   1.81  1.811XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93304  Echo transthoracic                                A   0.75   3.72     3.72NA  0.05   4.52  4.521XXX.00.00.0060000             36.0896 090 99     13.53  13.53   0.11
93304TCEcho transthoracic                                A   0.00   3.46     3.46NA  0.02   3.48  3.481XXX.00.00.0060000             36.0896 010 99     13.27  13.27   0.08
9330426Echo transthoracic                                A   0.75   0.26     0.26    0.03   1.04  1.041XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93306  Tte w/doppler complete                            A   1.50   4.29     4.29NA  0.07   5.86  5.861XXX.00.00.0060000             36.0896 090 99     13.80  13.80   0.12
93306TCTte w/doppler complete                            A   0.00   3.76     3.76NA  0.02   3.78  3.781XXX.00.00.0060000             36.0896 010 99     13.27  13.27   0.07
9330626Tte w/doppler complete                            A   1.50   0.53     0.53    0.05   2.08  2.081XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93307  Tte w/o doppler complete                          A   0.92   3.02     3.02NA  0.05   3.99  3.991XXX.00.00.0060000             36.0896 090 99      6.74   6.74   0.08
93307TCTte w/o doppler complete                          A   0.00   2.69     2.69NA  0.02   2.71  2.711XXX.00.00.0060000             36.0896 010 99      6.41   6.41   0.05
9330726Tte w/o doppler complete                          A   0.92   0.33     0.33    0.03   1.28  1.281XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93308  Tte f-up or lmtd                                  A   0.53   2.23     2.23NA  0.03   2.79  2.791XXX.00.00.0060000             36.0896 090 99      6.61   6.61   0.05
93308TCTte f-up or lmtd                                  A   0.00   2.05     2.05NA  0.01   2.06  2.061XXX.00.00.0060000             36.0896 010 99      6.43   6.43   0.03
9330826Tte f-up or lmtd                                  A   0.53   0.18     0.18    0.02   0.73  0.731XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93312  Echo transesophageal                              A   2.30   4.55     4.55NA  0.11   6.96  6.961XXX.00.00.0060000             36.0896 090 99     14.00  14.00   0.16
93312TCEcho transesophageal                              A   0.00   3.82     3.82NA  0.02   3.84  3.841XXX.00.00.0060000             36.0896 030 99     13.27  13.27   0.07
9331226Echo transesophageal                              A   2.30   0.73     0.73    0.09   3.12  3.121XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93313  Echo transesophageal                              A   0.26   0.05NA   0.05    0.02   0.33  0.330XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
93314  Echo transesophageal                              A   1.85   4.66     4.66NA  0.17   6.68  6.681XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93314TCEcho transesophageal                              A   0.00   4.07     4.07NA  0.02   4.09  4.091XXX.00.00.0060000             36.0896 030 99      0.00   0.00   0.00
9331426Echo transesophageal                              A   1.85   0.59     0.59    0.15   2.59  2.591XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93315  Echo transesophageal                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99     14.22  14.22   0.10
93315TCEcho transesophageal                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99     13.33  13.33   0.01
9331526Echo transesophageal                              A   2.69   0.89     0.89    0.09   3.67  3.671XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93316  Echo transesophageal                              A   0.60   0.13NA   0.13    0.05   0.78  0.780XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
93317  Echo transesophageal                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93317TCEcho transesophageal                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9331726Echo transesophageal                              A   1.84   0.66     0.66    0.11   2.61  2.611XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93318  Echo transesophageal intraop                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0060000             36.0896 090 99     14.03  14.03   0.13
93318TCEcho transesophageal intraop                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0060000             36.0896 010 99     13.33  13.33   0.01
9331826Echo transesophageal intraop                      A   2.15   0.70     0.70    0.12   2.97  2.971XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93320  Doppler echo exam heart                           A   0.38   1.11     1.11NA  0.02   1.51  1.511ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93320TCDoppler echo exam heart                           A   0.00   0.98     0.98NA  0.01   0.99  0.991ZZZ.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9332026Doppler echo exam heart                           A   0.38   0.13     0.13    0.01   0.52  0.521ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93321  Doppler echo exam heart                           A   0.15   0.59     0.59NA  0.01   0.75  0.751ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93321TCDoppler echo exam heart                           A   0.00   0.54     0.54NA  0.00   0.54  0.541ZZZ.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9332126Doppler echo exam heart                           A   0.15   0.05     0.05    0.01   0.21  0.211ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93325  Doppler color flow add-on                         A   0.07   0.63     0.63NA  0.00   0.70  0.701ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93325TCDoppler color flow add-on                         A   0.00   0.61     0.61NA  0.00   0.61  0.611ZZZ.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9332526Doppler color flow add-on                         A   0.07   0.02     0.02    0.00   0.09  0.091ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93350  Stress tte only                                   A   1.46   3.83     3.83NA  0.07   5.36  5.361XXX.00.00.0060000             36.0896 090 99     13.77  13.77   0.13
93350TCStress tte only                                   A   0.00   3.32     3.32NA  0.02   3.34  3.341XXX.00.00.0060000             36.0896 020 99     13.26  13.26   0.08
9335026Stress tte only                                   A   1.46   0.51     0.51    0.05   2.02  2.021XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93351  Stress tte complete                               A   1.75   4.79     4.79NA  0.09   6.63  6.631XXX.00.00.0060999             36.0896 090 99     13.86  13.86   0.15
93351TCStress tte complete                               A   0.00   4.18     4.18NA  0.03   4.21  4.211XXX.00.00.0060999             36.0896 020 99     13.25  13.25   0.09
9335126Stress tte complete                               A   1.75   0.61     0.61    0.06   2.42  2.421XXX.00.00.0060999             36.0896 090 99      0.00   0.00   0.00
93352  Admin ecg contrast agent                          A   0.19   0.74     0.74NA  0.02   0.95  0.950ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93355  Echo transesophageal (tee)                        A   4.66   1.60NA   1.60    0.32   6.58  6.580XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93356  Myocrd strain img spckl trck                      A   0.24   0.87     0.08    0.02   1.13  0.340ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93451  Right heart cath                                  A   2.47  21.00    21.00NA  0.47  23.94 23.941000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93451TCRight heart cath                                  A   0.00  20.11    20.11NA  0.03  20.14 20.141000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9345126Right heart cath                                  A   2.47   0.89     0.89    0.44   3.80  3.801000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93452  Left hrt cath w/ventrclgrphy                      A   4.50  20.57    20.57NA  0.84  25.91 25.911000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93452TCLeft hrt cath w/ventrclgrphy                      A   0.00  19.01    19.01NA  0.05  19.06 19.061000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9345226Left hrt cath w/ventrclgrphy                      A   4.50   1.56     1.56    0.79   6.85  6.851000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93453  R&l hrt cath w/ventriclgrphy                      A   5.99  26.26    26.26NA  1.14  33.39 33.391000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93453TCR&l hrt cath w/ventriclgrphy                      A   0.00  24.17    24.17NA  0.05  24.22 24.221000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9345326R&l hrt cath w/ventriclgrphy                      A   5.99   2.09     2.09    1.09   9.17  9.171000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93454  Coronary artery angio s&i                         A   4.54  20.56    20.56NA  0.87  25.97 25.971000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93454TCCoronary artery angio s&i                         A   0.00  18.99    18.99NA  0.05  19.04 19.041000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9345426Coronary artery angio s&i                         A   4.54   1.57     1.57    0.82   6.93  6.931000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93455  Coronary art/grft angio s&i                       A   5.29  23.21    23.21NA  1.01  29.51 29.511000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93455TCCoronary art/grft angio s&i                       A   0.00  21.39    21.39NA  0.05  21.44 21.441000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9345526Coronary art/grft angio s&i                       A   5.29   1.82     1.82    0.96   8.07  8.071000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93456  R hrt coronary artery angio                       A   5.90  25.85    25.85NA  1.12  32.87 32.871000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93456TCR hrt coronary artery angio                       A   0.00  23.80    23.80NA  0.05  23.85 23.851000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9345626R hrt coronary artery angio                       A   5.90   2.05     2.05    1.07   9.02  9.021000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93457  R hrt art/grft angio                              A   6.64  28.47    28.47NA  1.29  36.40 36.401000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93457TCR hrt art/grft angio                              A   0.00  26.17    26.17NA  0.05  26.22 26.221000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9345726R hrt art/grft angio                              A   6.64   2.30     2.30    1.24  10.18 10.181000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93458  L hrt artery/ventricle angio                      A   5.60  23.73    23.73NA  1.08  30.41 30.411000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93458TCL hrt artery/ventricle angio                      A   0.00  21.80    21.80NA  0.05  21.85 21.851000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9345826L hrt artery/ventricle angio                      A   5.60   1.93     1.93    1.03   8.56  8.561000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93459  L hrt art/grft angio                              A   6.35  25.53    25.53NA  1.22  33.10 33.101000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93459TCL hrt art/grft angio                              A   0.00  23.35    23.35NA  0.05  23.40 23.401000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9345926L hrt art/grft angio                              A   6.35   2.18     2.18    1.17   9.70  9.701000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93460  R&l hrt art/ventricle angio                       A   7.10  28.18    28.18NA  1.35  36.63 36.631000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93460TCR&l hrt art/ventricle angio                       A   0.00  25.73    25.73NA  0.05  25.78 25.781000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9346026R&l hrt art/ventricle angio                       A   7.10   2.45     2.45    1.30  10.85 10.851000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93461  R&l hrt art/ventricle angio                       A   7.85  31.66    31.66NA  1.49  41.00 41.001000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93461TCR&l hrt art/ventricle angio                       A   0.00  28.95    28.95NA  0.05  29.00 29.001000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9346126R&l hrt art/ventricle angio                       A   7.85   2.71     2.71    1.44  12.00 12.001000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93462  L hrt cath trnsptl puncture                       A   3.73   1.56     1.56    0.81   6.10  6.100ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93463  Drug admin & hemodynmic meas                      A   2.00   0.69     0.69    0.13   2.82  2.820ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93464  Exercise w/hemodynamic meas                       A   1.80   4.99     4.99NA  0.10   6.89  6.891ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93464TCExercise w/hemodynamic meas                       A   0.00   4.34     4.34NA  0.01   4.35  4.351ZZZ.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9346426Exercise w/hemodynamic meas                       A   1.80   0.65     0.65    0.09   2.54  2.541ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93503  Insert/place heart catheter                       A   2.00   0.37NA   0.37    0.18   2.55  2.550000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93505  Biopsy of heart lining                            A   4.12  15.26    15.26NA  0.78  20.16 20.161000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93505TCBiopsy of heart lining                            A   0.00  13.68    13.68NA  0.02  13.70 13.701000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9350526Biopsy of heart lining                            A   4.12   1.58     1.58    0.76   6.46  6.461000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93530  Rt heart cath congenital                          C   0.00   0.00NA   0.00NA  0.00   0.00  0.001000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93530TCRt heart cath congenital                          C   0.00   0.00NA   0.00NA  0.00   0.00  0.001000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9353026Rt heart cath congenital                          A   3.97   1.39     1.39    0.54   5.90  5.901000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93531  R & l heart cath congenital                       C   0.00   0.00NA   0.00NA  0.00   0.00  0.001000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93531TCR & l heart cath congenital                       C   0.00   0.00NA   0.00NA  0.00   0.00  0.001000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9353126R & l heart cath congenital                       A   8.34   2.87     2.87    1.04  12.25 12.251000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93532  R & l heart cath congenital                       C   0.00   0.00NA   0.00NA  0.00   0.00  0.001000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93532TCR & l heart cath congenital                       C   0.00   0.00NA   0.00NA  0.00   0.00  0.001000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9353226R & l heart cath congenital                       A   9.99   3.41     3.41    1.89  15.29 15.291000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93533  R & l heart cath congenital                       C   0.00   0.00NA   0.00NA  0.00   0.00  0.001000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93533TCR & l heart cath congenital                       C   0.00   0.00NA   0.00NA  0.00   0.00  0.001000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9353326R & l heart cath congenital                       A   6.69   2.29     2.29    1.26  10.24 10.241000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93561  Cardiac output measurement                        C   0.00   0.00NA   0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93561TCCardiac output measurement                        C   0.00   0.00NA   0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9356126Cardiac output measurement                        A   0.95   0.33     0.33    0.03   1.31  1.311ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93562  Card output measure subsq                         C   0.00   0.00NA   0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93562TCCard output measure subsq                         C   0.00   0.00NA   0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9356226Card output measure subsq                         A   0.77   0.26     0.26    0.03   1.06  1.061ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93563  Inject congenital card cath                       A   1.11   0.38     0.38    0.18   1.67  1.670ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93564  Inject hrt congntl art/grft                       A   1.13   0.39     0.39    0.26   1.78  1.780ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93565  Inject l ventr/atrial angio                       A   0.86   0.30     0.30    0.13   1.29  1.290ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93566  Inject r ventr/atrial angio                       A   0.86   3.14     0.30    0.18   4.18  1.340ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93567  Inject suprvlv aortography                        A   0.97   2.36     0.34    0.22   3.55  1.530ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93568  Inject pulm art hrt cath                          A   0.88   2.78     0.31    0.18   3.84  1.370ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93571  Heart flow reserve measure                        C   0.00   0.00NA   0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93571TCHeart flow reserve measure                        C   0.00   0.00NA   0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9357126Heart flow reserve measure                        A   1.38   0.48     0.48    0.26   2.12  2.121ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93572  Heart flow reserve measure                        C   0.00   0.00NA   0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93572TCHeart flow reserve measure                        C   0.00   0.00NA   0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9357226Heart flow reserve measure                        A   1.00   0.35     0.35    0.18   1.53  1.531ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93580  Transcath closure of asd                          A  17.97   6.51NA   6.51    3.80  28.28 28.280000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93581  Transcath closure of vsd                          A  24.39   8.65NA   8.65    5.49  38.53 38.530000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93582  Perq transcath closure pda                        A  12.31   4.21NA   4.21    2.77  19.29 19.290000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93583  Perq transcath septal reduxn                      A  13.75   4.77NA   4.77    3.04  21.56 21.560000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93590  Perq transcath cls mitral                         A  21.70   7.95NA   7.95    1.58  31.23 31.230000.00.00.0020210             36.0896 090 99      0.00   0.00   0.00
93591  Perq transcath cls aortic                         A  17.97   6.63NA   6.63    1.29  25.89 25.890000.00.00.0020021             36.0896 090 99      0.00   0.00   0.00
93592  Perq transcath closure each                       A   8.00   2.80NA   2.80    0.58  11.38 11.380ZZZ.00.00.0000210             36.0896 090 99      0.00   0.00   0.00
93600  Bundle of his recording                           C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93600TCBundle of his recording                           C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9360026Bundle of his recording                           A   2.12   0.93     0.93    0.40   3.45  3.451000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93602  Intra-atrial recording                            C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93602TCIntra-atrial recording                            C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9360226Intra-atrial recording                            A   2.12   0.87     0.87    0.39   3.38  3.381000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93603  Right ventricular recording                       C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93603TCRight ventricular recording                       C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9360326Right ventricular recording                       A   2.12   0.87     0.87    0.39   3.38  3.381000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93609  Map tachycardia add-on                            C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93609TCMap tachycardia add-on                            C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9360926Map tachycardia add-on                            A   4.99   2.13     2.13    0.93   8.05  8.051ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93610  Intra-atrial pacing                               C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93610TCIntra-atrial pacing                               C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9361026Intra-atrial pacing                               A   3.02   1.18     1.18    0.54   4.74  4.741000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93612  Intraventricular pacing                           C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93612TCIntraventricular pacing                           C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9361226Intraventricular pacing                           A   3.02   1.16     1.16    0.51   4.69  4.691000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93613  Electrophys map 3d add-on                         A   5.23   2.24NA   2.24    1.16   8.63  8.630ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93615  Esophageal recording                              C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93615TCEsophageal recording                              C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9361526Esophageal recording                              A   0.74   0.33     0.33    0.02   1.09  1.091000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93616  Esophageal recording                              C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93616TCEsophageal recording                              C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9361626Esophageal recording                              A   1.24   0.43     0.43    0.05   1.72  1.721000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93618  Heart rhythm pacing                               C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93618TCHeart rhythm pacing                               C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9361826Heart rhythm pacing                               A   4.00   1.63     1.63    0.76   6.39  6.391000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93619  Electrophysiology evaluation                      C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93619TCElectrophysiology evaluation                      C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9361926Electrophysiology evaluation                      A   7.06   2.97     2.97    1.30  11.33 11.331000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93620  Electrophysiology evaluation                      C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93620TCElectrophysiology evaluation                      C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9362026Electrophysiology evaluation                      A  11.32   4.76     4.76    2.08  18.16 18.161000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93621  Electrophysiology evaluation                      C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93621TCElectrophysiology evaluation                      C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9362126Electrophysiology evaluation                      A   2.10   0.90     0.90    0.40   3.40  3.401ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93622  Electrophysiology evaluation                      C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93622TCElectrophysiology evaluation                      C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9362226Electrophysiology evaluation                      A   3.10   1.30     1.30    0.58   4.98  4.981ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93623  Stimulation pacing heart                          C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93623TCStimulation pacing heart                          C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9362326Stimulation pacing heart                          A   2.85   1.21     1.21    0.53   4.59  4.591ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93624  Electrophysiologic study                          C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93624TCElectrophysiologic study                          C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9362426Electrophysiologic study                          A   4.55   1.55     1.55    0.86   6.96  6.961000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93631  Heart pacing mapping                              C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93631TCHeart pacing mapping                              C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9363126Heart pacing mapping                              A   7.59   2.43     2.43    1.42  11.44 11.441000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93640  Evaluation heart device                           C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93640TCEvaluation heart device                           C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9364026Evaluation heart device                           A   3.26   1.31     1.31    0.60   5.17  5.171000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93641  Electrophysiology evaluation                      C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93641TCElectrophysiology evaluation                      C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9364126Electrophysiology evaluation                      A   5.67   2.33     2.33    1.05   9.05  9.051000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93642  Electrophysiology evaluation                      A   4.63   4.20     4.20NA  0.88   9.71  9.711000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93642TCElectrophysiology evaluation                      A   0.00   2.29     2.29NA  0.02   2.31  2.311000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9364226Electrophysiology evaluation                      A   4.63   1.91     1.91    0.86   7.40  7.401000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93644  Electrophysiology evaluation                      A   3.04   2.49     2.49NA  0.10   5.63  5.631000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93644TCElectrophysiology evaluation                      A   0.00   1.45     1.45NA  0.01   1.46  1.461000.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9364426Electrophysiology evaluation                      A   3.04   1.04     1.04    0.09   4.17  4.171000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93650  Ablate heart dysrhythm focus                      A  10.24   4.66NA   4.66    2.27  17.17 17.170000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93653  Ep & ablate supravent arrhyt                      A  14.75   6.28NA   6.28    3.26  24.29 24.290000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93654  Ep & ablate ventric tachy                         A  19.75   8.40NA   8.40    4.38  32.53 32.530000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93655  Ablate arrhythmia add on                          A   7.50   3.21NA   3.21    1.68  12.39 12.390ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93656  Tx atrial fib pulm vein isol                      A  19.77   8.47NA   8.47    4.38  32.62 32.620000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93657  Tx l/r atrial fib addl                            A   7.50   3.20NA   3.20    1.68  12.38 12.380ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93660  Tilt table evaluation                             A   1.89   2.52     2.52NA  0.09   4.50  4.501000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93660TCTilt table evaluation                             A   0.00   1.80     1.80NA  0.03   1.83  1.831000.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9366026Tilt table evaluation                             A   1.89   0.72     0.72    0.06   2.67  2.671000.00.00.0020000             36.0896 090 99      0.00   0.00   0.00
93662  Intracardiac ecg (ice)                            C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93662TCIntracardiac ecg (ice)                            C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9366226Intracardiac ecg (ice)                            A   2.80   1.19     1.19    0.09   4.08  4.081ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93668  Peripheral vascular rehab                         A   0.00   0.42     0.42NA  0.02   0.44  0.443XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93701  Bioimpedance cv analysis                          A   0.00   0.73     0.73NA  0.01   0.74  0.743XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93702  Bis xtracell fluid analysis                       A   0.00   3.88     3.88NA  0.02   3.90  3.903XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93724  Analyze pacemaker system                          A   4.88   2.99     2.99NA  0.17   8.04  8.041000.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93724TCAnalyze pacemaker system                          A   0.00   1.07     1.07NA  0.01   1.08  1.081000.00.00.0060000             36.0896 030 99      0.00   0.00   0.00
9372426Analyze pacemaker system                          A   4.88   1.92     1.92    0.16   6.96  6.961000.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93740  Temperature gradient studies                      B+  0.16   0.06     0.06    0.01   0.23  0.239XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
93745  Set-up cardiovert-defibrill                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93745TCSet-up cardiovert-defibrill                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9374526Set-up cardiovert-defibrill                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93750  Interrogation vad in person                       A   0.92   0.61     0.35    0.11   1.64  1.380XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93770  Measure venous pressure                           B+  0.16   0.06     0.06    0.01   0.23  0.239XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
93784  Ambl bp mntr w/software                           A   0.38   0.90     0.90NA  0.03   1.31  1.314XXX.00.00.0060000             36.0896 010 99      0.00   0.00   0.00
93786  Ambl bp mntr w/sw rec only                        A   0.00   0.63     0.63NA  0.01   0.64  0.643XXX.00.00.0060000             36.0896 010 99      0.00   0.00   0.00
93788  Ambl bp mntr w/sw a/r                             A   0.00   0.13     0.13NA  0.01   0.14  0.143XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93790  Ambl bp mntr w/sw i&r                             A   0.38   0.14     0.14    0.01   0.53  0.532XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93792  Pt/caregiver traing home inr                      A   0.00   1.81     1.81NA  0.03   1.84  1.843XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
93793  Anticoag mgmt pt warfarin                         A   0.18   0.14     0.14NA  0.01   0.33  0.332XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93797  Cardiac rehab                                     A   0.18   0.27     0.06    0.01   0.46  0.250000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93798  Cardiac rehab/monitor                             A   0.28   0.42     0.10    0.02   0.72  0.400000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93799  Cardiovascular procedure                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93799TCCardiovascular procedure                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
9379926Cardiovascular procedure                          C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
93880  Extracranial bilat study                          A   0.80   4.76     4.76NA  0.08   5.64  5.641XXX.00.00.0062000             36.0896 090 99      6.70   6.70   0.09
93880TCExtracranial bilat study                          A   0.00   4.49     4.49NA  0.02   4.51  4.511XXX.00.00.0062000             36.0896 010 99      6.43   6.43   0.03
9388026Extracranial bilat study                          A   0.80   0.27     0.27    0.06   1.13  1.131XXX.00.00.0062000             36.0896 090 99      0.00   0.00   0.00
93882  Extracranial uni/ltd study                        A   0.50   3.04     3.04NA  0.10   3.64  3.641XXX.00.00.0060000             36.0896 090 99      3.22   3.22   0.10
93882TCExtracranial uni/ltd study                        A   0.00   2.90     2.90NA  0.02   2.92  2.921XXX.00.00.0060000             36.0896 010 99      3.08   3.08   0.02
9388226Extracranial uni/ltd study                        A   0.50   0.14     0.14    0.08   0.72  0.721XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93886  Intracranial complete study                       A   0.91   6.71     6.71NA  0.08   7.70  7.701XXX.00.00.0060000             36.0896 090 99      6.82   6.82   0.08
93886TCIntracranial complete study                       A   0.00   6.33     6.33NA  0.02   6.35  6.351XXX.00.00.0060000             36.0896 010 99      6.44   6.44   0.02
9388626Intracranial complete study                       A   0.91   0.38     0.38    0.06   1.35  1.351XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93888  Intracranial limited study                        A   0.50   4.02     4.02NA  0.07   4.59  4.591XXX.00.00.0060000             36.0896 090 99      3.29   3.29   0.07
93888TCIntracranial limited study                        A   0.00   3.82     3.82NA  0.02   3.84  3.841XXX.00.00.0060000             36.0896 010 99      3.09   3.09   0.02
9388826Intracranial limited study                        A   0.50   0.20     0.20    0.05   0.75  0.751XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93890  Tcd vasoreactivity study                          A   1.00   6.75     6.75NA  0.07   7.82  7.821XXX.00.00.0060000             36.0896 090 99      6.86   6.86   0.07
93890TCTcd vasoreactivity study                          A   0.00   6.33     6.33NA  0.02   6.35  6.351XXX.00.00.0060000             36.0896 010 99      6.44   6.44   0.02
9389026Tcd vasoreactivity study                          A   1.00   0.42     0.42    0.05   1.47  1.471XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93892  Tcd emboli detect w/o inj                         A   1.15   7.55     7.55NA  0.11   8.81  8.811XXX.00.00.0060000             36.0896 090 99      3.57   3.57   0.09
93892TCTcd emboli detect w/o inj                         A   0.00   7.07     7.07NA  0.03   7.10  7.101XXX.00.00.0060000             36.0896 010 99      3.09   3.09   0.01
9389226Tcd emboli detect w/o inj                         A   1.15   0.48     0.48    0.08   1.71  1.711XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93893  Tcd emboli detect w/inj                           A   1.15   8.86     8.86NA  0.09  10.10 10.101XXX.00.00.0060000             36.0896 090 99      3.59   3.59   0.07
93893TCTcd emboli detect w/inj                           A   0.00   8.36     8.36NA  0.03   8.39  8.391XXX.00.00.0060000             36.0896 010 99      3.09   3.09   0.01
9389326Tcd emboli detect w/inj                           A   1.15   0.50     0.50    0.06   1.71  1.711XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93895  Carotid intima atheroma eval                      N   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93895TCCarotid intima atheroma eval                      N   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
9389526Carotid intima atheroma eval                      N   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0060000             36.0896 010 99      0.00   0.00   0.00
93922  Upr/l xtremity art 2 levels                       A   0.25   2.11     2.11NA  0.04   2.40  2.401XXX.00.00.0062000             36.0896 090 99      0.00   0.00   0.00
93922TCUpr/l xtremity art 2 levels                       A   0.00   2.03     2.03NA  0.01   2.04  2.041XXX.00.00.0062000             36.0896 010 99      0.00   0.00   0.00
9392226Upr/l xtremity art 2 levels                       A   0.25   0.08     0.08    0.03   0.36  0.361XXX.00.00.0062000             36.0896 090 99      0.00   0.00   0.00
93923  Upr/lxtr art stdy 3+ lvls                         A   0.45   3.22     3.22NA  0.07   3.74  3.741XXX.00.00.0062000             36.0896 090 99      0.00   0.00   0.00
93923TCUpr/lxtr art stdy 3+ lvls                         A   0.00   3.09     3.09NA  0.02   3.11  3.111XXX.00.00.0062000             36.0896 010 99      0.00   0.00   0.00
9392326Upr/lxtr art stdy 3+ lvls                         A   0.45   0.13     0.13    0.05   0.63  0.631XXX.00.00.0062000             36.0896 090 99      0.00   0.00   0.00
93924  Lwr xtr vasc stdy bilat                           A   0.50   4.05     4.05NA  0.07   4.62  4.621XXX.00.00.0062000             36.0896 090 99      0.00   0.00   0.00
93924TCLwr xtr vasc stdy bilat                           A   0.00   3.90     3.90NA  0.02   3.92  3.921XXX.00.00.0062000             36.0896 010 99      0.00   0.00   0.00
9392426Lwr xtr vasc stdy bilat                           A   0.50   0.15     0.15    0.05   0.70  0.701XXX.00.00.0062000             36.0896 090 99      0.00   0.00   0.00
93925  Lower extremity study                             A   0.80   6.28     6.28NA  0.09   7.17  7.171XXX.00.00.0062000             36.0896 090 99      6.67   6.67   0.09
93925TCLower extremity study                             A   0.00   6.03     6.03NA  0.03   6.06  6.061XXX.00.00.0062000             36.0896 010 99      6.42   6.42   0.03
9392526Lower extremity study                             A   0.80   0.25     0.25    0.06   1.11  1.111XXX.00.00.0062000             36.0896 090 99      0.00   0.00   0.00
93926  Lower extremity study                             A   0.50   3.67     3.67NA  0.07   4.24  4.241XXX.00.00.0060000             36.0896 090 99      3.23   3.23   0.07
93926TCLower extremity study                             A   0.00   3.53     3.53NA  0.02   3.55  3.551XXX.00.00.0060000             36.0896 010 99      3.09   3.09   0.02
9392626Lower extremity study                             A   0.50   0.14     0.14    0.05   0.69  0.691XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93930  Upper extremity study                             A   0.80   4.92     4.92NA  0.11   5.83  5.831XXX.00.00.0062000             36.0896 090 99      6.68   6.68   0.12
93930TCUpper extremity study                             A   0.00   4.67     4.67NA  0.02   4.69  4.691XXX.00.00.0062000             36.0896 010 99      6.43   6.43   0.03
9393026Upper extremity study                             A   0.80   0.25     0.25    0.09   1.14  1.141XXX.00.00.0062000             36.0896 090 99      0.00   0.00   0.00
93931  Upper extremity study                             A   0.50   3.07     3.07NA  0.07   3.64  3.641XXX.00.00.0060000             36.0896 090 99      3.23   3.23   0.07
93931TCUpper extremity study                             A   0.00   2.92     2.92NA  0.02   2.94  2.941XXX.00.00.0060000             36.0896 010 99      3.08   3.08   0.02
9393126Upper extremity study                             A   0.50   0.15     0.15    0.05   0.70  0.701XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93970  Extremity study                                   A   0.70   4.73     4.73NA  0.08   5.51  5.511XXX.00.00.0062000             36.0896 090 99      6.65   6.65   0.09
93970TCExtremity study                                   A   0.00   4.51     4.51NA  0.02   4.53  4.531XXX.00.00.0062000             36.0896 010 99      6.43   6.43   0.03
9397026Extremity study                                   A   0.70   0.22     0.22    0.06   0.98  0.981XXX.00.00.0062000             36.0896 090 99      0.00   0.00   0.00
93971  Extremity study                                   A   0.45   2.95     2.95NA  0.04   3.44  3.441XXX.00.00.0060000             36.0896 090 99      3.24   3.24   0.04
93971TCExtremity study                                   A   0.00   2.80     2.80NA  0.01   2.81  2.811XXX.00.00.0060000             36.0896 010 99      3.09   3.09   0.01
9397126Extremity study                                   A   0.45   0.15     0.15    0.03   0.63  0.631XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93975  Vascular study                                    A   1.16   6.55     6.55NA  0.12   7.83  7.831XXX.00.00.0060000             36.0896 090 99      6.81   6.81   0.12
93975TCVascular study                                    A   0.00   6.17     6.17NA  0.03   6.20  6.201XXX.00.00.0060000             36.0896 010 99      6.43   6.43   0.03
9397526Vascular study                                    A   1.16   0.38     0.38    0.09   1.63  1.631XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93976  Vascular study                                    A   0.80   3.77     3.77NA  0.07   4.64  4.641XXX.00.00.0060000             36.0896 090 99      3.37   3.37   0.07
93976TCVascular study                                    A   0.00   3.49     3.49NA  0.02   3.51  3.511XXX.00.00.0060000             36.0896 010 99      3.09   3.09   0.02
9397626Vascular study                                    A   0.80   0.28     0.28    0.05   1.13  1.131XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93978  Vascular study                                    A   0.80   4.41     4.41NA  0.11   5.32  5.321XXX.00.00.0060000             36.0896 090 99      6.66   6.66   0.12
93978TCVascular study                                    A   0.00   4.18     4.18NA  0.02   4.20  4.201XXX.00.00.0060000             36.0896 010 99      6.43   6.43   0.03
9397826Vascular study                                    A   0.80   0.23     0.23    0.09   1.12  1.121XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93979  Vascular study                                    A   0.50   2.84     2.84NA  0.08   3.42  3.421XXX.00.00.0060000             36.0896 090 99      3.22   3.22   0.08
93979TCVascular study                                    A   0.00   2.70     2.70NA  0.02   2.72  2.721XXX.00.00.0060000             36.0896 010 99      3.08   3.08   0.02
9397926Vascular study                                    A   0.50   0.14     0.14    0.06   0.70  0.701XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93980  Penile vascular study                             A   1.25   2.15     2.15NA  0.06   3.46  3.461XXX.00.00.0060000             36.0896 090 99      3.54   3.54   0.07
93980TCPenile vascular study                             A   0.00   1.70     1.70NA  0.01   1.71  1.711XXX.00.00.0060000             36.0896 010 99      3.09   3.09   0.02
9398026Penile vascular study                             A   1.25   0.45     0.45    0.05   1.75  1.751XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93981  Penile vascular study                             A   0.44   1.61     1.61NA  0.03   2.08  2.081XXX.00.00.0060000             36.0896 090 99      3.23   3.23   0.04
93981TCPenile vascular study                             A   0.00   1.46     1.46NA  0.01   1.47  1.471XXX.00.00.0060000             36.0896 010 99      3.08   3.08   0.02
9398126Penile vascular study                             A   0.44   0.15     0.15    0.02   0.61  0.611XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93985  Dup-scan hemo compl bi std                        A   0.80   6.61     6.61NA  0.12   7.53  7.531XXX.00.00.0062000             36.0896 090 99      6.64   6.64   0.12
93985TCDup-scan hemo compl bi std                        A   0.00   6.40     6.40NA  0.03   6.43  6.431XXX.00.00.0062000             36.0896 010 99      6.43   6.43   0.03
9398526Dup-scan hemo compl bi std                        A   0.80   0.21     0.21    0.09   1.10  1.101XXX.00.00.0062000             36.0896 090 99      0.00   0.00   0.00
93986  Dup-scan hemo compl uni std                       A   0.50   3.77     3.77NA  0.10   4.37  4.371XXX.00.00.0060000             36.0896 090 99      3.22   3.22   0.10
93986TCDup-scan hemo compl uni std                       A   0.00   3.64     3.64NA  0.02   3.66  3.661XXX.00.00.0060000             36.0896 010 99      3.09   3.09   0.02
9398626Dup-scan hemo compl uni std                       A   0.50   0.13     0.13    0.08   0.71  0.711XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93990  Doppler flow testing                              A   0.50   3.78     3.78NA  0.11   4.39  4.391XXX.00.00.0060000             36.0896 090 99      3.21   3.21   0.11
93990TCDoppler flow testing                              A   0.00   3.66     3.66NA  0.02   3.68  3.681XXX.00.00.0060000             36.0896 010 99      3.09   3.09   0.02
9399026Doppler flow testing                              A   0.50   0.12     0.12    0.09   0.71  0.711XXX.00.00.0060000             36.0896 090 99      0.00   0.00   0.00
93998  Noninvas vasc dx study proc                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000011             36.0896 090 99      0.00   0.00   0.00
94002  Vent mgmt inpat init day                          A   1.99   0.49NA   0.49    0.15   2.63  2.630XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94003  Vent mgmt inpat subq day                          A   1.37   0.42NA   0.42    0.11   1.90  1.900XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94004  Vent mgmt nf per day                              A   1.00   0.32NA   0.32    0.09   1.41  1.410XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94005  Home vent mgmt supervision                        B+  1.50   1.02     1.02NA  0.11   2.63  2.639XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
94010  Breathing capacity test                           A   0.17   0.81     0.81NA  0.02   1.00  1.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94010TCBreathing capacity test                           A   0.00   0.75     0.75NA  0.01   0.76  0.761XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9401026Breathing capacity test                           A   0.17   0.06     0.06    0.01   0.24  0.241XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94011  Spirometry up to 2 yrs old                        A   1.75   0.60NA   0.60    0.11   2.46  2.460XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94012  Spirmtry w/brnchdil inf-2 yr                      A   2.85   0.98NA   0.98    0.18   4.01  4.010XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94013  Meas lung vol thru 2 yrs                          A   0.41   0.11NA   0.11    0.03   0.55  0.550XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94014  Patient recorded spirometry                       A   0.52   1.03     1.03NA  0.03   1.58  1.584XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
94015  Patient recorded spirometry                       A   0.00   0.85     0.85NA  0.01   0.86  0.863XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
94016  Review patient spirometry                         A   0.52   0.18     0.18    0.02   0.72  0.722XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94060  Evaluation of wheezing                            A   0.27   1.37     1.37NA  0.03   1.67  1.671XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94060TCEvaluation of wheezing                            A   0.00   1.28     1.28NA  0.02   1.30  1.301XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9406026Evaluation of wheezing                            A   0.27   0.09     0.09    0.01   0.37  0.371XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94070  Evaluation of wheezing                            A   0.60   1.04     1.04NA  0.03   1.67  1.671XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94070TCEvaluation of wheezing                            A   0.00   0.85     0.85NA  0.01   0.86  0.861XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9407026Evaluation of wheezing                            A   0.60   0.19     0.19    0.02   0.81  0.811XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94150  Vital capacity test                               B+  0.07   0.62     0.62NA  0.02   0.71  0.711XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
94150TCVital capacity test                               B+  0.00   0.59     0.59NA  0.01   0.60  0.601XXX.00.00.0099999             36.0896 010 99      0.00   0.00   0.00
9415026Vital capacity test                               B+  0.07   0.03     0.03    0.01   0.11  0.111XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
94200  Lung function test (mbc/mvv)                      A   0.05   0.56     0.56NA  0.02   0.63  0.631XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94200TCLung function test (mbc/mvv)                      A   0.00   0.49     0.49NA  0.01   0.50  0.501XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9420026Lung function test (mbc/mvv)                      A   0.05   0.07     0.07    0.01   0.13  0.131XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94250  Expired gas collection                            A   0.11   0.64     0.64NA  0.02   0.77  0.771XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94250TCExpired gas collection                            A   0.00   0.60     0.60NA  0.01   0.61  0.611XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9425026Expired gas collection                            A   0.11   0.04     0.04    0.01   0.16  0.161XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94375  Respiratory flow volume loop                      A   0.31   0.77     0.77NA  0.02   1.10  1.101XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94375TCRespiratory flow volume loop                      A   0.00   0.67     0.67NA  0.01   0.68  0.681XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9437526Respiratory flow volume loop                      A   0.31   0.10     0.10    0.01   0.42  0.421XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94400  Co2 breathing response curve                      A   0.40   1.16     1.16NA  0.03   1.59  1.591XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94400TCCo2 breathing response curve                      A   0.00   1.02     1.02NA  0.02   1.04  1.041XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9440026Co2 breathing response curve                      A   0.40   0.14     0.14    0.01   0.55  0.551XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94450  Hypoxia response curve                            A   0.40   1.44     1.44NA  0.04   1.88  1.881XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94450TCHypoxia response curve                            A   0.00   1.32     1.32NA  0.02   1.34  1.341XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9445026Hypoxia response curve                            A   0.40   0.12     0.12    0.02   0.54  0.541XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94452  Hast w/report                                     A   0.31   1.15     1.15NA  0.02   1.48  1.481XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94452TCHast w/report                                     A   0.00   1.06     1.06NA  0.01   1.07  1.071XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9445226Hast w/report                                     A   0.31   0.09     0.09    0.01   0.41  0.411XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94453  Hast w/oxygen titrate                             A   0.40   1.60     1.60NA  0.03   2.03  2.031XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94453TCHast w/oxygen titrate                             A   0.00   1.48     1.48NA  0.01   1.49  1.491XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9445326Hast w/oxygen titrate                             A   0.40   0.12     0.12    0.02   0.54  0.541XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94610  Surfactant admin thru tube                        A   1.16   0.34NA   0.34    0.09   1.59  1.590XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94617  Exercise tst brncspsm                             A   0.70   1.83     1.83NA  0.05   2.58  2.581XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94617TCExercise tst brncspsm                             A   0.00   1.61     1.61NA  0.02   1.63  1.631XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9461726Exercise tst brncspsm                             A   0.70   0.22     0.22    0.03   0.95  0.951XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94618  Pulmonary stress testing                          A   0.48   0.44     0.44NA  0.03   0.95  0.951XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94618TCPulmonary stress testing                          A   0.00   0.29     0.29NA  0.01   0.30  0.301XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9461826Pulmonary stress testing                          A   0.48   0.15     0.15    0.02   0.65  0.651XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94621  Cardiopulm exercise testing                       A   1.42   2.97     2.97NA  0.11   4.50  4.501XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94621TCCardiopulm exercise testing                       A   0.00   2.48     2.48NA  0.03   2.51  2.511XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9462126Cardiopulm exercise testing                       A   1.42   0.49     0.49    0.08   1.99  1.991XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94640  Airway inhalation treatment                       A   0.00   0.49     0.49NA  0.01   0.50  0.505XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94642  Aerosol inhalation treatment                      C   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94644  Cbt 1st hour                                      A   0.00   1.50     1.50NA  0.01   1.51  1.515XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94645  Cbt each addl hour                                A   0.00   0.46     0.46NA  0.01   0.47  0.475XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94660  Pos airway pressure cpap                          A   0.76   0.99     0.27    0.06   1.81  1.090XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94662  Neg press ventilation cnp                         A   0.76   0.21NA   0.21    0.06   1.03  1.030XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94664  Evaluate pt use of inhaler                        A   0.00   0.46     0.46NA  0.01   0.47  0.475XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
94667  Chest wall manipulation                           A   0.00   0.68     0.68NA  0.02   0.70  0.705XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94668  Chest wall manipulation                           A   0.00   0.79     0.79NA  0.02   0.81  0.815XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94669  Mechanical chest wall oscill                      A   0.00   0.81     0.81NA  0.02   0.83  0.835XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94680  Exhaled air analysis o2                           A   0.26   1.23     1.23NA  0.02   1.51  1.511XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94680TCExhaled air analysis o2                           A   0.00   1.14     1.14NA  0.01   1.15  1.151XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9468026Exhaled air analysis o2                           A   0.26   0.09     0.09    0.01   0.36  0.361XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94681  Exhaled air analysis o2/co2                       A   0.20   1.27     1.27NA  0.02   1.49  1.491XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94681TCExhaled air analysis o2/co2                       A   0.00   1.19     1.19NA  0.01   1.20  1.201XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9468126Exhaled air analysis o2/co2                       A   0.20   0.08     0.08    0.01   0.29  0.291XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94690  Exhaled air analysis                              A   0.07   1.34     1.34NA  0.02   1.43  1.431XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94690TCExhaled air analysis                              A   0.00   1.31     1.31NA  0.01   1.32  1.321XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9469026Exhaled air analysis                              A   0.07   0.03     0.03    0.01   0.11  0.111XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94726  Pulm funct tst plethysmograp                      A   0.26   1.23     1.23NA  0.02   1.51  1.511XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94726TCPulm funct tst plethysmograp                      A   0.00   1.15     1.15NA  0.01   1.16  1.161XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9472626Pulm funct tst plethysmograp                      A   0.26   0.08     0.08    0.01   0.35  0.351XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94727  Pulm function test by gas                         A   0.26   0.95     0.95NA  0.02   1.23  1.231XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94727TCPulm function test by gas                         A   0.00   0.87     0.87NA  0.01   0.88  0.881XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9472726Pulm function test by gas                         A   0.26   0.08     0.08    0.01   0.35  0.351XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94728  Airwy resist by oscillometry                      A   0.26   0.87     0.87NA  0.02   1.15  1.151XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94728TCAirwy resist by oscillometry                      A   0.00   0.78     0.78NA  0.01   0.79  0.791XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9472826Airwy resist by oscillometry                      A   0.26   0.09     0.09    0.01   0.36  0.361XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94729  Co/membane diffuse capacity                       A   0.19   1.38     1.38NA  0.02   1.59  1.591ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94729TCCo/membane diffuse capacity                       A   0.00   1.32     1.32NA  0.01   1.33  1.331ZZZ.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9472926Co/membane diffuse capacity                       A   0.19   0.06     0.06    0.01   0.26  0.261ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94750  Pulmonary compliance study                        A   0.23   2.23     2.23NA  0.02   2.48  2.481XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94750TCPulmonary compliance study                        A   0.00   2.16     2.16NA  0.01   2.17  2.171XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9475026Pulmonary compliance study                        A   0.23   0.07     0.07    0.01   0.31  0.311XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94760  Measure blood oxygen level                        T   0.00   0.06     0.06NA  0.01   0.07  0.073XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
94761  Measure blood oxygen level                        T   0.00   0.10     0.10NA  0.01   0.11  0.113XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
94762  Measure blood oxygen level                        A   0.00   0.73     0.73NA  0.01   0.74  0.743XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
94770  Exhaled carbon dioxide test                       A   0.15   0.05NA   0.05    0.01   0.21  0.210XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94772  Breath recording infant                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94772TCBreath recording infant                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9477226Breath recording infant                           C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94774  Ped home apnea rec compl                          C   0.00   0.00     0.00    0.00   0.00  0.004YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94775  Ped home apnea rec hk-up                          C   0.00   0.00     0.00    0.00   0.00  0.003YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94776  Ped home apnea rec downld                         C   0.00   0.00     0.00    0.00   0.00  0.003YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94777  Ped home apnea rec report                         C   0.00   0.00     0.00    0.00   0.00  0.002YYY.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94780  Cars/bd tst inft-12mo 60 min                      A   0.48   0.92     0.17    0.03   1.43  0.680XXX.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
94781  Cars/bd tst inft-12mo +30min                      A   0.17   0.38     0.06    0.01   0.56  0.240ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
94799  Pulmonary service/procedure                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
94799TCPulmonary service/procedure                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
9479926Pulmonary service/procedure                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95004  Percut allergy skin tests                         A   0.01   0.10     0.10NA  0.01   0.12  0.120XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
95012  Exhaled nitric oxide meas                         A   0.00   0.55     0.55NA  0.01   0.56  0.565XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95017  Perq & icut allg test venoms                      A   0.07   0.16     0.03    0.01   0.24  0.110XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95018  Perq&ic allg test drugs/biol                      A   0.14   0.45     0.05    0.01   0.60  0.200XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95024  Icut allergy test drug/bug                        A   0.01   0.21     0.01    0.01   0.23  0.030XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
95027  Icut allergy titrate-airborn                      A   0.01   0.12     0.12NA  0.01   0.14  0.140XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
95028  Icut allergy test-delayed                         A   0.00   0.35     0.35NA  0.01   0.36  0.363XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
95044  Allergy patch tests                               A   0.00   0.14     0.14NA  0.01   0.15  0.155XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
95052  Photo patch test                                  A   0.00   0.17     0.17NA  0.01   0.18  0.185XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
95056  Photosensitivity tests                            A   0.00   1.30     1.30NA  0.01   1.31  1.315XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
95060  Eye allergy tests                                 A   0.00   0.98     0.98NA  0.01   0.99  0.993XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
95065  Nose allergy test                                 A   0.00   0.72     0.72NA  0.01   0.73  0.733XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
95070  Bronchial allergy tests                           A   0.00   0.91     0.91NA  0.02   0.93  0.933XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
95071  Bronchial allergy tests                           A   0.00   1.05     1.05NA  0.01   1.06  1.063XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
95076  Ingest challenge ini 120 min                      A   1.50   1.81     0.57    0.06   3.37  2.130XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95079  Ingest challenge addl 60 min                      A   1.38   0.97     0.53    0.05   2.40  1.960ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95115  Immunotherapy one injection                       A   0.00   0.25     0.25NA  0.01   0.26  0.265XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95117  Immunotherapy injections                          A   0.00   0.29     0.29NA  0.01   0.30  0.305XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95120  Immunotherapy one injection                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
95125  Immunotherapy 2/> injections                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
95130  Immntx 1 sting insect                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
95131  Immntx 2 sting insects                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
95132  Immntx 3 sting insects                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
95133  Immntx 4 sting insects                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
95134  Immntx 5 sting insects                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
95144  Antigen therapy services                          A   0.06   0.35     0.02    0.01   0.42  0.090XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95145  Antigen therapy services                          A   0.06   0.80     0.02    0.01   0.87  0.090XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95146  Antigen therapy services                          A   0.06   1.53     0.02    0.01   1.60  0.090XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95147  Antigen therapy services                          A   0.06   1.54     0.02    0.01   1.61  0.090XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95148  Antigen therapy services                          A   0.06   2.28     0.02    0.01   2.35  0.090XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95149  Antigen therapy services                          A   0.06   3.05     0.02    0.01   3.12  0.090XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95165  Antigen therapy services                          A   0.06   0.34     0.02    0.01   0.41  0.090XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95170  Antigen therapy services                          A   0.06   0.24     0.02    0.01   0.31  0.090XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95180  Rapid desensitization                             A   2.01   1.77     0.85    0.09   3.87  2.950XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95199  Allergy immunology services                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95249  Cont gluc mntr pt prov eqp                        A   0.00   1.51     1.51NA  0.03   1.54  1.543XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95250  Cont gluc mntr phys/qhp eqp                       A   0.00   4.18     4.18NA  0.05   4.23  4.233XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95251  Cont gluc mntr analysis i&r                       A   0.70   0.27     0.27    0.05   1.02  1.022XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95700  Eeg cont rec w/vid eeg tech                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
95705  Eeg w/o vid 2-12 hr unmntr                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
95706  Eeg wo vid 2-12hr intmt mntr                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
95707  Eeg w/o vid 2-12hr cont mntr                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
95708  Eeg wo vid ea 12-26hr unmntr                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
95709  Eeg w/o vid ea 12-26hr intmt                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
95710  Eeg w/o vid ea 12-26hr cont                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
95711  Veeg 2-12 hr unmonitored                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
95712  Veeg 2-12 hr intmt mntr                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
95713  Veeg 2-12 hr cont mntr                            C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
95714  Veeg ea 12-26 hr unmntr                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
95715  Veeg ea 12-26hr intmt mntr                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
95716  Veeg ea 12-26hr cont mntr                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
95717  Eeg phys/qhp 2-12 hr w/o vid                      A   2.00   0.82     0.78    0.12   2.94  2.900XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95718  Eeg phys/qhp 2-12 hr w/veeg                       A   2.50   1.19     1.13    0.18   3.87  3.810XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95719  Eeg phys/qhp ea incr w/o vid                      A   3.00   1.34     1.29    0.21   4.55  4.500XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95720  Eeg phy/qhp ea incr w/veeg                        A   3.86   1.85     1.76    0.28   5.99  5.900XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95721  Eeg phy/qhp>36<60 hr w/o vid                      A   3.86   1.90     1.78    0.28   6.04  5.920XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95722  Eeg phy/qhp>36<60 hr w/veeg                       A   4.70   2.28     2.15    0.35   7.33  7.200XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95723  Eeg phy/qhp>60<84 hr w/o vid                      A   4.75   2.37     2.21    0.37   7.49  7.330XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95724  Eeg phy/qhp>60<84 hr w/veeg                       A   6.00   2.92     2.74    0.44   9.36  9.180XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95725  Eeg phy/qhp>84 hr w/o vid                         A   5.40   2.73     2.52    0.42   8.55  8.340XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95726  Eeg phy/qhp>84 hr w/veeg                          A   7.58   3.69     3.46    0.56  11.83 11.600XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95782  Polysom <6 yrs 4/> paramtrs                       A   2.60  22.61    22.61NA  0.28  25.49 25.491XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95782TCPolysom <6 yrs 4/> paramtrs                       A   0.00  21.71    21.71NA  0.19  21.90 21.901XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9578226Polysom <6 yrs 4/> paramtrs                       A   2.60   0.90     0.90    0.09   3.59  3.591XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95783  Polysom <6 yrs cpap/bilvl                         A   2.83  23.96    23.96NA  0.31  27.10 27.101XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95783TCPolysom <6 yrs cpap/bilvl                         A   0.00  22.98    22.98NA  0.22  23.20 23.201XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9578326Polysom <6 yrs cpap/bilvl                         A   2.83   0.98     0.98    0.09   3.90  3.901XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95800  Slp stdy unattended                               A   0.85   3.79     3.79NA  0.04   4.68  4.681XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95800TCSlp stdy unattended                               A   0.00   3.49     3.49NA  0.01   3.50  3.501XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9580026Slp stdy unattended                               A   0.85   0.30     0.30    0.03   1.18  1.181XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95801  Slp stdy unatnd w/anal                            A   0.85   1.63     1.63NA  0.04   2.52  2.521XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95801TCSlp stdy unatnd w/anal                            A   0.00   1.33     1.33NA  0.01   1.34  1.341XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9580126Slp stdy unatnd w/anal                            A   0.85   0.30     0.30    0.03   1.18  1.181XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95803  Actigraphy testing                                A   0.90   3.28     3.28NA  0.04   4.22  4.221XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95803TCActigraphy testing                                A   0.00   2.94     2.94NA  0.01   2.95  2.951XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9580326Actigraphy testing                                A   0.90   0.34     0.34    0.03   1.27  1.271XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95805  Multiple sleep latency test                       A   1.20  10.37    10.37NA  0.14  11.71 11.711XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95805TCMultiple sleep latency test                       A   0.00   9.94     9.94NA  0.09  10.03 10.031XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9580526Multiple sleep latency test                       A   1.20   0.43     0.43    0.05   1.68  1.681XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95806  Sleep study unatt&resp efft                       A   0.93   2.33     2.33NA  0.04   3.30  3.301XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95806TCSleep study unatt&resp efft                       A   0.00   2.01     2.01NA  0.01   2.02  2.021XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9580626Sleep study unatt&resp efft                       A   0.93   0.32     0.32    0.03   1.28  1.281XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95807  Sleep study attended                              A   1.28  10.07    10.07NA  0.14  11.49 11.491XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95807TCSleep study attended                              A   0.00   9.65     9.65NA  0.09   9.74  9.741XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9580726Sleep study attended                              A   1.28   0.42     0.42    0.05   1.75  1.751XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95808  Polysom any age 1-3> param                        A   1.74  16.53    16.53NA  0.15  18.42 18.421XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95808TCPolysom any age 1-3> param                        A   0.00  15.84    15.84NA  0.09  15.93 15.931XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9580826Polysom any age 1-3> param                        A   1.74   0.69     0.69    0.06   2.49  2.491XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95810  Polysom 6/> yrs 4/> param                         A   2.50  14.51    14.51NA  0.20  17.21 17.211XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95810TCPolysom 6/> yrs 4/> param                         A   0.00  13.65    13.65NA  0.11  13.76 13.761XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9581026Polysom 6/> yrs 4/> param                         A   2.50   0.86     0.86    0.09   3.45  3.451XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95811  Polysom 6/>yrs cpap 4/> parm                      A   2.60  15.18    15.18NA  0.20  17.98 17.981XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95811TCPolysom 6/>yrs cpap 4/> parm                      A   0.00  14.29    14.29NA  0.11  14.40 14.401XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9581126Polysom 6/>yrs cpap 4/> parm                      A   2.60   0.89     0.89    0.09   3.58  3.581XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95812  Eeg 41-60 minutes                                 A   1.08   8.13     8.13NA  0.08   9.29  9.291XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95812TCEeg 41-60 minutes                                 A   0.00   7.62     7.62NA  0.03   7.65  7.651XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9581226Eeg 41-60 minutes                                 A   1.08   0.51     0.51    0.05   1.64  1.641XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95813  Eeg extnd mntr 61-119 min                         A   1.63   9.79     9.79NA  0.13  11.55 11.551XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95813TCEeg extnd mntr 61-119 min                         A   0.00   9.01     9.01NA  0.05   9.06  9.061XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9581326Eeg extnd mntr 61-119 min                         A   1.63   0.78     0.78    0.08   2.49  2.491XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95816  Eeg awake and drowsy                              A   1.08   9.14     9.14NA  0.08  10.30 10.301XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95816TCEeg awake and drowsy                              A   0.00   8.63     8.63NA  0.03   8.66  8.661XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
9581626Eeg awake and drowsy                              A   1.08   0.51     0.51    0.05   1.64  1.641XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95819  Eeg awake and asleep                              A   1.08  11.05    11.05NA  0.10  12.23 12.231XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95819TCEeg awake and asleep                              A   0.00  10.53    10.53NA  0.05  10.58 10.581XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
9581926Eeg awake and asleep                              A   1.08   0.52     0.52    0.05   1.65  1.651XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95822  Eeg coma or sleep only                            A   1.08   9.91     9.91NA  0.10  11.09 11.091XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95822TCEeg coma or sleep only                            A   0.00   9.39     9.39NA  0.05   9.44  9.441XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
9582226Eeg coma or sleep only                            A   1.08   0.52     0.52    0.05   1.65  1.651XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95824  Eeg cerebral death only                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95824TCEeg cerebral death only                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9582426Eeg cerebral death only                           A   0.74   0.35     0.35    0.03   1.12  1.121XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95829  Surgery electrocorticogram                        A   6.20  46.16    46.16NA  0.56  52.92 52.921XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95829TCSurgery electrocorticogram                        A   0.00  43.21    43.21NA  0.08  43.29 43.291XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9582926Surgery electrocorticogram                        A   6.20   2.95     2.95    0.48   9.63  9.631XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95830  Insert electrodes for eeg                         A   1.70  12.40     0.82    0.13  14.23  2.650XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95836  Ecog impltd brn npgt <30 d                        A   1.98   0.86     0.86    0.35   3.19  3.190XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95851  Range of motion measurements                      A   0.16   0.45     0.06    0.01   0.62  0.230XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95852  Range of motion measurements                      A   0.11   0.42     0.05    0.01   0.54  0.170XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95857  Cholinesterase challenge                          A   0.53   0.99     0.28    0.05   1.57  0.860XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95860  Muscle test one limb                              A   0.96   2.38     2.38NA  0.06   3.40  3.401XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95860TCMuscle test one limb                              A   0.00   1.90     1.90NA  0.01   1.91  1.911XXX.00.00.0000000             36.0896 6A0 99      0.00   0.00   0.00
9586026Muscle test one limb                              A   0.96   0.48     0.48    0.05   1.49  1.491XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95861  Muscle test 2 limbs                               A   1.54   3.24     3.24NA  0.09   4.87  4.871XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95861TCMuscle test 2 limbs                               A   0.00   2.50     2.50NA  0.01   2.51  2.511XXX.00.00.0000000             36.0896 6A0 99      0.00   0.00   0.00
9586126Muscle test 2 limbs                               A   1.54   0.74     0.74    0.08   2.36  2.361XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95863  Muscle test 3 limbs                               A   1.87   4.06     4.06NA  0.09   6.02  6.021XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95863TCMuscle test 3 limbs                               A   0.00   3.16     3.16NA  0.01   3.17  3.171XXX.00.00.0000000             36.0896 6A0 99      0.00   0.00   0.00
9586326Muscle test 3 limbs                               A   1.87   0.90     0.90    0.08   2.85  2.851XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95864  Muscle test 4 limbs                               A   1.99   4.98     4.98NA  0.10   7.07  7.071XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95864TCMuscle test 4 limbs                               A   0.00   4.02     4.02NA  0.01   4.03  4.031XXX.00.00.0000000             36.0896 6A0 99      0.00   0.00   0.00
9586426Muscle test 4 limbs                               A   1.99   0.96     0.96    0.09   3.04  3.041XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95865  Muscle test larynx                                A   1.57   2.68     2.68NA  0.09   4.34  4.341XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
95865TCMuscle test larynx                                A   0.00   1.93     1.93NA  0.01   1.94  1.941XXX.00.00.0002000             36.0896 6A0 99      0.00   0.00   0.00
9586526Muscle test larynx                                A   1.57   0.75     0.75    0.08   2.40  2.401XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
95866  Muscle test hemidiaphragm                         A   1.25   2.52     2.52NA  0.06   3.83  3.831XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
95866TCMuscle test hemidiaphragm                         A   0.00   1.91     1.91NA  0.01   1.92  1.921XXX.00.00.0003000             36.0896 6A0 99      0.00   0.00   0.00
9586626Muscle test hemidiaphragm                         A   1.25   0.61     0.61    0.05   1.91  1.911XXX.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
95867  Muscle test cran nerv unilat                      A   0.79   2.20     2.20NA  0.06   3.05  3.051XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95867TCMuscle test cran nerv unilat                      A   0.00   1.82     1.82NA  0.01   1.83  1.831XXX.00.00.0000000             36.0896 6A0 99      0.00   0.00   0.00
9586726Muscle test cran nerv unilat                      A   0.79   0.38     0.38    0.05   1.22  1.221XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95868  Muscle test cran nerve bilat                      A   1.18   2.76     2.76NA  0.06   4.00  4.001XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
95868TCMuscle test cran nerve bilat                      A   0.00   2.19     2.19NA  0.01   2.20  2.201XXX.00.00.0002000             36.0896 6A0 99      0.00   0.00   0.00
9586826Muscle test cran nerve bilat                      A   1.18   0.57     0.57    0.05   1.80  1.801XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
95869  Muscle test thor paraspinal                       A   0.37   2.31     2.31NA  0.03   2.71  2.711XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95869TCMuscle test thor paraspinal                       A   0.00   2.13     2.13NA  0.01   2.14  2.141XXX.00.00.0000000             36.0896 6A0 99      0.00   0.00   0.00
9586926Muscle test thor paraspinal                       A   0.37   0.18     0.18    0.02   0.57  0.571XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95870  Muscle test nonparaspinal                         A   0.37   2.16     2.16NA  0.03   2.56  2.561XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95870TCMuscle test nonparaspinal                         A   0.00   1.98     1.98NA  0.01   1.99  1.991XXX.00.00.0000000             36.0896 6A0 99      0.00   0.00   0.00
9587026Muscle test nonparaspinal                         A   0.37   0.18     0.18    0.02   0.57  0.571XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95872  Muscle test one fiber                             A   2.88   2.64     2.64NA  0.14   5.66  5.661XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95872TCMuscle test one fiber                             A   0.00   1.30     1.30NA  0.01   1.31  1.311XXX.00.00.0000000             36.0896 660 99      0.00   0.00   0.00
9587226Muscle test one fiber                             A   2.88   1.34     1.34    0.13   4.35  4.351XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95873  Guide nerv destr elec stim                        A   0.37   1.79     1.79NA  0.01   2.17  2.171ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95873TCGuide nerv destr elec stim                        A   0.00   1.60     1.60NA  0.00   1.60  1.601ZZZ.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9587326Guide nerv destr elec stim                        A   0.37   0.19     0.19    0.01   0.57  0.571ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95874  Guide nerv destr needle emg                       A   0.37   1.85     1.85NA  0.01   2.23  2.231ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95874TCGuide nerv destr needle emg                       A   0.00   1.67     1.67NA  0.00   1.67  1.671ZZZ.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9587426Guide nerv destr needle emg                       A   0.37   0.18     0.18    0.01   0.56  0.561ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95875  Limb exercise test                                A   1.10   2.62     2.62NA  0.06   3.78  3.781XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95875TCLimb exercise test                                A   0.00   2.09     2.09NA  0.01   2.10  2.101XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9587526Limb exercise test                                A   1.10   0.53     0.53    0.05   1.68  1.681XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95885  Musc tst done w/nerv tst lim                      A   0.35   1.41     1.41NA  0.01   1.77  1.771ZZZ.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
95885TCMusc tst done w/nerv tst lim                      A   0.00   1.24     1.24NA  0.00   1.24  1.241ZZZ.00.00.0003000             36.0896 6A0 99      0.00   0.00   0.00
9588526Musc tst done w/nerv tst lim                      A   0.35   0.17     0.17    0.01   0.53  0.531ZZZ.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
95886  Musc test done w/n test comp                      A   0.86   1.86     1.86NA  0.03   2.75  2.751ZZZ.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
95886TCMusc test done w/n test comp                      A   0.00   1.44     1.44NA  0.00   1.44  1.441ZZZ.00.00.0003000             36.0896 6A0 99      0.00   0.00   0.00
9588626Musc test done w/n test comp                      A   0.86   0.42     0.42    0.03   1.31  1.311ZZZ.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
95887  Musc tst done w/n tst nonext                      A   0.71   1.66     1.66NA  0.03   2.40  2.401ZZZ.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
95887TCMusc tst done w/n tst nonext                      A   0.00   1.32     1.32NA  0.00   1.32  1.321ZZZ.00.00.0003000             36.0896 6A0 99      0.00   0.00   0.00
9588726Musc tst done w/n tst nonext                      A   0.71   0.34     0.34    0.03   1.08  1.081ZZZ.00.00.0003000             36.0896 090 99      0.00   0.00   0.00
95905  Motor &/ sens nrve cndj test                      A   0.05   1.46     1.46NA  0.02   1.53  1.531XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95905TCMotor &/ sens nrve cndj test                      A   0.00   1.44     1.44NA  0.01   1.45  1.451XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9590526Motor &/ sens nrve cndj test                      A   0.05   0.02     0.02    0.01   0.08  0.081XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95907  Nvr cndj tst 1-2 studies                          A   1.00   1.65     1.65NA  0.06   2.71  2.711XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95907TCNvr cndj tst 1-2 studies                          A   0.00   1.16     1.16NA  0.01   1.17  1.171XXX.00.00.0000000             36.0896 7A0 99      0.00   0.00   0.00
9590726Nvr cndj tst 1-2 studies                          A   1.00   0.49     0.49    0.05   1.54  1.541XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95908  Nrv cndj tst 3-4 studies                          A   1.25   2.13     2.13NA  0.06   3.44  3.441XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95908TCNrv cndj tst 3-4 studies                          A   0.00   1.51     1.51NA  0.01   1.52  1.521XXX.00.00.0000000             36.0896 7A0 99      0.00   0.00   0.00
9590826Nrv cndj tst 3-4 studies                          A   1.25   0.62     0.62    0.05   1.92  1.921XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95909  Nrv cndj tst 5-6 studies                          A   1.50   2.55     2.55NA  0.07   4.12  4.121XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95909TCNrv cndj tst 5-6 studies                          A   0.00   1.81     1.81NA  0.01   1.82  1.821XXX.00.00.0000000             36.0896 7A0 99      0.00   0.00   0.00
9590926Nrv cndj tst 5-6 studies                          A   1.50   0.74     0.74    0.06   2.30  2.301XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95910  Nrv cndj test 7-8 studies                         A   2.00   3.32     3.32NA  0.10   5.42  5.421XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95910TCNrv cndj test 7-8 studies                         A   0.00   2.33     2.33NA  0.01   2.34  2.341XXX.00.00.0000000             36.0896 7A0 99      0.00   0.00   0.00
9591026Nrv cndj test 7-8 studies                         A   2.00   0.99     0.99    0.09   3.08  3.081XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95911  Nrv cndj test 9-10 studies                        A   2.50   3.89     3.89NA  0.10   6.49  6.491XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95911TCNrv cndj test 9-10 studies                        A   0.00   2.67     2.67NA  0.01   2.68  2.681XXX.00.00.0000000             36.0896 7A0 99      0.00   0.00   0.00
9591126Nrv cndj test 9-10 studies                        A   2.50   1.22     1.22    0.09   3.81  3.811XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95912  Nrv cndj test 11-12 studies                       A   3.00   4.30     4.30NA  0.13   7.43  7.431XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95912TCNrv cndj test 11-12 studies                       A   0.00   2.87     2.87NA  0.02   2.89  2.891XXX.00.00.0000000             36.0896 7A0 99      0.00   0.00   0.00
9591226Nrv cndj test 11-12 studies                       A   3.00   1.43     1.43    0.11   4.54  4.541XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95913  Nrv cndj test 13/> studies                        A   3.56   4.89     4.89NA  0.15   8.60  8.601XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95913TCNrv cndj test 13/> studies                        A   0.00   3.19     3.19NA  0.02   3.21  3.211XXX.00.00.0000000             36.0896 7A0 99      0.00   0.00   0.00
9591326Nrv cndj test 13/> studies                        A   3.56   1.70     1.70    0.13   5.39  5.391XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95921  Autonomic nrv parasym inervj                      A   0.90   1.49     1.49NA  0.04   2.43  2.431XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95921TCAutonomic nrv parasym inervj                      A   0.00   1.13     1.13NA  0.01   1.14  1.141XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9592126Autonomic nrv parasym inervj                      A   0.90   0.36     0.36    0.03   1.29  1.291XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95922  Autonomic nrv adrenrg inervj                      A   0.96   1.76     1.76NA  0.07   2.79  2.791XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95922TCAutonomic nrv adrenrg inervj                      A   0.00   1.39     1.39NA  0.02   1.41  1.411XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9592226Autonomic nrv adrenrg inervj                      A   0.96   0.37     0.37    0.05   1.38  1.381XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95923  Autonomic nrv syst funj test                      A   0.90   2.68     2.68NA  0.06   3.64  3.641XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95923TCAutonomic nrv syst funj test                      A   0.00   2.32     2.32NA  0.01   2.33  2.331XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9592326Autonomic nrv syst funj test                      A   0.90   0.36     0.36    0.05   1.31  1.311XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95924  Ans parasymp & symp w/tilt                        A   1.73   2.42     2.42NA  0.11   4.26  4.261XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95924TCAns parasymp & symp w/tilt                        A   0.00   1.73     1.73NA  0.02   1.75  1.751XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
9592426Ans parasymp & symp w/tilt                        A   1.73   0.69     0.69    0.09   2.51  2.511XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95925  Somatosensory testing                             A   0.54   3.36     3.36NA  0.05   3.95  3.951XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
95925TCSomatosensory testing                             A   0.00   3.13     3.13NA  0.02   3.15  3.151XXX.00.00.0002000             36.0896 210 99      0.00   0.00   0.00
9592526Somatosensory testing                             A   0.54   0.23     0.23    0.03   0.80  0.801XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
95926  Somatosensory testing                             A   0.54   3.18     3.18NA  0.04   3.76  3.761XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
95926TCSomatosensory testing                             A   0.00   2.96     2.96NA  0.02   2.98  2.981XXX.00.00.0002000             36.0896 210 99      0.00   0.00   0.00
9592626Somatosensory testing                             A   0.54   0.22     0.22    0.02   0.78  0.781XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
95927  Somatosensory testing                             A   0.54   3.16     3.16NA  0.05   3.75  3.751XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95927TCSomatosensory testing                             A   0.00   2.95     2.95NA  0.03   2.98  2.981XXX.00.00.0000000             36.0896 210 99      0.00   0.00   0.00
9592726Somatosensory testing                             A   0.54   0.21     0.21    0.02   0.77  0.771XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95928  C motor evoked uppr limbs                         A   1.50   4.81     4.81NA  0.07   6.38  6.381XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
95928TCC motor evoked uppr limbs                         A   0.00   4.09     4.09NA  0.01   4.10  4.101XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
9592826C motor evoked uppr limbs                         A   1.50   0.72     0.72    0.06   2.28  2.281XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
95929  C motor evoked lwr limbs                          A   1.50   5.00     5.00NA  0.07   6.57  6.571XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
95929TCC motor evoked lwr limbs                          A   0.00   4.28     4.28NA  0.01   4.29  4.291XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
9592926C motor evoked lwr limbs                          A   1.50   0.72     0.72    0.06   2.28  2.281XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
95930  Visual ep test cns w/i&r                          A   0.35   1.51     1.51NA  0.02   1.88  1.881XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
95930TCVisual ep test cns w/i&r                          A   0.00   1.34     1.34NA  0.01   1.35  1.351XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
9593026Visual ep test cns w/i&r                          A   0.35   0.17     0.17    0.01   0.53  0.531XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
95933  Blink reflex test                                 A   0.59   1.70     1.70NA  0.04   2.33  2.331XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95933TCBlink reflex test                                 A   0.00   1.42     1.42NA  0.01   1.43  1.431XXX.00.00.0000000             36.0896 7A0 99      0.00   0.00   0.00
9593326Blink reflex test                                 A   0.59   0.28     0.28    0.03   0.90  0.901XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95937  Neuromuscular junction test                       A   0.65   1.97     1.97NA  0.04   2.66  2.661XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95937TCNeuromuscular junction test                       A   0.00   1.66     1.66NA  0.01   1.67  1.671XXX.00.00.0000000             36.0896 7A0 99      0.00   0.00   0.00
9593726Neuromuscular junction test                       A   0.65   0.31     0.31    0.03   0.99  0.991XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95938  Somatosensory testing                             A   0.86   8.92     8.92NA  0.10   9.88  9.881XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
95938TCSomatosensory testing                             A   0.00   8.51     8.51NA  0.05   8.56  8.561XXX.00.00.0002000             36.0896 210 99      0.00   0.00   0.00
9593826Somatosensory testing                             A   0.86   0.41     0.41    0.05   1.32  1.321XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
95939  C motor evoked upr&lwr limbs                      A   2.25  12.45    12.45NA  0.14  14.84 14.841XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
95939TCC motor evoked upr&lwr limbs                      A   0.00  11.38    11.38NA  0.05  11.43 11.431XXX.00.00.0002000             36.0896 210 99      0.00   0.00   0.00
9593926C motor evoked upr&lwr limbs                      A   2.25   1.07     1.07    0.09   3.41  3.411XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
95940  Ionm in operatng room 15 min                      A   0.60   0.29NA   0.29    0.05   0.94  0.940XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
95941  Ionm remote/>1 pt or per hr                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
95943  Parasymp&symp hrt rate test                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95943TCParasymp&symp hrt rate test                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
9594326Parasymp&symp hrt rate test                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95954  Eeg monitoring/giving drugs                       A   2.45   8.41     8.41NA  0.17  11.03 11.031XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95954TCEeg monitoring/giving drugs                       A   0.00   7.73     7.73NA  0.06   7.79  7.791XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9595426Eeg monitoring/giving drugs                       A   2.45   0.68     0.68    0.11   3.24  3.241XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95955  Eeg during surgery                                A   1.01   4.87     4.87NA  0.06   5.94  5.941XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95955TCEeg during surgery                                A   0.00   4.39     4.39NA  0.01   4.40  4.401XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
9595526Eeg during surgery                                A   1.01   0.48     0.48    0.05   1.54  1.541XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95957  Eeg digital analysis                              A   1.98   5.14     5.14NA  0.12   7.24  7.241XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95957TCEeg digital analysis                              A   0.00   4.27     4.27NA  0.03   4.30  4.301XXX.00.00.0000000             36.0896 010 99      0.00   0.00   0.00
9595726Eeg digital analysis                              A   1.98   0.87     0.87    0.09   2.94  2.941XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95958  Eeg monitoring/function test                      A   4.24  11.85    11.85NA  0.40  16.49 16.491XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95958TCEeg monitoring/function test                      A   0.00   9.92     9.92NA  0.08  10.00 10.001XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9595826Eeg monitoring/function test                      A   4.24   1.93     1.93    0.32   6.49  6.491XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95961  Electrode stimulation brain                       A   2.97   5.55     5.55NA  0.27   8.79  8.791XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95961TCElectrode stimulation brain                       A   0.00   4.15     4.15NA  0.02   4.17  4.171XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9596126Electrode stimulation brain                       A   2.97   1.40     1.40    0.25   4.62  4.621XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95962  Electrode stim brain add-on                       A   3.21   4.03     4.03NA  0.20   7.44  7.441ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95962TCElectrode stim brain add-on                       A   0.00   2.49     2.49NA  0.02   2.51  2.511ZZZ.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9596226Electrode stim brain add-on                       A   3.21   1.54     1.54    0.18   4.93  4.931ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95965  Meg spontaneous                                   C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95965TCMeg spontaneous                                   C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
9596526Meg spontaneous                                   A   7.99   3.67     3.67    0.35  12.01 12.011XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95966  Meg evoked single                                 C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95966TCMeg evoked single                                 C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
9596626Meg evoked single                                 A   3.99   1.92     1.92    0.18   6.09  6.091XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95967  Meg evoked each addl                              C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95967TCMeg evoked each addl                              C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
9596726Meg evoked each addl                              A   3.49   1.68     1.68    0.15   5.32  5.321ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95970  Alys npgt w/o prgrmg                              A   0.35   0.17     0.16    0.03   0.55  0.540XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95971  Alys smpl sp/pn npgt w/prgrm                      A   0.78   0.58     0.31    0.08   1.44  1.170XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95972  Alys cplx sp/pn npgt w/prgrm                      A   0.80   0.73     0.30    0.09   1.62  1.190XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95976  Alys smpl cn npgt prgrmg                          A   0.73   0.37     0.35    0.08   1.18  1.160XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95977  Alys cplx cn npgt prgrmg                          A   0.97   0.48     0.46    0.09   1.54  1.520XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95980  Io anal gast n-stim init                          A   0.80   0.34NA   0.34    0.18   1.32  1.320XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95981  Io anal gast n-stim subsq                         A   0.30   0.66     0.16    0.05   1.01  0.510XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95982  Io ga n-stim subsq w/reprog                       A   0.65   0.85     0.30    0.11   1.61  1.060XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95983  Alys brn npgt prgrmg 15 min                       A   0.91   0.46     0.44    0.09   1.46  1.440XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95984  Alys brn npgt prgrmg addl 15                      A   0.80   0.40     0.38    0.09   1.29  1.270ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95990  Spin/brain pump refil & main                      A   0.00   2.50     2.50NA  0.05   2.55  2.555XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95991  Spin/brain pump refil & main                      A   0.77   2.38     0.30    0.09   3.24  1.160XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95992  Canalith repositioning proc                       A   0.75   0.47     0.28    0.05   1.27  1.080XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
95999  Neurological procedure                            C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96000  Motion analysis video/3d                          A   1.80   0.75NA   0.75    0.12   2.67  2.677XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
96001  Motion test w/ft press meas                       A   2.15   0.86NA   0.86    0.15   3.16  3.167XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
96002  Dynamic surface emg                               A   0.41   0.19NA   0.19    0.03   0.63  0.630XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
96003  Dynamic fine wire emg                             A   0.37   0.11NA   0.11    0.01   0.49  0.490XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
96004  Phys review of motion tests                       A   2.14   0.92     0.92    0.18   3.24  3.242XXX.00.00.0002000             36.0896 090 99      0.00   0.00   0.00
96020  Functional brain mapping                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96020TCFunctional brain mapping                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             36.0896 030 99      0.00   0.00   0.00
9602026Functional brain mapping                          A   3.43   1.11     1.11    0.11   4.65  4.651XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96040  Genetic counseling 30 min                         B+  0.00   1.24     1.24NA  0.05   1.29  1.299XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
96105  Assessment of aphasia                             A   1.75   1.09     1.09NA  0.09   2.93  2.930XXX.00.00.0000000             36.0896 040 99      0.00   0.00   0.00
96110  Developmental screen w/score                      N+  0.00   0.27     0.27NA  0.01   0.28  0.289XXX.00.00.0099999             36.0896 040 99      0.00   0.00   0.00
96112  Devel tst phys/qhp 1st hr                         A   2.56   1.20     0.95    0.13   3.89  3.640XXX.00.00.0000000             36.0896 040 99      0.00   0.00   0.00
96113  Devel tst phys/qhp ea addl                        A   1.16   0.52     0.43    0.06   1.74  1.650ZZZ.00.00.0000000             36.0896 040 99      0.00   0.00   0.00
96116  Nubhvl xm phys/qhp 1st hr                         A   1.86   0.81     0.45    0.09   2.76  2.400XXX.00.00.0000000             36.0896 040 99      0.00   0.00   0.00
96121  Nubhvl xm phy/qhp ea addl hr                      A   1.71   0.59     0.42    0.09   2.39  2.220ZZZ.00.00.0000000             36.0896 040 99      0.00   0.00   0.00
96125  Cognitive test by hc pro                          A   1.70   1.32     1.32NA  0.08   3.10  3.107XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
96127  Brief emotional/behav assmt                       A   0.00   0.13     0.13NA  0.01   0.14  0.143XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96130  Psycl tst eval phys/qhp 1st                       A   2.56   0.73     0.43    0.09   3.38  3.080XXX.00.00.0000000             36.0896 040 99      0.00   0.00   0.00
96131  Psycl tst eval phys/qhp ea                        A   1.96   0.55     0.32    0.09   2.60  2.370ZZZ.00.00.0000000             36.0896 040 99      0.00   0.00   0.00
96132  Nrpsyc tst eval phys/qhp 1st                      A   2.56   1.13     0.39    0.09   3.78  3.040XXX.00.00.0000000             36.0896 040 99      0.00   0.00   0.00
96133  Nrpsyc tst eval phys/qhp ea                       A   1.96   0.80     0.30    0.08   2.84  2.340ZZZ.00.00.0000000             36.0896 040 99      0.00   0.00   0.00
96136  Psycl/nrpsyc tst phy/qhp 1st                      A   0.55   0.75     0.12    0.03   1.33  0.700XXX.00.00.0000000             36.0896 040 99      0.00   0.00   0.00
96137  Psycl/nrpsyc tst phy/qhp ea                       A   0.46   0.74     0.07    0.02   1.22  0.550ZZZ.00.00.0000000             36.0896 040 99      0.00   0.00   0.00
96138  Psycl/nrpsyc tech 1st                             A   0.00   1.06     1.06NA  0.01   1.07  1.070XXX.00.00.0000000             36.0896 040 99      0.00   0.00   0.00
96139  Psycl/nrpsyc tst tech ea                          A   0.00   1.06     1.06NA  0.01   1.07  1.070ZZZ.00.00.0000000             36.0896 040 99      0.00   0.00   0.00
96146  Psycl/nrpsyc tst auto result                      A   0.00   0.05     0.05NA  0.01   0.06  0.060XXX.00.00.0000000             36.0896 040 99      0.00   0.00   0.00
96156  Hlth bhv assmt/reassessment                       A   2.10   0.58     0.32    0.09   2.77  2.510XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96158  Hlth bhv ivntj indiv 1st 30                       A   1.45   0.39     0.21    0.05   1.89  1.710XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96159  Hlth bhv ivntj indiv ea addl                      A   0.50   0.14     0.07    0.02   0.66  0.590ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96160  Pt-focused hlth risk assmt                        A   0.00   0.07     0.07NA  0.00   0.07  0.075ZZZ.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
96161  Caregiver health risk assmt                       A   0.00   0.07     0.07NA  0.00   0.07  0.075ZZZ.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
96164  Hlth bhv ivntj grp 1st 30                         A   0.21   0.06     0.03    0.01   0.28  0.250XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96165  Hlth bhv ivntj grp ea addl                        A   0.10   0.03     0.01    0.00   0.13  0.110ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96167  Hlth bhv ivntj fam 1st 30                         A   1.55   0.42     0.22    0.06   2.03  1.830XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96168  Hlth bhv ivntj fam ea addl                        A   0.55   0.15     0.08    0.02   0.72  0.650ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96170  Hlth bhv ivntj fam wo pt 1st                      N+  1.50   0.69     0.58    0.11   2.30  2.199XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
96171  Hlth bhv ivntj fam w/o pt ea                      N+  0.54   0.25     0.21    0.05   0.84  0.809ZZZ.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
96360  Hydration iv infusion init                        A   0.17   0.77     0.77NA  0.02   0.96  0.965XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96361  Hydrate iv infusion add-on                        A   0.09   0.28     0.28NA  0.01   0.38  0.385ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96365  Ther/proph/diag iv inf init                       A   0.21   1.74     1.74NA  0.05   2.00  2.005XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96366  Ther/proph/diag iv inf addon                      A   0.18   0.42     0.42NA  0.01   0.61  0.615ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96367  Tx/proph/dg addl seq iv inf                       A   0.19   0.66     0.66NA  0.02   0.87  0.875ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96368  Ther/diag concurrent inf                          A   0.17   0.41     0.41NA  0.01   0.59  0.595ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96369  Sc ther infusion up to 1 hr                       A   0.21   4.26     4.26NA  0.02   4.49  4.495XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96370  Sc ther infusion addl hr                          A   0.18   0.24     0.24NA  0.01   0.43  0.435ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96371  Sc ther infusion reset pump                       A   0.00   1.79     1.79NA  0.00   1.79  1.795ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96372  Ther/proph/diag inj sc/im                         A   0.17   0.22     0.22NA  0.01   0.40  0.405XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96373  Ther/proph/diag inj ia                            A   0.17   0.34     0.34NA  0.01   0.52  0.525XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96374  Ther/proph/diag inj iv push                       A   0.18   0.91     0.91NA  0.02   1.11  1.115XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96375  Tx/pro/dx inj new drug addon                      A   0.10   0.35     0.35NA  0.01   0.46  0.465ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96376  Tx/pro/dx inj same drug adon                      X   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
96377  Applicaton on-body injector                       A   0.17   0.38     0.38NA  0.01   0.56  0.565XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96379  Ther/prop/diag inj/inf proc                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96401  Chemo anti-neopl sq/im                            A   0.21   1.96     1.96NA  0.05   2.22  2.225XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96402  Chemo hormon antineopl sq/im                      A   0.19   0.68     0.68NA  0.02   0.89  0.895XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96405  Chemo intralesional up to 7                       A   0.52   1.80     0.29    0.03   2.35  0.840000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
96406  Chemo intralesional over 7                        A   0.80   2.75     0.45    0.06   3.61  1.310000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
96409  Chemo iv push sngl drug                           A   0.24   2.73     2.73NA  0.08   3.05  3.055XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96411  Chemo iv push addl drug                           A   0.20   1.41     1.41NA  0.05   1.66  1.665ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96413  Chemo iv infusion 1 hr                            A   0.28   3.58     3.58NA  0.09   3.95  3.955XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96415  Chemo iv infusion addl hr                         A   0.19   0.64     0.64NA  0.02   0.85  0.855ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96416  Chemo prolong infuse w/pump                       A   0.21   3.65     3.65NA  0.09   3.95  3.955XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96417  Chemo iv infus each addl seq                      A   0.21   1.66     1.66NA  0.05   1.92  1.925ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96420  Chemo ia push tecnique                            A   0.17   2.67     2.67NA  0.09   2.93  2.935XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96422  Chemo ia infusion up to 1 hr                      A   0.17   4.53     4.53NA  0.11   4.81  4.815XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96423  Chemo ia infuse each addl hr                      A   0.17   2.00     2.00NA  0.06   2.23  2.235ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96425  Chemotherapy infusion method                      A   0.17   4.82     4.82NA  0.11   5.10  5.105XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96440  Chemotherapy intracavitary                        A   2.12  22.64     0.97    0.48  25.24  3.570000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96446  Chemotx admn prtl cavity                          A   0.37   5.15     0.20    0.16   5.68  0.735XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96450  Chemotherapy into cns                             A   1.53   3.43     0.61    0.12   5.08  2.260000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96521  Refill/maint portable pump                        A   0.21   3.83     3.83NA  0.09   4.13  4.135XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96522  Refill/maint pump/resvr syst                      A   0.21   3.15     3.15NA  0.09   3.45  3.455XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96523  Irrig drug delivery device                        T   0.04   0.72     0.72NA  0.02   0.78  0.785XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96542  Chemotherapy injection                            A   0.75   2.89     0.38    0.08   3.72  1.210XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96549  Chemotherapy unspecified                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96567  Pdt dstr prmlg les skn                            A   0.00   3.76     3.76NA  0.01   3.77  3.775XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96570  Photodynmc tx 30 min add-on                       A   1.10   0.34     0.34    0.19   1.63  1.630ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
96571  Photodynamic tx addl 15 min                       A   0.55   0.15     0.15    0.05   0.75  0.750ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
96573  Pdt dstr prmlg les phys/qhp                       A   0.48   5.53     5.53NA  0.02   6.03  6.030000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96574  Dbrdmt prmlg les w/pdt                            A   1.01   6.52     6.52NA  0.05   7.58  7.580000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96900  Ultraviolet light therapy                         A   0.00   0.62     0.62NA  0.01   0.63  0.635XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96902  Trichogram                                        B+  0.41   0.20     0.16    0.03   0.64  0.609XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
96904  Whole body photography                            R   0.00   1.91     1.91NA  0.02   1.93  1.935XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96910  Photochemotherapy with uv-b                       A   0.00   3.26     3.26NA  0.02   3.28  3.285XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96912  Photochemotherapy with uv-a                       A   0.00   2.79     2.79NA  0.01   2.80  2.805XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96913  Photochemotherapy uv-a or b                       A   0.00   4.04     4.04NA  0.02   4.06  4.065XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96920  Laser tx skin < 250 sq cm                         A   1.15   3.41     0.68    0.05   4.61  1.880000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
96921  Laser tx skin 250-500 sq cm                       A   1.30   3.70     0.76    0.05   5.05  2.110000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
96922  Laser tx skin >500 sq cm                          A   2.10   4.70     1.22    0.09   6.89  3.410000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
96931  Rcm celulr subcelulr img skn                      A   0.80   4.03     4.03NA  0.04   4.87  4.874XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
96932  Rcm celulr subcelulr img skn                      A   0.00   3.56     3.56NA  0.01   3.57  3.573XXX.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
96933  Rcm celulr subcelulr img skn                      A   0.80   0.47     0.47NA  0.03   1.30  1.302XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96934  Rcm celulr subcelulr img skn                      A   0.76   2.18     2.18NA  0.03   2.97  2.974ZZZ.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
96935  Rcm celulr subcelulr img skn                      A   0.00   1.73     1.73NA  0.00   1.73  1.733ZZZ.00.00.0000000             36.0896 020 99      0.00   0.00   0.00
96936  Rcm celulr subcelulr img skn                      A   0.76   0.45     0.45NA  0.03   1.24  1.242ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
96999  Dermatological procedure                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
97010  Hot or cold packs therapy                         B+  0.06   0.11     0.11NA  0.01   0.18  0.189XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
97012  Mechanical traction therapy                       A   0.25   0.17     0.17NA  0.01   0.43  0.437XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97014  Electric stimulation therapy                      I+  0.18   0.22     0.22NA  0.01   0.41  0.419XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
97016  Vasopneumatic device therapy                      A   0.18   0.16     0.16NA  0.01   0.35  0.357XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97018  Paraffin bath therapy                             A   0.06   0.10     0.10NA  0.01   0.17  0.177XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97022  Whirlpool therapy                                 A   0.17   0.33     0.33NA  0.01   0.51  0.517XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97024  Diathermy eg microwave                            A   0.06   0.13     0.13NA  0.01   0.20  0.207XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97026  Infrared therapy                                  R   0.06   0.11     0.11NA  0.01   0.18  0.187XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97028  Ultraviolet therapy                               A   0.08   0.14     0.14NA  0.01   0.23  0.237XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97032  Electrical stimulation                            A   0.25   0.16     0.16NA  0.01   0.42  0.427XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97033  Electric current therapy                          A   0.26   0.32     0.32NA  0.01   0.59  0.597XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97034  Contrast bath therapy                             A   0.21   0.21     0.21NA  0.01   0.43  0.437XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97035  Ultrasound therapy                                A   0.21   0.19     0.19NA  0.01   0.41  0.417XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97036  Hydrotherapy                                      A   0.28   0.71     0.71NA  0.01   1.00  1.007XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97039  Physical therapy treatment                        C   0.00   0.00     0.00    0.00   0.00  0.007XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
97110  Therapeutic exercises                             A   0.45   0.40     0.40NA  0.02   0.87  0.877XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97112  Neuromuscular reeducation                         A   0.50   0.48     0.48NA  0.02   1.00  1.007XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97113  Aquatic therapy/exercises                         A   0.48   0.60     0.60NA  0.02   1.10  1.107XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97116  Gait training therapy                             A   0.45   0.39     0.39NA  0.02   0.86  0.867XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97124  Massage therapy                                   A   0.35   0.47     0.47NA  0.01   0.83  0.837XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97129  Ther ivntj 1st 15 min                             A   0.50   0.16     0.15    0.02   0.68  0.670XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
97130  Ther ivntj ea addl 15 min                         A   0.48   0.15     0.15    0.02   0.65  0.650ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
97139  Physical medicine procedure                       C   0.00   0.00     0.00    0.00   0.00  0.007XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
97140  Manual therapy 1/> regions                        A   0.43   0.35     0.35NA  0.02   0.80  0.807XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97150  Group therapeutic procedures                      A   0.29   0.22     0.22NA  0.01   0.52  0.527XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97151  Bhv id assmt by phys/qhp                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
97152  Bhv id suprt assmt by 1 tech                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
97153  Adaptive behavior tx by tech                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
97154  Grp adapt bhv tx by tech                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
97155  Adapt behavior tx phys/qhp                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
97156  Fam adapt bhv tx gdn phy/qhp                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
97157  Mult fam adapt bhv tx gdn                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
97158  Grp adapt bhv tx by phy/qhp                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
97161  Pt eval low complex 20 min                        A   1.20   1.18     1.18NA  0.05   2.43  2.437XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97162  Pt eval mod complex 30 min                        A   1.20   1.18     1.18NA  0.05   2.43  2.437XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97163  Pt eval high complex 45 min                       A   1.20   1.18     1.18NA  0.05   2.43  2.437XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97164  Pt re-eval est plan care                          A   0.75   0.89     0.89NA  0.03   1.67  1.677XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97165  Ot eval low complex 30 min                        A   1.20   1.33     1.33NA  0.05   2.58  2.587XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97166  Ot eval mod complex 45 min                        A   1.20   1.32     1.32NA  0.05   2.57  2.577XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97167  Ot eval high complex 60 min                       A   1.20   1.32     1.32NA  0.05   2.57  2.577XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97168  Ot re-eval est plan care                          A   0.75   1.00     1.00NA  0.03   1.78  1.787XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97169  Athletic trn eval low cmplx                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
97170  Athletic trn eval mod cmplx                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
97171  Athletic trn eval high cmplx                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
97172  Athletic trn re-eval plan cr                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
97530  Therapeutic activities                            A   0.44   0.66     0.66NA  0.02   1.12  1.127XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97533  Sensory integration                               A   0.48   0.97     0.97NA  0.02   1.47  1.477XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97535  Self care mngment training                        A   0.45   0.50     0.50NA  0.02   0.97  0.977XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97537  Community/work reintegration                      A   0.48   0.43     0.43NA  0.02   0.93  0.937XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97542  Wheelchair mngment training                       A   0.48   0.44     0.44NA  0.02   0.94  0.947XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97545  Work hardening                                    R   0.00   0.00     0.00    0.00   0.00  0.007XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
97546  Work hardening add-on                             R   0.00   0.00     0.00    0.00   0.00  0.007ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
97597  Rmvl devital tis 20 cm/<                          A   0.77   1.91     0.22    0.06   2.74  1.050000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
97598  Rmvl devital tis addl 20cm/<                      A   0.50   0.75     0.18    0.06   1.31  0.740ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
97602  Wound(s) care non-selective                       B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
97605  Neg press wound tx <=50 cm                        A   0.55   0.67     0.17    0.02   1.24  0.740XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
97606  Neg press wound tx >50 cm                         A   0.60   0.84     0.18    0.02   1.46  0.800XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
97607  Neg press wnd tx <=50 sq cm                       A   0.41   9.01     0.16    0.08   9.50  0.650XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
97608  Neg press wound tx >50 cm                         A   0.46   8.98     0.18    0.09   9.53  0.730XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
97610  Low frequency non-thermal us                      A   0.40   8.73     0.12    0.01   9.14  0.530XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
97750  Physical performance test                         A   0.45   0.52     0.52NA  0.02   0.99  0.997XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97755  Assistive technology assess                       A   0.62   0.45     0.45NA  0.02   1.09  1.097XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97760  Orthotic mgmt&traing 1st enc                      A   0.50   0.88     0.88NA  0.02   1.40  1.407XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97761  Prosthetic traing 1st enc                         A   0.50   0.67     0.67NA  0.02   1.19  1.197XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97763  Orthc/prostc mgmt sbsq enc                        A   0.48   1.00     1.00NA  0.02   1.50  1.507XXX.00.00.0050000             36.0896 090 99      0.00   0.00   0.00
97799  Physical medicine procedure                       C   0.00   0.00     0.00    0.00   0.00  0.007XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
97802  Medical nutrition indiv in                        A   0.53   0.51     0.41    0.02   1.06  0.960XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
97803  Med nutrition indiv subseq                        A   0.45   0.45     0.34    0.02   0.92  0.810XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
97804  Medical nutrition group                           A   0.25   0.22     0.19    0.01   0.48  0.450XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
97810  Acupunct w/o stimul 15 min                        A   0.60   0.40     0.23    0.05   1.05  0.880XXX.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
97811  Acupunct w/o stimul addl 15m                      A   0.50   0.25     0.19    0.05   0.80  0.740ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
97813  Acupunct w/stimul 15 min                          A   0.65   0.47     0.25    0.05   1.17  0.950XXX.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
97814  Acupunct w/stimul addl 15m                        A   0.55   0.36     0.21    0.05   0.96  0.810ZZZ.00.00.0000100             36.0896 090 99      0.00   0.00   0.00
98925  Osteopath manj 1-2 regions                        A   0.46   0.40     0.19    0.03   0.89  0.680000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
98926  Osteopath manj 3-4 regions                        A   0.71   0.53     0.27    0.05   1.29  1.030000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
98927  Osteopath manj 5-6 regions                        A   0.96   0.67     0.34    0.05   1.68  1.350000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
98928  Osteopath manj 7-8 regions                        A   1.21   0.78     0.42    0.06   2.05  1.690000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
98929  Osteopath manj 9-10 regions                       A   1.46   0.90     0.52    0.09   2.45  2.070000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
98940  Chiropract manj 1-2 regions                       A   0.46   0.33     0.17    0.01   0.80  0.640000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
98941  Chiropract manj 3-4 regions                       A   0.71   0.43     0.26    0.01   1.15  0.980000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
98942  Chiropractic manj 5 regions                       A   0.96   0.52     0.35    0.02   1.50  1.330000.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
98943  Chiropract manj xtrspinl 1/>                      N+  0.46   0.28     0.18    0.05   0.79  0.699XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
98960  Self-mgmt educ & train 1 pt                       B+  0.00   0.75     0.75NA  0.02   0.77  0.779XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
98961  Self-mgmt educ/train 2-4 pt                       B+  0.00   0.36     0.36NA  0.01   0.37  0.379XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
98962  Self-mgmt educ/train 5-8 pt                       B+  0.00   0.26     0.26NA  0.01   0.27  0.279XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
98966  Hc pro phone call 5-10 min                        A   0.25   0.13     0.10    0.02   0.40  0.370XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
98967  Hc pro phone call 11-20 min                       A   0.50   0.23     0.19    0.05   0.78  0.740XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
98968  Hc pro phone call 21-30 min                       A   0.75   0.33     0.29    0.06   1.14  1.100XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
98970  Qnhp ol dig e/m svc 5-10min                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
98971  Qnhp ol dig em svc 11-20min                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
98972  Qnhp ol dig e/m svc 21+ min                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99000  Specimen handling office-lab                      B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99001  Specimen handling pt-lab                          B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99002  Device handling phys/qhp                          B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99024  Postop follow-up visit                            B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99026  In-hospital on call service                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99027  Out-of-hosp on call service                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99050  Medical services after hrs                        B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99051  Med serv eve/wkend/holiday                        B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99053  Med serv 10pm-8am 24 hr fac                       B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99056  Med service out of office                         B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99058  Office emergency care                             B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99060  Out of office emerg med serv                      B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99070  Special supplies phys/qhp                         B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99071  Patient education materials                       B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99072  ADDL SUPL MATRL&STAF TM PHE                       B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99075  Medical testimony                                 N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99078  Group health education                            B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99080  Special reports or forms                          B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99082  Unusual physician travel                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99091  Collj & interpj data ea 30 d                      A   1.10   0.46     0.46    0.08   1.64  1.640XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99100  Special anesthesia service                        B   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99116  Anesthesia with hypothermia                       B   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99135  Special anesthesia procedure                      B   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99140  Emergency anesthesia                              B   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99151  Mod sed same phys/qhp <5 yrs                      A   0.50   1.55     0.12    0.05   2.10  0.679XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99152  Mod sed same phys/qhp 5/>yrs                      A   0.25   1.16     0.08    0.02   1.43  0.359XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99153  Mod sed same phys/qhp ea                          A   0.00   0.29     0.29NA  0.01   0.30  0.303ZZZ.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99155  Mod sed oth phys/qhp <5 yrs                       A   1.90   0.32NA   0.32    0.21   2.43  2.439XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99156  Mod sed oth phys/qhp 5/>yrs                       A   1.65   0.42NA   0.42    0.15   2.22  2.229XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99157  Mod sed other phys/qhp ea                         A   1.25   0.47NA   0.47    0.09   1.81  1.819ZZZ.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99170  Anogenital exam child w imag                      A   1.75   2.62     0.60    0.11   4.48  2.460000.00.00.0020100             36.0896 090 99      0.00   0.00   0.00
99172  Ocular function screen                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99173  Visual acuity screen                              N+  0.00   0.07     0.07NA  0.01   0.08  0.089XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99174  Ocular instrumnt screen bil                       N+  0.00   0.15     0.15NA  0.01   0.16  0.169XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99175  Induction of vomiting                             A   0.00   0.69     0.69NA  0.01   0.70  0.705XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99177  Ocular instrumnt screen bil                       N+  0.00   0.12     0.12NA  0.01   0.13  0.139XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99183  Hyperbaric oxygen therapy                         A   2.11   0.78     0.78    0.27   3.16  3.162XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99184  Hypothermia ill neonate                           A   4.50   1.53NA   1.53    0.30   6.33  6.330XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99188  App topical fluoride varnish                      N+  0.20   0.13     0.08    0.02   0.35  0.300XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99190  Special pump services                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99191  Special pump services                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99192  Special pump services                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99195  Phlebotomy                                        A   0.00   2.79     2.79NA  0.06   2.85  2.855XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99199  Special service/proc/report                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99201  Office/outpatient visit new                       A   0.48   0.76     0.22    0.05   1.29  0.750XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99202  Office/outpatient visit new                       A   0.93   1.12     0.41    0.09   2.14  1.430XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99203  Office/outpatient visit new                       A   1.42   1.48     0.59    0.13   3.03  2.140XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99204  Office/outpatient visit new                       A   2.43   1.98     1.01    0.22   4.63  3.660XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99205  Office/outpatient visit new                       A   3.17   2.40     1.33    0.28   5.85  4.780XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99211  Office/outpatient visit est                       A   0.18   0.46     0.07    0.01   0.65  0.260XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99212  Office/outpatient visit est                       A   0.48   0.75     0.20    0.05   1.28  0.730XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99213  Office/outpatient visit est                       A   0.97   1.06     0.40    0.08   2.11  1.450XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99214  Office/outpatient visit est                       A   1.50   1.45     0.62    0.11   3.06  2.230XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99215  Office/outpatient visit est                       A   2.11   1.85     0.89    0.15   4.11  3.150XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99217  Observation care discharge                        A   1.28   0.68NA   0.68    0.09   2.05  2.050XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99218  Initial observation care                          A   1.92   0.74NA   0.74    0.16   2.82  2.820XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99219  Initial observation care                          A   2.60   1.05NA   1.05    0.18   3.83  3.830XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99220  Initial observation care                          A   3.56   1.40NA   1.40    0.26   5.22  5.220XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99221  Initial hospital care                             A   1.92   0.77NA   0.77    0.19   2.88  2.880XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99222  Initial hospital care                             A   2.61   1.06NA   1.06    0.22   3.89  3.890XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99223  Initial hospital care                             A   3.86   1.57NA   1.57    0.28   5.71  5.710XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99224  Subsequent observation care                       A   0.76   0.30NA   0.30    0.06   1.12  1.120XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99225  Subsequent observation care                       A   1.39   0.57NA   0.57    0.09   2.05  2.050XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99226  Subsequent observation care                       A   2.00   0.82NA   0.82    0.13   2.95  2.950XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99231  Subsequent hospital care                          A   0.76   0.29NA   0.29    0.06   1.11  1.110XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99232  Subsequent hospital care                          A   1.39   0.56NA   0.56    0.09   2.04  2.040XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99233  Subsequent hospital care                          A   2.00   0.81NA   0.81    0.13   2.94  2.940XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99234  Observ/hosp same date                             A   2.56   1.00NA   1.00    0.21   3.77  3.770XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99235  Observ/hosp same date                             A   3.24   1.30NA   1.30    0.23   4.77  4.770XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99236  Observ/hosp same date                             A   4.20   1.64NA   1.64    0.30   6.14  6.140XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99238  Hospital discharge day                            A   1.28   0.69NA   0.69    0.09   2.06  2.060XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99239  Hospital discharge day                            A   1.90   1.00NA   1.00    0.12   3.02  3.020XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99241  Office consultation                               I+  0.64   0.66     0.24    0.05   1.35  0.939XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99242  Office consultation                               I+  1.34   1.10     0.51    0.11   2.55  1.969XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99243  Office consultation                               I+  1.88   1.46     0.71    0.15   3.49  2.749XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99244  Office consultation                               I+  3.02   1.96     1.14    0.25   5.23  4.419XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99245  Office consultation                               I+  3.77   2.30     1.38    0.30   6.37  5.459XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99251  Inpatient consultation                            I+  1.00   0.32NA   0.32    0.09   1.41  1.419XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99252  Inpatient consultation                            I+  1.50   0.52NA   0.52    0.11   2.13  2.139XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99253  Inpatient consultation                            I+  2.27   0.84NA   0.84    0.18   3.29  3.299XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99254  Inpatient consultation                            I+  3.29   1.23NA   1.23    0.27   4.79  4.799XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99255  Inpatient consultation                            I+  4.00   1.44NA   1.44    0.32   5.76  5.769XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99281  Emergency dept visit                              A   0.48   0.11NA   0.11    0.05   0.64  0.640XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99282  Emergency dept visit                              A   0.93   0.21NA   0.21    0.09   1.23  1.230XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99283  Emergency dept visit                              A   1.42   0.29NA   0.29    0.13   1.84  1.840XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99284  Emergency dept visit                              A   2.60   0.51NA   0.51    0.27   3.38  3.380XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99285  Emergency dept visit                              A   3.80   0.71NA   0.71    0.40   4.91  4.910XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99288  Direct advanced life support                      B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99291  Critical care first hour                          A   4.50   2.99     1.38    0.40   7.89  6.280XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99292  Critical care addl 30 min                         A   2.25   1.03     0.70    0.21   3.49  3.160ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99304  Nursing facility care init                        A   1.64   0.80     0.80    0.11   2.55  2.550XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99305  Nursing facility care init                        A   2.35   1.17     1.17    0.13   3.65  3.650XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99306  Nursing facility care init                        A   3.06   1.46     1.46    0.19   4.71  4.710XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99307  Nursing fac care subseq                           A   0.76   0.43     0.43    0.05   1.24  1.240XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99308  Nursing fac care subseq                           A   1.16   0.71     0.71    0.08   1.95  1.950XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99309  Nursing fac care subseq                           A   1.55   0.93     0.93    0.09   2.57  2.570XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99310  Nursing fac care subseq                           A   2.35   1.31     1.31    0.13   3.79  3.790XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99315  Nursing fac discharge day                         A   1.28   0.70     0.70    0.09   2.07  2.070XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99316  Nursing fac discharge day                         A   1.90   0.96     0.96    0.11   2.97  2.970XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99318  Annual nursing fac assessmnt                      A   1.71   0.89     0.89    0.11   2.71  2.710XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99324  Domicil/r-home visit new pat                      A   1.01   0.48     0.48NA  0.05   1.54  1.540XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99325  Domicil/r-home visit new pat                      A   1.52   0.64     0.64NA  0.08   2.24  2.240XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99326  Domicil/r-home visit new pat                      A   2.63   1.14     1.14NA  0.13   3.90  3.900XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99327  Domicil/r-home visit new pat                      A   3.46   1.59     1.59NA  0.19   5.24  5.240XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99328  Domicil/r-home visit new pat                      A   4.09   1.86     1.86NA  0.25   6.20  6.200XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99334  Domicil/r-home visit est pat                      A   1.07   0.57     0.57NA  0.06   1.70  1.700XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99335  Domicil/r-home visit est pat                      A   1.72   0.88     0.88NA  0.09   2.69  2.690XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99336  Domicil/r-home visit est pat                      A   2.46   1.21     1.21NA  0.13   3.80  3.800XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99337  Domicil/r-home visit est pat                      A   3.58   1.68     1.68NA  0.22   5.48  5.480XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99339  Domicil/r-home care supervis                      B+  1.25   0.85     0.85NA  0.09   2.19  2.199XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99340  Domicil/r-home care supervis                      B+  1.80   1.12     1.12NA  0.13   3.05  3.059XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99341  Home visit new patient                            A   1.01   0.48     0.48NA  0.05   1.54  1.540XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99342  Home visit new patient                            A   1.52   0.61     0.61NA  0.08   2.21  2.210XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99343  Home visit new patient                            A   2.53   0.97     0.97NA  0.13   3.63  3.630XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99344  Home visit new patient                            A   3.38   1.55     1.55NA  0.22   5.15  5.150XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99345  Home visit new patient                            A   4.09   1.90     1.90NA  0.28   6.27  6.270XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99347  Home visit est patient                            A   1.00   0.49     0.49NA  0.05   1.54  1.540XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99348  Home visit est patient                            A   1.56   0.72     0.72NA  0.09   2.37  2.370XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99349  Home visit est patient                            A   2.33   1.17     1.17NA  0.13   3.63  3.630XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99350  Home visit est patient                            A   3.28   1.56     1.56NA  0.22   5.06  5.060XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99354  Prolong e&m/psyctx serv o/p                       A   2.33   1.18     0.96    0.15   3.66  3.440ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99355  Prolong e&m/psyctx serv o/p                       A   1.77   0.90     0.71    0.11   2.78  2.590ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99356  Prolonged service inpatient                       A   1.71   0.79NA   0.79    0.11   2.61  2.610ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99357  Prolonged service inpatient                       A   1.71   0.81NA   0.81    0.11   2.63  2.630ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99358  Prolong service w/o contact                       A   2.10   0.92     0.92    0.13   3.15  3.150XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99359  Prolong serv w/o contact add                      A   1.00   0.46     0.46    0.08   1.54  1.540ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99360  Physician standby services                        X+  1.20   0.46NA   0.46    0.09   1.75  1.759XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99366  Team conf w/pat by hc prof                        B+  0.82   0.34     0.32    0.08   1.24  1.229XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99367  Team conf w/o pat by phys                         B+  1.10   0.42NA   0.42    0.09   1.61  1.619XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99368  Team conf w/o pat by hc pro                       B+  0.72   0.28NA   0.28    0.06   1.06  1.069XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99374  Home health care supervision                      B+  1.10   0.79     0.42    0.09   1.98  1.619XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99375  Home health care supervision                      I+  1.73   1.10     0.67    0.13   2.96  2.539XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99377  Hospice care supervision                          B+  1.10   0.79     0.42    0.09   1.98  1.619XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99378  Hospice care supervision                          I+  1.73   1.10     0.67    0.13   2.96  2.539XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99379  Nursing fac care supervision                      B+  1.10   0.79     0.42    0.09   1.98  1.619XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99380  Nursing fac care supervision                      B+  1.73   1.10     0.67    0.13   2.96  2.539XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99381  Init pm e/m new pat infant                        N+  1.50   1.52     0.58    0.11   3.13  2.199XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99382  Init pm e/m new pat 1-4 yrs                       N+  1.60   1.56     0.62    0.12   3.28  2.349XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99383  Prev visit new age 5-11                           N+  1.70   1.59     0.65    0.13   3.42  2.489XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99384  Prev visit new age 12-17                          N+  2.00   1.71     0.77    0.16   3.87  2.939XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99385  Prev visit new age 18-39                          N+  1.92   1.68     0.74    0.15   3.75  2.819XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99386  Prev visit new age 40-64                          N+  2.33   1.83     0.90    0.18   4.34  3.419XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99387  Init pm e/m new pat 65+ yrs                       N+  2.50   2.01     0.96    0.21   4.72  3.679XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99391  Per pm reeval est pat infant                      N+  1.37   1.35     0.53    0.11   2.83  2.019XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99392  Prev visit est age 1-4                            N+  1.50   1.40     0.58    0.11   3.01  2.199XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99393  Prev visit est age 5-11                           N+  1.50   1.39     0.58    0.11   3.00  2.199XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99394  Prev visit est age 12-17                          N+  1.70   1.47     0.65    0.13   3.30  2.489XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99395  Prev visit est age 18-39                          N+  1.75   1.50     0.67    0.13   3.38  2.559XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99396  Prev visit est age 40-64                          N+  1.90   1.55     0.73    0.15   3.60  2.789XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99397  Per pm reeval est pat 65+ yr                      N+  2.00   1.71     0.77    0.16   3.87  2.939XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99401  Preventive counseling indiv                       N+  0.48   0.59     0.18    0.05   1.12  0.719XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99402  Preventive counseling indiv                       N+  0.98   0.78     0.38    0.09   1.85  1.459XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99403  Preventive counseling indiv                       N+  1.46   0.96     0.56    0.11   2.53  2.139XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99404  Preventive counseling indiv                       N+  1.95   1.14     0.75    0.15   3.24  2.859XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99406  Behav chng smoking 3-10 min                       A   0.24   0.17     0.09    0.02   0.43  0.350XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99407  Behav chng smoking > 10 min                       A   0.50   0.27     0.19    0.05   0.82  0.740XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99408  Audit/dast 15-30 min                              N+  0.65   0.32     0.25    0.05   1.02  0.959XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99409  Audit/dast over 30 min                            N+  1.30   0.57     0.50    0.11   1.98  1.919XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99411  Preventive counseling group                       N+  0.15   0.40     0.06    0.01   0.56  0.229XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99412  Preventive counseling group                       N+  0.25   0.44     0.10    0.02   0.71  0.379XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99415  Prolong clincl staff svc                          A   0.00   0.27     0.27NA  0.01   0.28  0.283ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99416  Prolong clincl staff svc add                      A   0.00   0.12     0.12NA  0.00   0.12  0.123ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99421  Ol dig e/m svc 5-10 min                           A   0.25   0.16     0.10    0.02   0.43  0.370XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99422  Ol dig e/m svc 11-20 min                          A   0.50   0.31     0.21    0.05   0.86  0.760XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99423  Ol dig e/m svc 21+ min                            A   0.80   0.51     0.33    0.08   1.39  1.210XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99429  Unlisted preventive service                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99441  Phone e/m phys/qhp 5-10 min                       A   0.48   0.75     0.20    0.05   1.28  0.730XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99442  Phone e/m phys/qhp 11-20 min                      A   0.97   1.06     0.40    0.08   2.11  1.450XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99443  Phone e/m phys/qhp 21-30 min                      A   1.50   1.45     0.62    0.11   3.06  2.230XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99446  Ntrprof ph1/ntrnet/ehr 5-10                       A   0.35   0.13     0.13    0.03   0.51  0.510XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99447  Ntrprof ph1/ntrnet/ehr 11-20                      A   0.70   0.27     0.27    0.06   1.03  1.030XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99448  Ntrprof ph1/ntrnet/ehr 21-30                      A   1.05   0.40     0.40    0.09   1.54  1.540XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99449  Ntrprof ph1/ntrnet/ehr 31/>                       A   1.40   0.54     0.54    0.11   2.05  2.050XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99450  Basic life disability exam                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99451  Ntrprof ph1/ntrnet/ehr 5/>                        A   0.70   0.29     0.29    0.05   1.04  1.040XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99452  Ntrprof ph1/ntrnet/ehr rfrl                       A   0.70   0.29     0.29    0.05   1.04  1.040XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99453  Rem mntr physiol param setup                      A   0.00   0.51     0.51NA  0.01   0.52  0.520XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99454  Rem mntr physiol param dev                        A   0.00   1.72     1.72NA  0.01   1.73  1.730XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99455  Work related disability exam                      R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99456  Disability examination                            R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99457  Rem physiol mntr 1st 20 min                       A   0.61   0.77     0.25    0.05   1.43  0.910XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99458  Rem physiol mntr ea addl 20                       A   0.61   0.51     0.25    0.05   1.17  0.910ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99460  Init nb em per day hosp                           A   1.92   0.66NA   0.66    0.12   2.70  2.700XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99461  Init nb em per day non-fac                        A   1.26   1.22     0.43    0.09   2.57  1.780XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99462  Sbsq nb em per day hosp                           A   0.84   0.29NA   0.29    0.06   1.19  1.190XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99463  Same day nb discharge                             A   2.13   0.86NA   0.86    0.13   3.12  3.120XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99464  Attendance at delivery                            A   1.50   0.52NA   0.52    0.09   2.11  2.110XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99465  Nb resuscitation                                  A   2.93   1.01NA   1.01    0.19   4.13  4.130XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99466  Ped crit care transport                           A   4.79   1.64NA   1.64    0.31   6.74  6.740XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99467  Ped crit care transport addl                      A   2.40   0.83NA   0.83    0.15   3.38  3.380ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99468  Neonate crit care initial                         A  18.46   6.34NA   6.34    1.18  25.98 25.980XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99469  Neonate crit care subsq                           A   7.99   2.75NA   2.75    0.51  11.25 11.250XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99471  Ped critical care initial                         A  15.98   5.48NA   5.48    1.03  22.49 22.490XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99472  Ped critical care subsq                           A   7.99   2.84NA   2.84    0.54  11.37 11.370XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99473  Self-meas bp pt educaj/train                      A   0.00   0.30     0.30NA  0.01   0.31  0.310XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99474  Self-meas bp 2 readg bid 30d                      A   0.18   0.23     0.06    0.01   0.42  0.250XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99475  Ped crit care age 2-5 init                        A  11.25   3.86NA   3.86    0.72  15.83 15.830XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99476  Ped crit care age 2-5 subsq                       A   6.75   2.56NA   2.56    0.49   9.80  9.800XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99477  Init day hosp neonate care                        A   7.00   2.41NA   2.41    0.46   9.87  9.870XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99478  Ic lbw inf < 1500 gm subsq                        A   2.75   0.95NA   0.95    0.18   3.88  3.880XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99479  Ic lbw inf 1500-2500 g subsq                      A   2.50   0.86NA   0.86    0.16   3.52  3.520XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99480  Ic inf pbw 2501-5000 g subsq                      A   2.40   0.83NA   0.83    0.15   3.38  3.380XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99483  Assmt & care pln pt cog imp                       A   3.44   3.67     1.44    0.24   7.35  5.120XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99484  Care mgmt svc bhvl hlth cond                      A   0.61   0.67     0.25    0.05   1.33  0.910XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99485  Suprv interfacilty transport                      B+  1.50   0.58NA   0.58    0.11   2.19  2.199XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99486  Suprv interfac trnsport addl                      B+  1.30   0.50NA   0.50    0.11   1.91  1.919XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99487  Cmplx chron care w/o pt vsit                      A   1.00   1.50     0.42    0.06   2.56  1.480XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99489  Cmplx chron care addl 30 min                      A   0.50   0.71     0.20    0.03   1.24  0.730ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99490  Chron care mgmt srvc 20 min                       A   0.61   0.51     0.25    0.05   1.17  0.910XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99491  Chrnc care mgmt svc 30 min                        A   1.45   0.79     0.79    0.09   2.33  2.330XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99492  1st psyc collab care mgmt                         A   1.70   2.54     0.69    0.11   4.35  2.500XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99493  Sbsq psyc collab care mgmt                        A   1.53   1.88     0.63    0.09   3.50  2.250XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99494  1st/sbsq psyc collab care                         A   0.82   0.90     0.33    0.05   1.77  1.200ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99495  Trans care mgmt 14 day disch                      A   2.36   2.71     0.99    0.13   5.20  3.480XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99496  Trans care mgmt 7 day disch                       A   3.10   3.58     1.30    0.19   6.87  4.590XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99497  Advncd care plan 30 min                           A   1.50   0.82     0.64    0.09   2.41  2.230XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99498  Advncd care plan addl 30 min                      A   1.40   0.62     0.61    0.09   2.11  2.100ZZZ.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99499  Unlisted e&m service                              C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             36.0896 090 99      0.00   0.00   0.00
99500  Home visit prenatal                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99501  Home visit postnatal                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99502  Home visit nb care                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99503  Home visit resp therapy                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99504  Home visit mech ventilator                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99505  Home visit stoma care                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99506  Home visit im injection                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99507  Home visit cath maintain                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99509  Home visit day life activity                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99510  Home visit sing/m/fam couns                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99511  Home visit fecal/enema mgmt                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99512  Home visit for hemodialysis                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99600  Home visit nos                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99601  Home infusion/visit 2 hrs                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99602  Home infusion each addtl hr                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99605  Mtms by pharm np 15 min                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99606  Mtms by pharm est 15 min                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
99607  Mtms by pharm addl 15 min                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             36.0896 090 99      0.00   0.00   0.00
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